Breast reduction or reduction mammoplasty is indicated for women with excessive breast weight and volume.
This procedure will decrease breast volume while creating a predictable and stable breast shape, improve ptosis and reposition the nipple and areola in an anatomically correct position.
There are many causes for hypermastia (big breasts). Abnormal excessive growth in response to circulating estrogens, weight gain and pregnancies are pointed. It is associated with various symptoms as: back and neck pain, shoulder grooving, chronic headaches, numbness in upper extremities and intertriginous infections, rashes, maceration (skin disorders). In addition, hypermastia is associated with psychological changes, such as limitations in sports or other social activities.
Breast reduction increases patient satisfaction and improves physical and psychological symptoms.
The surgical procedure takes about 3H. It is performed under general anaesthesia. It can be performed on outpatient or inpatient basis (1 night).
At any age, screening for breast cancer (mammography and/or ultrasound) before surgery is indicated.
Many breast reduction techniques with different scar patterns have been described.
All the techniques have advantages and disadvantages that will be discussed with you during the preoperative evaluation.
The size and shape of the breast before surgery will influence the technique selected.
- Acetaminophen or ibuprofen for routine pain control.
- Prophylactic antibiotics (short course)
- Usually used and will be removed after drainage reduction
- Usually this happens 2 to 3 days after surgery
- Medical brassiere; no underwire or push-up bras for 6 weeks
- Light aerobic exercise or professional activity after 7 days
- Heavy lifting after 4 to 6 weeks
Complications and surgical risks
Breast reduction is considered a safe procedure. However, all surgeries have their own risks and complications. Some of the most frequent are:
- Nipple-areola compromise
- Permanente sensory change of the nipple
- Wound-healing complications
- Fat necrosis
- Breast-feeding problems
- Unsatisfactory scarring, hypertrophic scar or keloid
- Change in breast shape over time
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