Breast reduction or reduction mammaplasty

Adjusts generous breasts…

Definition and objectives

Breast hypertrophy is the development of abnormally large breasts, especially compared to the patient’s morphology.This volume excess is generally associated with sagging breasts (breast ptosis) and a degree of asymmetry.

Mammary hypertrophy often involves physical and functional consequences: pain in the neck, shoulders and back; uncomfortable feeling when working out; difficulties in choosing the right clothes, and often significant psychological impact.

A mammaplasty for hypertrophy can be performed as of the end of puberty.

A subsequent pregnancy is definitely possible as well as breastfeeding, but it is advisable to wait at least six months after surgery.

Procedure and scars

The surgeon performs a resection of the excess of glandular tissue, fat and skin to retain a volume consistent with the silhouette of the patient and in accordance with her wishes. This residual glandular volume is ascended, concentrated and remodeled.

In most cases, I use the "vertical" method, which leaves periareolar and vertical scars, around the areola between the brown and white skin and between the lower pole of the areola and the sub-mammary fold.

Sometimes, when breast hypertrophy is important, the procedure leaves a scar with the shape of an inverted T: periareolar, vertical and an additional horizontal scar hidden in the submammary fold.

In addition to regular pre-operative examinations, a breast screening should be realized.

The operation is performed under general anesthesia and lasts 2 to 3 hours. An anatomopathologic analysis of tissues is systematically carried out.

The patient is hospitalized for two to three days.