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Chirurgie esthétique de réduction mammaire, diminution du volume des seins

BREAST REDUCTION

Breast reduction removes excess breast fat, glandular tissue and skin to achieve a breast size in proportion with your body and to alleviate the discomfort associated with overly large breasts. Medical insurance will cover surgery as long as more than 400 grams of tissue has been removed from each breast.

THE PROCEDURE OF BREAST REDUCTION

The precautions
Avoid taking any medication, which has not been approved by your surgeon, especially aspirin and anti-inflammatory drugs fifteen days prior to surgery.

The operation-breast reduction
Surgery is done under general aenesthesia and is 2 or 3 hours long.
Hospitalization is 1 or 2 days.

Breast reduction is usually performed through incisions on your breasts with surgical removal of the excess fat, glandular tissue and skin.

In some cases, excess fat may be removed through liposuction in conjunction with the excision techniques described below. If breast size is largely due to fatty tissue and excess skin is not a factor, liposuction alone may be used for breast reduction.

The technique used to reduce the size of your breasts will be determined by your individual condition, breast composition, amount of reduction desired, your personal preferences and the surgeon’s advice. Incisions options include a circular pattern around the areola and a vertical incision down from the areola.

The incisions are brought together to reshape the now smaller breast. Sutures are layered deep within the breast tissue to create and support the newly shaped breasts; sutures, skin adhesives and/or surgical tape close the skin. Incision lines are permanent, but in most cases will fade and significantly improve over time.

Postoperative care of the breast reduction
A small, thin tube may be temporarily placed under the skin to drain any excess blood or fluid that may collect
Dressings or bandages will be applied to the incisions. You’ll need to wear an elastic bandage or support bra to minimize swelling and support your breasts as they heal. Showers can be taken after six to eight days.
The patient must wear the support bra both day and night for one month after surgery, this is essential. The sutures used are generally resorbable, if not they will be removed eight to fifteen days following surgery.
The complications of breast reduction.

As with any surgery, complications are possible but rare. Risks include:

  • Unfavorable scarring or poor wound healing which is treatable
  • Infection
  • Changes in nipple or breast sensation, which may be temporary or permanent
  • Anesthesia risks
  • Bleeding (hematoma)
  • Poor wound healing
  • Breast contour and shape irregularities
  • Skin discoloration, permanent pigmentation changes, swelling and bruising
  • Breast asymmetry
  • Fluid accumulation
  • Potential inability to breastfeed
  • Potential loss of skin/tissue of breast where incisions meet each other
  • Potential partial or total loss of nipple and areola
  • Deep venous thrombosis and pulmonary embolism
  • Allergies to tape, suture materials and glues, blood products, topical preparations or injectable agents.
  • Fat necrosis
  • Possibility of revisional surgery
  • Anesthesia risks

Complications are rare (hematoma, infections, allergy). A bad scar, that can be seen as acomplication, can always be improved and reduced.

THE RESULTS OF BREAST REDUCTION
The results of breast reduction surgery are long lasting. Your new breast size should help relieve you from the pain and physical limitations experienced prior to breast reduction.  It will be easier to find clothes that fit you
Your better-proportioned figure will likely enhance your self-image and increase your self-confidence.
Most of the women are very happy after that surgery even if the final result appears two years after. It is recommended to avoid big variations of weight.

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