Reduction Mammoplasty

The huge breasts disease is generally caused by heredity or the mammary gland undue and sensitive to the hormone. The reduction mammoplasty means that the excision of the surplus mammary gland, fat and skin, in order to rebuild normal breast of size and lighten weight in the vertebral bear


The indications

  1. The surplus breast tissue results in the back neck and shoulder pain
  2. The shoulder is not comfortable and the underwear shoulder harness causes the shoulder soreness.
  3. Influence daily life because of the size of breast.
  4. The skin inflammation reaction the breast fold (Inferior mammary fold) causes
  5. Big areolar.

Operation method
Reduction mammoplasty means that excision of the excessive breast skin, mammary gland and fat as well as upper movement of the areola and nipple, in order to rebuild normal size and shape of the breasts. The operative scar formed as “ I or inverted T” shape on the lower breast.

Complications

  1. The most common one is quite long “I or inverted T “scar shape after the operation  
  2. The skin necrosis and poor wound healing, especially in the nipple or areola could happen (analogous to relations with patient's end circulation, such as smoking)
  3. Both sides are asymmetric
  4. The Subcutaneous hematoma (must be moved and eliminated in case of necessity) 
  5. The changing sensation of the nipple and breast is usually temporary.
  6. Infection

Pre-operative preparations
The operation can be performed at any age, but it’s better to do after the complete development of the breasts. A large number of breast tissues were removed while undergoing the operation, so the effect of the breast feeding could be concerned. The reduction mammoplasty is better be implemented in the following situations:

  1. No deadly disease or the patients without underlying diseases.
  2. No smoking addiction.
  3. The patient has the positive thinking and aim in improving the physiological symptom, the size of
      the breast.
  4. You must before including smoking or not and taking medicine kind and doctor please discuss with you family physician or your plastic surgeon.  
  5. Lung X - light and blood examination.
  6. The patient will fill out the form to present that you have already known the operative procedure and risks.

Hospitalization
Three to five days.
Day 1: admission
Day 2: operation
Day 3-5: resting, wound care, and monitor the amount and color of the drainage, remove it, if possible.

Anaesthetize and the operation
The operation generally was performed under the general anesthesia, so the patient can't take food or drink after mid-night before the day of operation, even water can not be drunk.
Intravenous fluid will be given in the ward on the same day morning.
The operative time is about three to four hours.

Leave hospital and go back to the clinic
The patient will back to the clinic in one week after leaving hospital

Precautions after the operation
1. The breasts will be fixed with the elastic gauze or the tape after the operation, and the supporting underwear can reduce the swelling, support the breast and prevent the hematoma.
2. The next day, the wound usually is swollen, generally will subside swelling gradually after the fourth day. Regarding the wound and drainage tube care, the medical personnel will attend to on time 
3. Ice packing vs warm packing: The operative position can be packed with the ice water bag or cold towel in two or three days after the operation, in order to lighten the swelling. The ice packing can be instead with the warm towel to give a hot compress one week later.
4. The normal daily routine: It must be normal to work and rest in life after the operation. The most important thigh is enough rest.
5. As long as you think you can load and do some simple daily life activities, this can reduce the production of the clot, too.
6. The time of the wound healing will take 2 weeks, and the suture will be removed in this period. It is very important to care the operative scar well after taking out stitches.

Conclusion

It may take several weeks to totally subside a swelling. With subsiding the swelling, your appearance and self-image will getting better and better. The patient must maintain the good habits and customs after the operation. After this kind of the surgery, your appearance can present your health and vigor even more.