Breast Augmentation (Mammoplasty)
Surgery to increase or reshape the breasts using implants, sometimes combined with lipofilling (fat transfer). It suits women who wish to restore volume after pregnancy or weight loss, or to change the size and shape of their breasts.
Breast augmentation (augmentation mammoplasty) is an operation that increases the size or changes the shape of the breasts using implants, sometimes combined with lipofilling — the transfer of the patient's own fat tissue. The procedure is planned individually according to body anatomy and the patient's goals.
How the surgery is planned and performed
Preparation begins with a consultation: the surgeon assesses breast anatomy, skin quality, and body proportions, and the desired outcome is discussed in detail. Two to three weeks before surgery, laboratory tests and a breast ultrasound are performed, along with an anaesthesiology assessment; current medication is reviewed and adjusted if needed. International patients can arrange an online consultation before travelling to Kyiv, so that the surgical plan and the logistics of the visit are settled in advance.
The operation is carried out under general anaesthesia and takes approximately 1.5–2 hours. The implant is placed in a pocket under the muscle or behind the breast gland through a small incision in the natural fold under the breast; if necessary, a lift (mastopexy) or lipofilling is performed at the same time to improve the contour.
After the operation the patient stays in the clinic for observation, usually overnight, and then recovers at home with instructions on wound care, a compression bra, and activity restrictions. Sutures are removed around days 7–10, followed by scheduled check-ups to monitor healing.
The result develops gradually: the final breast shape stabilises within 3–6 months, and scars fade over 6–12 months. The outcome is long-lasting, but expectations should be realistic — at the consultation the surgeon will explain honestly what can be achieved in your particular case. The subject of this surgery is a sensitive one, and all information about the patient and the procedure is kept strictly confidential.
Indications
- Micromastia — underdeveloped breasts relative to the body frame
- Loss of breast volume and firmness after pregnancy, breastfeeding, or weight loss
- Noticeable breast asymmetry
- Dissatisfaction with breast size or shape
- Change in breast shape after injury or previous surgery
- Breast ptosis — a lift (mastopexy) may be required in combination
Contraindications
- Active infectious diseases or acute exacerbation of chronic conditions
- Uncompensated cardiovascular disease or decompensated diabetes
- Oncological processes — until ruled out or treatment is completed
- Acute or active chronic diseases of the breast
- Pregnancy and breastfeeding
How the operation goes
From the first consultation to follow-up visits.
Consultation: examination, discussion of the desired outcome, selection of implant type and size
Work-up: laboratory tests, breast ultrasound, anaesthesiologist assessment
Surgery under general anaesthesia, approximately 1.5–2 hours
Inpatient observation, usually one day
Follow-up visit and suture removal around days 7–10
Scheduled check-ups to monitor healing and assess the result
Week-by-week recovery
Timeframes are approximate: the individual recovery plan is set at the consultation.
Early recovery
Swelling and discomfort gradually subside; a compression bra is worn and physical strain is limited.
Return to daily routine
Sutures are removed and swelling decreases; light work without physical strain and normal daily activities can be resumed.
Settling period
The compression bra is worn as directed; heavy lifting and intensive training are excluded.
Stabilisation
Residual swelling resolves and the breasts take their final shape and natural contour.
Final result
Scars fade and become barely noticeable; the outcome can be fully assessed.
Frequently asked questions
How much does breast augmentation cost?
The guide price starts from $5000. The exact cost is set at the consultation and depends on the implant type and size, the scope of surgery, and the technique used.
Is the surgery painful?
The operation is performed under general anaesthesia, so there is no pain during the procedure itself. Some discomfort and a feeling of tightness in the chest area are normal for the first few days and are managed with prescribed pain relief.
Will the scars be visible?
The incision is usually placed in the natural fold under the breast, which keeps the scar discreet. With proper aftercare it fades within 6–12 months after surgery.
When can I return to work and exercise?
You can usually return to a desk job without physical strain after 1–2 weeks. Intensive training, especially exercises that load the chest muscles, should be postponed for 4–6 weeks and resumed with the surgeon's approval.
Is the result permanent?
The result of the surgery is long-lasting, but implants are not lifetime devices: their condition is monitored with regular check-ups and ultrasound, and they can be replaced if needed. As with any surgery, mammoplasty carries a risk of complications (including capsular contracture), which is reduced by careful preparation and following the surgeon's instructions.
Results: before and after
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After Patient reviews
After two pregnancies and breastfeeding I needed a lift, not enlargement — and that is exactly what they honestly told me, even though I came asking for implants. The plan was a mastopexy, no implant. The result exceeded expectations: the shape is natural and sensation is fully preserved. Most valuable of all was the feeling that the doctor declined an unnecessary procedure he could easily have offered.
It took me a long time to decide on breast augmentation — I feared anesthesia and an unnatural look. At the consultation Artem explained why 300 cc was the physical limit for my anatomy and showed a 3D model. The operation went smoothly and I woke up without nausea. Now, six months later, even my gynecologist cannot tell my breasts were operated on — the scars are hairline, hidden in the fold. Special thanks to the coordinator who answered my panicky messages at 10 pm.
Other procedures in this area
Breast reduction
Reduction mammoplasty is surgery to reduce breast volume by removing excess tissue and repositioning the areolar complex. It is indicated for macromastia accompanied by back and neck pain, skin irritation and restricted activity.
Breast lift (mastopexy)
Mastopexy is surgery to lift sagging breasts by removing excess skin and repositioning the areolar complex without changing breast volume. It is indicated for ptosis that developed after pregnancy, breastfeeding or weight loss.
Consultation with the surgeon
We will discuss your goal, show similar cases and name the exact price.