- Gluteal Prosthesis
- Calf Prosthesis
- Post-Weight Loss
REDUCTIVE MAMMOPLASTY (BREAST REDUCTION)
The mammoplasty aims to reduce the size of the breasts and/or improve their shape, so they’re in harmony with the rest of the body contour.
That way, it’s important to remember that different women have different breasts, and the post-surgery results are different for each case.
A good planning before the surgery and discussing with the surgeon as to your expectations is the best way to obtain a satisfactory result.
The breasts are associated to the feminine body’s sensuality and beauty. Besides the esthetic aspects, disproportionate breasts can cause pain on the back and on the bra strap area, posture and skin problems, besides causing limitations during physical activities.
Currently, there are many mammoplasty techniques that can reach high levels of satisfaction and excellent results. The breast surgery can be divided in reductive mammoplasty, mastopexy (breast lifting) and mastopexy with prosthesis. Regardless of the choice of surgery, a well-executed mammoplasty improved the shape of the breasts through the removal of breast tissue, excess of skin and repositioning the nipple on a more esthetically pleasant position.
The reductive mammoplasty is recommended for average and large breasts, with the partial removal of the mammary gland and fat, followed by the modelling of the tissues, with a more graceful positioning of the nipple.
The mastopexy is recommended for breasts with an adequate size, but with a lower nipple and loss of the “lap”, when the breast “slips”. The surgery highlights the cleavage, bringing more harmony to the thorax.
Patients who suffered significant weight loss, multiple pregnancies, or have atrophied mammal glands, associated to the flaccidity of the breast, only a mastopexy won’t restore the breast volume. In these cases, it is recommended to associate the mastopexy with a prosthesis, which consists on the removal of the excess of skin, restoring the volume with a breast implant and repositioning the nipple.
Just like any surgical procedure, the mammoplasty involves incisions that will leave scars. There are many mammoplasty techniques, all of them leaving similar scars, one around the nipple, and the other one in the shape of an inverter T on the lower part of the breasts. To have a good esthetic result, we look to try placing these incisions in strategic places, trying to make the scars less perceptible.
The surgery is always done in a hospital, to assure the safety of patients, and it’s performed under general anesthesia or epidural and sedation, lasting two to three hours.
You must be submitted on the day of the procedure, and usually you can leave the hospital 24 hours after the surgery. Right after the surgery, you will only see a draft of how your breast is going to look like. They will be swollen and hypercorrected, and it’s common to think they’re asymmetric.
Post-surgery pains are very rare, and you might feel some discomfort for a few days.
Patients submitted to a mammoplasty must rest for 3-5 days, without elevating their arms above the shoulders for a week. The use of an appropriate bra for 1-2 months is recommended to allow the tissues to heal on a proper position, besides accelerating the absorption of the swelling.
The stiches are removed approximately after 14-21 days. You must avoid carrying weight, lifting your elbows above your shoulders, driving, exercising, and sunbathing for three weeks after the surgery. Intense physical exercises and heavy weight lifting must be avoided for two months.
After the first month, the breasts start to look more like how they should permanently look, which should only be perceptible after 6 to 12 months.
Lactation is almost always preserved, and some alteration can occur in the cases of large breast reductions.
The sensitivity on the nipples is also preserved, and it can only reduce in cases of a large reduction.