Breast reduction (reduction mammoplasty). How to do breast reduction surgery

Features, pros and cons of plastic surgery for breast reduction. Indications and contraindications for its implementation. Step-by-step implementation of reduction mammoplasty and the subtleties of rehabilitation.

The content of the article:

Breast reduction is a very serious step that requires careful thought and preparation. It is not just a cosmetic procedure, but a real operation. Therefore, they resort to it consciously and only as a last resort, when the problem causes severe physical discomfort and forms complexes.

Description of plastic surgery for breast reduction

This technique is known as reduction mammoplasty. People over 18 years of age are allowed to visit it, while the rest require parental permission. Indications for surgery are most often not cosmetic, but physiological. Its ultimate goal is to make the chest proportional in relation to other parts of the body. The shape of the glands is selected at the request of the client.

Here is when breast reduction surgery is indicated:

Back pain. They can be caused by excessive stress on the sternum, as a result of which the glands press on the ribs and cause discomfort.
Rachiocampsis. Such a problem against the background of large breasts is very rare, but still occurs. In this case, incorrect posture and shoulders located at different levels may be disturbing.
Breast asymmetry. With such an anomaly, serious discomfort arises, and it does not look very nice.
Growth of glandular tissue of the mammary glands. This phenomenon is called gynecomastia, and it is typical mainly for men.

Breast reduction is performed by cutting off excess tissue in the mammary glands. The operation is carried out in a hospital. It is quite complex and serious, as it often leads to negative consequences. This is a traumatic procedure that requires the use of a scalpel. True, during its implementation, there are no painful sensations, since the patient is under anesthesia.

The operation lasts approximately 2 hours, depending on the extent of the surgical intervention. It is made by a plastic surgeon. In just one time, you can reduce the size of the breast to the desired one - there are no restrictions here. The patient must stay in the clinic under the supervision of a doctor on the first day. The rehabilitation period takes about a week.

There are several contraindications to breast reduction surgery:

Cardiovascular diseases. The procedure can be refused by those suffering from arrhythmia, angina pectoris, atherosclerosis, varicose veins.
Diabetes. This limitation is due to the fact that with high blood sugar, wounds heal very slowly.
Tumor processes. The operation can not be performed for both benign and malignant tumors. This is especially true for those who have fibroids of the mammary glands.
lactation period. After feeding, at least one year must pass for the breast to regain its shape.
Menstruation. The optimal time is considered to be 10-20 days after menstruation, since it is then that the breast acquires its usual shape.

Reduction mammoplasty can be combined with liposuction and tummy tuck, so they are often performed one after the other.

Important! Mammoplasty is relevant not only for reduction, but also for breast lift.

Benefits of breast reduction surgery

As a result, the girl acquires a neat breast of the desired size and desired shape. This eliminates physical discomfort and improves its aesthetic perception. In this case, only one operation is enough. If it is performed by an experienced surgeon, then the likelihood of complications is reduced to zero. It is painless and is performed under anesthesia. It is also very important that at the end there is an almost imperceptible seam.

Here are just a few reasons to resort to mammoplasty:

Increase self-esteem. Those who underwent surgery claim that they began to feel more confident, because men pay attention to them.
Easy way to buy clothes. After breast size reduction, there are usually no problems with the selection of wardrobe items, and it is no longer necessary to sew them to order. Also, you do not need to think about how to visually adjust the proportions of the body in order to look beautiful.
Prevention of mammological diseases. A woman who has undergone mammoplasty should visit the doctor at least twice a year. This will allow timely detection of pathologies of the development of the mammary glands and, if necessary, immediately begin their treatment.
Way to "tighten" the chest. Very often, after childbirth or a sharp weight loss, it “sags”, which looks ugly. Mammoplasty helps eliminate this problem by making it more elastic.

Note! The number of advantages and disadvantages of plastic breast reduction surgery is about the same.

Cons of breast reduction

Among the shortcomings, both domestic and physiological factors should be distinguished. Not everyone may be suitable for the use of general anesthesia and a long exit from it, the need to undergo a comprehensive examination before lying on the operating table, and a rather difficult rehabilitation period. But the most important disadvantage is that there are very few competent specialists in this field, which increases the risk of complications.

