BREAST REDUCTION (MAMMAPLASTY)

The plastic breast reduction is intended to correct the breasts too large which may also create a functional limitation of normal physical activities.

Precisely for this reason usually, the cost of the intervention is covered by common insurance.

The intervention provides the reduction of the mammary gland, skin, the repositioning of the nipple, and remodeling of the mammary gland remaining.
The intervention is done under general anesthesia.

Reduction mammaplasty

Breast Reduction also known as reduction mammaplasty is an individualized intervention.
There is only one type of mammaplasty which is an intervention that can be done only by acting on specific areas of the breast using different techniques. The intervention will be planned carefully with the patient taking into account a large number of variables (age, skin type and morphological constitution, expectations of the patient, etc...)

What results can be expected from a reduction mammaplasty

Generally, there are no complications. After the intervention dressings are applied and drainage systems are kept on for about 24-48 hours.

Anesthesia and Recovery

The location and type of anesthesia is decided according to the technique that is chosen.

Usually, a reduction mammaplasty is performed in a clinic under general anesthesia, it is a work of precision that usually lasts about 3-4 hours. Pre-operation analyses are made with the anesthetist in the same clinic the day before.

The hospital time can last up to 2 days.

Surgeries instead which are smaller and less complicated can be accomplished also from the doctors clinic of a plastic surgeon using local anesthesia and a sedative. In this case, you do not need a period of hospitalization.

Precautions after the surgery

To minimize the risks and complications follow closely the instructions of your surgeon both before and after the procedure.

Communicate if ever suffer from allergies or other chronic diseases. If you bruise easily or bleed excessively in the case of small wounds, you may require some analysis to exclude difficulties of your blood to clot. Tell your surgeon also if ever had a sharp reduction in weight, because it might influence the outcome of the intervention.

Smokers should quit smoking at least 4 weeks before the intervention because the smoke adversely interferes with the process of healing.

They are aspirin-type painkillers that should not be avoided during the two weeks before the intervention because their active ingredient interferes with blood clotting and can cause excessive bleeding. And you must avoid all alcohol and sleeping pills.

Intervention process

After the anesthesia is administered, incisions are made depending on the type of reduction previously chosen with the patient.

For a small reduction depending on the technique used by the surgeon, it is possible to have minimum incisions done by the aureole.

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What happens after the intervention

Immediately after the intervention, your skin will be tense and with oedemas. After 2 or 3 weeks the oedema will be completely re-absorbed.

Light pain can be controlled with s appropriate painkillers.

The bandage and any drainage are removed the day after and the points of suture usually after 10 days. The scars will be quite evident immediately after the procedure but after a few months, they will be barely visible to the eye.

To see the final result you must wait as long as even six months.

Possible complications

One possible complication of a reductive mammaplasty that may occur is a decreased sensitivity level of the nipple for a period short or possibly longer period.

The strong tension of the skin can lead to a temporary loss of sensitivity. Other complications arise from problems instead of movement, resulting from the vice of smoking, which can cause skin necrosis and evident scars. They can be corrected with a small additional intervention.

In very rare cases, excluded in a case involving a capable surgeon, is that during the surgery nerves or muscles of the skin are wounded. These nerves will regenerate themselves within a few weeks or months.

A permanent nerve injury is an extremely rare complication!

Precautions after the intervention

The time required for the full recovery depends greatly on the type of action implemented which is established with your surgeon. In any case, it would be good to observe a rest period of 5-8 days during which it is best to avoid excessive physical activities, alcohol consumption, smoking, steam baths, and saunas. During these days it is even better to give up moisturizing creams for those certain areas. After about 8 days you can again take a shower.

For 4 weeks do not take painkillers such as aspirin and not smoke.

During this period also avoid direct sunlight. Later, if you stay in the sun, use a high protection factor.

After 4 weeks you can once again enjoy all sports.