Breast Implants in Richards Bay: Augmentation Surgery

Several procedures fall under mammoplasty: augmentation (volume increase with implants), reduction (excision of extra tissue and skin), mastopexy (lift of sagging breasts), reconstruction (after mastectomy) and asymmetry correction. The right method is chosen for each patient according to her wishes and the surgeon's advice.

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Following all recommendations makes complications rare. Still, they may involve hematoma or seroma, infection of the wound, decreased or increased nipple sensitivity, capsular contracture, aesthetic asymmetry, wound separation and tissue necrosis.

Results after mammoplasty last a long while: about 10–15 years for augmentation (until implant replacement) and 5–10 years for a lift or reduction. Weight changes, pregnancy, skin aging and gravity affect their duration. To maintain the result, choose supportive underwear and control your weight.

Breastfeeding after mammoplasty is determined by the type of surgery. Augmentation through an under-breast or armpit incision, with the implant under the muscle, usually preserves lactation, since the glandular tissue is left undamaged. The risk is higher after a lift or reduction because ducts may be cut. Talk to your surgeon about it in advance.

When choosing implants, the factors are material (silicone looks most natural, saline is used less often), shape (round or anatomical teardrop), surface (smooth or textured), size and profile. The surgeon will find the best option for your anatomy and preferences.

During the operation the patient is under general anesthesia and feels nothing at all. For the first 1–3 days there may be moderate discomfort, relieved by painkillers. By day 5–7 pain is much lower, and by weeks 2–3 discomfort passes. Report severe pain to your doctor straight away.

Work without physical exertion can be resumed after 7–14 days. Light walks after 1–2 weeks. Fitness and swimming after 4–6 weeks, strength training after 3 months. Pool and sea after 4–6 weeks. Compression garments are worn for 4–6 weeks. Exact timing depends on how you recover.

Science offers no evidence that mammoplasty increases breast cancer risk. Implants are not a cause of cancer. After the operation, keep having regular screening: self-exams, mammography and ultrasound. Make sure the examining doctor always knows about your implants.

After a C-section, mammoplasty can be done once the body has fully healed. At least 6–12 months should pass after delivery and after breastfeeding ends. A consultation and examination by a surgeon are required before the operation.

Mammoplasty does leave scars, but in the hands of a skilled surgeon they are minimal. Incisions are placed in hidden areas: under the breast, around the areola or in the armpit. Scars look reddish in the first months, yet within 6–12 months they fade and become nearly invisible.

Slight asymmetry early on, in the first weeks after surgery, is normal and is due to swelling and uneven healing. If the difference in shape or size persists after 3–6 months, get examined by your surgeon to identify the cause.

Nipple and breast sensitivity can change temporarily after mammoplasty, either decreasing or increasing. It happens because nerve endings are irritated. Sensitivity usually returns within 3–12 months. If there is still no improvement after a year, consult your surgeon.

Implants are not directly affected by hormonal drugs (contraceptives, hormone replacement therapy), though these can cause swelling or changes in the volume of breast tissue and temporarily change appearance. Tell your surgeon about them before the operation.