It is carried to those patients that presented increase of mammary volume in the puberty or after pregnancies.
Anesthesia: it is recommended under general anesthesia.
Procedure:
Multiple techniques of reductive mastopexy exist, which leave final scar in the shape of an inverted T or in L, it is carried out the reduction of the mammary fabric, we re-locate the areola and the nipple in a higher position, it is closed leaving some small hoses to move away remains of blood (drainage) and we place bandages and postoperative brassier.
Antibiotics and analgesics are formulated. The approximate duration of the procedure is 3 hours or more according to the mammary volume. We remove the sutures in 20 days.
This procedure is recommended in an ambulatory way.
Procedure or surgery:
Reduction of the breast
Methods:
– It can be carried out the technique of inferior or superior pedicle.
Objective:
– To reduce and re-locate the complex areola-nipple.
Preoperative preparation:
– Fast 8 hours before.
– To communicate possible medical allergies.
– To go the day of the intervention with comfortable and wide buttoning or zipper dressing. – To take the post operative brassier.
Type of Anesthesia:
– General in most of the cases.
– It can sometimes be carried out by means of local anesthesia and sedation.
Incisions:
– The most frequent scars are: periareolar, in L or in inverted T and their longitude varies according to the size of the reduction.
– The scar is usually almost invisible 6-12 months after the intervention.
Effects and/or convalescence:
– De pigmentation or hyper pigmentation of the skin surface (it can last up to 12 months)
– Swelling during approximately three weeks.
– Ecchyimosis (bruises) during fifteen days.
– Located changes of sensibility (they disappear in weeks)
– Do not to carry out any effort during 15 days.
– Coetaneous hardening during one month.
Complications:
– Bruises. Superficial and hard skin, 7-10 days. Exceptional an important bruises.
– Infection. Not very frequent.
– Dehiscence of sutures (open wound), especially in patients of big reductions or smokers. It is managed with bandages.
– Seroma. Exceptional.
– Asymmetry.
Post operative instructions:
– Relative resting during the first 5 days.
– Do not to carry out efforts during the first 7 days.
– Post operative Bra with or without orthopedic superior band during the first month.
– To take the recommended medication.
– Do not to take the sun at least in one month.
– The patient can travel in one month, according to the evolution.
– Stitches removal within 15 to 20 days.
– Post operative ice during 48 hours.
Hospitalization:
– Usually ambulatory.
Results:
– Reduction of the breast according to the patient’s pleasure.
Final time:
– Two months
