Breast Lift and Reduction
Reductive mastoplasty is one of the most common procedures
in plastic surgery, since in addition to being indicated to improve the shape
of the breasts, it is also indicated as a complementary resource in the
prophylactic treatment of certain breast diseases (special cases), as well as
in the prevention of problems caused by very large breasts. It is unfortunate
that due to ignorance, many parents see their teenage daughters suffer from
severe pain in the spine, as well as psychological disorders that lead to
complexes, cases in which a consultation with the plastic surgeon is indicated,
who apart from resolving the physical disorder, will raise your self-esteem.
Depending on the technique to be used, we may have
variations in terms of scars. Normally there are scars located in the form of
an inverted "T" in the lower part of the breasts in the case of giant
breasts. The one around the Aura is quite disguised by the condition of color
transition between it and normal skin. Other types of scars, such as those in
"I", "L / J" or periaureolar are possible when they are
well indicated.
From the first days of the postoperative period a fairly
generous neckline can be used, since the scars are hidden. With the passage of
time they become more imperceptible.
Certain patients have a tendency to hypertrophic or keloid
healing as we have reported in previous deliveries.
Several clinical and surgical resources allow us to improve
poor aesthetic scars at the right time. We must never confuse the "mediate
period" of normal healing (from the 30th day to the 12th
month) as part of a scar complication. Any doubt regarding your evolution
should be clarified with your doctor, and never with other people who like you
are also apprehensive about the final result. A question frequently asked:
How will my new breasts look, in relation to size and
consistency?
A. The breasts may have their volume reduced through
surgery: in addition to this their consistency as well as their shape are also
improved with surgery. So we can opt for several volumes for cases of reduction
and lifting of its position, within the possibilities that allow us to plan the
original breast without compromising it in the future. Here, as in the case of
volume increase, the portions between the volume of the new breast and the size
of the patient's chest should be balanced in order to obtain greater aesthetic
harmony. On this occasion we try to improve the appearance in relation to
sagging and the original shape of the breast. The "new breasts" go
through several evolutionary periods, in relation to their form:
a) Immediate period: It goes until day 30.
In this period, despite the breasts presenting themselves with their
well-improved appearance, their form is still far from the planned result,
since to reach the definitive form there are apparent initial “small defects”
(inevitable in all cases), which will disappear over time. It is important to
emphasize that: your final result will only occur after the late period.
b) Average period: It goes from the 30th
to the 8th month. In this period the breast
begins to present an evolution that tends to the definitive form what will
happen after the 8th month. An increase or decrease in
nipple sensitivity may occur during this period, in addition to a greater or
lesser degree of "swelling" of the breasts; In addition to this, its
form will be very close to the final. In spite of the euphoria of the majority
of the patients, already in this period we are accustomed to say to them that
their result will be even better, since this will be the characteristic of the
third (late) period.
c) Late period: It goes from the 8th
to the 18th month. It is the period in which
the breast reaches its final appearance (scar, shape, consistency, volume,
sensitivity). In this period it is when we usually compare the operated cases
with the preoperative aspect of each patient. It is of great importance, in the
prognosis of the final result, the degree of elasticity of the skin of both
breasts as well as the volume achieved. The balance between the two varies from
case to case.
In spite of the immediate and mediate result, to satisfy the
patients quite a lot, it is only between the 8th and 18th
months that the breasts will reach their definitive form. It is vitally
important that patients undergo a mammogram one year after having performed the
reduction mastoplasty, as this will be the baseline mammogram for a subsequent
emergence of a breast pathology and its study.
Your gynecologist will tell you about the convenience or not
of a new pregnancy. As for the result, it can be preserved, since said
specialist controls your weight gain in this new pregnancy. Generally no
problem. When it comes to very large breasts, which were reduced sharply,
breastfeeding could be compromised. In cases of small and medium reductions,
breastfeeding may be preserved. Some patients may have a reduction in breast
lift.
Generally, the postoperative period of breast surgery is not
painful since the medical instructions are obeyed, mainly in relation to the
movements of the arms in the first days.
Rarely breast plastic surgery suffers from serious
complications. This is due to the fact that each patient is conveniently
prepared, in addition to pondering the convenience of associating this surgery
simultaneously with others.
It is at the discretion of the surgeon the type of
anesthesia to be used: local, general, peridural or associated.
Depending on the type of breast, the duration of the
surgical act ranges from two and a half to four hours and may extend a little
more in certain cases. The required postoperative hospitalization time rarely
exceeds 24 hours.
We use modeling bandages and bras especially adapted to each
type of case. We removed the points around the 12th day after surgery.
Abrupt movements of the arms should be avoided. You can
return to the exercises gradually. Those of the lower extremities may restart
after the 15th day avoiding great efforts.
Exercises that dynamically include the chest should wait up to 45 days
after surgery, even for driving.
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