The reductive mammoplasty is a medical term used for a surgical procedure whose purpose is to reduce breast volume. The breast reduction is performed in patients with large breasts who experience symptoms such as back pain, presence of a groove on the shoulders caused by their bra, and dissatisfaction to dress. It is good to mention that all breast reduction surgeries are accompanied by a lifting.
In the lifting, the goal of this surgery is to restore a nice look to the shape of the breast providing a youthful appearance. The removal of excess skin and breast tissue gives the breast a more proportional look to the remaining body. The areola can be reduced and also placed on the same place in one procedure. Although it can be done at any age, it is recommended that the patient has obtained a complete breast development, usually after th
e age of 16.
During the consultation, the patient must be prepared to inform the plastic surgeon in regards to any previous surgical procedures on the breasts, a history of loss or excessive weight gain and its influence on the size of the breasts. The breast reduction technique most used, basically involves three incisions: one around the areola (which is generally reduced during surgery), a vertical one which goes from the lower end of the areola to the breast groove, and a third one that is horizontal, it follows the natural curve of the breast groove.
After the removal of excess tissue, the breast is repositioned and a new shape and position is acquired for the areola. This method allows for greater preservation of sensation and the ability to breastfeed, although this can not be guaranteed in all cases.
The extension and positioning of the incision may vary depending on the size and shape of the breast, and how much the patient wants to reduce.
Therefore, surgery is best indicated for:
-Patients with back, neck, and shoulder pains from the weight of the breasts.
-Heavy and drooping breasts, with areolas very low or very large breasts and disproportionate to the body.
-Skin irritation under the breasts
-Injuries caused by the bra on the shoulders
-Restrictions of physical activity and feelings of lack of self confidence due to breast volume.
-Individuals with clear objectives and within the real possibilities of the procedure, including being aware of its limitations.
You will be asked to sign a consent form to ensure you understood everything explained by the doctor regarding the procedure to be done and are aware of the possible and potential complications. The most common complications of this surgery include: accumulation of blood under the skin (hematoma), swelling, infection, poor healing, thrombus formation, and anesthetic complications. After surgery you will wake up to healing dressings on the operated region and whose function is to make local compression. A drain may be used temporarily in the surgical area to prevent any accumulation of fluid or blood and speed up the recovery process.
The day of surgery you will be encouraged to get out of bed for short periods and wander around the room. While lying down, flex and stretch your feet, exercising the calfs at least 20 times every hour when awake. In the following days, wandering around every two hours wandering around for about 10 to 15 minutes is recommended, to prevent thrombosis.
Care in relation to the surgical wound, such as changes of dressings, monitoring, and necessary prescriptions will be delivered by the surgeon.
At first the sensation of edema (swelling), bruised regions of the operated area and discomfort are normal. The pain will be controlled with medication and should not be more than tolerable. If you have any questions regarding some of these symptoms, ask your surgeon.
You will be instructed to avoid physical exertion or heavy lifting for several weeks after postoperative.
The return to normal activities will be gradual and according to the orientation of the surgeon.
Some areas with lack of sensitivity and discreetly hardened in the operated region may occur and gradually improve in the months that follow.
As the initial healing process takes 5 to 10 days, stitches will only be removed after this period.
The entire process takes several months and is therefore necessary to maintain some specific care to be guided by your plastic surgeon. The resulting scars are permanent and the final result depends on the individuality of each patient.