Mammoplasty in Welkom: Implants and Price

Mammoplasty spans several procedures: augmentation (enlargement with implants), reduction (excess tissue and skin are removed), mastopexy (lift of sagging breasts), reconstruction (after mastectomy) and asymmetry correction. The ideal method is chosen for you individually, taking into account your wishes and the surgeon's advice.

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Complications are rare when recommendations are fully followed, yet they can include hematoma or seroma, wound infection, reduced or increased nipple sensitivity, capsular contracture, aesthetic asymmetry, separation of the wound and tissue necrosis.

Mammoplasty results are durable: about 10–15 years following augmentation (until implant replacement) and 5–10 years following a lift or reduction. Weight, pregnancy, aging skin and gravity influence how long the effect lasts. Maintain it by wearing supportive underwear and watching 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.

General anesthesia is used for the surgery itself, so there is no sensation. In the first 1–3 days you may feel moderate discomfort, which painkillers relieve. Pain subsides significantly by day 5–7 and discomfort is gone by weeks 2–3. If pain becomes severe, inform your doctor right away.

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.

No scientific data suggest that mammoplasty increases breast cancer risk, and implants are not carcinogenic. After the operation, continue regular screening: self-examination, mammography and ultrasound. Always tell the doctor who examines you about your implants.

You can have mammoplasty after a C-section, though your body needs to recover completely first. Wait a minimum of 6–12 months after childbirth and the end of breastfeeding. Before surgery, a surgeon's consultation and examination are mandatory.

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.

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.

After mammoplasty, sensitivity of the nipples and breasts may change for a while, becoming lower or higher. This is due to irritation of the nerve endings. In most cases sensitivity comes back within 3–12 months. If nothing improves after a year, see your surgeon.

Hormonal medications (contraceptives, hormone replacement therapy) do not act on implants directly, yet they may lead to swelling or shifts in breast tissue volume that affect the look for a while. Make sure your surgeon knows about them before surgery.