BREAST REDUCTION / MASTOPEXY
WHAT IS IT ABOUT?
Breast reduction/ mastopexy surgery can be performed for many reasons: A too large and ptotic breast, that is sagging, can cause psychological discomfort for the person, as well as weighing on the vertebral column causing functional disturbances such as scoliosis.
It can als cause rubbing injuries due to friction between the breast and the inframammary sulcus.
Unlike breast augmentation, where the main procedure consists in the implantation of silicone breasts, breast reduction does not require the use of prosthetic implants.
By removing certain portions of the mammary gland and repositioning the breast in its natural position, a natural and lasting result is obtained.
Surgery time : 2 hours and 30 minutes
Average hospitalization: two nights
The reduction mastoplasty surgery is performed under general anesthesia. It lasts about 2 hours and a half to three hours, depending on the initial size of the breast.
The portion of breast removed is usually sent to the pathological anatomy to perform the histological examination.
After the operation, the patient wakes up with gauzes and overall dressings on the breasts, drainages at the armpits, and sometimes a sports bra.
The patient is gently accompanied to the hospital bed.
During the first 24 hours after the operation, the patient is kept fasting to avoid nausea and vomiting which are possible inconveniences due to general anesthesia.
The next day the drains are normally removed.
The next day, the patient can calmly get out of bed and the first few times accompanied by nursing staff.
Depending on the type of surgery, the patient stays one or two nights in the hospital ward.
Two nights of postoperative hospital stay are recommended.
The reductive / mastopexy surgery involves the presence of scars, around the areola, vertical, and along the inframammary sulcus, the so-called inverted T scar.
Most of the stitches are internal, made of absorbable material.
External points of approach can be positioned, in some points of major tension.
If the breast volume has emptied excessively, for example after major weight loss, the use of breast implants may be indicated.
In this case the ‘Round Block’ technique, can be used. It was conceived in 1992 by Prof Benelli in Paris, also called “Tobacco bag” suture. This particular technique allows to create an only scar, positioned in a favorable aesthetic area, all around the areola,
During a scrupulous and careful visit, the plastic surgeon will indicate to the patient which is the most suitable technique.
After discharge, the patient must rest from work for about 7 days and should avoid exerting effort and lifting weights for about 2/3 weeks.
Jogging activities are contraindicated for about 2 months.
The patient will have medication twice a week.
The scars, initially reddened, after a few weeks turn white and soft.
Mastopessi confronto pre post: tramite la tecnica dell’autoprotesi il polo inferiore della ghiandola dona proiezione e volume al polo superiore
Mastopessi profili pre /post operatorio