What is it
This is a surgical procedure that allows the reduction of excessive breast volume and weight (macromastia) through the removal of excess skin, fat, and some glandular tissue. At the same time, it improves the shape, symmetry (including the areolas), and positioning of the breasts, providing more volume in the upper pole.
Who is it for
It is indicated for women dissatisfied with the weight and volume of their breasts, usually associated with sagging. They often complain of:
- Postural discomfort, with back pain or cervicobrachial pain
- Discomfort when wearing or choosing a bra or bikini, often with strap marks caused by excessive breast weight
- Skin problems or rashes in the breast crease area due to constant moisture and friction
- Emotional changes associated with excessive breast volume
It is also indicated for women who believe that weight reduction will bring better health and body harmony, and who are:
- Healthy
- Non-smokers
- With expectations suited to their body condition and intrinsic characteristics, such as skin elasticity and looseness, as well as the type and location of the resulting scars
Scars
The location and extent of the scars are adapted to each case, depending on the degree of hypertrophy and sagging. In very mild reductions, the surgery may be performed through an incision limited to the periareolar area, but it generally also involves a vertical incision below the areola and a horizontal incision (resulting in an inverted T-shaped scar), camouflaged in the lower breast crease. The length of the incision depends on the amount of breast tissue and skin removed.
Technical Description
Breast reduction is performed through incisions that vary in location and extent, through which fatty-glandular breast tissue and excess skin are removed, followed by breast remodelling with superior repositioning of the nipple–areola complex.
In selected cases of breast hypertrophy, reduction can be achieved through liposuction techniques, resulting in minimal scarring.
Type of Anaesthesia
Breast reduction is performed under general anaesthesia, often using a laryngeal mask — a lighter type of general anaesthesia that allows postoperative recovery to be faster and better tolerated.
Results and Benefits
The results of breast reduction surgery are immediately visible, both in terms of body harmony and comfort. In the following weeks, swelling subsides and scars fade, resulting in a very favourable outcome for self-image.
The benefits are felt at various levels:
- Increased self-esteem due to the positive impact on self-image and body harmony
- Better quality of life and physical health, with reduced discomfort and postural pain
- Greater freedom in daily activities and exercise
- Greater freedom in clothing choices
Recovery
- 4–7 days to return to work
Post-operative Care
After a short hospital stay of 24–48 hours, recovery can normally take place at home.
- The prescribed medication and all recommendations from the medical team must be followed.
- The patient will be accompanied by the medical team for dressing changes for 10–12 days.
- Some limitation of arm movements is advised during the first week, but without restriction on daily personal care and routine activities.
- Intense exercise and strenuous effort should be avoided during the first days.
- A postoperative bra should be worn for 4–8 weeks.