Methods for breast reduction:
By utilizing the advantages that the blood supply to the nipple and areola mainly comes from the subdermal vascular network and deep arteries of the breast, along with the strong pigmentation around the areola, a double-ring areolar incision centered on the areola is designed. The dermal cap formed between the two rings is used to reshape and fix the remaining glandular tissue. This method provides good cosmetic repair for mild to moderate macromastia and breast ptosis. Postoperative scars are hidden around the areola, do not affect breastfeeding, and can simultaneously address various breast conditions, achieving dual effects of breast reduction and treatment.
Surgical methods:
1) Remove the epidermis between the inner and outer rings; cut through the skin and subcutaneous tissue along the outer ring to reach the gland, forming a dermal cap. Bluntly or sharply peel the glandular epidermis toward the edge. Perform wedge resections on the upper and lower portions of the enlarged or diseased mammary gland tissue. Note that no posterior space dissection should be done to preserve the blood supply to the nipple and areola. Reshape the remaining glandular tissue into a conical shape.
2) Flatten the dermal cap around the edges and suture it like a bra onto the pectoralis fascia or the edge tissue of the gland. Suspend and fix the upper edge of the gland using No. 7 silk thread to the pectoralis fascia at the level of the second rib, generally fixing three to four stitches.
3) Use No. 4 nylon thread to perform purse-string sutures on the dermal layer of the outer ring, tightening until it matches the size of the inner ring. Use No. 1 silk thread to suture the subcutaneous tissue and No. 3 silk thread to close the skin incision, or use absorbable sutures to close the incision.
4) Postoperative care follows the same procedure as above. Click to consult our online experts.
Preparations before breast reduction surgery:
1. Good overall health without organic lesions in the heart, blood vessels, liver, kidneys, lungs, etc.
2. Patients with uncontrolled hypertension, insulin-dependent diabetes, pituitary dysfunction, thyroid dysfunction, and severe anemia should not undergo this surgery.
3. Understand the patient's psychological condition. For those with psychological barriers, and family members' psychological preparation for the patient undergoing breast surgery, a certain amount of blood can also be drawn preoperatively for postoperative autologous transfusion if needed.
4. Conduct local examinations.
5. Design the surgical incision while the patient is seated and mark it with a marker. There should also be preoperative photographic records, including frontal, left and right lateral views, and left and right oblique views.
Consultation hotline for Huamei Plastic Surgery and Beauty in Quanzhou: 0595-282 66666; Appointment QQ: 8000 15388.
Postoperative precautions after breast reduction:
1. After breast reduction surgery, patients must sleep in a supine position, which helps with postoperative recovery. Avoid strenuous activities to prevent postoperative bleeding. Do not forcefully pull the patient's upper arm to avoid nerve damage in the arm.
2. Observe the blood circulation of the nipples and areolas within 24 hours after surgery. If any abnormalities are found, contact the plastic surgeon immediately.
3. Pay attention to the care of the drainage strips. Carefully observe the exudation of the dressing in the surgical area. If there is more exudation, notify the doctor promptly for replacement to prevent postoperative infection.
4. After breast reduction surgery, take anti-infection measures and consume more high-protein foods to help wound healing.