BREAST REDUCTION / MEMOPLASTY
What is reduction memoplasty?
Reduction memoplasty is reducing the size of the breast by removing segment of breast tissue & skin proportionally. It is done in such a way that it’s form & aesthetic look is maximally maintained.
When it is required to be done ?
It is done when breast size is very big causing.
- 1] Bed aesthetic look & body image.
- 2] Causing continous heaviness & streaching pain over chest, cervical & thoracic area.
- 3] Skin infections in breast fold.
- 4] Dis proportionate breast size vs chest size.
What do you achieve by this surgery ?
- 1] Reduction of breast weight & size improving patient’s comfort & relieve stress on trunk & neck muscle.
- 2] Improves relationship of breast chest & body dimentions.
- 3] Pt can perform physical activities without limitation of excess breast size & weight.
- 4] Improves self surveillence of breast by self examination & mammography.
- 5] Prevents irritation & infection on under surface of breast & abdominal skin.
- 6] Nipple – areola complex is better positioned up right at new breast wound
What principle & technique are followed ?
There are many techniques of perfoming this procedure. The techniques focus on removal of excess breast tissue while blood supply to nipple areola is maintained.
What about sagging down of breast ?
In patient where major component of sagging down [ptosis ] is there surgery is modified, inchisive of mastopaxy.
In adolescent, family consultation & psychiatrist consultation is Required?
This surgery is not done in patients with gross cardiopulmonary insufficiency & collagen disease.
- - H/O cancer breast in family is important, mammography before and six months after surgery is necessary because this procedure dose not grossly reduce the risk of cancer.
- - Nipple – areola numbness in 5 to 10% of patients which comes back eventually.
- - Nipple –areola complex necrosis[loss] is rare outcome especially in larger breasts
- - There is potential possibility of inability to breast feed after reduction memoplasty , Although many women have successfully breast fed child, This can not be guarrented.
- - Scar[vertical or inverted T] will be present on breast.
- - Pt is scheduled for two nights of Hospitalisation.
- - Possible complications can be as with any other surgery e.g, Blood clot,Infection, Suture gap, skin necrosis [loss] or nipple areola loss, which are correctable & may require revision surgical work. Enlarged scar can occur but regular application of scar modifying cream/gel helps avoiding it.
- - Satisfaction rate at the end of one year is more than 94 –95% from physical & psychological point of view.