The cycle of motherhood implies profound biological changes in a woman's body, and the restoration of body contours, particularly of the breasts, is a frequent reason for consultations in aesthetic surgery. In Argentina, breast augmentation is a common procedure, accounting for 13.7% of all aesthetic surgeries in the country, according to data from the International Society of Aesthetic Plastic Surgery (ISAPS).An expert in plastic surgery, Dr. Juan Manuel Seren, emphasizes that when it comes to reversing postpartum changes, surgery must be postponed for a prudent period. The first requirement is the complete cessation of breastfeeding. Once milk production has stopped, a waiting period of six to eight months is established.This time is necessary for the breast tissues to fully settle and deflate, ensuring safe and predictable results. The most common postpartum breast surgery is augmentation mastopexy, which implies the acceptance of permanent scars (in a T, anchor, mini-T, or L shape). Therefore, the patient's evaluation after childbirth is key: in many cases, augmentation mastopexy requires a mandatory psychological evaluation to ensure the patient is prepared for permanent physical changes and the acceptance of a lifelong breast scar.It should be noted that healing is a process determined by individual genetics; the body, as the saying goes, 'heals as it can, not as one wants'.The expert also noted that plastic surgery is constantly evolving to offer solutions that maximize safety, naturalness, and the durability of results. A key innovation is the use of resorbable, biocompatible meshes to create an internal support or 'internal bra' in the lower pole of the breast. This support improves the lifting result without increasing surgical morbidity, which translates to a reduced risk of complications.The future of breast surgery will be marked by a constant evolution towards less invasive, safer procedures with increasingly faster recoveries.