Consider all the shortcomings separately:

Price. This operation is very expensive, and not everyone can afford it. Plus, it’s not yet a fact that you will get the desired result even for such an amount.
high risks. Surgery can lead to various complications. These include an adverse reaction to anesthesia, bleeding, infection with any infection, and many others. etc. Fortunately, this happens very rarely, only if an unqualified doctor works.
Presence of contraindications. Compared to other operations, there are quite a few of them. Therefore, the state of health here should be just excellent.
Long rehabilitation period. Wearing compression underwear for a whole month is not very comfortable, especially in summer. Also, it is unlikely that anyone will like to polish the scars afterwards.
scars. They remain almost always, they are not very visible, but there are still traces. This defect does not look aesthetically pleasing, but over time it will be possible to try to remove it with a laser.

Important! Contraindications to mammoplasty are determined by the doctor in each individual case.

Rules for preparing for breast reduction with plastic surgery

It all starts with a consultation with a doctor who listens to the wishes of the patient and collects an anamnesis. At this stage, the desired shape of the breast is discussed and, if necessary, 3D modeling is carried out. The surgeon assesses the condition of the skin, makes the necessary measurements and selects the appropriate technique for the operation. Further, the situation is discussed with the anesthesiologist, who conducts tests to detect allergic reactions to certain drugs.

A mandatory step is a thorough examination, which includes:

Electrocardiogram. It is necessary in order to exclude the presence of cardiac diseases (arrhythmias, angina pectoris, etc.).
Blood analysis. It is done to detect Rh factor, syphilis, hepatitis of all types, HIV infection, hemoglobin and bilirubin levels.
General urine analysis. It is studied for the presence of sugar, acetone, protein. The level of acidity, the number of erythrocytes and leukocytes is also determined.
Ultrasound of the mammary glands. It is prescribed to exclude neoplasms and inflammation, in which the operation is not performed.
Mammography. It is needed mainly for women over 40 years old, who are more prone to neoplasms in the mammary glands.
Mammologist's consultation. The doctor examines the patient's chest to exclude tumors and mastopathy.
Fluorography. Its presence allows you to assess the location of the mammary glands and the distance from them to the lungs.

If no contraindications were found based on the results of the examination, the day of reduction mammoplasty is selected. Two weeks before it, the patient is advised to stop treatment with hormones, antibiotics, anti-inflammatory drugs and drugs that affect blood clotting (aspirin, etc.). You also need to stop drinking alcohol and smoking.

Since the breast is reduced under anesthesia, they stop eating after 18:00 the day before. On the day of the operation, it is also necessary to refuse food and even water.

How is a breast reduction done?

The procedure is carried out in one stage by a plastic surgeon after modeling and approval of the desired shape of the breast. It is preceded by a certain preparatory period. In addition to the chief surgeon, it also includes an anesthesiologist, a doctor's assistant and a nurse.

After admitting the patient to the procedure, the doctor applies markings on the chest. These lines will be cut and stitched. Next, the anesthesiologist introduces the patient into general anesthesia, for which he makes an injection of the appropriate drug.

The step-by-step scheme for performing the operation looks like this:

When anesthesia begins to take effect, the doctor makes incisions along pre-drawn lines. When removing a small part of the tissues, they are drawn along the circumference of the areola. If it is necessary to excise medium volumes, it will also be necessary to cover the area 2-3 cm lower vertically. There is also an anchor type of incision, which is made below and above the submammary fold and along the borders of the areolas.
At this stage, the surgeon cuts off excess tissue with a scalpel. This part is the longest and most responsible.
Next, the doctor inserts drainage tubes into the open glands to remove the blood accumulating there from the chest. They are removed the next day.
The surgeon tightens the tissues around the nipple and areola, and then applies special intradermal cosmetic sutures.
The operation is completed by putting on a special compression bra for the patient, which will maintain the shape of the breast and accelerate wound healing.

Important! In one operation, the surgeon removes approximately 1 kg of excess tissue and fat.

Rehabilitation after breast reduction

The patient comes out of anesthesia within 3-5 hours. Therefore, at the end of the operation, he is left in the medical center for at least a day. At this time, he is prescribed painkillers and antibiotics.

Within 3-5 days, bruises, swelling, redness may be observed at the incision site. In this case, special ointments are prescribed. The sutures placed during the intervention are usually removed after a week.

After plastic breast reduction for 7-15 days, increased physical activity and weight lifting are prohibited. During this period, it is recommended to wear compression underwear, which is removed approximately 1.5 months later. It allows you to support the chest and form its "framework".

Breast reduction: before and after

If the operation was performed unprofessionally, then there may be a violation of the symmetry of the mammary glands and their development, worsening of blood circulation and repeated sagging of the breast. Its stretching can also occur if you neglect to wear a compression bra. Sometimes necrosis develops, characterized by tissue death.

