Reduction mammoplasty: description of the procedure, indications, contraindications and reviews

What a lady does not dream of a magnificent breast! Breast enlargement is a hot topic for many women. While some are trying to translate their wishes into reality, others without regret “say goodbye” to excess fat. Why? Sometimes too large a bust negatively affects the quality of life of a woman. Constantly pursuing pain in the back, posture changes, the quality of sleep worsens. Recently, a procedure called reduction mammoplasty has become quite popular, reviews of patients about which encourage women to lie under the surgeon’s knife. Such an operation is a real salvation for those who are diagnosed with gigantomastia.

a brief description of

Reduction mammoplasty is an operation to reduce the size of the mammary glands. Women with too large a bust, which looks like a cosmetic defect and violates the function of the spine, resort to her help. During the operation, the surgeon removes excess skin and adipose tissue. As a result, the breast acquires a comfortable size, becomes more proportional and symmetrical. Plastic surgery is considered a solution to medical rather than aesthetic problems.

reduction mammoplasty

Indications for mammoplasty

The first mention of cases of breast reduction date back to the 16th century. A lush bust increases the risk of various diseases, limits the activity of a woman and contributes to spinal deformity. If earlier breast size was reduced only for medical reasons, today an aesthetic factor plays a role in this matter. How to understand that the operation is really necessary? The following factors can serve as indications for mammoplasty:

  • spinal problems;
  • difficulties in choosing underwear;
  • excessive sweating;
  • back pain;
  • bad sleep;
  • diaper rash on the skin;
  • high risk of oncology;
  • fatigue.

Often the help of a surgeon is necessary due to the occurrence of asymmetry, which is especially noticeable on curvaceous. Hormonal failure caused by pregnancy and feeding also sooner or later leads to imbalances in the upper body. Reduction mammoplasty is an important procedure that can give happiness and relief to many women.

vertical reduction mammoplasty

In what cases is it better to refuse an operation?

In some European countries, the procedure for breast reduction is included in the system of insurance medicine, that is, it is done for free. Reduction mammoplasty is a serious and complex operation that has contraindications. Among them, it is worth noting the following:

  • chronic diseases during exacerbation (pyelonephritis, bronchial asthma, etc.);
  • diabetes;
  • bleeding disorder;
  • oncological diseases;
  • pregnancy and lactation;
  • obesity;
  • colds;
  • pustular skin lesions;
  • teenage years.

There are other contraindications. You can learn more about them at an appointment with a mammologist.

Stages of the operation

Before surgical procedures, the patient must undergo a medical examination (ECG, fluorography, blood tests) and have a mammogram. At the consultation, the specialist assesses the proportions of the body, determines the amount of intervention. Then the final result of the procedure and the type of anesthesia are discussed. After receiving the results of a medical examination and a written consent to the operation, you can proceed to the resection.

reduction mammoplasty mastopexy

Reduction mammoplasty is carried out in stages. The operation begins with measuring the parameters of the breast, drawing lines of future incisions, and sterilizing the mammary glands. Then anesthetists are connected to the procedure. Surgery necessarily involves the use of general anesthesia. After the preparatory stages, the doctor proceeds directly to the resection. In modern plastic surgery, two options for reducing mammoplasty are used: vertical and anchor. More details about each species will be discussed below.

At the next stage, the surgeon makes several cuts, removes excess skin and adipose tissue. The nipple is usually not separated from nerve fibers and blood vessels, moving it above its original position. This is not easy to do. Therefore, the procedure for reducing the size of the bust is considered one of the most difficult in plastic surgery. Reduction mammoplasty is often supplemented with mastopexy, i.e., breast lift. At the final stage, the specialist imposes self-absorbable sutures. Over time, the cut lines become almost invisible.

Mammoplasty technique

The purpose of surgery is not only to reduce the size of the bust. It is important to give your breast a beautiful shape. The parameters of the mammary glands determine the type of manipulation. There are two options for the implementation of mammoplasty: anchor and vertical.

