Breast reduction is as popular as breast augmentation. It would seem, why might women need this? This is difficult to understand for those who have small breasts. Only a woman with really big breasts can fully realize this.
Is it advisable to reduce the breasts
To some, the very phrase "breast reduction" may seem absurd. Why reduce breasts if lush breasts are practically synonymous with female attractiveness? But big breasts cause the following inconveniences:
- her skin always sweats in summer;
- It is uncomfortable and even painful to walk without a bra;
- most of the wardrobe seems vulgar;
- she quickly loses shape and sags;
- difficult to find clothes, often they have to be sewn in at the waist and hips;
- if the breasts are too large, the figure often looks disproportionate;
- this is an additional load on the muscles of the back and spine.
Many celebrities have opted for breast reduction surgery, such as Alena Vodonaeva, Ariel Winter and Drew Barrymore. And, apparently, they are only happy.
Too big bust visually makes the figure fuller. In the before and after photos of breast reduction, you can see that girls often look slimmer after the procedure.
Breast reduction surgery will help in the following cases:
- when the shape of the breast is lost, it sags;
- with congenital or acquired breast asymmetry during lactation;
- if there are too large nipple areolas;
- if correction is needed after an unsuccessful operation.
Therefore, if the owner of such a breast causes some inconvenience, the operation is quite appropriate. It is worth mentioning that the owners of not the third size, but the seventh or more are usually dissatisfied with their size, because such breasts are really hard to wear.
But not only women need such an operation. There is a rather rare deviation from the norm in men - gynecomastia. This is an overgrowth of glandular tissue, unusual for the male sex. In these cases, plastic surgery for breast reduction is also indicated.
Preparation for surgery
Reduction mammoplasty, which is the medical term for breast reduction surgery, is one of the simplest surgeries in aesthetic medicine. However, this is a full surgical intervention with a scalpel, which is done under general anesthesia, so serious preparation is necessary.
At the first consultation, the plastic surgeon will examine and tell you if the operation is possible and how it will beexpected result. If the operation is possible, you will need to pass the following tests:
- blood for clotting;
- blood from a vein for AIDS, syphilis, hepatitis C;
- general blood test, urine;
- pass fluorography;
- ECG;
- Breast ultrasound.
In different clinics, such a list may vary. In addition to taking tests, 2 weeks before the operation, you will need to stop taking all medications, stop drinking alcohol and smoking. During this period, it is advisable to eat as properly as possible and get enough rest so that the immune system is normal.
At the same consultation, the doctor will clarify if there are any contraindications.
The doctor will help determine the final result based on the patient's request. In modern clinics, you can see on the monitor in the 3D modeling program exactly how the appearance of the mammary glands will change.
The day before the operation, you need to stop eating, and a few hours before you stop drinking.
How is the operation going
The operation takes place exclusively in a hospital. It involves the plastic surgeon himself, his assistant, an anesthesiologist and a nurse. The progress of the operation can be described as follows:
- The marking is made with a special marker, and the doctor once again says what he will do and where to cut off the tissues.
- Anesthesiologist injecting patient into anesthesia.
- The surgeon cuts tissue with a scalpel according to the markup, cuts off excess fatty, glandular tissue and skin. This stage is the most difficult and longest, it takes 2-3 hours or more.
- Special tubes are installed to drain the ichor.
- After the excess is removed, the surgeon sews or glues the tissue with a special plasma-based adhesive in the right places.
- Immediately after the operation, a bandage is applied and a special compression bra is put on.
This is how a standard operation without complications looks like. But in some cases, it is still necessary to completely reconstruct the nipple and areola. With large volumes of removed glandular tissue, transplantation of vascular and nerve complexes may be required. Naturally, all this will be discussed during the first consultation.
Rehabilitation period
If the operation went without complications, the patient stays in the hospital for observation for no more than a week. On the first day, he departs from anesthesia. This time is the most dangerous in terms of the occurrence of possible complications, therefore, on the first day, bed rest and good sleep are strictly recommended. Further, when the main danger has passed, they can extend the sick leave for another couple of days to check whether sepsis and other complications have begun. If everything is in order, the patient is allowed to go home. But the pain can still be quite a long time, so strong analgesics are prescribed.
The second rehabilitation period will last about 2 weeks, during this time the following recommendations should be observed:
- do not remove the compression bra and do not wet the chest;
- sleep exclusively onback;
- don't raise your hands;
- do not drink alcohol, do not take drugs.
After this period, a visit to a plastic surgeon is obligatory so that he removes the stitches and assesses how the tissue is healing. If the patient's bruising does not go well and the swelling does not subside, the doctor prescribes medication and prescribes another appointment.
