Breast Augmentation in Sapporo: Cost and Recovery

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.

Complications rarely happen when all recommendations are respected. Possible ones are hematoma or seroma, wound infection, reduced or increased sensitivity of the nipple, capsular contracture, aesthetic asymmetry, wound separation and tissue necrosis.

The effect of mammoplasty lasts for years: about 10–15 years after augmentation (until the implants are replaced) and 5–10 years after a lift or reduction. Duration depends on weight, pregnancy, skin aging and gravity. Supportive underwear and a stable weight help the result last.

The ability to breastfeed after mammoplasty depends on the type of operation. With augmentation through an under-breast or armpit incision and a submuscular implant, lactation usually remains, because the glandular tissue is not harmed. After a lift or reduction the risk is greater, as ducts may be cut. Raise this with your surgeon ahead of time.

Implant choice is based on material (silicone gives the most natural appearance, saline is used more rarely), shape (round or anatomical teardrop), surface (smooth or textured), size and profile. Your surgeon will pick the best one for your anatomy and goals.

The patient feels nothing during surgery, which is performed under general anesthesia. Moderate discomfort in the first 1–3 days is possible and is treated with painkillers. By day 5–7 the pain is greatly reduced, and by weeks 2–3 no discomfort remains. With severe pain, contact your doctor immediately.

Work (without physical strain) is possible after 7–14 days. Gentle walks after 1–2 weeks. Fitness and swimming after 4–6 weeks, strength workouts after 3 months. The pool and sea after 4–6 weeks. Compression garments are needed for 4–6 weeks. Exact dates depend on how your recovery goes.

Mammoplasty is not linked by scientific evidence to an increased breast cancer risk, and implants do not cause cancer. After surgery, keep doing regular screening: self-exams, mammography and ultrasound. Tell any examining doctor about your implants every time.

A C-section does not rule out mammoplasty, but full recovery of the body must come first. Wait 6–12 months or more after giving birth and after you stop breastfeeding. Before surgery, you must have a surgeon's consultation and check-up.

Mammoplasty does leave scars, but with a skilled surgeon they are minimal. Incisions are made in hidden areas — under the breast, around the areola or in the armpit. In the first months scars are reddish, but within 6–12 months they fade and become almost 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.

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.

Hormonal drugs such as contraceptives and hormone replacement therapy do not influence implants directly. They may, however, cause swelling or breast tissue volume changes that temporarily affect how the breasts look. Inform your surgeon of these medications before surgery.