Breast Reduction

A consultation always takes place before surgery. It includes a full description of the treatment and mentions the potential complications as well as answering individual/personal questions.
This description is necessary in order to be prepared for the personal meeting and to be informed about the most important points.

Mode of Anaesthetization:
general aenesthetic
Period of operation:
2 hours
Estimated time of hospital care:
1 day
Ability to return to workplace:
earliest after 1 week
Continuation of your ordinary lifestyle:
physical education is not recommended for 6 weeks
Completely return to the lifestyle led after operation:
removal of sutures after 10-14 days, maturation of the scar will end appr. 6 months - 1 year

 

Reason of medical intervention

It’s a common phenomenon that during puberty mammary glands enlarge (hyperplasia, gigantomastia). For women, as a result of hormonal changes after pregnancy, child-birth, and breast-feeding, breast tissur can begin growing and later waste away. Rarely atrophy occur - even hyperplasia rises, so the patient experiences breasts which are too heavy or sagging.

Being overweight and obesity can cause breast hypertrophy. The mammary glands don’t always evolve to the same size, so after puberty there may be dissymmetry. In some cases, the two breasts are different and one-side breast reduction is needed.

These symptoms can be caused by endogenous factors e.g. hormonal effects or genetic factors, as well as, exterior factors e.g. overweight or abnormal fatness.

Extremely large breasts can result in constant hang which is not only an aesthetic problem, but, can cause a lot of problems for the patient in her every-day life and in her relationship. This can lead to great discomfort, back pressure and may also include an inferiority complex.  An added risk is that frequent fungal or bacterial infection could be formed under the breasts.

 

The Operation

The purpose of the operation is to form the requested shape and size of the breasts per the wishes of the patient and her physical aptitude. During the breast reduction, the normal removal of unnecessary hanging skin may occur and also correct placement of mammilla.

The type of surgical incision and solution depends on the current status of the breast.  The operation will be performed with the most modern technical methods using the smallest incisions. These can be covered by plastic stitches under the skin which assure you of thin lined, hardly visible scars.

The operation is performed under narcosis and it usually takes 2 hours. Sometimes a drain (tube) will be inserted for 1 day to lead the excess blood and other lymph away.

 

Before surgery

Ultrasound examination of the breasts is necessary before surgery, and patients above 40 years old require mammography.

As the operation will be done in narcosis, the following medical examinations are necessary: EKG, chest X-ray, laboratory test. On the day of surgery the patient has to stay one night in the hospital.

We can helpfully organize any necessary examinations.

 

Therapy after Operation, Medicines, Lifestyle, Monitoring

On the second day of the operation the drain will be removed. By 24-48 hours after the operation, the patient can remove the cover dressing and can have a shower.

The sutures will be absorbed within a few months and the scars will fade and over 1-2 years they will become almost invisible.

In the first few weeks, the patient must constantly wear a sports-bra. Your doctor will inform you about terms of recovery, the start date of sport activities and the period to wear the sport-bra

If after surgery, you have fever, pain, hematoma or any other complaint, please contact us immediately.

Further free examinations or personal counseling are possible by appointment.

 

General and Special Risks of Operation, Possible Complications

We’ll inform you about all risks of anaesthesia during your personal consultation. In order to reduce surgical complications, we give antibiotic medicine and an injection (LMWH) before every operation to prevent thrombus during anaesthesia.

After the operation, very rarely there may be inflammation, postoperative bleeding, a problem with the wound healing, or the body my reject the implant. The surgical hospital will address and resolve these problems.

The loss of mammilla sensitivity depends on the degree of sinking reduction.

Surgical incision scars depend mainly upon patients’ skin and genetic predisposition which makes the scar a normal thin line, or thickened (keloid),or expanded (hypertrophia).

You’ll get specific advice about your risks and possible complications from your personal doctor.

 

Next step

Would you like a smaller proportional breast to improve your self image? If you are interested in how is it possible, please contact us and our plastic Surgeon Dr. Bernadett Lévay will personally inform you about your possibilities . Your consultation doesn't oblige any commitment, so don't hesitate to contact us!

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