With successful mammoplasty, the result can be assessed in 4-6 months. After this time, he may not like it, and then you have to repeat the procedure.

Finally, the wounds heal after about 2-3 weeks. After them, small scars and scars remain, which can be eliminated with laser resurfacing.

As a result of this operation, the breast becomes not only smaller by one or more sizes, but also significantly tightened. As a result, the skin here acquires elasticity and looks aesthetically pleasing. With the full and correct passage of the rehabilitation period, the effect obtained remains for life.

The result of the work done can come to naught during pregnancy and lactation or after a sharp weight loss. It should also be borne in mind that after it you can not plan a child for 10-12 months.

How breast reduction is done - look at the video:

For some, breast reduction and lift using reduction mammoplasty may seem unsafe, but if you entrust the work to professionals, the end result will exceed all your expectations. This is one of the most modern and effective methods. As a result, you will become the owner of an impeccable figure, which will definitely not go unnoticed by the opposite sex!

Many women dream of breast enlargement to become more attractive to men. However, large breasts are not only beauty, but also unnecessary health problems. Large mammary glands create an additional load on the spine. Due to the greater weight, the chest is prone to drooping, which makes it ugly. Moreover, it can lead to stretch marks on the skin.

If only women seek to increase breasts, then others seek to reduce it. How to do it? There are different ways, for example, you can use tight clothing. But the most effective way is surgical breast reduction.

Pathological breast enlargement is called macromastia. This pathology manifested by an excessive increase in the weight and volume of the glands.

Breasts in girls begin to grow intensively at the age of 11-14 years during puberty. Moreover, this process does not stop later. Breasts can grow throughout life. This process is strongly influenced by female sex hormones.

The female breast undergoes the greatest changes during pregnancy and breastfeeding. The mammary glands sag, increase in volume and change shape. Sometimes they reach such proportions that they begin to deliver a serious discomfort. It is not surprising that many women who have given birth turn to plastic surgeons for help.

Pathological enlargement of the mammary glands can occur for the following reasons:

Hormonal imbalance.
Rapid weight gain.
Breast-feeding.
genetic predisposition.

The combination of the above reasons can lead to such a disease as gigantomastia. This disease is characterized by a serious disruption of the endocrine system.

With gigantomastia, breast reduction surgery is combined with a course of hormone therapy.

There are several types of classification pathologically enlarged female breast. The following parameters are taken into account:

Origin.
Structure.
Location.
The degree of expression.

By origin, macromastia of pregnant women, adolescents, breast augmentation due to a curved spine, macromastia due to obesity are distinguished.

According to the structure, this disease is divided into only two types: fatty and glandular. In the first case, the breast grows due to an increase in the volume of adipose tissue. In the second case, pathological changes occur due to the growth of glandular tissue.

By location, macromastia can be unilateral and bilateral.

According to the severity of the pathology can be:

Insignificant.
Medium.
Big.
Very big.

As for the mass of the mammary glands, with a slight increase it does not exceed 200 g. With an average increase, the mass of the breast can reach 500 g. If the mammary glands weigh more than half a kilogram, but less than 1000 g, then we are talking about a large increase. With gigantomastia, the weight of the bust can reach 3 kg.

In adolescents, macromastia is most often unilateral. Moreover, in 80% of women, the mammary glands have different sizes, but the difference is so insignificant that they do not pay attention to it. Doctors do attribute this to the physiological characteristics of every woman.

Breast reduction surgery is called reduction mammoplasty. It is carried out not only for aesthetic purposes, but also for medical reasons. In a number of Western countries, such an operation is included in the list of surgical procedures paid for by medical insurance, since the indications for it are considered quite significant.

Indications for reduction mammoplasty are also:

Large breasts that do not correspond to the proportions of the body.
Various inconveniences associated with too large mammary glands.
A significant difference in the size of the mammary glands.
Ptosis of the female breast.

It is worth noting that in medicine there are no parameters for determining a normal bust. When evaluating indications for surgery, doctors take into account the height and weight of the patient, her age, as well as individual physiological characteristics.

Contraindications for surgery

Reduction mammoplasty is never done before giving birth. If a woman has never given birth, then she will be denied an operation. An exception is the need for surgical intervention for health reasons.

Absolute contraindications for surgery are:

Chronic diseases in the acute stage.
Endocrine disorders that cannot be eliminated by therapeutic methods.
Slow blood clotting.
Diabetes.
Oncology.
severe infections.
Cardiovascular diseases.
Hypertension.
Enphysema.

