Breast reduction
Breast hypertrophy (excessive breast volume) is associated with multiple factors: congenital predisposition and excessive weight are the main contributors. Breast hypertrophy is always accompanied by a degree of ptosis (drooping) due to the sagging of glandular tissues, ligaments connecting the gland to the deep fascial plane, and skin losing elasticity. Often, this condition leads to significant functional problems such as back pain, difficulties in normal activities and sports, bacterial and fungal infections in the breast fold, and psychological issues. The purpose of breast reduction surgery is to reduce breast volume and restore a graceful shape to the breast. Breast reduction is a procedure aimed at correcting excessively voluminous breasts. This intervention allows for the reduction of the mammary gland and lifting of the breasts."
Undergoing breast reduction surgery
Before undergoing breast reduction surgery, it is necessary to perform appropriate preoperative blood tests, an electrocardiogram, and an ultrasound or an ultrasound associated with mammography (depending on age).
Breast reduction involves the deliberate removal of excessive glandular volume and shaping the remaining tissue through a technique called “pessary,” which entails the upward repositioning of the residual mammary gland and the areola-nipple complex.
The techniques of breast reduction
The choice of the technique to be used depends on the patient’s initial conditions and the surgeon’s preference. There are no perfectly defined guidelines that can provide precise and unequivocal indications on which technique to choose. Each technique has its pros and cons.
The techniques, based on the scar, are distinguished into:
A round block: involves the removal of only a concentric ring of skin around the areola and a glandular portion of each quadrant. The resulting scar around the areola may initially appear puckered but tends to smooth out over time.
Pros: Only one scar around the areola. Cons: The scar is often stretched and of questionable quality; with this technique, it is challenging to shape the mammary gland appropriately. The effect often resembles a tomato shape—flattened superiorly and lacking retroareolar projection.
A vertical scar: involves the removal of a portion of skin around the areola and a vertical diamond-shaped piece of skin and breast. The resulting scar is both periareolar and vertical. The vertical scar may be entirely or partially puckered. The length of the vertical scar varies depending on the shape and size of the breast.
Pros: It is possible to reduce and shape the gland as desired to achieve the desired form.
T-scar: involves the same procedure as vertical scar breast reduction, but an additional scar is added to the fold. Although considered ‘old-fashioned’ by more modern surgeons, it is still loved by many.
Pros: It is possible to reduce and shape the gland as desired to achieve the desired form. Cons: The addition of an extra scar.
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