Breast reduction

The presence of macromastia and / or gigantomastia (hypertrophy of the mammary gland to varying degrees) leads not only to aesthetic concerns, but also to physical complaints of a functional nature - chronic backache, shoulder and neck pain, irritation of the skin under the breasts, difficulty breathing, periodic tingling in part of the chest, as well as a potential risk of spinal curvature. Volume reduction combined with breast lift is a complex intervention in which a raised, firmer and aesthetically pleasing bust is achieved. The procedure is also done to restore breast symmetry when a congenital or acquired asymmetry of the mammary glands is present.

Consultation

•  If you are planning to breast-feed, you should discuss this with your plastic surgeon
•  during the consultation your surgeon will get acquainted with your expectations and the current condition of the breasts. Photographs are taken and the parameters of the bust are measured in order to refine the choice of the specific technique

- you will be able to discuss what you hope to achieve from the procedure and wheather it is possible given your physical characteristics

- you will be explained all details regarding the choice of operative equipment and the location of the scars in the specific case; you will be given information about all necessary examinations before the surgery, recovery time and aftercare; you will receive information about possible risks and complications related to the operative intervention; the surgeon must be informed by the patient of all past and concomitant diseases, previous operations and medication

About the procedure

The procedure is performed under general anesthesia. The intervention is preceded by accurate preoperative marking and delineation of the planned incisions.

The large size of the breast requires the use of a surgery technique with an incision type "anchor" (so-called "Inverted-T") - the incision passes around the nipple, then continues vertically down and in the area of ​​the inframammary fold (the fold under the breast) passes in a horizontal scar. During the procedure, the excess tissue is removed (skin with subcutaneous fat and part of the mammary gland), the nipple and areola are moved to a higher position, the tissues are sutured and fixed in such a way as to provide both reduced volume and raised bust. The blood supply to the nipple and areola is preserved while they remain connected to a part of the glandular tissue. In these cases, a transient loss of sensation can be observed in the nipple-areolar complex area, which recovers in the following months. The size of the areolas can be reduced.

In gigantomastia (huge bust), the areolas have to be moved a long distance, which requires them to be separated from the underlying tissue as a free graft and transplanted to the new location. In this case, the sensitivity of the nipple and the possibility of breastfeeding is completely lost, because the connection with the mammary ducts and glands is cut off.

If an asymmetry in the volume and position of the breast is present, the surgeon can remove more tissue from one or the other breast. In case of significant asymmetry, a combination of two different techniques is possible regarding the position of the scars on both breasts.

The intervention ends with the removal of the aspiration drainages, an aesthetic suture and elastic bandages.

Recovery

- the drainages are removed in the next 24-72 hours

- the sutures are removed on the 14th-21th day

- the dressings are changed on the 3rd, 7th and 14th post-operative day

- It is recommended to avoid intense physical activity for the next 30 days

- control examinations on the 1st, 2nd, 3rd and 6th post-operative month, as well as at the end of the first year

- final result – 6th – 7th  post-operative months

- in the first days after surgery you might experience mild to moderate pain, which can be controlled with painkillers

- over the years, under the action of gravity, breast tissue relaxes, but will not return to its position from before surgery. The degree of future sagging depends on the individual characteristics of the organism

- topical creams are applied in order to improve the aesthetic appearance of the scars

- when the breasts are very large and a large amount of tissue is removed, there is a risk of necrosis and loss of the areola, and this risk is greater in the presence of gigantomastia. In case this happens, the areola and nipple are reconstructed

How do we proceed?

After contacting us, we will arrange a video consultation for you with the surgeon we believe is most suitable according to your personal needs. The consultation will take place within 72 hours of your request.

Your specific needs and goals will be discussed in detail at the consultation, as well as the ways to achieve them. During the consultation, we will also review any medical records you have. It is possible to take pictures of problem areas. The expected results, possible risks and all other issues that interest you will be discussed. We advise you to make a list of all your questions before the consultation.

A special treatment plan will be prepared for you (during or after the consultation?)--- Ask the doctor

If you decide to undergo the surgery, we will have to sign a contract which will determine the date of the procedure, the price and all other details. A 10% up-front payment is required within 24 hours after signing and sending the contract (excluding weekends and holidays). The balance must be paid the day before the procedure, after the preliminary examination, if any.

We will make all necessary reservations for flights and stays.

On arrival, you will be met at the airport by an employee of ours, who will take you to the hotel and help you check in.

The day before the operation, if necessary, you can have a preliminary medical examination. During it, all the details about the operation (such as a complete treatment plan, suggestion for some additional or related procedures for better results, recovery plan) will be specified. Our employee will take you to the clinic and then back to your hotel.

On the day of your operation, our employee will bring you to the clinic and then, after the procedure and the initial recovery, will take you back to the hotel.

At your request and if the procedure allows, we can take care of your nice stay during the time spent.

On your departure day, you will be accompanied to the airport by our employee.

Online consultations during the recovery time will be arranged with your surgeon but you can feel free to contact us at any time.