If obesity has developed against the background of disturbances in the work of the endocrine system, then the operation is postponed until they are eliminated. Otherwise, surgery will be ineffective.

Reduction mammoplasty will not cause complications only if the patient undergoes a complete examination, and doctors identify or exclude possible contraindications.

Before sending the patient to the operating table, doctors prescribe the following studies:

Preliminary consultation of the surgeon.
Therapist's review.
Bust ultrasound.
Fluorography.
Blood test for general indicators.
Biochemistry of blood.
Tests for HIV, syphilis and hepatitis.
Blood clotting analysis.

14 days before the scheduled day of the operation, the woman must stop using contraceptives and drugs that change blood clotting. She will also have to stop smoking and drinking alcohol.

Bust reduction surgery methods

This is a rather technically complex operation. The surgeon will have to remove excess breast tissue and give it the correct shape. To achieve the latter goal, doctors often combine mammoplasty with mastopexy.

There are 2 methods of surgical breast reduction:

vertical seam. This method is loved by plastic surgeons for its simplicity and short processing time. It allows you to maintain the natural shape of the breast and does not affect the sensitivity of the nipples. The vertical seam method is used only in cases where the weight of the bust does not exceed 500 g.
Classic seam. This technique was developed to remove large volumes of tissue. It is great for breast reduction up to 3 kg. The disadvantages of this technique include the frequent loss of sensitivity of the nipple.

The method chosen depends on how much breast reduction surgery costs for the patient. The vertical seam technique is cheaper, since the volume and complexity of the work performed is less.

Both types of surgery are performed under general anesthesia. It takes no more than 4 hours to change the size of both mammary glands.

It should be understood that after bust reduction surgery, in any case, clearly visible scars will remain on the skin. To reduce their visibility, a woman after the procedure will have to undergo several courses of hardware procedures. But you can't get rid of scars completely.

rehabilitation period

After surgery, the operated woman will have to stay in the hospital for several days. At this time, doctors will watch closely for her condition. The fact is that during the first day the likelihood of complications remains. In the following days, these risks decrease, but doctors continue to monitor the patient and provide symptomatic treatment.

In the early days, the patient may be haunted by severe pain. For their relief, analgesics are used.

The feeling of discomfort and swelling is temporary. Usually there is no trace of them after a few days.

After the operation, the sensitivity of the nipples may change. Sometimes they stop feeling anything, but it also happens that the nipples become hypersensitive.

Discharge is not the end of treatment. After discharge, a woman will have to visit doctors every day for 2 weeks for dressings and examination.

In the future, the patient will need to undergo courses of hardware and physiotherapy.

All complications after surgical intervention according to bust reduction are divided into early and late.

Early complications include:

Hemorrhages in tissue.
Seroma.
Postoperative infections.
Divergence of seams.
Necrotic destruction of soft tissues.

Hematomas occur in all patients. They appear within 12 hours after the operation. Their danger is that they can cause a more serious complication - tissue suppuration.

Seroma is also a common complication. It develops more often in overweight women. To eliminate complications, doctors install drainage systems.

Necrotic destruction is extremely rare. The main reason for this complication is the removal of a large volume of the mammary gland, as a result of which the blood supply to nearby tissues is disrupted.

Late complications include:

Partial or complete violation of the sensitivity of the nipples.
The appearance of rough scars.
Nipple deformity.
Sagging breast.

There is no need to be afraid of sensory disturbances. It usually recovers within a few months.

As for the formation of rough scars, they can be partially eliminated through various procedures, but this can only be done a year after the operation.

Operation cost

A woman who decides to have an operation is worried about the question: how much does it cost to reduce her breasts? Prices for the operation can not be called stable. They depend on the status of the clinic where the surgery will be performed, the experience of the surgeon, the volume and complexity of the work, and the number of additional studies.

The minimum price for breast reduction rarely falls below the threshold of 150,000 rubles. The maximum cost is at the level of 400,000 rubles.

It should be noted that the general price level is the same for both domestic and foreign clinics.

Thinking about breast reduction, how much does the operation cost? The "mistakes of nature" today can be corrected. Reduction mammoplasty will return the beauty, the joy of life! It is believed that a large breast adorns a woman. Poets, writers of all times, peoples sing of beauties with a high voluminous bust, artists depict them on their canvases.

