Reduction Procedure
Breast reduction surgery, also known as reduction mammoplasty, is designed to reduce the size and weight of overly large breasts. This procedure addresses not only aesthetic concerns but also alleviates physical discomfort associated with disproportionately large breasts, such as back, neck, and shoulder pain. The procedure involves careful removal of excess breast tissue, fat, and skin, reshaping the remaining tissue for a lifted and proportionate appearance. In cases of extremely large breasts, the faster and less invasive Thorek technique may be recommended.
Implants and Treatment Options
Breast implants are available in various forms: anatomical teardrop or round, with smooth or textured outer surfaces. Silicone, now available in a special cohesive gel enclosed in a solid shell, ensures maximum safety even in case of trauma-induced rupture. The innovative Lipogems® protocol is particularly effective in the mixed technique, combining implants and adipose tissue for natural results, especially in complex cases such as tuberous breasts and significant asymmetries. This approach also helps improve texture, stretch marks, and tone, and is particularly recommended for patients over 40.
Surgical Procedure
Implants can be placed under the gland, muscle fascia, or pectoral muscle, with various access points: periareolar, transareolar, inframammary, or axillary. The Dual Plane technique, which involves covering the implants with the pectoral muscle above and mammary gland below, is frequently used. During the preoperative consultation, the patient and surgeon agree on breast shape, volume, height, and projection, ensuring the fulfillment of personal desires while maintaining natural and harmonious results.
Recovery and Results
Hospitalization typically requires only a few hours, and patients can return home without drains. A brief rest period is recommended, varying according to the patient's previous conditions, and sports activities can be resumed after approximately three weeks. Results are visible immediately, but the final effect is appreciated after three weeks. A supportive elastic band helps settlement and preserves ideal shape and position.
Scarring and Post-operative Care
Sutures are individually planned, combining absorbable and non-absorbable threads. Scarring represents a significant variable, depending not only on surgical expertise but also on genetic predisposition, skin elasticity, age, and potential allergies. The Lipogems® technique can be particularly helpful in scar management.
Revisions and Special Cases
Regarding revision surgeries of previous mammoplasties, recent techniques allow replacement of older implants with processed autologous fat tissue using the Lipogems® system. In severe reduction cases requiring removal of more than one kilogram of tissue or in the presence of orthopedic indications, the procedure might be covered by public health services.