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

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

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

Video: Reduction mammoplasty: description of the procedure, indications, contraindications and reviews
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What lady doesn't dream of big breasts! Bust augmentation is a hot topic for many of the fair sex. While some are trying to translate their desires into reality, others, without regret, “say goodbye” to excess adipose tissue. Why? Sometimes too large a bust size negatively affects a woman's quality of life. Constantly haunted by back pain, posture changes, the quality of sleep worsens. Recently, a procedure called reduction mammoplasty has become quite popular, patient reviews of which encourage women to lie under the surgeon's knife. Such an operation is a real salvation for those who are diagnosed with gigantomastia.

Short description

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 disrupts the function of the spine, resort to her help. During the operation, the surgeon removes excess skin and fatty tissue. As a result, the breast acquires a comfortable size, becomes more proportional and symmetrical. Plastic surgery is considered a solutionmedical rather than aesthetic problems.

reduction mammoplasty
reduction mammoplasty

Indications for mammoplasty

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

  • backbone problems;
  • difficulties in choosing underwear;
  • excessive sweating;
  • back pain;
  • bad dream;
  • diaper rash on the skin;
  • high risk of cancer;
  • fatigue.

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

vertical reduction mammoplasty
vertical reduction mammoplasty

When is it better to refuse an operation?

In some European countries, the breast reduction procedure is part of the medical insurance system, that is, it is done free of charge. Reduction mammoplasty isa serious and complex operation that has contraindications. Among them, it is worth noting the following:

  • chronic diseases during an exacerbation (pyelonephritis, bronchial asthma, etc.);
  • diabetes mellitus;
  • 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 the appointment with a mammologist.

Steps of the operation

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

reduction mammoplasty by mastopexy
reduction mammoplasty by 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 anesthesiologists 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 conducting reduction mammoplasty are used: vertical andanchor. More details about each type will be discussed below.

At the next stage, the surgeon makes several incisions, removes excess skin and adipose tissue. The nipple is usually not separated from the nerve fibers and blood vessels by moving it above its original position. It is quite difficult to do this. Therefore, the procedure to reduce 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 applies self-absorbable sutures. Over time, the incision 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 the breast a beautiful shape. The parameters of the mammary glands determine the type of manipulation. There are two options for mammoplasty: anchor and vertical.

The first is relevant for working with a large bust. During the operation, the specialist excised up to 2 kg of excess tissue. To do this, incisions are made in the skin in the form of an inverted letter "T" vertically to the submammary fold. With gigantomastia, the operation is carried out using a similar technique. However, in this case, the nipples may lose sensation.

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 up to the crease under the breast. With vertical mammoplasty, the likelihood of complications is almost zero.

reduction mammoplasty surgery
reduction mammoplasty surgery

Rehabilitation period

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

For the duration of the rehabilitation period, the patient is shown the use of compression underwear. A special bra helps to 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 her usual physical activity. The first resection results are formed around the same time. The final effect can be assessed one year after the operation. If a woman conscientiously follows the recommendations of a doctor and monitors her he alth, the recovery process is fast.

after reduction mammoplasty
after reduction mammoplasty

Possible Complications

In positively proven 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 certain 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 nipple sensitivity;
  • rough scar formation;
  • asymmetry of mammary glands and nipples.

To avoid negative consequences or minimize their occurrence, it is necessary to carefully choose a clinic where reduction mammoplasty will be performed.

reduction mammoplasty cost
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-quality equipment, experienced specialists are the main advantages of foreign clinics. Switzerland is famous for the most expensive breast reduction operations. The cost of surgical procedures in this country varies from 10 to 15 thousand euros. A little less will have to pay for services in Germany. Breast resection will cost 7,000 euros. The final cost depends on the level of the clinic. This country has status clinics and more “modest” medical institutions. 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 the bust costs about 280 thousand rubles. The price includes escort to the hotel, as well as translation services.

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

reduction mammoplasty reviews
reduction mammoplasty reviews

Reviews from women

What do the fair sex say about this operation? Many women who have had to deal with the problem of large breasts are in favor of 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 curvaceous ladies are embarrassed about 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 he alth risks. It also scares the fair sex.

Practice shows that most women after childbirth and lactation still come for breast reduction surgery. Having experienced the hardships of magnificent forms, they choose surgery without a moment's hesitation.

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