The surgery of the breast is realized almost always in a hospital by a plastic surgeon. To reduce the breasts there is extracted part of the mammary textile and the nipples move up for esthetic reasons. The operation is realized by general anesthesia and usually lasts approximately 6 hours. In the surgery in which the breasts get up first a few incisions are realized following the natural wrinkles of the breasts (low semicircle) and about the dark skin that surrounds the nipples (aréola).

A third incision joins the previous ones in vertical sense. Also another incision is done in the shape of lock in the skin placed on the aréola to define the new location of the nipple. There comes out the skin of the lowest part of the breast and, later, there moves to a higher position the textile and fundamental muscles of the breast as well as the aréola and nipple. Finally all the incisions close by means of sutures or points. This procedure comes to last approximately 4 hours, depending on the extension of the surgery.

If you are considering to become a mamoplastia, consult the expectations with a plastic surgeon. Bear in mind always, that it can go so far as to improve his image but never reach the perfection. There is a very important factor that is the emotional stability. The surgery of the breasts can help to improve his confidence if same and his appearance, but the rest depends on you.

Before the intervention the plastic surgeon will do a physical examination of his breasts to him and will ask him that he should be realized by a few mamografías (X-rays of the breasts).

The mamoplastia is carried out generally to raise the fallen breasts.

Also it is possible to reduce the size of the aréola (skin that makes a detour to the nipple).

The breasts reduction is recommended for:

• You suck very big (macromastia).
• Fibrosis quística of the breasts (mastitis poliquística).
• Pains related to the weight of the breast that is not solved by a suitable bra:
• Backache, pain of neck, or pain of shoulders.
• Headache.
• Pain in the breasts.

• Loss of sensibility in the breast.
• Problems with the sleep related with eltamaño of the breast.
• Problems of position caused by the excess of size of the breast.

• Sensation of numbness or drowsiness of the arms and fingers caused by the size of the breast.

• Ruts appearance pigmentados in the lines of the bra.
• Stretch marks appearance (lines with scar aspect) in the breasts.

The breast reduction is not recommended when the following conditions exist:

• Breast cancer.
• Uncontrolled diabetes.
• Cellulitis.
• Hard skin of the breast.
• Dry or raw skin (interwheat).

EXPECTATIONS AFTER THE SURGERY

The prognosis of a surgery of reduction of breast is very good. The patient is usually motivated to change his life style and to initiate new activities. Also it eliminates the pain and the symptoms in the skin (such like the stretch marks). In most cases it is recommended to use a special bra for some months. After the intervention a few compressive gasas are placed about the breasts and breast. The pain is controlled by medicines and disappears in 1 ó 2 days.

The stay in the hospital normally is 2 to 3 days. After 1 week the gasas move back and a softer bra is placed, this one will be used for several weeks. The distension and bleaching about the incisions can last a few days.

Also a loss of sensibility can appear in the skin of the breast and nipple that it will improve little by little.

The sutures or points take two weeks after the intervention from themselves.

CONVALESCENCE

During the convalescence it is necessary to suppress the physical activity in prevention to which the points come undone. After 2 ó 3 days of the intervention it can begin moving. The plastic surgeon will recommend to him a few rules to be continued, as for his physical activity, until the finished healing (about 8 weeks after the intervention). The scars are evident, or are visible, during the year following the intervention. Later they are disappearing little by little. The doctor will try that the incisions are more kidlings and as secret as possible, so that almost they are not evident, but they will be.

RISKS

The risks of any intervention under anesthesia:

• Reactions to the medication.
• Respiratory problems.
• Hemorrhages.
• Infections.

Additional risks:

• Big scars with a long healing time.
• Withdrawal of the nipples.
• Sensitive loss of the nipples.
• Inability to give of sucking a baby.

On the other hand the emotional irrigations exist as it can be feeling a disappointment of the awaited result (the sleep of the perfection always exists). Other times this disappointment can come from that the reactions of other persons to the proper intervention are not the wished ones.

COST

The cost of any surgery changes significantly between surgeons, medical facilities, and regions of the country. The costs can be ordained for groups:

• Surgeon: 1.502,00 to 9.015,18 euros.
• Anesthetist: 601,00 to 1.502,53 euros (In some areas the cost of the anesthetist is usually established in 30 % of the cost of the surgeon).
• Hospital expenses, including taken care of infirmary and operating theater: 540,90 to 2.103.54 euros.
• Medicines: 300,51 to 901,52 euros.
• Other additional expenses, if complications exist (transfusions, etc...) or there are realized analysis or X-rays: 120,20 to 901,52 euros.

The changeability of every case is a fact being able to be considering to be a basic cost for 3.005,00 euros by intervention without complications.

TO SEE ALSO

• Surgery for the breast cancer
• Lumpectomía

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