Breast Implants in Siliguri: Augmentation Surgery

Mammoplasty is an umbrella for several procedures: augmentation (increasing volume with implants), reduction (taking away excess tissue and skin), mastopexy (lifting sagging breasts), reconstruction (after mastectomy) and asymmetry correction. Your wishes and the surgeon's advice determine the best individual method.

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If you follow all the recommendations, complications are rare; they may, however, include hematoma or seroma, wound infection, decreased or heightened nipple sensitivity, capsular contracture, aesthetic asymmetry, wound separation and tissue necrosis.

Mammoplasty results last a long time: about 10–15 years after augmentation (until implant replacement) and 5–10 years after a lift or reduction. Weight, pregnancy, skin aging and gravity affect how long it lasts. To maintain the result, wear supportive underwear and control your weight.

Breastfeeding after mammoplasty varies with the type of surgery. Lactation is usually preserved after augmentation through an under-breast or armpit incision with the implant under the muscle, because glandular tissue is not injured. After a lift or reduction there is more risk, since ducts may be cut. Discuss this in advance with your surgeon.

Implant selection considers material (silicone gives the most natural look; saline is less common), shape (round or anatomical teardrop), surface (smooth or textured), size and profile. The surgeon picks the best fit for your anatomy and wishes.

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.

There is no scientific evidence that mammoplasty increases breast cancer risk. Implants do not cause cancer. After surgery, keep up regular screening — self-exams, mammography and ultrasound. Always tell the examining doctor about your implants.

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.

There are scars after mammoplasty, though a skilled surgeon keeps them minimal. The incisions go in discreet areas, such as under the breast, around the areola or in the armpit. Early on the scars are reddish, but over 6–12 months they fade and are almost unnoticeable.

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 drugs (contraceptives, hormone replacement therapy) do not affect implants directly, but may cause swelling or changes in breast tissue volume, temporarily affecting appearance. Be sure to tell your surgeon about such medications before surgery.