Breast Reduction

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New breast technic Gigantomasty or macromastia is a great cosmetic and functional problem. Fibrocystic mastitis, spinal diseases, annoying intertrigoes in the sub-breast ripple, even breast cancer are some of the serious problems that women with big breast mass face. From an cosmetical point of view, the tracks on the shoulders that are created when wearing a bra present an unpleasant image of a woman’s figure, let alone the permanent anxiety on what clothes should a woman wear.

The surgical operation preferred by the surgeon is the functional breast reduction. The patient gains small sized, nice shaped breasts, with full cosmetic result on the nipples area, according to what the surgeon and the patient discussed. Moreover, there are capable of nursing if needed.

Breast Reduction Breast Reduction
Breast Reduction Breast Reduction

The technique preferred by the surgeon is the “inferior pedicle”, through which all the above results are achieved. There are other techniques, but rarely are they executed, as they lack in the results concerning shape, functionality or cosmetics. Yet, they leave smaller scars. The scars created from the operation are anchor shaped, whereas one round the nipple, a vertical and one in the sub-breast area. Those, after one or two years have the form of chaps. If the size of the breast is suitable enough, the incisions could be limited to the ones round the nipple and one vertical sidelong outwards.

The surgical operation is made with total anesthesia. The pre-operational check-up (General Blood Test, Blood Glucose and Blood Urea Test, Na+, K+, Electrocardiogram, Ro Chest), which is needed for the operation, can be done before or on the day of the operation. If the patient is over 40 years old, she should have undergone a mastography. The patient comes to the hospital foodless and not having drunk water for the last 6 hours before operation, prepared for a simple surgery with an easy post-operational course. Two or three hours after the operation, she can go home, after the effects of the anesthesia pass. Two days later the first change is made. The patient should have with her the appropriate bra, which she can wear. A day later, she could take the gauzes herself to take a shower. She could dry with an ironed towel and re-apply the gauzes so as the bra cannot attach the incisions. The same procedure is followed the day after. The 5th or 6th day, she can come to her doctor for stitches removal.

Breast Reduction Breast Reduction
Breast Reduction Breast Reduction

The operation rarely is painful, and if some pain occurs, it can come off with mild painkillers. She can work at the office on the second or third day after the operation. She can go to the gym the 10th day. She can be pregnant, yet it is not advised an immediate pregnancy, since it has adverse effects for the scars. A year later the pregnancy leaves no problems to the scars, though it may be noticed a degree of relaxation and fall in the breast, as it happens to an un-operated breast.

There are scarce implications during the operation, but if any, they are a small break of the trauma in the T-incision that may delay the final removal of the gauzes for 10-20 days or more. An unconsciousness of the breast skin, though not that of the nipple, may retain for a few months. In extremely large breasts there is the rare possibility of reducing the cosmetic of one or the other nipple due to the obligatory removal of massive gland, through which some neural sectors reach the nipple. Nipple necrosis is an improbable situation.

The same surgical technique for the simple breast elevation or mastopexy is applied, but no massive gland is removed. The plastic surgeons classify the breast fall in degrees (1st, 2nd, 3rd etc) according to the nipple position in relevance with the sub-breast ripple. That degree defines the type of the surgical incision. The incision may be small – a sidelong bottom incision, or the classic anchor incision. There are techniques that involve special grids that set the breast leaving no scar if the fall is of the 1st degree (namely the nipple lies still over the border of the sub-breast area). When the breast is elevated, it attains its functionality and cosmetic.

The use of aspirin 4 days before all operations is forbidden.

 

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