Breast reduction is a surgical procedure that allows the breast volume to be diminished by removing a part of the breast involving fat, the mammary gland, skin, the reconstruction of the breast remaining and the relocation of the areola and mammary complex in a correct position from an anatomical and aesthetic point of view. This is a highly requested surgical procedure that is performed with the help of aesthetic surgery, with a special impact in terms of women’s appearance and self-confidence.
The main reasons why female patients resort to this procedure from an aesthetic point of view are: the much too large size of the breasts which bothers from an aesthetic and functional point of view (back and neck pain, difficulties in performing certain common physical or sports activities under certain circumstances), the asymmetry between the two breasts or skin changes usually occurring under the breasts caused by weight and the friction between them and the thorax, in certain specific situations breathing being hampered by the excessive breast volume.
You will be able to disclose what dissatisfies you about your breasts (size, shape, asymmetry between the two breasts) and you will also have the opportunity to express your expectations in terms of the final result. A general and local clinical breast exam will be performed by the doctor during which all clinical aspects regarding the size, shape and quality of the breast tissue will be taken into account.
The next step is to discuss the real possibilities to fulfill your desires regarding the patient’s breast aesthetics. We will also discuss about all the recommended surgical methods, specific for each patient, the surgical technique and the subsequent size and shape of the breasts. Potential risks and complications will also be taken into consideration, together with the emotional impact that this aesthetic breast change may trigger.
At the end of this consultation, the patient will be able to have a clear vision regarding her current status, the desires, the present surgical possibilities concerning goals achievement, and together with the aesthetician, will decide whether she is an optimal candidate for the breast reduction surgery and the final size and shape of the breasts.
Most of the plastic and cosmetic surgery practices are professionally done by Dr. Claudiu Filip.
The doctor will recommend a set of medical blood tests (common and specific to each individual case), imaging investigations (mammography, chest x-ray), a pre-anesthetic consultation and possible extra paraclinical investigations if necessary. Medication or other substances affecting blood clothing will be discontinued prior to the surgery. A reassessment of the general and local state of the patient, goals, type of implants, technique used will be performed and an informed consent of the patient will be registered.
The surgery is carried out under general anesthesia, the anesthetist being the one who is in charge of the process and the supervision of the patient during the entire surgical procedure. The surgical technique is adapted to each individual case, depending on the anatomical particularities and consists in the surgical removal of a part of the breast including fatty tissue, mammary gland, skin, the reconstruction of the remaining breast and the relocation of the areola-nipple complex in an anatomically and aesthetically correct position. The incision is closed with absorbable sutures that do not require removal. In certain situations, drainage of each breast is recommended with drainage tubes which are removed after a day or two postoperatively. This type of surgery usually lasts for three hours on average, with a possibility of extension in certain more complex situations, or if additional breast lift procedures are performed.
The patient may experience tension in the breasts, ecchymosis and edema as well as postoperative fatigue which will subside one day after the procedure. The doctor will prescribe medication that will restore comfort and reduce the sensation of tension in the breasts. The patient will have to wear a special medical bra for six weeks postoperatively for the breast reduction surgery. The doctor will recommend mild and more limited physical activity in the first week, avoiding however intense effort, lifting or pushing heavy objects and subsequently, normal activities will be gradually resumed as instructed by the doctor. The doctor will also guide you in terms of local and general aftercare.
You will receive more information related to the surgery and postoperative advice during the consultation with Dr. Filip Claudiu.