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Breast plastic surgery

Breast reduction (reduction mammaplasty)

Reductive mammaplasty (breast reduction) is a plastic surgery that aims at correcting breast shape by removing excess skin, fat and glandular tissue of mammary gland.

Big breasts can cause both physical and emotional discomfort. Large bust can provoke various pathologies: persistent pain in cervix and thoracic spine region, left deep bra marks on shoulders, physical stresses become overwhelming. In this case, this cosmetic defect is of paramount importance: unsatisfactory aesthetic breasts give birth to many complexes in women.

Depending on breast size, as well as on the degree of ptosis (breast lowering), different methods of surgical interventions for breast reduction are used.

We also use the innovative equipment that applies 3D modeling of plastic surgery results.

Usually surgical intervention for breast reduction is performed in conjunction with mastopexy (breast lifting).

DURATION OF OPERATION:  60-120 minutes
PERIOD OF REHABILITATION AFTER REDUCTION:  3-4 weeks

INDICATIONS TO BREAST REDUCTION

  • Mastoptosis (lowering) of mammary gland of various degrees.
  • Posture curvature, back pain.
  • Skin rash and irritation under mammary glands caused by excessive friction due to large breast size.
  • Bra straps leave deep marks on skin.
  • Psychological discomfort, complexes of intimate character.
  • Macromastia – excessive volume of mammary glands.

PRELIMINARY CONSULTING

At the meeting, we will discuss your medical history, especially as regards previous injuries (damages), allergic reactions and previous plastic surgeries, if any.

We will consider in detail all the problems that you are experiencing, which, you think, are undesirable and must be corrected.

After examining external characteristics of breasts, we will discuss in detail your wishes and on how much, in our opinion, the operation will meet them.

Also you will be informed about all the details of the upcoming reduction mammaplasty, its duration, rehabilitation period and possible complications.

PREPARATION FOR OPERATION

  • When preparing for reduction mammaplasty, medical examination is mandatory to determine possible contraindications to the operation. And preoperative photographs are also taken. Before the operation, we will thoroughly analyze these images, and we will use them together with the data obtained after the examination to compile an individual operation plan.
  • A patient undergoes preoperative 3D modeling to create an accurate breast model after its reduction, and also to see the result, which coincides 99.9%.
  • 14 days before the surgery, you should stop taking aspirin and aspirin-containing medications because they affect normal blood clotting. If you are in doubt about any preparation, carefully read the instructions on the label or consult our clinic. Tell us about all the drugs that you will take before surgery.
  • Also, two weeks before the surgery, it is necessary to give up cigarettes or minimize their number, since nicotine leads to the reduction of blood vessels and can worsen blood circulation in tissues during and after the surgery.
  • 7 days before the operation, it is necessary to exclude from the diet spicy and fatty dishes, as well as to stop drinking alcohol.
  • Do not eat or drink in the evening before the surgery. For safe anesthesia, your stomach should be completely empty before surgery.
  • On the day of the surgery, wear comfortable, loose clothes that will not need to be removed through the head.

POST-OPERATIONAL PERIOD

  • After discharge from the clinic, you will receive recommendations on the use of painkillers and antibiotics. Strictly follow their instructions.
  • You will come to bandaging and to a surgeon examination with the frequency that will be prescribed by your attending physician, taking into account the specific course of the postoperative period.
  • The first 2-3 weeks patients should sleep on the back.
  • Within 2 weeks you should give up cigarettes, nicotine worsens blood circulation in tissues and as a result increases the rehabilitation period.
  • 14 days after the surgery, you should stop taking aspirin and aspirin-containing medications.
  • It is advisable not to have sex for the first 2-3 weeks due to the high probability of developing acute hematoma or other complications.
  • During the first 2-3 weeks after the operation, it is recommended to exclude fatty, spicy, very salty and fried food, as well as alcoholic beverages and exotic fruits.
  • Do not exercise for 3 weeks after the operation, which requires a lot of physical activity. In order to minimize the chance of the postoperative complication, avoid such actions as low slopes or lifting of weights.
  • Wear postoperative compression linen as long as it is necessary for a normal healing process (usually about 4 weeks).
  • After reduction mammoplasty, it is not recommended to fly for 2 weeks on airplanes, and 4 weeks – to visit sauna or swimming pool.
  • Exercising or doing sports can be possible only after our assent.
  • Be sure to let us know if after the discharge from hospital discomfort or bleeding increases, also if you shiver and have the temperature above 38 degrees Celsius.
  • Edema and decrease in sensitivity within the operation area is a normal condition, and these changes usually vanish in the period from 1 to 4 months, in rare cases, sensitivity of a nipple and areola can be restored up to 1 year or more.
  • During the rehabilitation period, food rich in vitamins and microelements should be included into the diet.
RISKS AND POSSIBLE COMPLICATIONS AFTER BREAST REDUCTION
  • During the postoperative period, the development of general surgical complications and corresponding complications of this operation is possible. The risk of the onset of the first (suppuration, bleeding, thrombophlebitis, thromboembolism) is reduced through an appropriate preoperative examination and, if necessary, through medicinal preparation.
  • Complications characteristic of reducing mammaplasty include: partial or complete necrosis (die-off) of parts of skin flaps or nipple-areola complex (associated with insufficient blood supply).
  • Persistent decrease or complete absence of sensitivity of a nipple and very rarely persistent pain in this zone.
  • Asymmetry, fluid accumulation in cavities (seroma) or hematoma (in the early postoperative period).

All of the above-mentioned complications after breast reduction surgery are exceptions that arise periodically despite the leading standards in surgical practice. We have outlined them for the purpose of informing you properly and in no way intimidating.

Reviews

(RU) Ирина (уменьшение груди)

(RU) 27.07.2017

Sorry, this entry is only available in Russian.

(RU) Лейла (уменьшение груди)

(RU) 18.09.2011

Sorry, this entry is only available in Russian.

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