Breast Reduction (Reduction mammoplasty) 

The breast reduction surgery or reduction mammoplasty was for many years the most commonly performed breast plastic surgery in Brazil. Currently, their number has been reduced due to a tendency of Brazilian want bigger breasts. It is indicated in patients with large breast volume which, in addition to aesthetics, there may also be problems due to its volume as complaints of pain and reduced self-esteem.

When is the surgery indicated?
The surgery is indicated in patients with large breasts (breast hypertrophy) with both aesthetic complaints (breast fall, asymmetry) and functional complaints (back pain, vicious posture, low self-esteem) and the techniques are individualized for each patient to depend on the consistency, shape and size of the breasts.

 

 

How are the scars on the breast reduction?

In patients where there small and medium hypertrophy can be reduced using techniques often "L". When the breasts larger display strong hypertrophy with ptosis (drooping) is used to scar the inverted "T", where we have a scar around plus a vertical scar breast crease to the areola and another horizontally in the region in the inframammary fold.


When is the surgery indicated?

The surgery is indicated in patients with large breasts (breast hypertrophy) with both aesthetic complaints (breast fall, asymmetry) and functional complaints (back pain, vicious posture, low self-esteem) and the techniques are individualized for each patient to depend on the consistency, shape and size of the breasts.


How are the scars on the breast reduction?

In patients where there small and medium hypertrophy can be reduced using techniques often "L". When the breasts larger display strong hypertrophy with ptosis (drooping) is used to scar the inverted "T", where we have a scar around plus a vertical scar breast crease to the areola and another horizontally in the region in the inframammary fold.


What is the type of anesthesia that is used?

You can use general anesthesia or block (epidural).


How long is the surgery?

The duration varies according to the technique and the type of breast, averaging 3 to 4 hours of surgery.


How long is the hospital stay?

It is usually about 1 day.


Is there need to use drains?

The use of drains is not recommended for all patients, but in most cases it is used in order to remove the accumulated secretions in the newly operated area.


Is the Postoperative painful?

The pain threshold varies from patient to patient, but generally the use of common painkillers is enough.


How will be the size, shape and consistency of my breasts?

The breast reduction aims to reduce the volume of the breasts and to reposition the areola to restore bodily harmony and improve ptosis (drooping). The final consistency varies with the prevalence of breast tissue the patient, if it is more glandular or more greasy.


How soon will I get the result?

The result of the shape and the consistency is usually achieved at about 06 months of surgery. The scar will only mature or with the final appearance after 1 year postoperatively.


The result remains after a pregnancy?

Pregnancy changes in breast, parenchyma volume and shape of the breasts by changing, in most cases, the outcome of the surgery occur.


Does the breast reduction surgery leave scars?

As with any plastic surgery, there will be the formation of a scar with the technical care of the plastic surgeon, it will be at the lowest possible size, well positioned and highly aesthetic appearance. Usually you get a scar inverted T. The final cosmetic result of the scar is obtained on average at 12 months, time required for their maturation.


Why do the scars become more visible in some patients?

Some patients have a tendency to develop hypertrophic or keloid scar. This is due to a genetic predisposition, but some care from the plastic surgeon and the patient can reduce the chance of appearance of these scars. Thus, a good review in the initial consultation may identify those patients most likely to show such scars.


Is there a correction for hypertrophic scar or keloid?

These scars can be corrected with clinical features (topical or intralesional corticosteroids, silicone gel or bar, betatherapy) and / or surgical.


Are the dressings used?

Yes, micropores and gauze dressings need to be changed daily by the patient and by the physician periodically.


When are the stitches removed?

Most of the stiches are absorbable and their removal is not necessary. Some points that are nonabsorbable are removed by the 8th postoperative day.



When can I drive again?

At about 30 days postoperatively.



When can I return to physical activities?

The exercises must be started gradually: light walking after 15 days; exercises that do not involve arms and chest: 20 days and involving the arms and chest after 45 days.



RECOMMENDATIONS ON PRE-OPERATIVE SURGERY BREAST REDUCTION:

- Communicate with your surgeon until the day before surgery, in case of flu, unwell or anticipation of the menstrual period;
- Intern at the hospital indicated, according to the previously scheduled time;
- Avoid alcoholic beverages or very sumptuous meals the day before surgery;
- Avoid any slimming drug that is eventually using for a period of 10 days before surgery. This also includes certain diuretics;
- Set your social, domestic or school activities so as do not become indispensable to others for a period of approximately 3 to 5 days.


RECOMMENDATIONS ON POST-OPERATIVE SURGERY BREAST REDUCTION:

- Avoid efforts in the first 8 days;
- Do not move your arms excessively. Follow the instructions that will be given on discharge from hospital, concerning the movement of upper limbs;
- Avoid wetting the dressing until it is authorized to do so;
- Do not expose to sun or cold, until further notice;
- Follow closely the prescriptions;
- Normal diet (except specific cases receive proper guidance), from the second day, mainly based on protein (meat, milk, eggs) and vitamins (fruits);
- Be back to the office for subsequent healing and the postoperative control of the days and times prescribed;
- Probably, you will be feeling well enough to forget who was recently operated. Watch out! This euphoria can take it premature to make efforts, which determine certain disorders;
- Do not worry about the intermediate forms in various stages. Take off with your surgeon any doubts.

 
 
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