WHAT DOES THIS SURGERY CONSIST OF?
the exaggerated increase of the size of the breasts produces in many women as much psychological problems, as organic to know: pain of neck and back, irritations in the skin, respiratory problems and difficulty in the use of suitable clothes.
The Reduction Mammoplasty is a procedure to correct the fall or Ptosis of the breast and the reduction of the size of the mammary gland. It applies to women with large (hypertrophic) or sagging (pstosic) breast.
Breast reduction seeks several purposes as they are:
- To relocate in a higher position, the areola and nipple, Improve the shape of the breast by reducing the size of the mammary gland.
- Best locate the scars that are necessary to organize the skin that is left over when the gland is removed. There are two possible alternatives to follow:
- Inverted T-shaped scar in which the horizontal portion is hidden at the level of the sub-mammary fold and the vertical at the lower pole.
- L-shaped or peri-areolar scar depending on the technique.
However, the technique varies from case to case because a correct diagnosis is very important depending on the circumstances of each patient.
The surgery last approximately three hours and is performed with general Anesthesia, requiring one day of hospitalization.
There may be edema and hematomas that give way to symptomatic treatment.
The use of a special bodice is indicated, the stitches are removed after approximately 15 days and the patient can return to her normal activities between 10 and 15 days.
You should be very clear about the volume you want in your breasts and the presence of your scars. You must be clear that the reduction in size is limited by the risk of altering the irrigation of the nipple. On the other hand, breast reduction decreases the size of your bra cup but not the contour.
On Cambio 19.80 Dr. Luis Alberto Guerra Araujo will evaluate your state of health, your important medical history and value your breasts. Comment all the expectations you have regarding surgery and will guide you about the best option, alternatives, limitations, risks and care you should have. If you smoke, use drugs such as aspirin, anti-inflammatory drugs, vitamin E, corticosteroids, or if you have spontaneous or prolonged bleeding, tell your doctor, it is important to avoid complications during surgery
The use of cigarette or corticosteroids can reduce the vascularization of the skin causing it to suffer or even that the skin does not have good circulation and is necrose, in other words, it dies of the skin becoming black. For this reason, it is important to stop smoking and corticosteroids two weeks before the surgery. If the latter cannot be stopped or their dosis is reduced, it is better to postpone the surgery.
The day after surgery you will feel tired and experience chest pain, which easily controlled with the medication prescribed to you by a plastic surgeon. The Surgeon may leave drains that will be removed in the next 20 to 72 hours. A good part of the activities can be resumed around the 3rd – 5th day after the surgery.
You should wear a flannel bra for at least one month 24 hours a day to give the best shape to your breast while it heals internally, this will also limit your pain. Around 14 or 20 days, the stitches will be removed.
The use of swimming pool should be avoided the first 4 weeks because it promotes infection. Sport and other physical exercise activities can be done again around 3, 4 weeks after surgery. You may have decreased sensitivity or tingling in the breasts but this, in a couple of weeks, has to return to normality.
The scar will be hard and reddish for the first 6 weeks, but then with the care indicated it will become pale and soft depending on its healing.
Does Breast Reduction Prevent Breast Cancer?
No, because we are eliminated part of the fat, the mammary gland and the skin, but not in its totality. If the patient has a family history, she should discuss it with her surgeon before the operation.
If a woman is overweight, can she have breast reduction surgery or should she wait?
When there is overweight or obesity is always advisable to lose weight before surgery, both to avoid added complications and for the final aesthetic result is optimal.
Do you lose sensation after a breast reduction?
There is the possibility of a certain alteration in sensitivity (both hypo- and hypersensitivity) after the operation, but it is usually transitory. If the plastic surgeon uses the appropriate technique, he will be able to respect and preserve the nerves responsible for giving sensitivity to the breasts.
After the operation, will I be able to breastfeed?
The reduction mammoplasty has an inherent risk of losing the ability to breastfeed, so, if the patient wishes, she should consider the possibility of postponing the surgery until she has been a mother and completed breastfeeding.