Breast lift and reduction
It is possible to enlarge, reduce and lift breasts. When the shape and size of breasts is changed, physical and aesthetic aspects have to be considered. Breasts are usually not of the same size or shape. Breasts may lose their shape and become sagging after breast feeding, due to aging and the fluctuation of one’s weight For enlargement breast implants are placed. For reduction excessive tissue is removed and the breast is shaped so that the nipple is lifted on the proper height and position.
The patient’s expectations and the possibilities to meet them are discussed. The patient’s health, primarily breast diseases (individual breast cancer and family anamnesis), also changes of breast in relation to pregnancy/ breast feeding and weight fluctuations, the use of medication are discussed. Before operation mammography has to be performed. Before operation the weight has to be stabilized.
During the examination of the patient tests of the chest and mammal glands (asymmetry, sagging breasts, their range, the size and the location of the nipple complex), the quality of skin and the gland tissue are discussed. Breasts are photographed to include the photos in the medical history. Breasts are measured; the operation method and the locations of scars are planned. The patient has to inform the surgeon about the intention of pregnancy and breast feeding (the operation method should affect the milk ducts as little as possible; however, the ability to breast feed might not be preserved).
How is the operation performed?
When the patient arrives in hospital, she is guided to the ward. Before the operation the surgeon describes the operation and the expected final result. The locations of incisions are drawn on the patient’s skin. During the breast operation incisions are made under the breast in several locations so the scar will be noticeable as little as possible. The incision may be performed also around the nipple. The reverted T-shape is used during the breast lift and reduction procedures. The scar is round the nipple straight under the tuck. The wound is stitched in three layers; the stitches of the skin in the upper layer are removed later. Breasts are bandaged with tight bandages after the operation. The operation is performed under the supervision of the anaesthesiologist. The entire procedure lasts for about 1-2 hours. After the operation the patient wakes up and remains under the care of the anaesthesiologist and the nurses. Painkillers are applied if necessary. For the first night the patient remains in hospital, where supervision of nurses is available for 24 hours. Sensation on pain is common. Pain may occur in the operated area, it is usually short-term and easily alleviated by painkillers. Next day after the operation the surgeon examines the patient and gives recommendations for the further care of breasts and wounds. 7-10 days after the operation stitches are removed from the wound. The procedure is fast and painless. For a month the patient has to wear a supporting bra for day and night.
Depending on the nature of work, a 1-2 weeks’ recovery period is required after the operation. The family doctor issues the sick list to the patient. Gym, aerobics and other sport events, which may affect the recuperation of breast, should be avoided for about a month. Lifting heavy weights and hard physical work, the sauna and the solarium should be avoided.
Swelling and haemorrhages may occur after the operation but they disappear within three months. The wounds heal within six month.