Breast Augmentation for Patients from Vereeniging

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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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 hold for a long time, roughly 10–15 years after augmentation (up until implant replacement) and 5–10 years after a lift or reduction. Weight, pregnancy, the aging of skin and gravity play a role in duration. Supportive underwear and weight control help maintain the result.

Breastfeeding after mammoplasty depends on the type of surgery. With augmentation through an under-breast or armpit incision and the implant placed under the muscle, lactation is usually preserved — the glandular tissue is not damaged. After a lift or reduction the risk is higher because ducts may be cut. Discuss this with your surgeon in advance.

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 operation itself happens under general anesthesia, so nothing is felt. Moderate discomfort can occur in the first 1–3 days and responds to painkillers. By day 5–7 pain decreases a lot, and by weeks 2–3 discomfort is gone. In case of severe pain, tell your doctor right away.

Most patients return to work (without physical exertion) after 7–14 days. Light walks are fine after 1–2 weeks. Fitness and swimming come 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 your recovery.

Science has found no evidence that mammoplasty increases the risk of breast cancer. Implants are not a cause of cancer. After the procedure, go on with regular screening, including self-exams, mammography and ultrasound, and always tell the examining doctor about the implants.

Mammoplasty after a C-section is possible, but only once your body has fully recovered. Allow at least 6–12 months after giving birth and after breastfeeding stops. A consultation and check-up with a surgeon are required before surgery.

Scars do remain after mammoplasty, but a skilled surgeon keeps them to a minimum. Incisions are placed in hidden zones: beneath the breast, around the areola or in the armpit. The scars are reddish for the first months and fade within 6–12 months to become almost invisible.

During the first weeks after the operation, slight asymmetry is normal, since swelling and healing are uneven. If a size or shape difference continues after 3–6 months, see your surgeon for an exam to find its cause.

Nipple and breast sensitivity can change temporarily after mammoplasty, either decreasing or increasing. It happens because nerve endings are irritated. Sensitivity usually returns within 3–12 months. If there is still no improvement after a year, consult your surgeon.

Hormonal medicines (contraceptives, hormone replacement therapy) do not directly affect implants but may trigger swelling or changes in breast tissue volume, which temporarily affects appearance. You must tell your surgeon about such drugs before the operation.