Objectives of reduction mammoplasty
Unlike the additive one, the main function of the reduction mastoplasty is to reduce the size of the breast, making it even higher and tonic. The reasons are mainly aesthetic ones, in order to improve the appearance of the breast excessively voluminous and / or drooping, and functional, such as the reduction of symptoms like pain, a sense of discomfort in the breasts, the shoulders, the neck, and the upper portion of the vertebral column.
In fact, a full and firm breast is commonly associated with a young and fresh woman, which always has a strong sexual attraction. On the ther hand, an excessive volume of the breast (hyperplasia or gigantomastia) is not only an aesthetic problem, but involves very often psychological distress and annoying disorders (postural defects, back and joint pains, scoliosis).
There are also frequent conditions of hypertrophy, cases in which we recommend performing this intervention:
- Pure hypertrophy: due to the increase in the gland and therefore more frequent in adolescents
- Mixed hypertrophy: the glandular component is abundantly infiltrated by adipose tissue, and therefore typical in women after childbirth
- Adipose hypertrophy: associated with obesity or overweight
Before the reduction mammoplasty operation
Before proceeding with the operation to reduce the volume of the breast, it is necessary to undergo an accurate specialist examination during which our surgeon will measure the size, shape and position of the breasts, areola and nipple, and will examine the quality and characteristics of mammary tissues, in order to identify the degree of mammary hypertrophy and choose the surgical technique that allows you to give your breast an adequate volume and a harmonious shape with a reduced scar result.
During the visit, the surgeon will have to assess the current and previous health status of the patient, in order to exclude the presence of complications such as high blood pressure, coagulation or healing problems, which could compromise the final outcome of the operation. It will also provide information on the type of diet to be followed before and after the intervention and on the possibility of taking drugs, alcohol and cigarettes.
Reduction mammoplasty surgery
The reduction mammoplasty can last from 60 minutes to 4 hours, depending on the person and the operation to be performed. Taking into account the bureaucratic formalities for the use of the operating room, the times of anesthesia and a quiet post-operative control, we invite patients to stay overnight, to monitor recovery in complete tranquillity.
Our surgical technique, which is also the most popular for breast reduction today, takes its name from the surgeon who first described it in 1989, Mme Lejour, a woman, a very famous plastic surgeon from Brussels, Belgium. This is a short scar technique, which allows the breast to be reduced by making only an incision around the nipple and a vertical one below it, so modest that it can easily be hidden even by a small bikini.
Through these incisions the skin and any excess fat, as well as part of the mammary gland, are removed in such quantities as to obtain an appreciable proportion. The breast is then reshaped, so that the result is in harmony with your silhouette and the areola is consequently repositioned by virtue of the new dimensions.
In extreme cases of gigantomastia, where therefore the size of the breast is such as to require the use of more invasive techniques, the scar along the inframammary groove will be needed, and the surgeon will advise you to spend one or more nights of hospital stay in the clinic for this purpose to be able to better monitor the first 24 hours post-operative.
After the reduction mammoplasty operation
In the 48 hours following the reductiive mastoplasty operation, the patient must remain at complete rest. In the first two days swelling and ecchymoses may appear around the treated region. Rarely, bleeding, infection, keloid scars and alterations in the sensitivity of the areola and nipple (especially in smoker patients) and difficulties in future breastfeeding may occur. Starting from the third day, you will be able to resume a normal life, always avoiding strenuous activities, saunas, Turkish baths and sun exposure. After 7-10 days you can go back to work, but only if not excessively tiring. Three weeks after surgery, you can gradually resume all normal activities, including sports.