The breast reduction procedure is very complex, as it includes both breast volume reduction and breast shaping and lifting. The surgery also successfully corrects asymmetry in the volume of the breasts. The result is a body-proportioned, good-looking bust. The operation is sought both for aesthetic reasons and medical indications – back pain and strain can lead to future problems with the spine.
The operation is performed under general anesthesia. Duration is 3-3.5 hours. Due to the large size of the breast, an operative technique requires making three incisions – one around the areola, one vertical, descending from the underside to the breast crease, and one horizontal, passing along the breast crease. An “anchor” cut is obtained. During the operation, the nipple and the areola are lifted and moved to a predetermined location. Areolas are reduced. Skin, subcutaneous tissue, and glands are removed and the new, tighter appearance of the breast is formed. The incisions are sutured, and aspiration drains are placed. In Gigantomastia /huge bust/ the areolas must be moved a very long distance, which requires them to be separated from the underlying tissue as a free transplant and grafted to the new location.
Unlike all other plastic surgeries, with breast reduction, the benefit is not only aesthetic – patients also get physical relief from their previous symptoms such as the neck, back, and shoulder pain or frequent headaches. The result is definitive, as, over time, the breasts can only lose part of their shape and slightly relax under the influence of gravity. Wearing a bra regularly can significantly slow down this process. Sometime after the operation, the breasts will be swollen. Patients must wear a special elastic bra around the clock for the first two months. Moderate post-operative pain is possible, which is quickly relieved by ordinary painkillers. Most patients can return to work after one week, but it takes 2-3 weeks,
Immediately after the intervention, heavy lifting and stretching should be avoided for about a month after the operation until the swelling has completely subsided and the breast tissues have recovered. During the first months, the scars should not be exposed to the sun or solarium, so they do not become pigmented.