Breast Augmentation with Implants in Rustenburg

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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With every recommendation followed, complications seldom occur, though they can include hematoma or seroma, wound infection, reduced or increased nipple sensitivity, capsular contracture, aesthetic asymmetry, wound separation and tissue necrosis.

Mammoplasty gives a lasting result: around 10–15 years after augmentation (up to implant replacement) and 5–10 years after a lift or reduction. How long it holds depends on weight, pregnancy, skin aging and gravity. To keep the result, wear supportive underwear and keep your weight under control.

Whether you can breastfeed after mammoplasty depends on the kind of surgery. After augmentation via an under-breast or armpit incision with the implant placed under the muscle, lactation is usually preserved, since the glandular tissue is not damaged. A lift or reduction carries a higher risk because ducts may be cut. Talk this over with your surgeon beforehand.

Implants are chosen by material (silicone appears most natural, saline is used less frequently), shape (round or anatomical teardrop), surface (smooth or textured), size and profile. Your surgeon selects the option that best suits your anatomy and wishes.

The surgery itself is performed under general anesthesia — the patient feels nothing. In the first 1–3 days moderate discomfort is possible and is relieved with painkillers. By day 5–7 pain decreases significantly, and by weeks 2–3 discomfort is gone. If pain is severe, tell your doctor right 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.

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.

Mammoplasty does result in scars, but a skilled surgeon keeps them minimal. Incisions are made in areas that are out of sight: under the breast, around the areola or in the armpit. At first scars are reddish, and within 6–12 months they fade and become nearly invisible.

A little asymmetry in the early weeks after the operation is normal, due to swelling and uneven healing. If the shape or size still differs after 3–6 months, have your surgeon examine you to determine the cause.

Breast and nipple sensitivity may change for a time after mammoplasty, going down or up. The cause lies in irritation of nerve endings. In the majority of cases sensitivity is restored within 3–12 months. If nothing has improved after a year, consult your surgeon.

Although hormonal drugs (contraceptives, hormone replacement therapy) have no direct impact on implants, they can produce swelling or changes in breast tissue volume, temporarily affecting appearance. Be sure your surgeon knows about such medications before surgery.