How does breast reduction work?
Before the operation, the surgeon and the patient determine the desired size and apply the markings while standing; Depending on the volume of removal, a vertical technique is selected (scar around the areola and downwards - with moderate reduction) or anchoring (additionally a scar in the fold - with a large volume and pronounced ptosis). The tissue is removed symmetrically on both sides with precise weighing, the nipple with the areola is moved on the upper or lower feeding pedicle while preserving the vessels and nerves, the gland is formed with internal sutures, the skin is sutured cosmetically. The tissue section is sent for histology. In the first weeks, the breasts are swollen and high - the final natural shape is formed after 3-6 months. The result lasts for many years with a stable weight.
Indications
- gigantomastia and macromastia - large volume of breasts with pain in the neck, back, shoulders, marks from straps, diaper rash under the breasts;
- severe ptosis (drooping) with asymmetry after childbirth, feeding, weight loss;
- limitation of physical activity and selection of clothing, psychological discomfort;
- contraindications: planned pregnancy and lactation in the next year, breast cancer, severe somatic diseases, smoking (relatively).
Result and safety
Reduction mammoplasty is one of the most satisfying operations for patients: the volume is instantly reduced, prolapse is eliminated, symmetry and proportions are restored, back pain and skin problems disappear. The nipple is preserved on the feeding stalk with sensitivity of 85–90% and the possibility of feeding in some women (depending on the technique and volume). Scars around the areola and vertical (with the anchor technique - and in the crease) lighten over time and are hidden by underwear. Before the operation, ultrasound/mammography and consultation with a mammologist are required; all removed tissue is examined histologically.
