Breast Augmentation with Implants in Matola

Mammoplasty includes several procedures: augmentation (adding volume with implants), reduction (removing excess tissue and skin), mastopexy (lifting sagging breasts), reconstruction (after mastectomy) and asymmetry correction. The optimal method is selected individually, based on your wishes and the surgeon's recommendation.

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Complications are uncommon if every recommendation is followed, but possible ones include hematoma or seroma, wound infection, lower or higher nipple sensitivity, capsular contracture, aesthetic asymmetry, wound separation and tissue necrosis.

The results of mammoplasty are long-lasting: roughly 10–15 years after augmentation (until the implants are replaced) and 5–10 years after a lift or reduction. Weight, pregnancy, skin aging and gravity all influence how long they last. Wearing supportive underwear and managing your weight help maintain the result.

Breastfeeding after mammoplasty depends on the procedure. Augmentation through an under-breast or armpit incision with a submuscular implant usually keeps lactation intact, since glandular tissue is not damaged. With a lift or reduction the risk is higher, because ducts may be cut. Be sure to discuss this with your surgeon in advance.

The choice of implant looks at material (silicone looks most natural, while saline is used less often), shape (round or anatomical teardrop), surface (smooth or textured), size and profile. The surgeon will choose what works best for your anatomy and wishes.

The operation is done under general anaesthesia, so the patient feels nothing. Over the first 1–3 days moderate discomfort may occur and is eased with painkillers. By day 5–7 pain drops noticeably, and by weeks 2–3 the discomfort has gone. If the pain is severe, let your doctor know at once.

You can get back to work (no physical exertion) in 7–14 days. Light walks in 1–2 weeks. Fitness and swimming in 4–6 weeks, strength training in 3 months. Pool and sea in 4–6 weeks. Keep wearing compression garments for 4–6 weeks. The precise timing depends on your own recovery.

No scientific data suggest that mammoplasty increases breast cancer risk, and implants are not carcinogenic. After the operation, continue regular screening: self-examination, mammography and ultrasound. Always tell the doctor who examines you about your implants.

It is possible to have mammoplasty after a C-section, provided the body has recovered fully. Wait no less than 6–12 months after birth and after finishing breastfeeding. A surgeon's consultation and examination are needed before the operation.

Scars after mammoplasty are unavoidable, but with a skilled surgeon they stay minimal. Incisions are made in hidden places, namely under the breast, around the areola or in the armpit. Scars look reddish during the first months, but within 6–12 months they fade to almost invisible.

Some slight asymmetry during the first weeks after surgery is expected, caused by swelling and uneven healing. Should a difference in shape or size persist after 3–6 months, visit your surgeon to be examined and find out why.

After mammoplasty, nipple and breast sensitivity may change temporarily — decrease or increase. The cause is irritation of nerve endings. In most cases sensitivity returns within 3–12 months. If there is no improvement after a year, see your surgeon.

Hormonal medications (contraceptives, hormone replacement therapy) do not act on implants directly, yet they may lead to swelling or shifts in breast tissue volume that affect the look for a while. Make sure your surgeon knows about them before surgery.