Further within six months, it is important to follow the following recommendations:
- do not sleep on your chest;
- do not visit the sauna and do not take a hot bath;
- breast wash only with hands, no washcloths;
- do not swim or play sports;
- try to keep the weight at the same level, do not lose weight and do not gain weight;
- be in a compression bra most of the time.
If everything is strictly observed, then in six months you can return to your usual way of life. But for another year, you should be protected from pregnancy.
Cost
The price can vary significantly depending on the qualifications of the clinic and the city in which it is located, as well as on the level of the plastic surgeon. The minimum cost of a quality operation starts from 150 thousand rubles. The maximum can reach 500 thousand rubles and more with an individual trip.
In addition, the forced stay in the hospital and possible rehabilitation measures are additionally paid. Some clinics offer surgery for 70 thousand rubles, but most often their reputation is either dubious ormissing, which is a serious risk.
Can I breastfeed after surgery
If the operation was successful, then in a year you can already become pregnant and successfully breastfeed your baby. But the fact is that the breast will certainly lose its shape, which means that the operation was carried out in vain. If reduction mammoplasty is planned, then it is more expedient to plan it after the birth of the desired number of children. Sometimes the milk ducts are damaged by an inexperienced surgeon, and breastfeeding becomes impossible.
Which scars will remain?
Incisions can be made in several ways:
- If the amount of tissue to be removed is small, then only the areola is affected. In this case, the minimum number of scars is possible.
- If the amount of tissue to be removed is average, then a vertical incision is made under the breast and along the areola line.
- If the volumes are large, then an anchor incision is made - along the areola line, smoothly turning into an incision under the breast in the crease.
- Under the armpit, an incision is not made during plastic breast reduction, only with an increase.
The incision made will determine how noticeable the surgery will be. In any case, cosmetic stitches are made, and after a certain time they will become almost invisible. But if you look at the chest without underwear carefully, you can still see them. You can try to remove them with laser resurfacing, but this will be an additional cost.
Contraindications
Reduction mammoplasty has themthe following:
- oncology;
- severe chronic diseases;
- diseases of the cardiovascular system;
- pregnancy and incomplete lactation;
- diseases in the acute stage;
- blood clotting disorders;
- diseases of the endocrine system;
- severe obesity.
Some contraindications are temporary, that is, after their elimination, surgery is possible (for example, diseases of the endocrine system, obesity).
Possible consequences and complications
The most serious complications begin almost immediately. This is:
- blood poisoning;
- inflammation and suppuration of the sutures and mammary glands;
- necrosis of breast tissue and surrounding soft tissues;
- seroma.
Other aesthetic effects may not be noticeable at first. They happen either due to a violation of compliance with the recommendations, or through the fault of a plastic surgeon. These are the following consequences:
- breast asymmetry;
- recurrence of breast ptosis;
- too rough and visible scars;
- disproportionately large or small nipples;
- complete violation of the sensitivity of the breast and nipples;
- damage to the milk ducts.
Breast after breast reduction surgery may become less sensitive in the nipple area. Unfortunately, few people manage to avoid this trouble. Over time, the nerve roots will recover, and the sensitivity will return, but not the fact that completely.
How to choose a clinic
Betterdo it according to reviews, preferably real and familiar people. Choosing a good clinic is already half the battle, as good institutions value their reputation and carefully select staff for work. And in case of any possible complications, they will try to help the patient, even if it is not the fault of the clinic itself. Because good reviews are extremely important to them.
When choosing a clinic, you also need to choose a doctor, since specialists of different levels can work in the same clinic. Then make sure that his diploma is genuine and his reputation is clean. Next, try to search the Internet for a photo of the breast reduction of his hands. After all, even if he performed a successful operation on five acquaintances, it is possible that he had several unsuccessful ones behind him. If a plastic surgeon had mistakes, then it was probably discussed on the network, and more than once. People are more likely to write reviews about negative experiences than positive ones.
Breast reduction reviews
Those who have gone through this operation note a rather difficult and unpleasant rehabilitation period. At this time, you need to stop playing sports, and for many this is critical. Uncomfortable to sleep, not to lift weights, and for some this brought trouble at work. Not everyone had pain, or they were completely stopped by prescribed analgesics.
But after the end of the rehabilitation period, many were satisfied. The shape of the breast can really affect the quality of life of a woman, and the reviews confirm this. Many have improved sex life, qualitywhich before that suffered not so much because of the shape of the breast, but because of the complexes of its owner. Women felt freer and more attractive.
