Breast Augmentation and Mammoplasty — beautiful breasts without pain or doubt

Mammoplasty covers several procedures: augmentation (increasing volume with implants), reduction (removing excess tissue and skin), mastopexy (lift for sagging), reconstruction (after mastectomy) and asymmetry correction. The best method is chosen individually based on your wishes and the surgeon's advice.

If all recommendations are followed, complications are rare, but they may include hematoma or seroma, wound infection, reduced or increased 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 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 surgery itself is performed under general anesthesia — the patient feels nothing. In the first 1–3 days moderate discomfort is possible and is relieved with painkillers. By day 5–7 pain decreases significantly, and by weeks 2–3 discomfort is gone. If pain is severe, tell your doctor right away.

You can return to work (without physical exertion) 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. Wear compression garments for 4–6 weeks. Exact timing depends on your recovery.

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.

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.

Mammoplasty does leave scars, but with a skilled surgeon they are minimal. Incisions are made in hidden areas — under the breast, around the areola or in the armpit. In the first months scars are reddish, but within 6–12 months they fade and become almost invisible.

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.

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.