Breast are a symbol of femininity and there is not a clear definition of term “normal” breast. Plastic surgeon is here to make patients’ wishes come true in accordance with medical and ethical norms. Female breast reduction surgery is necessary not only because of aesthetic reasons, but also because of medical reasons. Breast, due to their weight, with time cause irregular spine position accompanied with painful effects. Excessively large breasts usually occur during puberty period as adolescent hypertrophy, which is caused by hormones and genetic heritage.
CANDIDAES FOR THE PROCEDURE
Aesthetically reconstructive procedure of breast reduction is usually performed due to functional reasons like neck pain, headaches, backache, reduced mobility and practicing sports, as well as common inflammations of the skin under breasts. Symptoms like these occur because of constant burden bearing due to the size of breast. Parts that are most burdened are cervical thoracic spine. It is not rare that with time in the places where there are bra straps appear certain notches.
Consultation examinations precede breast reduction. The patient is warned about the scars that remain after the surgery. The scars are placed around areola (the dark area surrounding the nipple) vertically towards the striation of the breast and inside the striation itself.
PREPARATION FOR THE PROCEDURE
Standard blood tests are required: complete blood count, erythrocyte sedimentation rate, coagulogram, blood glucose levels, urea and creatinine concentration, complete urine tests and to record electrocardiogram (ECG). Sometimes it is necessary to provide some additional examination results like breast ultrasound or mammography. All these examinations, except mammography, can be done in Polyclinic Arcadia.
ADMISSION TO POLYCLINIC
Admission to Polyclinic Arcadia is appointed by phone in advance. Admission is possible during the morning hours on the day of surgery, or the evening before the procedure. After situating you into your room, taking anamnestic data, marking places for surgical incisions and explaining additional questions, are about to follow.
ANAESTHESIA
Aesthetic procedure of female breast reduction is most frequently performed under the general anaesthesia. Surgery under the regional anaesthesia is performed exceptionally.
PROCEDURE
Breast reduction is technically really demanding procedure. Surgery lasts from hour and a half to 3 hours. There are more surgical methods for female breast reduction. Choosing the right method depends on experience of an aesthetic surgeon, woman’s age and the size of breast. Of all techniques, the most commonly is applied vertical pedicle technique, inferior pedicle technique and most recently central mound technique. Conventional technique leaves breast with scars in a form of reversed letter T. The aim is to get optimum breast size with achieving symmetry and minimal scars, which requires great surgeon’s experience. Surgical incisions are carefully closed and compressive bandage is placed.
IMMEDIATE POSTOPERATIVE PERIOD
Immediate postoperative care lasts up to 24 hours, and during that time professional medical care is conducted and instruction about following treatments at home are given. The following day sterile dressings on the breast are changed, a compressive bra is applied which facilitates the movements. Compressive bra should be worn continuously up to two months after the surgery. Written instructions after postoperative care of breast you are going to get on your leave for the home care.
FINAL RESULT
Results after surgical reduction of female breast are visible immediately after the surgery, but it takes about 6 months for the breast to get their final shape and look. Careful postoperative care and following the instructions given by our surgeon, contribute to the final result.
