Reduction mammoplasty

The female breast’s size may sometimes increase in an embarrassing way, meaning not only aesthetical problem to the recipient but the weight of the breasts causing back pain and posture disorders as well. The size increase often results in lengthening and owing to the burdensome sweating on the contacting skin areas below the breasts it may even result in the development of fungoid growth.

The embarrassing enhancement of the glandular and adipose tissue of the mamma may be of genetic origin but may take form as an accompanying phenomenon of hormonal diseases or high adiposity. The disorders of the rate of hormone biosynthesis and secretion must be detected and treated by an endocrinologist colleague, but in other cases the surgical reduction of the breasts, reduction mammpolasty or breast reduction will be the solution to be chosen.

From the aspect of surgical techniques, reduction mammoplasty is the same as the mastopexy (breast lift) operation, but here the retailoring of the skin and the lifting and coning of the mammary gland are preceded by the reduction of the mass of the glandular and adipose substance of the mamma as required. Most frequently, the extent of the reduction can be between 30 and 60%. The measures to be taken prior to and after the reduction mammoplasty, the post-treatments and the recovery period as well as the unpleasant side effects and possible complications are also the same as given in the breast lift menu point, with some additions:

The duration of the operation may be lengthened by half an hour or one hour.

For the reduction mammoplasty, the route of the surgical incision around the teat is applied very rarely; however, in certain cases themammoplasty involving a longer scar of inverted-T shape – which is extremely rarely applied for the pure mastopexy (breast lift) – cannot be avoided.

The possibility of surgical complications increases by several percents, especially for reductions of great mass.  In the event of significant reduction, the chance of the occurrence of circulation and innervation problems of the teat may also increase, especially if the teat should be placed 12-16cm higher from its loose position. The possibility of effusion is also 1-2% higher. The ability of breastfeeding usually remains in this case as well, but we cannot be sure of it in the event of removing more than 50-60%. The requirement for rest and the discomforts, pain experienced after the operation are usually the same as for the operation of the mastopexy (breast lift).