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Breast Reduction

Know more about Breast Reduction

Reduction mammaplasty is one of the most common procedures in plastic surgery. The breast reduction procedure is done to improve the breast shape, as well as the prevention of problems caused by very large breasts (gigantomastia). Reduction mammaplasty is also used as a complementary resource in the prophylactic treatment of certain breast diseases (special cases).

Women with very large breasts or gigantomastia, usually have problems like back pain, skin irritation, itching, rashes in the mammary fold that can hinder day to day activities. A breast reduction can reduce the breast size and reposition them if necessary, as well as remove excess skin.

Indication

Reduction, repositioning and removing excess skin from the breasts.

Anesthesia

General anesthesia, epidural or local, depending on the case.

Doe the breast reduction surgery leave scars? Where are they?

The scars from breast reduction are in the peri-areolar region and the lower part of the breast forming an inverted T.

Surgical time

On average, the breast reduction surgery can last from 90 to 120 minutes. However, the time of surgery should not be confused with the length of the patient’s stay in the operating room environment, because this includes the period of preparation for anesthesia and postoperative recovery. Your doctor will inform you about the total time.

Length of hospital stay

Generally 24 hours.

Recovery time

The patient can resume daily activities within three weeks. Physical exercises involving the lower limbs may be allowed within 10 to 15 days, avoiding the “high impact” exercises. Activities involving the chest, usually must wait until 30 to 45 days.

Final result

Although the immediate result is very good, the breasts will reach their final form only during the “late period” stage, between the 12th and 18th month.

Recommendations for a Breast Reduction

PREOPERATIVE

– Communicate with us until the day before surgery, in case of flu, sickness or anticipation of the menstrual period;

– Attend a surgical site (hospital, clinic) on schedule according to your surgical plan;

– Avoid alcohol or very hearty meals the day before surgery;

– Avoid any slimming drugs, which are eventually used for a period of 10 days before surgery. This also includes certain diuretics;

– Schedule your social, domestic, professional or school activities, so as not to become indispensable to others for a period of approximately 4 days.

POSTOPERATIVE

– Avoid strenuous activity in the first 8 days; – Do not move your arms excessively. Obey the instructions that will be given at the time of discharge, regarding upper limb movement or massage;

– Avoid wetting the dressing until it is authorized to do so;

– Do not expose yourself to the sun until further notice;

– Obey the prescription;

– Eat normally (except in specific cases that you receive proper guidance), after the second day, eat mostly protein-based meals (meat, milk, egg) and vitamins (fruits);

– Return to the office for dressing maintenance in subsequent days and times set;

– Probably you will be feeling so well that you forget that you were operated on recently. Caution! This euphoria may cause you to behave unsafely, which can result in certain disorders;

– Do not worry about the intermediate phases. Speak with your plastic surgeon and only with him about any doubts.

Learn more about Breast Reduction.

I heard that some patients are left with very visible scars. Is that true?

Some patients tend to experience hypertrophic scarring or keloids after the placement of breast reduction surgery. This trend, however, can be assessed to some extent, during the initial consultation, when you are asked a series of questions about your medical history as well as an analysis of family characteristics that can help us greatly with the prognosis of scars. Generally, fair-skinned people tend to not to experience this complication. Dark-skinned people are more predisposed to keloids or hypertrophic scars. This, however, is not an absolute truth. The background analysis will help us predict the healing prognosis, as well as allow us to take a closer look at any previous scars.

Is there a way to correct hypertrophic scars and keloids?

There are several medical and surgical means of improving unsightly scars, at the appropriate time. This is not to be confused, however, with the natural evolution of the healing period. Any questions about scar evolution should be discussed with your surgeon who will assess the state and location of them.

What will my new breasts be like in regards to size and consistency?

The breasts will have increased in volume with the implantation of reduction mammaplasty, improving the consistency and shape. The size will be decided by the patient and the surgeon, taking into consideration various factors discussed during the initial consultation. The breasts will pass through several stages of evolution after the operation:

A – IMMEDIATE PERIOD: Up to the 30th day. In this period, even if the breasts present an improved aspect, they still will not have reached their final size and volume. Remember that no breast is “perfect” during the immediate postoperative period.

B – INTERMEDIATE PERIOD: From the 30th day until the 3rd month – During this period, the breast begins to present an evolution that leads to their final form. Some characteristics of this period are a greater or lesser degree of “swelling” of the breasts. Additionally, the scarring is in full transition. Despite the euphoria of most patients at this time, we remind them them that final results will be even better.

C – LATE PERIOD: From the 3rd to the 18th month. This period is when the breasts reach their final appearance (scar, shape, texture, volume, sensitivity, etc.). During this period we usually compare the breasts with the preoperative aspect of each patient. The final result should produce a great degree of skin elasticity and volume from the prosthesis.

If I get pregnant, will the results of the breast augmentation be affected?

The result of a breast augmentation can be preserved, since you control your weight gain during the new pregnancy. The breasts undergo changes during pregnancy regardless of the presence of a retro-glandular prostheses.

Is the postoperative period of this surgery painful?

Generally not. The breast reduction surgery is quite comfortable as long as you follow the medical instructions, especially with regards to arm movements during the first few days. Eventually, pain may occur, which can be easily controlled with the painkillers prescribed by your doctor. Avoid self-medication.

Are bandages used?

Yes, elastic bandages are used after a breast reduction, specially adapted to each type of breast and bra fitting.

When are the stitches removed?

Generally, stitches that are used are removed on the 14th day after surgery.

When can I take a bath?

Depending on the case, the following day after surgery. Everything will depend on the evolution of the surgery, as well as the type of dressings used. All the special postoperative care will be explained by your doctor.

What is the postoperative outcome?

You should not forget that, until your breasts reach their desired results, they will go through several stages after the breast reduction. If you are concerned about “achieving the desired final result ahead of schedule,” do not worry. The proper care and patience for your body’s healing ability will resolve any and all issues during the healing evolution process. Clearly any concern on your part can be addressed by your doctor who will give all the necessary information for your well being.

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