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BREAST REDUCTION
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Description

    A reduction mammaplasty aims to reduce the volume of the mammas and/or to improve the shape and harmonize them with the rest of the body’s contour.

    It is important to have in mind that different women have different breasts forms and characteristics, and in every single case, the surgery’s results might also differ.

    Good planning before surgery and discussing hopes, fears and expectations with the surgeon is the best way to obtain the result you are looking for.

    The breasts are associated with sensuality and the beauty of the body. Besides the aesthetic aspects, big size breasts can be the cause of back and shoulder pain, bad posture and skin problems, as well as limiting physical exercise.

    Today there are several different mammaplasty techniques capable of reaching excellent results and high levels of satisfaction. Mammary surgery can be divided into reduction mammaplasty, mastopexia or lifting of the mamas and mastopexia combined with silicone-gel implants. Regardless of the chosen surgery procedure, a successful mammaplasty improves the shape of the breasts through the removal of mammary tissue and excess skin, and the repositioning of the nipples.

    During the consultation you must tell the surgeon all your wishes and complains. After the physical examination, the surgeon is able to offer different surgical possibilities, according to your goals. The end result of a mammaplasty should bring the volume of the breasts at balance with the patient’s torso, height and weight.

    A breast reduction procedure is advised for patients with medium or big breasts’ volume. Part of the mammary gland and fat will be removed, followed by the modelling the tissue and the re-positioning of the nipple areola and the nipple.

    A mastopexia is mostly indicated for patients with adequate breasts volume, but ill positioned nipple areola, and loss of cleavage contour and flaccid breast tissue. The procedure will help to harmonize and enhance the cleavage.

    After pregnancy, weight loss and other cases that might be the cause of mammary atrophy and skin flaccidity, a mastopexia on its own might not be the most adequate choice in order to restore breast volume. An association of mastopexia and silicone-gel filled breast implants is most indicated in these cases.

    As with any other kind of surgical procedure, during a mammaplasty incisions will be made and they will leave scars behind. For aesthetic reasons the incisions are strategically positioned in order to be less perceptible They can be around the areola or in an inverted T shape on the inferior part of the mamma.

    The surgical procedure is always performed at a hospital, in order to ensure your safety. It will take from two to three hours and you will be under general or epidural anesthesia. Sedation might also be used.

    You should be in hospital only at the day of the procedure, and, as a rule, out of hospital 24 hours after surgery. Soon after the procedure, the mammas will be swollen and might look assymetric, but this is not the final result. Pain is rare, although a certain degree of discomfort might be felt during some days after the surgery.

    Normally after a mammaplasty surgical procedure, the patient should rest for 3 to 5 days, avoiding lifting the arms above shoulder level for at least a week. In order to aid healing of the tissues and speed up re-absorption, a special kind of bra should be worn for up to 2 months.

    The stitches will be removed after approximately 14 to 21 days. You should avoid carrying weight, lifting your elbows above shoulder level, driving, practising physical exercise and sun bathing for 3 weeks after surgery. Intense physical exercise and weight lifting should be avoided for at least 2 months.

    After a month the definite form will start to reveal itself, and the end result should be fully seen between 6 to 12 months after the date of the surgery.

    The ability to breast feed will not change, apart from some cases of breast reduction when the mammas were of a considerable volume and size, there, some alteration might be noticed.

    Areola sensibility is also untouched in most cases. Again a breast reduction procedure when the mammas were of a considerable size and volume, might have the side effect of decreasing areola sensibility.

    A well executed mammaplasty will bring very gratifying aesthetic results, will increase self-steam and will re-establish body harmony.

 
Remember: A breast reduction surgery procedure, as any other kind of plastic surgery, must always be performed in a medical centre or hospital, by a qualified plastic surgeon member of the Brazilian Society of Plastic Surgery, and with the help of an anesthetist!
 
Frequent asked questions about Breast Reduction   Go back to the surgical procedures page
 
 
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