Breast reduction (or reduction mammoplasty) is a surgery that allows correcting the breast shape and making it look functionally and aesthetically right.

There are two types of operations performed in order to correct the shape of the breast. When the size doesn’t need to be reduced the operation is performed to improve the shape and to “lift” the breast. This operation is called mastopexy. But in case the size and, therefore, the weight is too sufficient, it may be a source of various problems: like chronic pain in the cervical and thoracic spine, deformity of the shoulder caused by bra straps pressure, irritation of the skin in the crease under the breast and difficulties arising during sleep that may vary up to breathing difficulties.

From an aesthetic point of view excessive breast size leads to disproportionate body shape and difficulties while choosing clothing. In this case, the breast should be reduced and “lifted”. Such operation is called a reduction mammoplasty.

At its core mammoplasty operations are quite similar, the only difference is the amount of excess skin removal as well as the reduction (partial removal) of mammal glands and (or) fat.

In this case the biggest problem for the patient is the traces left on the skin. Fortunately, they are subtle, but their appearance and length depend on the changes that are expected as the result of the operation. The larger is the amount of excess skin, the longer the scars are. The smallest possible scarring during the breast reduction is a ring around the areola and a vertical trace from the areola to the crease under the gland. In case of sufficient ptosis, the breast surgeon has to leave another scar in the crease under the breast itself. However, in any case, there is no need to remove the sutures, and the healing time remains the same.  After their final form the scars become subtle and don’t cause any discomfort.

Another important issue to be solved before the operation is the plans of a patient to give a birth to a baby and its breastfeeding. If there is a desire to have a child in the foreseeable future, it would better to postpone the operation, or run it by a different method, without the intervention into the mammal glands.

A brief survey is carried out before the operation.

The operation is performed under anesthesia; its duration may vary from 1.5 to 3 hours, depending on the amount of interference. The postoperative period isn’t difficult. There is no significant pain and the limitations are related to the lifestyle of the first month after surgery. Swelling dissolves during the first two months. The breast shape and scars finally stabilize after 6 months.


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