# Breast Enlargement (Augmentation Mammoplasty)

> A **breast enlargement surgery** is used to increase and create a fuller breast size, many women suffer from a reduced breast size due to breastfeeding or aging.

- Canonical page: https://doctormaresky.co.za/procedure/breast-enlargement
- Category: [Breast Augmentation](https://doctormaresky.co.za/procedure-category/breast-augmentation)
- Procedure directory: https://doctormaresky.co.za/procedures.md
- Medical disclaimer: https://doctormaresky.co.za/medical-disclaimer


## Overview

A **breast enlargement surgery** is used to increase and create a fuller breast size, many women suffer from a reduced breast size due to breastfeeding or aging. Some women naturally have smaller breasts, which may cause low self esteem. **Breast implants** are an ideal solution to this.

## The procedure

The procedure involves placing an implant in the breast cavity. A surgeon may position breast implants above (**subglandular**) or below your pectoral muscles (**submuscular**), dependant on the implant type and size. The surgeon will discuss the entire procedure with the patient before the surgery.

## Candidate information

- **Description:** The ideal candidate would be in generally good health and have realistic expectations with the outcome. **Ideal candidates** are typically:

### Criteria

- Over the age of 18 years
- In General good health
- Stable in weight
- Not planning to breastfeed in the near future
- Not pregnant

## Preparation

- **Timeline:** **2-4 weeks** before surgery

### Medical tests

- **Complete blood count (CBC)**
- **ECG if over 40 years old**
- **Chest X-ray if indicated**
- **COVID-19 test if required**

### Medications

#### Medications to discuss stopping

- **Stop** aspirin and blood thinners **2 weeks** prior
- **Stop** NSAIDs (ibuprofen, naproxen) **1 week** prior
- **Stop** herbal supplements (ginkgo, garlic, ginseng) **2 weeks** prior
- **Stop** vitamin E supplements **1 week** prior

#### Medications to continue

- **Continue** essential medications as advised by **Dr Maresky**
- **Inform Dr Maresky** of all current medications during consultation

### Lifestyle

- **Smoking:** **Quit** smoking at least **4 weeks** before surgery to promote proper healing and reduce complications

- **Alcohol:** **Avoid** alcohol **48 hours** before surgery

- **Fasting:** No food or drink after midnight the night before surgery (**NPO after midnight**)

### Arrangements

- **Arrange** transportation home after surgery - you cannot drive
- **Arrange** for a responsible adult to stay with you for the first **24-48 hours**
- **Prepare** recovery space at home with comfortable clothing and easy access to essentials
- **Stock** up on prescribed medications and recommended supplies
- **Arrange** time off work (**1-2 weeks** recommended, varies by procedure)
- **Plan** for help with childcare and household tasks during recovery

## Recovery and aftercare

The recovery period varies for each patient. To minimize swelling, a compression garment is worn post surgery and vigorous exercise is completely off-limits within the first **3 to 4 weeks**. Drainage tubes are placed to remove excess liquid during the first few days. The total healing time can be anything from **7 weeks to 10 weeks**.

## Expected results

Most patients experience **immediate enhancement** in breast size and shape. The final aesthetic results become apparent as swelling subsides, typically within **3-6 months**.

## Implant types

- **Silicone Implants:** These implants also have a silicone shell, but they are filled with a smooth saline solution. Silicone implants look and feel more natural than saline implants.
- **Gummy Bear Implants or Silicone Gel Implants:** These solid implants keep their shape if cut in half, just like the candy they are named after.

## Frequently asked questions

### What types of breast implants are available?

There are primarily **silicone** and **saline implants** available, with variations like **gummy bear implants** that maintain their shape even if the shell is broken.

### How long do breast implants last?

Breast implants are not considered lifetime devices, but they don't automatically need to be replaced. Many women keep their original implants for **10-20 years** without issues.

### What are the normal side effects after breast enlargement?

Normal side effects include sore breasts, scars, bruising, swelling, general discomfort, and itching. These typically subside within a few weeks.

### What size breast implants should I choose?

Implant size is determined during consultation based on your body frame, chest measurements, desired outcome, and lifestyle. **Dr Maresky** will help you choose the most appropriate size.

### Where are the incisions made for breast enlargement?

Common incision locations include under the breast (**inframammary**), around the areola (**periareolar**), or through the armpit (**transaxillary**). The best option depends on your anatomy and implant type.

### Can I breastfeed after breast enlargement?

Most women can breastfeed after breast augmentation, especially with **submuscular placement**. However, there may be some impact on milk production in some cases.

### How much does breast enlargement cost in Cape Town?

Breast enlargement costs vary based on implant type, surgical technique, and individual needs. A detailed quote is provided during your consultation with **Dr Maresky**.

## Indicative pricing

- Estimate: R85,000 ZAR
- Cost factor: Implant type (saline vs silicone)
- Cost factor: Size
- Cost factor: Surgical technique
- Detailed cost page: https://doctormaresky.co.za/cost/breast-enlargement
- Final pricing is confirmed after an individual consultation.

## Consultation and contact

- Consultation: https://doctormaresky.co.za/procedure/general-consultation
- Contact: https://doctormaresky.co.za/contact