Reduction mammoplasty



Are macromastia (very developed breasts) and virginal hypertrophy different?

Virginal (or juvenile) hypertrophy is a relatively rare condition that is seen in prepubertal and pubertal women. The disease is limited to the breast and leads to bilateral or unilateral gigantomastia (giant breasts) . The treatment is surgical, although often there is a disease recurrence and in some cases the treatment with tamoxifen citrate has been successful. It has been suggested local hypersensitivity to estrogen and can be the cause.

 

At what age should breast reduction be performed?

Ideally you should wait until the woman reaches full breast ripening, several years after the onset of menstruation. However, if oversize breasts interfere with the activities of the patient and self-esteem, the method can be practiced before. She and her family must understand that it may be necessary to repeat the procedure if her breasts are still growing, and the degree of scarring and possible loss of sensitivity and ability to lactate.

 

Is breastfeeding after breast reduction possible?

Yes, depending on the technique. Obviously, the procedures that leave the gland fixed to the nipple are more likely to preserve the ability to breast feed. However, those techniques that require separating the gland nipple-areola complex and therefore severe a variable amount of lactiferous ducts will probably hinder or impede breastfeeding..

 

Are the patients satisfied after a breast reduction?

After this type of surgery the patients have great satisfaction in the long term, despite the scars. In most studies, more than 95% of patients would undergo surgery again and recommend it to other people. Patients are more comfortable to buy clothes and exercise and feel better with their image.

 

What is the incidence of breast cancer hidden in reduction samples?

The overall incidence of tumors found in the tissue removed after a breast reduction is around 0.4%, some of which are detected in image testing before surgery, another part during the surgical procedure when suspicious tissue areas are observed and the rest whe the routine anatomopathological study of the tissue removed after surgery is performed.

 

What are the most common complications of breast reduction?

  • Asymmetry.
  • Insufficient or excessive tissue removal.
  • Inadequate form.
  • Poor or delayed healing, especially in smokers or people with chronic corticosteroid therapy.
  • Change in sensitivity of the nipple and areola.
  • Infection, most likely in diabetic women.
  • Partial or complete loss of nipple.
  • Fat necrosis.

 

What would be an ideal mammary reduction?

In achieving a breast with an attractive form, preserving the sensitivity and the ability to breastfeed, with good tissue survival and minimal scarring.