The first is relevant for working with a large bust. During the operation, the specialist excises up to 2 kg of excess tissue. To do this, cuts are made on the skin in the form of an inverted letter “T” vertically to a submammary fold. With gigantomastia, the operation is carried out by a similar technique. However, in this case, the nipples can lose sensitivity.

Vertical reduction mammoplasty is suitable for resection of a medium-sized bust. During the operation, the doctor removes up to 500 g of excess tissue. The surgeon makes one incision around the areola, the other to the fold under the chest. With vertical mammoplasty, the likelihood of developing complications is almost zero.

reduction mammoplasty surgery

Rehabilitation period

Recovery after reduction mammoplasty lasts about a month, but in a hospital a woman spends only two days. During the first few days, pains that occur due to tissue injury can disturb. They are easily removed with analgesics. Postoperative bruising is also considered normal. After about two weeks, there is no sign of them. Slight swelling may last a little longer.

During the rehabilitation period, the patient is shown the use of compression underwear. A special bra helps reduce the load on the seams, but at the same time constantly supports the chest. Two months after mammoplasty, a woman can return to a full life and habitual physical activity. The first resection results are formed around the same time. The final effect can be estimated one year after the operation. If a woman faithfully follows the doctor’s recommendations and monitors her health, the recovery process is fast.

after reduction mammoplasty

Possible complications

In well-established clinics, breast resection takes place without negative consequences. However, there are exceptions. Like any other operation, reduction mammoplasty can lead to the development of complications. Not everything depends on the skill of the surgeon. A specific role is played by the structural features of the mammary glands, the immunity of a woman. After surgery, the following complications may occur:

  • multiple bleeding;
  • wound infection;
  • tissue necrosis;
  • violation of the sensitivity of the nipples;
  • the formation of rough scars;
  • asymmetry of the mammary glands and nipples.

In order to avoid negative consequences or minimize their appearance, it is necessary to carefully approach the choice of a clinic where reduction mammoplasty will be performed.

reduction mammoplasty cost

Operation cost

For a long time, Germany, Israel and Switzerland have been leaders in plastic surgery. The use of new technologies, high-class equipment, experienced specialists are the main advantages of foreign clinics. Switzerland is famous for the most expensive breast reduction surgery. The cost of surgical procedures in this country varies from 10 to 15 thousand euros. You will have to pay a little less for services in Germany. Breast resection will cost 7 thousand euros. The final cost depends on the level of the clinic. This country has status clinics and more “modest” medical facilities. According to many women, Israel is the most acceptable option. Here the price is most consistent with the quality of services. For example, a standard operation to reduce the size of a bust costs about 280 thousand rubles. The price includes escort to the hotel, as well as translation services.

It is believed that only foreign doctors can perform high-quality plastic surgeries. However, in Russia this direction of aesthetic surgery is also rapidly developing. For example, only in Moscow there are more than 10 clinics where qualified specialists work. One of the leading areas in these medical institutions is reduction mammoplasty. Prices for services are several times lower in comparison with foreign options (from 150 to 400 thousand rubles).

reduction mammoplasty reviews

Women's reviews

What do the fair sex say about this operation? Many women who have had to deal with the problem of large breasts favor a reduction mammoplasty. They explain their choice by improving the quality of life after the intervention. Back pain and diaper rash on the skin disappear, it becomes possible to play sports. In addition, psychological discomfort disappears. Many curvy ladies are shy of their breasts.

Negative reviews are usually due to the high cost of the operation. If in Russia the price of mammoplasty does not exceed 400 thousand rubles, then in Europe this figure is several times higher. In addition, any surgical intervention carries certain health risks. It also scares the fair sex.

Practice shows that most women after childbirth and lactation still come for surgery to reduce breast size. Having experienced the hardships of magnificent forms, they choose surgical intervention, not doubting for a second.

Source: https://habr.com/ru/post/B15099/


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