However, for the owner of such beauty herself, it turns out that not everything is so rosy: sometimes too large breasts can cause significant inconvenience. Sometimes they are so noticeable that a woman is forced to seriously think about breast reduction surgery, even if the price for such a medical intervention is very high.

Attention!! The issue of breast reduction is always considered individually, some women are quite comfortable even with size 6, others begin to suffer if the breast volume has reached the number 4 according to generally accepted standardized norms.

If the lady is ready for an operation called "reduction mammoplasty" for any money, it means she is tired of experiencing a lot of discomfort. What restrictions does a bust of impressive (in comparison with other parameters of the figure) size bring to life?

Breast reduction with reduction mammoplasty: if nature endowed with an excess of “wealth”

As a rule, women present the following complaints:

it is impossible to sleep on the stomach;
it is very difficult to pick up beautiful clothes (yes, clothes in size);
frequent, especially in the hot season, the occurrence of diaper rash, which can even be joined by infections;
feeling of constant heaviness, excess weight.

It is difficult for a woman to follow her posture: large mammary glands “pull” her forward, her back curves. Health disorders may appear similar to those from which pregnant women suffer and those who have excess body fat, the main place among which is occupied by frequent exacerbations, a severe course of osteochondrosis:

back pain;
neck pain;
dizziness;
headache.

Breast reduction is rarely decided solely because of aesthetic troubles, not only because the prices “bite”. If a woman is only concerned about appearance problems, she thinks that her breasts look very ugly, and others do not confirm this, doctors will most likely dissuade her from plastic surgery to reduce breast size.

Reduction mammography is a serious surgical intervention that does not exclude the occurrence of complications, therefore it is not indicated for everyone. Only real health problems (or the threat of their appearance) become an indication for plastic surgery.

Attention!! If the breast really spoils the appearance of a woman, gives her moral suffering, becomes the cause of complexes - it is also the basis for plastic surgery to reduce the size of the mammary glands.

How much does breast reduction cost

How much does a breast reduction cost? The question is not idle: unfortunately, not every woman can afford such a “pleasure”, even if she is psychologically ready for surgery, has no medical contraindications. It makes sense to analyze the market for such services in order to know how much breast reduction costs in different clinics.

Reducing the size of the mammary glands is a procedure that is performed today in many countries of the world. 3 states are recognized as leaders in terms of "price-quality" ratio:

Germany;
Israel;
Switzerland.

According to the reviews of patients who have undergone breast reduction plastic surgery, this operation is best performed by Dr. Israel. There are excellent conditions in the hospital, excellent medical supervision, a minimum of observed complications. Israeli surgeons perform breast reduction surgery quite often, the technique is well developed.

Regarding the cost of the operation, we can say that it is quite high - from about 280 thousand rubles. The price is noticeably different from that set by the clinics for the reverse procedure - volume increase, since it is much more difficult to reduce the breast than to make it larger in size.

Plastic surgery can be done in Russia, the cost of services will be somewhat lower, and our doctors today also have extensive experience in performing such operations. Prices start at approximately 150 thousand rubles.

Attention!! Breast reduction is an operation that requires an individual approach, so the clinic will give you a specific cost after a thorough examination.

Doctors often have to deal not only with a large volume of the mammary glands, but also with asymmetry, ptosis (“sagging”) of the breast: all this increases the complexity of the procedure and will affect the cost of breast reduction surgery. One of the most difficult, but giving excellent results, is considered an anchor lift, when incisions are made on the sides of the areola of the nipples (“anchor”). The effect of the operation is long, the breast looks perfect after it. Of course, this operation is expensive.

When deciding where to get plastic surgery, you should think not only about the price factor, but - first of all - about the professionalism and competence of doctors. If it is difficult for a woman to go abroad for any reason, you can opt for one of the medical centers in Moscow, where breast plastic surgery is performed. You should first read the reviews about it, the opinion of doctors about this medical center.

Breast after reduction mammoplasty: what do doctors offer?

Doctors always try not to perform surgery if there is the slightest chance of solving the problem in another way, for example, conservative treatment. So, if the deformation of the breast is small, they may suggest trying to slightly reduce the volume with the help of exercise, diet.

Indeed, limiting the intake of salt, sugar, active sports will benefit. Why? Salt retains fluid - this causes constant swelling, sugar leads to the accumulation of adipose tissue, including in the chest - if you remove these "irritating factors", you can slightly reduce the volume of the mammary glands.

Good results are obtained by regular running at a slow pace for long distances. As athletes say, running "dries" the upper body.

