Breast reduction is the second most common surgical repair procedure after abdominal repair. It helps to correct a disabling breast enlargement that affects young women, or menopause.
There is unfortunately no medical treatment to treat breast hypertrophy and only a reduction surgery can treat the patients suffering from this discomfort (and disgrace) with quality. As a very frequent reason for consultation, breast reduction surgery satisfies the vast majority of patients, thanks to current surgical progress and rigorous postoperative follow-up. The benefits are as well aesthetic with a round breast and nicely contoured, psychic with a normal ease to dress recovered and a confidence restored, but also physical since the patient regains a real comfort in the postural.
There are a large number of surgical techniques to correct breast hypertrophy: cases of gigantomastia (withdrawal of at least one kilo per breast), tuberous breasts, asymmetric breasts, narrow or wide breasts, associated or non-associated chest deformity. .. The intervention strategy will be established by the plastic surgeon during the preoperative consultation.
The procedure is always under general anesthesia, and the duration of hospitalization is one to two days depending on the case. A preoperative assessment is established and a visit with the anesthetist must be observed at least 48 hours before surgery. The glandular excess is removed and sent systematically in histological analysis. The mammary gland is reconcentrated, in order to obtain a well-shaped breast and of natural and harmonious form. The areola is often diminished and always ascended. The excess of skin is removed and the practitioner proceeds to the cutaneous reappearance of the breast.
A drainage is set up for one to two days, as well as a moderately compressive dressing that will be removed the day after the procedure for a sports bra, adapted to the new morphology of the patient. This bra should be worn for several weeks to maintain the bandages (the first days) and for comfort. The pain following the procedure is low to moderate and fades with the use of conventional analgesics. The patient should avoid violent physical activity the month following the procedure. Disorders of sensitivity to the areola may occur but this is normal, transient, and almost always fades after several weeks.
The results are optimal a few months after surgery, the time that the edema is absorbed, that the cicatricial maturity is established and that the mammary tissues soften.
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