Vertical breast reduction method:
This method of breast reduction implies a cut around the areola and cutting downward to the submammary fold. This method of reduction mammoplasty is suitable for a small breast reduction in the 200-500g. Its advantages are low invasiveness, lack of scar in the submammary fold, as well as a low risk of postoperative complications. This method of reduction mammoplasty is not suitable for breast reduction are large.
Anchor means of reducing breast:
This method of breast reduction involves incision around the areola, vertically down, and submammary crease. This method of breast reduction can achieve good results in breast size 07/10 size. In some cases, the mass of tissue removed is more than 2-3kg. For large size breast ptosis is inevitable mammary glands, and thus offset the nipple-areola complex down. One of the problems that the surgeon performs the operations is to move the nipple-areola complex to its original position. To do this, the surgeon selects vascular pedicle, which helps in feeding the areola and moves the nipple-areola complex upward. Dining with the vascular pedicle nipple-areola complex should be sufficient to process tissue healing was uneventful.
Breast Reduction in gigantomastia:
Surgical technique for breast reduction in gigantomastiii similar to the anchor method. However, there are significant differences. The incision is also located around the areola, then vertically down to the submammary fold and. When gigantomastii often impossible to move the nipple-areola complex on the vascular pedicle, as inevitably there is deterioration of blood supply due to too great a length of feeding vessels, which leads to necrosis of the areola in the postoperative period. In this case, to reduce the risk of necrosis of the areola in the postoperative period, practiced free nipple-transplant areolrnogo complex. Free transplantation of the nipple-areola complex also does not always produce perfect results, but the risk of complications is much less. Some surgeons, reducing the chest by gigantomastii, completely remove the nipple-areolar complex, thus eliminating the risk of complications, and shape of the local nipple tissue. Then, after complete healing, formed around the nipple, causing a tattoo.
Possible complications after breast reduction surgery
Suppuration and bleeding - general surgical complications that may occur with any surgery. The likelihood of such complications of 0.1-0.5%.
Complete or partial necrosis of the nipple-areola complex. This complication occurs rarely ,1-3%.
Rough scars formed after the operation. The probability of 1-5%. The quality of scarring is extremely difficult to predict. The reasons for the rough a lot of scarring. Careful execution of all phases of the operation is almost always guarantees a good quality scars.
Dissatisfaction with the aesthetic result. Extremely rare, if the shape and volume of the breast after surgery did not meet the expectations of the patient.
Postoperative period after surgery breast reduction (reduction mammoplasty) proceeds normally without significant pain. It is recommended to limit physical activity, do not raise your hands high, to avoid undue n6atyazheniya on the edge stitches. In the postoperative period should be supportive compression garment. Sutures are removed in 14-16 days. Finally, the chest takes its shape in 6 months.