But these measures will not bring the proper result if the breast is really hypertrophied, has lost its shape. The reason lies in the structure of the mammary gland. In youth, most of the tissue of this organ is glandular, at an older age it is replaced by fatty tissue. There are no muscles in the chest - therefore, it is impossible, as they say, to “pump up”.

The body of the mammary gland contains approximately 15-20 lobules: these are alveolar, tubular glands. They are covered with a layer of adipose tissue. This layer - fat - in all women occupies a different volume. Some have small volume - small breasts. Others got a “more powerful” layer - then the bust is impressive.

Doctors suggest the following operation: incisions will be made on each mammary gland, through which excess fat is extracted. Often both reduction and breast lift are required, especially in cases where a woman has given birth to a child, fed milk for a long time.

Attention!! Operations to reduce, lift the mammary glands are carried out at any age, but always after the patient reaches 18 years of age. This is due to the ongoing formation of the mammary glands, hormonal changes in the girl's body.

Breast reduction. Reduction mammoplasty. Video

Breast reduction and lift - what results can you expect?

After medical intervention, the bust will not only become smaller in size, but will gain lost elasticity. During the operation, excess adipose tissue is removed, the total weight of which may vary: for someone it will be enough to lose 500 g, for someone it will be optimal to remove up to 2 kg. As a result, it will become easier for a woman to maintain an ideal posture, she will be able to buy the clothes she likes, not to sew them to order. Pain in the back, neck and collar area will disappear, as the muscles will no longer experience too much tension.

The doctor can make not only a correction of the shape of the mammary gland itself, but a reduction in the areola of the breast. The areola is the area surrounding the nipple. Sometimes these areas of the mammary gland seem to be too large for women, which can cause psychological discomfort, long-term experiences.

Why can the areolas of the female breast be large, in what cases do they need to be reduced? This phenomenon can be observed:

with the development of certain hormone-dependent diseases;
during pregnancy, breastfeeding;
cases of hereditary predisposition.

Despite the fact that this is a purely cosmetic defect, sometimes it is necessary to resort to surgical intervention. Performing the operation, the doctor will try to maintain innervation in the tissues of the mammary gland, trophism. In young women planning, in the future, the birth of a child, he, if possible, will ensure the patency of the milk ducts.

The breast after the operation can become smaller by 1-2 sizes, depending on objective health indicators, the wishes of the client. Surgeons reduce the breast by no more than 50% of its original volume, otherwise complications are possible. During the procedure, you can also get rid of ptosis (omission) of the breast, asymmetry. Of course, before enjoying the results, you will have to go through a difficult postoperative period:

at first they will acquire excessive sensitivity of the nipples;
hematomas will be noticeable;
swelling will be felt;
The stitches will remain red for about six months.

It is worth preparing that at least 5-6 months it will not be possible to fully engage in physical education.

Where to get a breast augmentation?

The choice of the site of the operation is up to the patient. The clinic must necessarily inspire confidence and have experience in this area.

If a woman is not considering treatment options abroad, you can sign up for an operation, for example, in Moscow, St. Petersburg or any other large city where highly qualified specialists work.

In the capital, for example, breast reduction services are offered by the Herzen Moscow Cancer Research Center. True, he specializes mainly in the removal of various neoplasms, however, his specialists can perform reduction mammoplasty. Prices range from 50 thousand rubles. (excluding expensive materials - they will go on a separate account, so feel free to multiply this figure by 2-3 times).

The Medic City clinic on Poltavskaya has a good reputation (the cost starts from 99 thousand rubles). In total, there are 10 medical centers in Moscow that perform such operations.

In Yaroslavl, for a consultation, an operation, you can contact the Constanta clinic. The price depends on the complexity of the operation - it can be 69 or 148 thousand rubles. Do not forget that the price lists of medical companies do not indicate the cost of preliminary tests.

Mammoplasty, contraindications for surgery

The need for partial resection of the mammary gland, the extraction of part of the contents may be required when the volume of the bust is so large that it creates difficulties in life, health problems. Sometimes a gentle method is enough, during which only “extra” skin flaps are removed, the nipple is moved.

Often women ask to “tighten up” the breasts that have sagged after feeding a child or a sharp weight loss. Surgeons today have learned to correct some of the annoying "flaws" of nature. However, this operation has its contraindications. These include:

endocrine diseases (in particular, diabetes mellitus);
pregnancy, lactation;
cicatricial changes on the skin of the chest;
mastopathy.

