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How is the procedure?

Depending on the size of the breasts may use different techniques.

A commonly used technique is the traditional inferior pedicle used for very large breasts or sagging severe. In these cases the incision around the areola, extending inferiorly to the inframammary sulcus and then follows the contour of the groove under the breast. If necessary, reduce the size of the areola and dry the excess glandular tissue, fat and skin. The areola is located in a superior position and forms the new breast.

In cases of breast lift or when not much excess breast tissue using a variation of the technique described. In these cases the incision around the areola and down to the inframammary groove, but we avoid the horizontal scar. The breast tissue is lifted to give volume to the upper pole of the breast and gives a nice conical shape.

Depending on the case will be decided which technique is right for each patient

Post-operative

Reduction surgery and breast lift can be outpatient surgery, however, depending on the case it is advisable to spend a night in our surgery center. Normally these procedures performed under general anesthesia, especially if the partner with other surgeries. In some cases of breast lift can use more local anesthetic sedation.

The surgery takes about 2-3 hours. Then place a special bra to be used the first few weeks. It’s normal to feel some pain and swelling the first few days, these symptoms are easily controlled with analgesics.

We recommend avoiding major efforts in the first week, after which time the patient may be rehabilitated gradually to normal activities

Breast reduction, technically known as reduction mammoplasty, is a procedure designed for these women. The procedure reduces fat, glandular tissue and skin of the breast, making them lighter, smaller and firmer. You can also reduce the size of the areola, the darker skin surrounding the nipple. The aim is to give women breasts smaller, with better shape and more proportionate with the rest of the body.

If you’re considering breast reduction, this text will give you a basic understanding of the procedure – when it can help, as it did, and what results to expect – can not answer all your questions, since a lot depends on your personal circumstances. Please ask us for clarifications on the treatment you do not understand or relate to your particular case.

The best candidates for breast reduction

Breast reduction is usually performed for physical relief beyond simple cosmetic improvement. Most of the women seeking this surgery have problems because their breasts are too large and alienated restrict their activity and brings a great physical discomfort.

In most cases, breast reduction is not performed until a woman is fully developed, but may be required earlier if large breasts are causing serious problems. The best candidates are those who are mature enough to understand the procedure and have realistic expectations about the results. Breast reduction is not recommended for women who want to breastfeed their children.

All surgery carries some uncertainty and risk

Breast reduction is not a simple operation, but is safe when performed by a qualified plastic surgeon. Anyway, like any surgery, there is always a possibility of complications generally mild. You can reduce your risk by carefully following our advice before and after surgery.

The procedure leaves permanent scars, but are covered by the bathing suit or bra. (The problems of healing and wider scars are more common in smokers.) The procedure usually prevents breastfeeding since the surgery removes many of the ducts that carry milk to the nipple. Either way in this as in other respects it is better to consult your particular case with us.

Some patients may experience a permanent loss of feeling in your nipples. Very occasionally, the nipple and areola may lose their blood supply and undergo necrosis requiring to be rebuilt later. These problems often occur in particularly large breasts and patients with certain conditions. It is desirable that these risks are particularized in each case.

Planning your surgery

In its first consultation, it is important to discuss your expectations with us and hear our opinion. Each patient has their different views about what is the optimal shape and size of the breast.

Examine and measure your breasts, and probably will be photographed for reference during surgery and after it. We will discuss the variables that may affect the procedure such as your age, size and shape of their breasts, and skin conditions. Also discuss where to position the nipple and areola; These structures were raised during the proceedings, should be placed at about the height of the inframammary fold.

We describe the procedure in detail, explaining its risks and limitations and the scars that remain and their location. So it will explain the type of anesthesia used, which carried out the intervention and the costs thereof.

Preparing for surgery

Sometimes we need a mammogram prior to surgery. You need to follow our instructions on how to prepare for the intervention, including periods of fasting on the day of surgery, as the snuff habits, intake of certain medications and vitamins.

Breast reduction does not usually require blood transfusion. However, in exceptional cases we may recommend to perform an autotransfusion. Thus, if required, may use his own blood.

It is important that during the first days accompanied by a responsible adult since the beginning need to help you, until you can make your life normal.

Where your surgery will take place

Breast reduction surgery should be performed in a hospital and under general anesthesia, requiring an income of a few days. The surgery usually takes two to four hours.

Type of anesthesia

Breast reduction is nearly always done under general anesthesia. Will be asleep throughout the operation.

