BREAST REDUCTION (REDUCTION MAMMOPLASTY)

Plastic and aesthetic surgery

WHAT IS BREAST REDUCTION?

Breast reduction or reduction mammoplasty is an operation to remove fat tissue, other connective tissue, and skin from the breast. If you have large breasts, you can consider performing this operation in order to reduce the discomfort or relief from discomfort due to breast size. This operation can help you raise the level of self-confidence and security within yourself and enable you to participate in various physical activities without interruption. If you make the decision to carry out this operation in Bel Medic, you will need to talk to our plastic surgeon about your expectations and realities, potential risks and complications that accompany this procedure.

INDICATIONS / WHY IT IS DONE?

• Surgical breast reduction is an operation performed for women with large breasts who want to eliminate the following disorders: chronic pain, neck and shoulder pain, chronic rash or skin irritation under the breast, deep strap furrows on the shoulder; difficulty with physical activity; difficulty with sleeping.

• This operation can be performed for women of different age (even in the teenage years). It is considered that it is best to perform surgery only when the breasts reach their full size. If you are planning a pregnancy or family extension, it is recommended that you perform surgery after pregnancy and breast-feeding, because this operation can make breastfeeding more difficult.

HOW IT IS PERFORMED?

• Surgical breast reduction is performed in general anesthesia (during the procedure you will not be conscious). The operation is done by making the cut around the nipple and under the breast. After that, the surplus tissue of the breast, fat tissue and skin is removed. Warts and areola (dark overgrown skin around the nipple) usually remain in the position they were before surgery. If your breasts are extremely large, there may be a need to move the position of the nipple and areola up.

POTENTIAL RISKS

• Surgical breast reduction is like any surgery followed by the risk of certain complications: bleeding, infection, or adverse reaction to anesthetics. Other complications that can occur are: scarring, loss of breast and nipple feeling, difficulty or obstruction of breastfeeding, differences in size, shape and symmetry of the left and right breast, which may require intervention.

• The risk of poor wound healing is most often associated with the amount of breast tissue that is removed.

PREPARATION

• Before surgery, a plastic surgeon will discuss your health with you; about your expectations of this operation; give you a detailed explanation of the operation, the potential risk of complications, the recovery process. After that they will do a breast examination and will measure the size of the breast. He will make photos of your chest to accompany medical records.

• Before the operation, it may be necessary to do the laboratory tests that your doctor asks, do a mammogram, stop smoking or take certain medicines that your doctor orders.

RECOVERY

• After the procedure of reduction, your breast will be covered with a gauze and you will maybe need to wear a surgical support bra. There could be a need for placing small tubes in order to drain the contents (drains). Your breasts may be swollen or may be bruised within 2 weeks of the procedure. You may feel pain or sensitivity around the site of the cuts that can be red for several months. The firmness of the breast and nipple can last for several weeks.

• If you feel pain few days after the procedure in consultation with a doctor, you can take painkiller. Avoid straining, bending and lifting. Try sleeping on your back or on the side to avoid breast pressure. Drainage catheters that are placed near the cuts are removed after a few days. When removing drainage catheters, the bandages are removed or changed.

• Depending on the type of surgical suture used in the procedure, it will be known whether and when it will be necessary to remove the sutures (usually 1 to 2 weeks after the procedure). Continue wearing the supporting surgical bra continuously for 3 to 4 days, and you may need to continue wearing it for the next 3 to 4 weeks. During the healing process, exposure to the sun is not recommended.

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