Shared choice
Body shape, tissue quality and goals define a safe range. Going beyond it increases medium-term complication risk.
Breast surgery · Tunis
Breast surgery
Five procedures on one page to understand options, limits, scars and recovery — clearly, without promises.
General information. Surgical indications are decided by a qualified surgeon after assessment.
01 · Breast augmentation with implants
A volume adapted to your shape.
Implant augmentation adds volume with a breast prosthesis. The discussion covers silicone gel or saline, shape, profile, position and incision — never a size in isolation.
The essential pointAn implant is a medical device: it is not guaranteed for life and removal or replacement may be needed. A significantly drooping breast may need a lift as well.
Technique
Implants may be round or anatomical, smooth or textured, placed in front of the muscle, behind it or in a dual plane, through an inframammary, periareolar or axillary incision.
Follow-up
Preoperative breast imaging, a support bra and regular reviews accompany recovery. Screening continues after implants.
Result
Shape settles over several months as the implants position and tissues soften. Breastfeeding is generally possible, depending on technique and incision.
Risks
Infection, bleeding, asymmetry, capsular contracture, displacement, rupture and revision are among the points to discuss. This list is not exhaustive.
Frequently asked questions
Questions patients ask us.
No. Their lifespan cannot be predicted, and removal or replacement will probably be needed during a lifetime.
Generally yes, but technique and incision can have an effect. Discuss it in consultation if pregnancy is planned.
They do not replace or prevent screening. Tell the imaging team so the appropriate technique is used.
The safe range is set by your anatomy and tissues. A volume beyond it can increase complications.
No. It adds volume. Significant sagging generally needs a lift as well.
After several months, once the implants settle and the tissues soften.
02 · Breast lift (mastopexy)
Lift and reshape, with clarity.
A breast lift removes excess skin, reshapes the gland and repositions the areola. It corrects drooping but does not create major volume by itself.
The trade-offThere is no durable lift without scars. Their extent — around the areola, vertical or inverted-T — depends on the laxity being corrected.
Who may benefit
Drooping breasts, loose skin and downward-facing areolas, with a wish for a higher position and realistic expectations.
Volume
Existing volume is redistributed. An implant or fat transfer may be added when more fullness is desired.
Recovery
A support bra, scar care and reviews accompany changes over several months. Pregnancy can alter the result.
Breastfeeding
Breastfeeding remains possible in many cases, but may be reduced or impossible depending on technique and duct preservation.
Adding an implant
A one-stage combination is possible but more demanding and may carry a higher revision risk. Some surgeons prefer two stages.
Frequently asked questions
Questions patients ask us.
No. It redistributes existing tissue and lifts the breast. An implant or fat transfer adds volume.
No. Their length can sometimes be limited, but a durable lift needs scars.
No. Ageing and gravity continue; gradual descent is normal.
It is possible in many cases, but capacity may be reduced or impossible depending on technique.
Yes, but the combination is more demanding and may increase revision risk. A staged plan may be offered.
After several months. Breasts often look high and firm at first, then settle.
03 · Breast reduction
Relieve the body, restore proportion.
Reduction removes some gland and skin, reshapes the breast and repositions the areola. It can address functional discomfort as well as appearance.
A functional goalBack, neck and shoulder pain, bra-strap marks, under-breast irritation and activity limits often improve when breast weight is the cause.
Who may benefit
Breast hypertrophy, daily discomfort, stable weight and a wish for a more balanced volume. The final size cannot be specified to the millimetre.
Technique
The surgeon removes the necessary tissue, reshapes the breast and repositions the areola while protecting blood supply and symmetry.
Follow-up
Removed tissue is routinely sent for pathology. Scars are permanent and continue to evolve for months.
Breastfeeding and change
Breastfeeding may remain possible but cannot be guaranteed. Gravity and ageing continue afterwards, with normal gradual descent.
Insurance
Some European systems cover reduction under precise conditions and prior approval. Check with your insurer before planning surgery abroad.
Frequently asked questions
Questions patients ask us.
It often improves quickly when linked to breast weight. Pain from another cause will not be corrected by reduction.
It may be possible, but milk production can be reduced or impossible. It cannot be guaranteed.
A target is agreed within the limits of anatomy, areola safety and healing. It cannot be measured exactly.
Gravity and ageing continue. Gradual change is normal and usually slower than before surgery.
Yes, routinely. Keep the pathology report and ask the team to explain it.
Some countries reimburse under precise criteria and prior approval. Confirm with your insurer.
04 · Breast fat transfer (lipofilling)
Your own fat, a measured result.
Fat is harvested from a donor area, prepared and reinjected into the breast. There is no foreign body, but the gain remains moderate.
A gradual augmentationOne session generally adds one to two cup sizes. Some fat is reabsorbed and more than one session may be needed.
Harvest
Fat is taken from areas with enough reserve. Stable weight helps preserve proportions.
Transfer
Prepared fat is placed in small deposits across different planes to support a natural contour and survival.
Imaging
Preoperative breast imaging and appropriate follow-up remain essential. Tell the radiologist about the transfer.
Result
Surviving fat is durable but follows weight changes. Fat transfer adds volume; it does not remove skin from a drooping breast.
Combination
It may be combined with an implant to soften edges or improve asymmetry. The indication is individual.
Frequently asked questions
Questions patients ask us.
Usually one to two cup sizes per session. It is not intended for a very large increase.
Often, because some fat is reabsorbed. Sessions should be planned in the calendar and budget.
Fat that survives is lasting, but weight loss can reduce the volume. Transferred cells remain sensitive to weight change.
Screening remains essential. Benign images can appear; tell the radiologist so they can interpret them correctly.
No. It adds volume but does not remove skin or correct major drooping.
Yes, to refine the contour or mask implant edges. The plan is tailored to the patient.
05 · Breast implant exchange
Secondary surgery, tailored.
Exchange or removal may address rupture, wear, capsular contracture, malposition, asymmetry, breast changes or a different volume goal.
Do not ignore a new signLate one-sided swelling, persistent pain or a rapid change needs assessment and imaging. Implant-associated lymphoma is rare, but this signal must be evaluated.
Assessment
The implant card, original operative report and recent imaging help the surgeon understand the situation and plan.
Options
Depending on the case: capsule treatment, replacement, removal alone, lift, fat transfer or a combination.
Follow-up
There is no automatic replacement date. Examination and imaging determine timing and next steps.
Scars and volume
The existing scar is usually reused. A lift may add scars. Removal without replacement is valid, but the breast will be smaller or looser.
Capsule
The capsule does not always need total removal. The decision depends on its state, symptoms and clinical context.
Frequently asked questions
Questions patients ask us.
No. There is no automatic deadline. Clinical follow-up and imaging guide the decision.
No. It can be silent and found only on imaging, which is why regular follow-up matters.
Yes. The breast will be smaller or looser; a lift or fat transfer may help after removal.
No. Total removal is not always justified. The approach depends on the capsule and situation.
The existing scar is usually reused. Additional scars may be needed if a lift is added.
Yes: implant card, original operative report and recent imaging if available.
Your project
A first conversation,
without pressure.
Punica Med coordinates and supports your journey. Medical assessment and surgery remain the responsibility of qualified healthcare professionals.