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Breast Reduction

Breast Reduction

The dilutive breast used to reduce the size of large and heavy breasts. Large and heavy breasts cause discomfort in the neck and back, cause severe dermatological problems such as puffiness where the breasts rest on the abdomen or cut and irritation of the skin on the shoulder where the bra rests but also difficulties with the choice of clothes and sportswear. activities.

The operation briefly

The nipple is lifted to a new position and held in a tissue islet. Excess mammary gland and skin are removed and the rest is reshaped with internal sutures, resulting in a smaller and raised breast. The technique differs from surgeon to surgeon but I prefer the “vertical” method which leaves no horizontal incision at all so that the marks are much less than the other “inverted anchor” techniques. 

You will immediately wear a sports bra to support the chest and help in its new shape. You will probably have drains for 2-3 days to collect the fluid that comes out of the wound. There will be no pain and you should be absent from work for about 1 week. You will start sports activities in 4-6 weeks. For 3-6 months the new breast will react differently to menstruation until you get used to the new condition.

At 6 months a mammogram or MRI will be needed to map the new breast. This image will be the basis for comparison of any subsequent examination.

Sections

The marks will depend on the technique used. They tend to be quite brown in the first 6 weeks, turn pink in the next 3 months and then fade and turn white. The use of a special laser but also special films and silicone gel will help a lot. Most of the patients will have very good quality scars over time. Scars from other wounds give a relatively good indication of how they will mature in the chest.

Drugs and smoking

The  dilutive breast  needs proper preparation, like any surgery. 

It is always better if you do not smoke. If you are a smoker try to quit smoking for 4 weeks before and 4 weeks after surgery. If you can not quit smoking, you will definitely be able to reduce the number of cigarettes you smoke per day to 5, which will significantly reduce the chances of complications (bruises, bruises, swelling).

Do not take herbal medicines for about 10 days before surgery or for 3 days after (arnica etc.). Also avoid aspirin (salospir), 7-10 days preoperatively, and anti-inflammatory 3-4 days preoperatively.

Complications

The following are the most common but there are others that are mentioned in the international literature. 

Wet / Hematoma : serum or blood collection normally in 2 to -4 is week. Needle suction or drainage required.

Bleeding : needs immediate treatment and reoperation.

Contamination : Prophylactic antibiotics are always given but microcysts / microabscesses may form at the suture site.

Nipple anemia / hypersensitivity : usually the aesthetics return in a few weeks.

Deformed scars : prevented by using a special laser but also special tapes and silicone gel.

Asymmetry / Wrong nipple position : requires correct preoperative measurements but if it occurs it is easily corrected with a little local anesthesia.

Large breast retention : after conservative removal of the mammary gland. Depending on the case, reoperation may be needed.

Nipple necrosis : internationally 2.5-3.5% and without a clear etiology. It happens every time with a different gravity and the nipple will be restored in an easy time.

Healing problems / skin loss : usually treated conservatively with changes and wound care.

Breast Reduction

Postoperative Instructions: After Reduction Breast Surgery

Before and After Photos