Italiano
Reduction mammaplasty
What is Reduction mammaplasty?
Reduction mammaplasty performed by Dr. Romano and Dr. Fuhr aims to reduce and harmonise an overly voluminous and/or sagging breast (breast hypertrophy or true gigantomastia) that causes the patient both aesthetic and functional discomfort such as back pain, pain in the clavicular area, recurring mycosis, difficulty in exercising, etc.
- Who and when to operate?
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Patients who are candidates for breast reduction surgery are women of all ages with excessive breast development either due to hormonal causes or weight gain. In some cases of hypertrophy due to congenital causes, breast reduction is also envisaged in patients under the age of 18, provided they have completed development.
Breasts can be subdivided into:
- Moderate hypertrophy - Breasts moderately disproportionate to the body
- Severe/severe hypertrophy - Breasts that cause the patient functional difficulties by encumbrance with reduction of their normal activities
- Gigantomastia - Excessive development of the breasts with functional limitations and progressive appearance of associated pathologies such as cervicalgia, paresthesias, cutaneous, decubitis, mycosis, etc.
The doctors at Studio Romano Fuhr will be happy to advise you on the most suitable surgery for your clinical case with particular attention to the patient's wishes and scarring outcomes.
The operation can be performed throughout the year, depending on the patient's schedule and organisation.
The result of breast augmentation is not definitive and it is advisable to perform regular breast and implant checks.
At 10-15 years after the operation it is advisable to evaluate the possible replacement of the prosthesis.
- How does the pre-operative examination take place and what are the pre-operative tests?
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The preoperative consultation with the medical staff at Studio Romano Fuhr is aimed at assessing the patient's general clinical situation and agreeing on the desired result in an absolutely informal but professional atmosphere.
The specific examinations for breast augmentation surgery are, in addition to the routine examinations for all surgical procedures (blood count, coagulation balance and ECG)
- a breast ultrasound or mammogram to rule out any benign or malignant pathology of the mammary gland.
- What does reduction mammaplasty surgery consist of?
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Reduction mammaplasty consists in removing part of the glandular and adipose volume of the hypertrophied breast in order to obtain a harmonious remodelling of the breast with a natural cranial repositioning of the nipple-areola complex.
The operation is performed under general anaesthesia and, except for special clinical indications (concomitant pathologies), does not require hospitalisation but is carried out in absolute safety in Day Hospital (discharge 4 - 6 hours after the operation) with a procedure duration of about 180 - 240 minutes.
The medical staff at Studio Romano Fuhr always pay great attention to the residual scars from the operation, which are generally of good quality and destined to be almost 'invisible' a year after surgery.
This operation can, according to the techniques, compromise breastfeeding, so during the pre-operative visit one must express to the surgeon whether one wishes to become pregnant after the operation.
The result of reduction mammaplasty is not definitive but can be permanent if the patient keeps a constant check on her weight; in some cases a touch-up may be required after 10 years.
- What will be the post-operative course?
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The post-operative phase of reduction mammaplasty is usually characterised by slight haematoma and oedema associated with mild discomfort easily controlled with oral analgesics over 24 hours.
Bed rest is recommended for 12 hours then moderate activity for 7-10 days after which she can return to work.
The patient will be checked and dressed after 24 hours, one week and two weeks.
Stitches do not usually have to be removed as these will reabsorb spontaneously.
It is recommended to wear a support bra for 1 month and to refrain from physical activity or muscular exertion with the arms during this period.
Clinical cases