Surgery

The techniques for breast reduction vary, but the most common leaves a scar around the areola, extending downward, and follows the fold. Remove excess fat, glandular tissue and skin, and move the areola and nipple to its new position. Then we sutured the breast, giving new shape. Sometimes we can use liposuction to remove excess fat from certain areas.

In most cases the nipples remain with their vessels and nerves. However, if your breasts are very large or pendulous, the nipple and areola can be raised and grafted into a new position. (This will result in loss of sensation in the nipple and areolar tissue.)

Stitches are usually located around the areola, in a vertical line from this down and along the inframammary fold. Sometimes, you can use techniques that eliminate the horizontal scar. And occasionally liposuction can be used alone to reduce the size, leaving minimal scars.

You may feel discomfort during the first days, especially when moving or coughing, and some discomfort for a week or two. We will give you medication to reduce discomfort.

The bandages will be removed a day or two after the surgery, but continued wearing a sports bra for several weeks until the swelling disappears. The stitches will be removed in two weeks.

If your breast skin is very dry following surgery, you can apply a moisturizer several times a day. But be sure to keep the suture area dry.

Your first menstruation following surgery may cause your breasts to swell and disturbed. You can also experience some subjective discomfort during the first months. Likewise you can expect some loss of sensation in the nipple and skin of the breast caused by edema after the surgery. These fade to six months after surgery, and occasionally may be permanent.

hypertrophic remodeling of the breast

The incisions delimiting the area of skin, breast tissue, and fat must be removed and the new position of the nipple.

reduction mammoplasty

The skin and the gland was sutured to form the new wing to the breast. The points close the incisions, giving the breast
their new surroundings.

mammoplasty, scars

The scars around the areola, below it, and in the fold are permanent, but can be
easily concealed by clothing.

Returning to normal

Although you can make normal life in a day or two, your breasts bother for one to two weeks. You should avoid lifting or pushing anything heavy for three or four weeks.

We will give detailed instructions for resuming your normal activities. Most women can return to work and normal social activity within two weeks. But it must be a bit careful and limit their physical exercise is gradually until fully recovered. Also use a proper sports bra to hold the chest.

It is normal for a small amount of discharge from his wound, and also some scabs. If you have abnormal symptoms such as bleeding or severe pain, please contact us.

The plastic surgeon is the specialist, by training (specialist in Plastic, Reconstructive and Aesthetic Surgery) has the technical and aesthetic resources adequate to reconstruct a breast with a natural look. After assessing the patient’s general condition, it will inform the most appropriate options for their age, health, physical and anatomical characteristics and future expectations.

Breast reconstruction is included in the catalog of Social Security benefits, provided that this hospital has a team of plastic surgery. Most private insurance also include this type of intervention within their service catalog.

If reconstruction implants are used, there is minimal possibility of becoming infected, usually in the first or second week after surgery. In some of these cases it may be necessary to temporarily remove the implant, which may be performed again later. The most common problem associated with implants is capsular contracture, which consists of the formation by the body of an internal scar capsule around the implant that can make the reconstructed breast has a harder consistency than normal, this is nothing more than an exaggerated physiological response of the body to a body that does not recognize as their own. There are several methods to combat it, since the massage the breast to disposal by surgery.

It should be clear that the reconstruction has no effect on the recurrence of breast disease or interfere with chemotherapy or radiotherapy, although the disease recur. Does not interfere with subsequent studies that may be required in the revisions. If your breast has been reconstructed with implants and your surgeon recommends performing regular mammograms, you should do them in a radiology center with experience in the use of radiological techniques for prostheses.

In some cases, however, the rebuilding can or should be postponed (a technique called delayed reconstruction). Some women do not feel comfortable talking about reconstruction while trying to adjust to having been diagnosed with breast cancer, other women just do not want more than strictly necessary interventions to cure the disease. Other times, the use of more complex reconstruction techniques desirable to delay the reconstruction does not to extend over the intervention. If there are associated medical problems such as obesity, hypertension, may also be necessary to delay reconstruction.

Furthermore, immediate reconstruction requires close collaboration between the surgeon removes the breast and plastic surgeon, because it requires the presence of both when operating in the patient. This situation is not possible in hospitals where there are no plastic surgeon (county hospitals, for example), a situation that needs to be delayed reconstruction, to be held in another facility.

In either case, the important thing is to have an adequate and clear information on the possibilities of reconstruction before being tapped to deal with the more positive operation.