Breast reduction is a surgical procedure that aims to reduce the volume of breasts deemed too big compared to the morphology of the body. This is characterized by breast hypertrophy. Breast hypertrophy is often due to excessive development of the mammary gland which can be traced back to the period of puberty. It is often accompanied by sagging breasts because the skin folds under their abnormal weight, pain in the upper joints and back causing difficulty in practicing sports and even daily activities. Breast reduction is the second reconstructive surgery performed after abdominoplasty. Plastic surgeon will remove excess glandular tissue and refocus the gland breast. The skin will be lifted to give a nicer appearance. The most important for breast reduction is the respect of gland vascularization so that it does not affect sensitivity or any subsequent lactation. This is why we cannot remove excessive amounts of gland.
WHAT IS THE PRINCIPLE OF BREAST REDUCTION?
The process of breast reduction depends on the volume to remove. The bigger it is the more important scar it may be. For small volumes, up to 300 g (about 2 cups), with a firm and elastic skin, the scar is limited to the periphery of the areola and a vertical line that goes from the bottom edge of the areola to the fold breast. In this case, the procedure is considered an aesthetic and cannot be supported by the Social Security. For larger volumes, especially if one wishes to correct an associated ptosis, the scar goes with a splash horizontal under the breast fold that gives with the vertical line the shape of an inverted T.
CONDITIONS AND INSTRUCTIONS
“Holding” a big breast every day has the same effect on the body than carrying a heavy weight daily. Back pain is one of the most frequent causes of consultation, but also neck, shoulders and sometimes even legs. In some cases, hypertrophy is unilateral and causes breast asymmetry which can range from mild to very important giving an unsightly looking and discomfort clothing. The gradual infiltration of fat in the breast tissue due to aging may also be a cause of breast reduction request. Liposuction may be considered, depending on the degree of ptosis associated and the amount of fat to remove. Breast reduction, like almost all plastic surgeries, cannot be considered before the age of 18. Like breast implants, a pre-surgery radiograph and a mammography are requested before procedure.
WHAT HAPPENS AFTER PROCEDURE?
Bruising and swelling appear causing difficulty raising the arms then disappear after 2 to 3 weeks. Using ice packs applied locally for 10 minutes at a time on the oedematous areas can contribute to deflation and decrease discomfort. A compression bra is prescribed for 1 month and must be worn day and night after removing the dressing. Tiredness and loss of sensitivity are transitory and moderate pain can be relieved by analgesics. Work stopping can last 2 to 3 weeks and resuming sport will be after 1 to 2 months. The most important phase in recovery is the healing process. The scars can become pink or red at first and then the colour will tend to normalize. Some recommend light massage with a hydrating cream 2 weeks after surgery to smooth out scar reliefs. Sun exposure must be avoided because scars may darken.