The best candidates
The best candidates for this surgery are women in good health, emotionally stable, and realistic about what this surgery can do for their appearance, in terms of achieving better harmony in their body. This procedure is usually requested to alleviate the pain that, sometimes, cause the breast of a size too large, and at other times, for aesthetic reasons. Age is a point to consider, since it does not present any contraindication to perform this surgery, but it should be taken into account that in adolescents it is convenient to wait until they have reached their complete physical development, although in certain occasions in which the size of the breasts cause serious physical discomforts this procedure can be carried out, bearing in mind that it is probable that a retouch will have to be carried out in the future.
Planning your surgery
In the initial consultation, it is important that you state your expectations. Each person has a different opinion about the size and ideal shape that the breast should have. We will evaluate your state of health, examine and measure your bust and explain what surgical technique is most appropriate for you, based on the condition of your breast and the tone of your skin and the shape of your chest. In the same consultation, we will talk about the appropriate volume of your breasts and their preferences regarding the size of them. If your breasts were down, we could also recommend doing some additional procedure to achieve a breast lift, at the same time that breast reduction is done, as well as a reduction in the size of the areolas (darker skin around the nipple), in if necessary.
Getting ready for your surgery
Depending on your age and family history, we may ask for a mammogram within the presurgical studies. You will also have specific instructions for presurgical preparation, including a guide to meals, drinks, smoking, taking or not taking certain vitamins and medications. It is very important to note that very smokers patients tend to have less ability to make good scars and a greater predisposition to infections. While making the preparations, make sure that someone accompanies you to your home after surgery, and that you can help for a few days, as well as make the necessary arrangements to avoid social and work commitments during the first days of the postoperative period.
Where will your surgery be done?
The surgery is performed in the clinic, which has all the necessary medical equipment and the greatest comfort for you. You should arrive about 30 minutes before the scheduled time, to make the entry procedures, make a complete medical history, and take preoperative photographs. In your room you can change clothes. After the surgery, you will stay in the clinic for three to four hours, until you make sure everything is in order and you can return to your home, where you will continue to rest.
Types of anesthesia
Breast reduction can be done with local or general anesthesia. We prefer local anesthesia since it has many advantages with respect to general anesthesia, such as less bleeding, good collaboration on your part, rapid recovery, and much less risk than general anesthesia. With local anesthesia, you will be with gentle sedation, and your breasts and the area that surrounds you will be asleep, you will be awake and calm throughout the surgery, relaxed and insensitive to pain.
Breast reduction surgery usually takes about three hours. Breast reduction techniques are varied, although the most frequent is an anchoring of the areola in a higher position, with removal of excess fat, glandular tissue and skin, which results in a new shape to your breasts, and with a resulting scar around the areola, which extends downwards verically to the submammary groove and then another horizontal one located in the submammary fold. (The latter usually used in giant breasts).
In some cases, a liposuction technique is used to treat the extension of the breast to the axillary area.
Whenever possible we will try to leave the scars shorter and depending on the size of your breasts, you will opt for techniques that allow you to avoid the horizontal scar.
After the surgery
You may feel a little tired and sore, but you can get up after 24 to 48 hours. The majority of the discomforts can be controlled with the usual analgesic medication that we will prescribe, in addition you must take antibiotics during the seven days following the surgery. After one or two days the bandages will be removed, and you will have to wear a tight and firm gym top. You may have burning sensations in your nipples, or feel them asleep for a few weeks. This sensation disappears as the swelling goes down. The sutures are usually removed between ten days and fifteen days. The edema on your bust may persist for three to five weeks.
Getting back to normal
Although you may be standing in a day or two, do not plan to return to work until after a week or a little longer, depending on how you feel. You should avoid putting on or taking clothes off your head for a couple of weeks, as we will tell you as little movement of your arms as possible. You should bear in mind that healing is a gradual process, and that little by little you will resume your usual activities, as healing progresses to your natural times. We will give you detailed instructions about the normal activities that you can develop. You should avoid sexual activity for at least a week, and strenuous sports for at least a month. After that, you can restart those activities gradually. If you were to become pregnant, you should not worry, your breasts will fulfill their function normally since the milk ducts will have remained intact.
Your new look
With this surgery you will get rid of the discomfort produced by your very large breasts, your body will look more proportionate and your clothes will fit better. Just as most swelling and bruising will disappear in the first weeks, it may take six to eight weeks for your breasts to take their final new shape, and then your form may even fluctuate due to hormonal changes, changes in your weight or pregnancies We will do our best to make your scars as unnoticed as possible. But keep in mind that with this surgery, the scars can be extensive and permanent. They are usually pink and thicker at the beginning, but later, over time, they become less noticeable, until they look like a thin white line. You must remember, that all these scars can be covered by the bodice, or by the swimsuit.
Potential risks or complications
Breast reduction surgery is not a simple operation, but with proper planning it is very safe. However, as with any other surgery, there is always the possibility of finding surgical complications, common to surgeries in general, or adverse reactions to anesthesia. Bleeding and infection are uncommon, but can cause scars to widen. The percentage of risk decreases, if you carefully follow the pre and postoperative indications that we indicate. The reduction of breasts leaves scars of different sizes according to the cases, permanent scars and sometimes remarkable, although these will be covered by the bodice or the swimsuit. Bad scars, and wide scars are more common in women smokers.