Attention!! All cases of contraindications are considered individually. There is a chance that the operation can still be carried out.

breast hypertrophy

One of the indications for mammoplasty is breast hypertrophy. This is the name of the condition when there is an excess of adipose tissue, due to which the breast acquires a disproportionately large volume. Excessive growth can begin during a period of strong hormonal surges in the body:

during puberty;
during pregnancy;
when a woman goes through the stage of menopausal changes, the extinction of childbearing function.

When do doctors talk about hypertrophy?

Here, of course, everything is relative, but there is a certain average norm. The normal volume of the mammary glands is from 250 to 300 cubic meters. see. Hypertrophy starts from indicators of about 800 cubic meters. cm, can reach values \u200b\u200bof up to 1000 cubic meters. cm.

Asymmetry of the mammary glands

Surgery is the only way to correct the asymmetry. Beforehand, doctors conduct a thorough analysis to make sure that the different sizes and shapes of the breast nipples are not the result of any pathological process in the tissues. During the operation, silicone cohesive gels are placed in the breast - they are filled with endoprostheses. This way of dealing with a defect is very convenient: the gels keep their shape perfectly, are not too expensive, and make the breasts perfectly symmetrical.

Ptosis of the mammary glands

Unpleasant for a woman becomes frolicking after sharp hormonal surges ptosis or mastoptosis. For the elderly, this condition is natural:

ligaments become less flexible;
skin loses collagen;
as a result of which there is an involution (“drying out”) of the breast, a change in its shape: there is no elasticity, the nipple is directed downward.

Mastoptosis, which began in youth, causes considerable psychological discomfort. The following factors increase the likelihood of its development:

hereditary predisposition;
long-term feeding of all born children with milk;
the habit of stooping, weak back muscles;
sudden weight loss.

If the first and second stages may not particularly disturb the patient, the third, when the hand placed under the breast is completely covered by the “hanging” gland, causes significant feelings in the woman. In this disease, a kind of surgical intervention is used, called "mastopexy": size reduction, breast lift. The nipple moves higher. As a result, the breasts regain their seductive shape.

Stars who have undergone reduction mammoplasty

We think that in the pursuit of celebrity beauty from the world of show business, famous actresses are ready to do anything to acquire a sexy look. It turns out that nothing of the kind: not every one of them agrees to sacrifice health for the sake of the notorious feminine forms! For example, Drew Barrymore at one time underwent breast reduction surgery and, according to her, does not regret it at all: at a time when her bust attracted the attention of men like a magnet, she could not reach the desired weight. No matter how the beauty lost weight, the bust still remained overly impressive, which contributed to the perception of Drew by others as an appetizing “dumpling”. And she wanted to look fragile, feminine. And she achieved it!

Another screen star - Queen Latifah - had a chest weighing ... as much as 10 kg! The celebrity complained that this gave her a lot of inconvenience: she had to wear terrible bras, the straps of which literally imprinted on her shoulders, leaving noticeable dents by the evening. My back hurt constantly. The operation helped the star forget about these problems forever.

Those who watched the series "Modern Family" probably remember the actress Ariel Winter. While still a very young girl, she decided on mammoplasty: the fifth breast size that she possessed made life much more difficult. Today, Ariel's breasts are a couple of sizes smaller, she is quite happy: you can afford to wear beautiful dresses, sleep peacefully on your stomach!

Many of the fair sex dream of big breasts. They often admire the luxurious bust of other ladies, without even thinking that in some cases for these women it can be a source of a number of problems. So, for some, especially for young girls, too large breasts cause complexes, for others it causes some health problems. Often, women with a large bust complain of discomfort when playing sports and difficulty in choosing clothes. Older ladies note that over time, such breasts quickly lose their shape and do not look very aesthetically pleasing. However, there is a way out of the situation. You can seek help from our specialists in Moscow and make plastic breast reduction. This operation is called reduction mammoplasty.

What is breast reduction and when is it needed?

Reduction mammoplasty is an operation during which the plastic surgeon not only changes the volume of the bust, but also necessarily corrects the shape of the breast. Indications for plastic surgery for breast reduction are both aesthetic and medical, since the large size of the mammary glands can cause the development of pathologies of the musculoskeletal system, for example, cause a violation of posture or other static deformations of the spine. Very often, hypertrophy of the mammary glands is accompanied by chronic mastitis or mastopathy. Most women suffer from diaper rash under the breasts.

