Breast Implants in Utrecht: Augmentation Surgery

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 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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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.

The results of mammoplasty are long-lasting: roughly 10–15 years after augmentation (until the implants are replaced) and 5–10 years after a lift or reduction. Weight, pregnancy, skin aging and gravity all influence how long they last. Wearing supportive underwear and managing your weight help maintain the result.

After mammoplasty, breastfeeding depends on the type of surgery. If augmentation uses an under-breast or armpit incision and the implant goes under the muscle, lactation is typically preserved because glandular tissue is not damaged. A lift or reduction has a higher risk since ducts may be cut. Discuss it with your surgeon before surgery.

Implant choice considers 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 choose the best option for your anatomy and wishes.

The surgery is carried out under general anaesthesia, and the patient feels nothing. Moderate discomfort is possible during the first 1–3 days and is relieved by pain medication. Pain falls significantly by day 5–7, and by weeks 2–3 discomfort is over. If you have severe pain, tell your doctor at once.

You may go back to work (with no physical exertion) after 7–14 days, take light walks after 1–2 weeks, and do fitness and swimming after 4–6 weeks. Strength training is allowed after 3 months, pool and sea after 4–6 weeks. Compression garments stay on for 4–6 weeks. Timing depends on your 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.

Mammoplasty after a C-section is possible, but your body must fully recover first. Wait at least 6–12 months after giving birth and after breastfeeding ends. A surgeon's consultation and check-up are required before surgery.

Yes, mammoplasty leaves scars, but they are minimal when the surgeon is skilled. The incisions are made in concealed areas, under the breast, around the areola or in the armpit. For the first months scars are reddish, then within 6–12 months they fade and become barely visible.

Slight asymmetry in the first weeks after surgery is normal: it is caused by swelling and uneven healing. If a difference in shape or size persists after 3–6 months, see your surgeon for an examination to find the cause.

A temporary decrease or increase in nipple and breast sensitivity is possible after mammoplasty, caused by irritated nerve endings. Most of the time sensitivity returns within 3–12 months. If it has not improved after one year, see your surgeon.

Hormonal drugs (contraceptives, hormone replacement therapy) have no direct effect on implants, but they can cause swelling or changes in breast tissue volume that temporarily alter appearance. Always tell your surgeon about such medications before surgery.