Breast reduction, also known as reduction mammoplasty, is a procedure to remove excess breast fat with simultaneous breast lifting and correcting (improving) of its shape.
Reduction mammoplasty before and after
Indications for reduction mammaplasty
Reduction mammaplasty is recommended for patients with excessively large breasts as well as breasts assymetry. The surgery is carried out in order to:
- Reduce the breast size and achieve the attractive shape.
- Alleviate the pressure on spine and shoulders.
- Keep the nipples, areolas and breast tissue sensation as much as possible.
- Save the lactation function (if possible).
General contraindications: cancer, cardiovascular and acute infectious diseases, chronic hypertensive disease, thyroid disorders, diabetes mellitus, blood-clotting disorder, under-age patients, high hyperadiposis (obesity), pre-arranged pregnancy, recent lactation.
During the reduction mammoplasty surgery nipples and areolas (along with nerves and vessels) are moved upwards; excess of the breast and fatty tissue is removed, thus the remaining tissues are fixed in the proper position.
Surgery method depends on the extent of breasts sagging and their size, so the incisions can be made in different places.
There are four different incision options:
- The circle one around a nipple along the areola;
- The incision around the areola extends down to the inframammary fold, under the breast, (vertical incision) – this method is suitable for reduction slightly enlarged breast;
- Two incisions are made – first one around the areola and another one in the shape of “L” letter or inverse “T”. Such method is used for large-sized breasts;
- The incision in the inframammary (under the breast) fold. This needed to eliminate sagging of breast tissue, while the nipple-areola complex is placed properly.
How is the surgery performed in “Certus” clinic?
The examination before the surgery takes 1-3 day.
Duration of the surgery: 2-4 hours (depending on the complexity of the surgery). The patient stays in a clinical setting for 1-3 days.
Anaesthesis: general anesthesia.
Incision options. One incision is made vertically or T-, L-shaped around the areola. In other cases the incision is made in the inframammary fold. The process of scars healing takes 6-12 months, after which they are hardly noticeable.
*Recovery period. After the surgery, the breast is bandaged with elastic bandages to reduce the risk of postoperative complications as well as to improve the conditions for the reshaping of reduced breast tissues. The bandaging is then replaced with wearing special compression garments for 1.5-2 months. The stitches are removed in 7-14 days. Swelling and bruising disappear in a few weeks. The final formation of the breast tissue takes place in 3-4 months after the surgery.
*Side effects: temporary bruises, swelling, reduced breast sensation, slight soreness.
*Risks: infectious complications, hematomas, sustainable healing process, asymmetric scarring, reduced nipple, areoles or breast sensation; asymmetry of breast’s shape and size, deformation of the breast contours, the capsular contracture formation, loss of breastfeeding possibility.
*Result is long-term. Size and breast shape tend to change over time.
*The effect, result, risks, and recovery period depend on the individual peculiarities of the human body.
periareolar breast reduction
vertical breast reduction
inverted "T" breast reduction
removal of neoplasms, accessory breasts
Do you have to undergo examinations or tests before the procedure / operation?
You can go through a laboratory examination before the procedure / operation in our clinic, or at the place of residence, depending on the type of anesthesia.
If the operation will be carried out under general anesthesia, then you need to pass the following tests:
1. General blood and urine tests.
2. Blood test for sugar.
3. Blood type and Rh factor.
4. Coagulogram (blood coagulation).
5. Biochemical blood test.
6. Blood test for the Australian antigen, hepatitis “C”, HIV.
7. The reaction of Wasserman.
9. The conclusion of the therapist.
10. Certificate of fluorography.
11. Help from the gynecologist.
12. During breast surgery – ultrasound, examination of a mammologist.
If the operation will be performed under local anesthesia, then you need to pass the following tests:
1. Complete blood count (with formula) + platelets.
2. Blood test for sugar.
3. The coagulation time.
4. Blood test for the Australian antigen, hepatitis “C”, HIV.
5. General analysis of urine.
6. Blood type.
7. Certificate of fluorography.
The cost of the examination in our clinic is 150 €
Is anesthesia included in the cost of the service?
The cost of anesthesia is not included in the cost of the procedure and is paid separately depending on its type and time of its action.
1. General short-term anesthesia (up to 2 hours) – 200 €
2. Each subsequent hour of general anesthesia additionally – 100 €
3. Intravenous anesthesia – 200 €
4. Local anesthesia – 100 €
After the operation, can I stay at your rehabilitation clinic?
You can spend the postoperative period in our hospital. This service is paid separately – from 100 € to 200 € per day.