Breast Reduction – Reduction mammoplasty
Description breast reduction surgery
Breast Reduction – surgical procedure. It is done to reduce the size of one or both breasts. Although the operation is more likely to make women, This procedure It can also be done by men.
The reasons for performing breast reduction surgery
- Too large breasts, as a result, the following signs:
- Dissatisfied patient body shape;
- Back pain, neck, shoulder pain;
- Problems with posture;
- Footprints and abrasions from bra straps;
- The rash on the lower part of the breast;
- Big breasts, that, usually it grows naturally or after pregnancy;
- Breast Asymmetry – It may be associated with the previous operation on one breast (eg, mastectomy or lumpectomy);
- Large male breasts – gynecomastia, the problem may be related to hormonal changes, medication, or other health problems.
After surgery, the chest will be smaller and more symmetrical appearance. The desired shape and size of the breast is discussed with a doctor prior to surgery.
Possible complications of breast reduction
Complications are rare, but that does not mean the absolute absence of risk. If you plan to perform a breast reduction, the doctor will review the possible complications, which may include:
- Infection;
- Bleeding and bruising;
- Possible loss of breast tenderness, Nipple, and / or areola;
- Possible loss of ability to breastfeed;
- Breast asymmetry;
- Restricted movement of the arm and / or shoulder;
- Delayed wound healing;
- Scarring;
- The breast tissue may have cysts, filled with fluid, or blood;
- The withering away of the nipple, areola, skin or breast tissue due to change in blood supply;
Some factors, that may increase the risk of complications include:
- Obesity
- Smoking, Alcohol abuse or drug use;
- Diabetes;
- Radiation therapy in the chest;
- Poor diet.
How is breast reduction?
Preparation for the procedure, breast reduction
The patient may be asked to get acquainted with an album of breast sizes and shapes. This will help the doctor understand, what should be the result.
Doctor, probably, perform these steps::
- Conduct a physical inspection, including breast exam;
- Blood tests;
- Refer the patient for mammography;
- Take a picture of the current state of the breast.
A few days before the procedure you need to perform:
- Organize a trip to the hospital and back after surgery;
- To organize home care after the procedure;
- On the eve of the evening before surgery you can have a light meal, You can not eat or drink anything after midnight;
- You may be asked to take a shower before the procedure with a special antibacterial soap.
The patient may be asked to stop taking certain drugs and dietary supplements (BAD) one week before the procedure,:
- Anti-inflammatory drugs (eg, aspirin);
- Blood-thinning medicines, such as clopidogrel or warfarin;
- Ginkgo biloba and other supplements.
Anesthesia
You can use the following types of anesthesia:
- General anesthesia – during the operation the patient is asleep;
- Local anesthesia – It will anesthetize the area of surgery, the patient is awake.
Description breast reduction surgery
The doctor makes an incision around the nipple and areola. Skin, excess fat and mammary tissue will be removed in a specific pattern. Depending on, how much breast tissue must be removed, doctor, perhaps, need to reposition the nipple and areola, moving it to the rest of the breast tissue.
It can be used Liposuction, to remove excess fat.
The amount of scarring will depend on, How decreases breast, and from the place of displacement of the nipple and areola. Scarring can occur around or below the areola to the breast crease, or around the areola and along the chest.
Depending on the necessary operating, the doctor may place a small flexible tube in one or both breasts to drain fluid, which accumulates in the early stages of treatment. These drainage tubes, perhaps, We must remain in place for several days. They can be removed in the doctor's office. To remove them, not need to do a second surgery, .
The incisions in the skin with small breasts sewn stitches.
Immediately after the procedure, breast reduction
The patient makes a tight bandage around the chest, or prescribed to wear a special surgical bra. This will provide support for the breast.
How long will the surgery for breast reduction?
Duration of operation 2-4 o'clock.
Will it hurt during breast reduction surgery?
Anesthesia will prevent pain during surgery. Pain, swelling and bruising will disappear within a few days after the operation. The doctor will give pain medicine, to reduce pain.
The average hospital stay
The hospital stay can take up to four days. Sometimes it is possible to leave the hospital on the day of the procedure.
Patient care after surgery for breast reduction
- It is necessary to wear a special surgical bra, which can control the pressure on certain areas of the breast. This will properly shape the breast / chest after surgery;
- If drains have been placed in the chest, They are deleted after 2-4 day after surgery;
- Stitches are usually removed on 7-10 day after surgery;
- Doctors also can be used bioresorbable thread, they can not be removed;
- Doctor, probably, advise you avoid heavy lifting, stress or physical stress during the first two weeks after surgery;
- We need to ask your doctor about, when it is safe to shower, bathe, or taking a bath;
- Be sure to follow your doctor's instructions.
Contact your doctor after mastectomy
After discharge from the hospital need to see a doctor, If the following problems:
- Signs of infection, including fever and chills;
- Redness, edema, increased pain, bleeding, or any discharge from the incision in the operated breasts;
- Nausea and / or vomiting, which do not disappear after taking the prescribed medicines, and persist for more than two days after discharge from the hospital;
- Pain, which does not pass after taking pain medication appointed;
- Cough, shortness of breath or chest pain;
- Pain or swelling in the calf, feet or legs;
- There was concern about the size and / or shape of the breast;
- The accumulation of fluid or blood in the chest;
- Any pain or stiffness when moving hands.
In the case of a serious and rapidly deteriorating health should immediately call an ambulance.