For women, the breasts mean a lot more than its physiological function, breastfeeding. Symbol of femininity, their appearance directly affects the women self-esteem and establishes standards of behavior which, in turn, interfere positively or negatively in sexual life and behavioral, affective and even professional women success. Adjust the shape, size and appearance of the breasts to an aesthetic standard is something legitimate and that is part of the intimate search of any woman.
There are three basic changes in the breasts:
- Size changes: large or small breasts in relation to the height of the woman, shoulders width or the proportions of the chest.
- Sagging and fall of breasts: because of weight loss, pregnancy, breastfeeding, or individual characteristics.
- Format changes: enlarged breasts or lack of projection, scattered, asymmetrical, large areolas in relation to the breasts and other visual deviations from the current aesthetic standard.
For the correction of such changes, the breast surgery is divided in 3 main types: Breast Reduction, Mastopexy and Breast Augmentation Surgery.
Mammoplasty reduction surgery is indicated when you want to reduce the size of the breasts. This desire can only occur to suit even more to a standard of beauty, or when the size of the breasts is large enough to occur in symptoms of excess weight, such as shoulder pain and back pain, dermatitis and infections of the mammary fold
The basic surgical technique for breast reduction, from which emerged several variations and technical details, leaves a scar of a T inverted or L Through this technique and its variations is possible to remove the bulk of mammary tissue and skin excess and reposition the aréola in a more suitable location. The current trend of modern plastic surgery is to leave the smallest scar possible. However, in some cases, the use of this resource will result in a loss of the breasts shape and the final result. Therefore, it is important to have in mind that it is not always possible to leave a very small scar.
As with any surgical procedure, the presence of scars is inevitable. However, when the surgery is well planned and executed, attempts to hide the scars, leaving them positioned in the same direction of the skin lines of force. Moreover, the use of technical devices which do not leave the skin “tight”, that is, not stretch to hard, it makes that the final scar being in a good appearance. And if you do not have a genetic tendency, the poor healing, or keloid formation, over time the scars look like the skin around, not being a big discomfort factor.
Mastopexy (breast lift – fall and sagging treatment)
A mastopexy is the term used to denominate the surgery when intends to fix the fallen breasts in a higher position on the chest and increase the upper pole of the projection that is compressed. It is usually indicated when there is the fall of the breasts after pregnancy or after major weight loss.
Through this surgery can also improve the shape of breasts and areolas. If you wish to establish and / or increase the breasts in the same surgery it can make use of a breast implant for this purpose. The goal in this case is to firm, lift and sometimes increase the volume of the breasts. It is generally used the same scars from breast reduction, but without reducing consederably the size of the breasts. In general, how bigger is the fall of the breasts, bigger scars left. In cases of small fall of the breasts and good quality skin, the scars can be lower.
Often, besides of excessive size, occurs the “fall” of breast tissue.
For the reduction and lifting of the fallen breasts, there are several surgical techniques, chosen according to certain features of the breasts. To know the best technique for you, the medical consultation is required. Through careful examination of the width of your chest, your weight, height, projection of your breasts relative to the chest, shape and size of the upper and lower poles, size of the areola, consistency of the fat and breast tissue, proportion between them and features of your skin, your surgeon will know the best technique to use in your case.
It is often necessary to use three or more surgical resources to achieve certain aesthetic purpose, for example, reduce the breasts using the smallest scar possible, raise the fallen breasts (changing the position of the areola usually up and more to the middle) give consistency and a more rounded shape and gracious to the 4 quadrants, introduce a small or medium sized prosthesis. That’s why the importance of choosing a surgeon with good academic education and aesthetic sense.
Finally, it is important that the breasts are the focus of benign and malignant tumors, which should be investigated constantly by yourself, through self-examination of breasts and through regular consultations with their breast cancer specialist and mammograms. Much more important than having beautiful breasts, is to have healthy breasts.
The home required depends the magnitude of the detachment performed and varies for each case, but usually it is required bedrest for 7 days, avoiding raise or abruptly open the arms during this period. After these first 7 days, the relative rest is required between 1 and 3 weeks. The activities can be gradually restarted after this period.
The use of the bra is recommended between 1 and 2 months and aims to maintain the breasts in the correct position, reduce the effect of gravity on the tissues and reduce indirectly the tension on the suture stitches. The suture stitches are usually removed gradually, observing the healing time of each, but starts going up to 7 days until 15 days in some cases. The end result occurs only after one year.