When the degree of hypertrophy is moderate and the breast skin is sufficiently firm and elastic.
Reduction mammoplasty (also breast reduction and reduction mammaplasty) is the plastic surgery procedure for reducing the size of large breasts. In a breast reduction surgery for re-establishing a functional bust that is proportionate to the woman’s body, the critical corrective consideration is the tissue viability of the nipple-areola complex (NAC), to ensure the functional sensitivity and lactational capability of the breasts. The indications for breast reduction surgery are three-fold — physical, aesthetic, and psychological — the restoration of the bust, of the woman’s self-image, and of hermental health.
In corrective practice, the surgical techniques and praxis for reduction mammoplasty also are applied to mastopexy (breast lift).
A breast reduction removes excess fat, skin, and tissue to create smaller, perkier breasts. The procedure usually results in lifting the nipple and areola to a higher position, and it may help eliminate back, shoulder, neck, and head pain.
The results of breast reduction surgery will be long-lasting. Your new breast size should help relieve you from the pain and physical limitations experienced prior to breast reduction.
Your better proportioned figure will likely enhance your self image and boost your self-confidence.
However, over time your breasts can change due to aging, weight fluctuations, hormonal factors and gravity.
The breast reduction operation
The surgeon will proceed in stages following the lines that he has previously drawn :
- He removes the excess glandular tissue and then he reassembles the breast gland.
- He performs a lift procedure on the skin envelope to ensure that the new breasts have a good hold and a nice curve. In case of sagging skin, he performs a breast reconstruction. He also corrects any asymmetry of the breasts by reshaping two breasts of the same size.
- He reduces the areola if necessary and then repositions it, as well as the nipple, which he points upwards.
Throughout the process, the practitioner retains as much vascularisation of the mammary gland and breast sensitivity as possible.
The margins of the cut skin are then sutured with absorbable sutures. At the end of the procedure, drains are in place to prevent the occurrence of a hematoma. The surgeon then inserts a modeling bandage with elastic bands in the shape of a bra.
This first bandage is removed after 24 hours and replaced with an adapted bra that the patient must wear day and night for 1 month.
Scarring after breast reduction
The number of scars will be proportional to the importance of the hypertrophy to be corrected.
- Two incisions are required: a round one around the areola, and a second vertical one from the areola to the fold beneath the breast.
- One optional horizontal incision in the crease beneath the breast.
When the degree of hypertrophy is significant and the breasts also have a drooping appearance.
The periareolar scar is completely hidden thanks to the naturally pinkish pigmentation of the area.
The vertical and horizontal scars will never completely disappear. They are very red after the procedure, begin to fade after six months and will become slightly pink. It is advisable to massage the scars with a moisturising cream for two weeks after the intervention, and above all, not to expose them to the sun. Their appearance will become final after one year. At that time, they will become thin and white.
If the appearance of the scar is not satisfactory from an aesthetic point of view, or if a keloid has appeared, the doctor will suggest a CO2 laser treatment.