Breast Augmentation with Implants in The Hague

Yes. Boob job is the everyday name for breast augmentation. At City Medical Centre it is done with round or anatomical implants that the surgeon chooses with you at the consultation.

Breast enlargement adds volume with implants. A breast lift (mastopexy) raises sagging breasts and removes excess skin. Which one suits you is decided at the free consultation.

Mammoplasty refers to several procedures: augmentation (adding volume through implants), reduction (cutting away excess tissue and skin), mastopexy (lifting sagging breasts), reconstruction (after mastectomy) and asymmetry correction. The best technique is picked individually, based on what you want and what the surgeon advises.

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When all recommendations are followed, complications are rare. They can include hematoma or seroma, wound infection, reduced 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.

Whether breastfeeding remains possible after mammoplasty depends on the type of operation. With augmentation via an under-breast or armpit incision and the implant beneath the muscle, lactation is usually preserved, as the glandular tissue is spared. After a lift or reduction the risk is higher because ducts may be cut. Talk it through with your surgeon beforehand.

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.

Because the operation is done under general anaesthesia, the patient feels no pain. The first 1–3 days may bring moderate discomfort, eased with painkillers. By day 5–7 the pain is much milder, and by weeks 2–3 the discomfort disappears. Let your doctor know immediately if pain is severe.

Returning to work without physical exertion is possible after 7–14 days, and light walks after 1–2 weeks. Fitness and swimming are allowed after 4–6 weeks, strength training after 3 months, and the pool and sea after 4–6 weeks. Compression garments: 4–6 weeks. Exact timing depends on recovery.

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.

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.