Reduced mammoplasty is a surgery designed to solve many problems caused by excessively large and plump breasts (which hang). Big breasts can occur due to the excessive development of glandular tissue or fat normally found in the breasts. The increase in breast volume and weight produces the stretch and relaxation of the ligaments that support the mammary gland, causing the breasts to fall (mammary pox) and loss of feminine forms.
This condition is negatively reflected on the woman’s psyche, just as very small breasts cause feelings of embarrassment and discontent. There are also physical problems associated with excessively large breasts – discomfort, pain in the spine, neck, shoulders and back, which become prevalent. Participation in a normal social life is limited, with patients with mammary hypertrophy avoiding dancing, aerobic gymnastics or various other activities that cause torso balancing and disgusting breasts.
If this condition is not removed until maturity, it can affect the posture (compensatory muscle contraction causes deformations of the spine). Also, the bulky breasts do not allow the normal venting of the tremor and skin maceration with bacterial or fungal overgrowth may occur. Other problems, minor but still present, are the need for special supportive lingerie (extra-size bra) and difficulty in finding the right size clothing.
Preoperatively, besides the usual tests it is necessary to do a mammogram, in order to know preoperatively the possible problems that may be in the hypertrophied glandular tissue and the appropriate adaptation of the therapeutic plan. Being a large operation (practically the most difficult aesthetic surgery), it is recommended that you preoperatively be in good health, not being cold during the cycle or in convalescence after another condition. Any treatment with aspirin or birth control should be stopped 2-3 weeks before surgery. You also have to quit smoking 2-3 weeks before and one week after surgery. On the day of surgery, you should not eat or drink anything.The operation is under general anesthesia and takes 2-3 hours.
The scars will have an anchor shape, descending around the mammalian apex in the vertical direction to the inframamar shaft, where a horizontal incision is located, with a branch to the sternum region and another to the lateral breast region. However, there will be scars and even if they are hidden in the natural contour lines, most will spontaneously improve within 6 months. The position of these scars, along with other questions you want to ask, will be widely discussed during the consultation.
To prevent blood build-up in the operating region and the occurrence of complications related to this, you will have a drainage tube on each side of the trunk for one or two days. The moment the drains do not drain, they can be removed and you can go home. Sutures are made with resorbable threads, with the highest quality materials so the scar is as small as possible. An adhesive spray and a special dressing that allows optimal healing are applied to the surface of the skin.
It is advisable to return to control one month and six months after surgery.It is necessary to stay one or two nights in the clinic. Postoperatively, you will receive an intravenous antibiotic, vitamin, and painkiller medication with the progressive resumption of normal nutrition in the first 24 hours. Antibiotic treatment will be continued orally for 5 days. Also, if a degree of anemia is found, you will also receive an oral iron supplement.
Postoperative pain is moderate and can be controlled by antalgic medication, administered as often as needed. After surgery, a protective dressing will be applied and will be changed daily for 7 days. To prevent postoperative discomfort and to ensure optimal conditions for aesthetic scarring, it is recommended that for 6 weeks you avoid harder physical activities and wear your bra at all times. Sun exposure or sun exposure is not recommended for the first 3 months after surgery.It takes about 1 year for scarring to get the breast to the final shape.
Complications
Besides the general complications of any surgery (allergic reactions, haemorrhage, hematoma, infection, soft-tissue necrosis), some complications specific to this type of surgery may occur.After this surgery, the possibility of breastfeeding can sometimes be impaired. If you intend to be born again, postpone surgery because a new pregnancy will alter the shape and size of your breasts and lose some of its aesthetic result.
It is recommended that the breast reduction be performed only after at least 6 months after breast-feeding, because after this time the breasts have returned to a functionally neutral state.The sensitivity of the areola may be partially or completely lost depending on the technique performed. Sometimes a numbness can occur in the scar areas. It is undesirable, but there may be an asymmetry of the breast after surgery. However, given that neither breasts are identical in normal situations, getting a perfect postoperative symmetry is an unrealistic desire.There are rare cases where the resulting scars are large, requiring a subsequent surgical revision.The results of this surgery are extremely good and rewarding for the patient.