Operation cost

Breast reduction

UG01

Breast reduction with vertical scar

140 000 ₽

UG02

Breast reduction with a T-shaped scar

170 000 ₽

UG03

Reduction with vertical scar of one breast

90 000 ₽

UG04

Reduction with T-shaped scar of one breast

105 000 ₽

Contraindications for reduction mammoplasty

Like any other plastic surgery, reduction mammoplasty, in addition to indications, has a number of limitations that can be divided into two groups - absolute and relative.

Absolute contraindications include:

oncology, including mammary glands;
chronic diseases of the cardiovascular system in the stage of decompensation;
diabetes;
diseases accompanied by a violation of the processes of blood coagulation.

Relative contraindications to plastic surgery are as follows:

breastfeeding period;
exacerbation of chronic diseases;
planning for pregnancy in the near future;
age up to 18 years.

To identify possible limitations, the surgeon at an in-person consultation clarifies the presence of diseases. After that, the patient is sent for preoperative examinations, according to the results of which the surgeon confirms or refutes the presence of contraindications.

How is breast reduction surgery performed?

Reduction mammoplasty is performed under general anesthesia. Breast reduction surgery lasts approximately 1.5–3 hours. During this time, the surgeon resects excess fatty and glandular tissue, removes excess skin, and lifts the areola and nipple a little higher, after which it gives the breast a beautiful shape. Highly qualified specialists pay special attention to suturing, since postoperative scars should be invisible.

Features of the postoperative period

As a rule, a woman spends one day in the clinic after breast reduction surgery. During this time, doctors carefully monitor her condition. If the woman feels normal, she is discharged. During the first month, she must comply with a number of rules:

wear compression underwear;
sleep only on your back;
refuse to visit saunas, baths and pools;
limit exposure to the sun and do not go to the solarium;
minimize all physical activity (both in everyday life and in sports).

The preliminary result of breast plastic surgery can be assessed in a month, the final result in six months.

Advantages of reduction mammoplasty in "Bustklinik"

"Bustclinika" is a specialized center for aesthetic breast surgery in Moscow. Our specialists have extensive practical experience in the field of reduction mammoplasty and are ready to help every woman. "Bustclinic" is equipped with modern and reliable equipment. During operations, we use only high-quality materials and preparations. Turning to us, you can be sure that highly qualified doctors with extensive experience will solve your problem.

Also, after consulting a surgeon, you can be referred for an ultrasound of the mammary glands and a consultation with a mammologist.

Anesthesia for breast reduction

Breast reduction is performed under general anesthesia. Intravenous or endotracheal anesthesia may be used.

Operation duration

Usually breast reduction lasts from 2 to 3 hours.

hospital

Usually 1 day.

🙆Reduction breast lift (reduction) 🌟2 months after surgery 🗓 #plasticsurgeon #plastic #usupov #doctor #mastopexy #reduction #breastreduction #breast #surgery #drusupov #usclinic #mammoplasty #breast reduction Photo posted by 💉PLASTIC SURGEON YUSUPOV (@dr_usupov) Jan 17 2017 at 6:05 PST

Preparing for the operation

The plastic surgeon will suggest a suitable option for the operation. Be sure to tell the surgeon about the presence of diseases, the use of drugs, the intake of vitamins and the operations performed.

A week before breast reduction surgery, alcohol and blood-thinning drugs (aspirin, hormones, etc.) must be stopped. Stop smoking at least 2 weeks before surgery. On the eve of reduction mammoplasty, you should refrain from a heavy dinner, you should not eat or drink eight hours before the operation.

If you are planning to lose weight, your doctor may recommend that you stabilize your weight before having breast reduction surgery, especially if your breasts are sagging and getting smaller. If you are planning a pregnancy within the next 6 months, discuss this with your plastic surgeon. Changes that occur during pregnancy can worsen or minimize the results of breast reduction surgery.

Rehabilitation

The rehabilitation period after breast reduction is about 1 month. Bruises and swelling in the operation area disappear within a few weeks, the final swelling subsides within a month after breast reduction.

External sutures are most often removed two weeks after breast reduction mammoplasty, after which a special patch is glued to the skin excision site. It provides accurate, fast scarring of the seam, and, consequently, a more even, pleasant, in terms of aesthetic perception, scar.

After breast reduction, you can return to work one week after the operation. You may feel a decrease in sensation in the nipples and areolas. This is only temporary. The incisions may be red or pink for up to 6 months after breast reduction.

After operation

Any sexual activity should be avoided for at least 1-2 weeks. You should be overly gentle with your breasts for at least the next few weeks.