Breast reduction

Reduction mammoplasty helps to get rid of the physical and aesthetic inconveniences associated with excess breast size, while maintaining a natural and harmonious appearance.

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Not all women dream of curvy figures. For some of them, voluminous breasts become a cause of physical and aesthetic discomfort. In addition to aesthetic problems, owners of a large bust face back pain, stretch marks and discomfort in everyday life. Reduction mammoplasty, or breast reduction surgery, provides the opportunity to return to comfort while maintaining a natural and harmonious appearance.
Breast reduction
The right time for breast reduction

Most calls on this issue come from women with size five or larger.

But how do you understand that you should seek advice from a specialist? There are a number of symptoms and indications for which you need to think about breast reduction surgery:

  • Structural changes. The heaviness of the mammary glands can cause improper distribution of the load on the spine, which in turn leads to its curvature
  • Difficulties with comfort. When your bra becomes a source of suffering, leaving marks and cuts on your skin due to excess weight
  • Activity restrictions. It can be difficult to exercise with a large bust
  • Dermatological problems. Frequent irritation of the skin under the breasts due to increased sweating

The causes of excess volume are often genetic. However, factors such as changes in hormonal balance, weight gain or feeding may also affect breast size.

To answer the question of how to reduce breasts for a girl, you should contact a qualified plastic surgeon who will advise on all methods and approaches.

Technical nuances of reduction mammoplasty: Choosing an approach

Understanding the specifics of plastic surgery can help the patient feel more confident when choosing a technique and interacting with a doctor. Let's look at the most popular techniques in reduction mammoplasty.

Features of incisions (cuts):

  • Vertical technique. The incision begins at the areola and continues vertically down to the inframammary fold. This method is suitable for small resizing
  • T-shaped (or anchor) technique. Here the vertical incision is connected to a horizontal one running along the inframammary fold. This method is chosen to achieve a more radical reduction

Often, during the process of reduction mammoplasty, the surgeon may suggest adjustments to the nipples and areola, including possible transfer or, in rare cases, removal and subsequent reconstruction. This allows you to achieve a more harmonious appearance.

Modern approaches to reduction mammoplasty: key points and recommendations

Reduction mammoplasty is a surgical procedure aimed at reducing the volume of the mammary glands. Over the decades, techniques and approaches to this process have noticeably developed and improved.

1

Choice of methodology. In medical practice, there are several approaches to reduction mammoplasty. Although some techniques may be considered outdated and do not always provide ideal results, they may still be offered in various clinics. It is important to contact experienced specialists who can give an objective assessment of each method and suggest the most suitable one for your case.

2

Possibilities and limitations. The main goal of the operation is to create an aesthetically attractive and comfortable breast shape. From a large breast, you can obtain the desired volume while maintaining a natural appearance. Correction of the areola diameter can also be performed if necessary.

3

Stages of implementation. It is optimal for the intervention to be performed in one go, minimizing the need for subsequent corrective surgeries

4

Lactation after surgery. One of the possible consequences of reduction mammoplasty is the absence of lactation. If you are planning to have a baby, it is worth considering that you may have to use breast milk substitutes

In conclusion, choosing a reduction mammoplasty technique is a responsible step that requires a deep understanding of all aspects of the operation. Discussing the details with a qualified professional will help you make the right decision and ensure the best outcome.

General information

Limitations of reduction mammoplasty

Breasts can change their size and shape for various reasons, be it genetic predisposition, changes after pregnancy and childbirth, or excess weight. However, large sizes may be accompanied by inconveniences such as pain, stretch marks or ptosis. The decision about plastic correction should be made carefully, taking into account possible risks and contraindications.

Before deciding to undergo reduction mammoplasty, you should familiarize yourself with the following list of contraindications:

  • Chronic diseases of internal organs can complicate the recovery process after surgery and increase the risk of complications
  • Reduced blood clotting can lead to bleeding
  • Lactation period. The operation may affect the baby's feeding process
  • Decompensated diabetes mellitus can slow down the wound healing process
  • Oncological diseases. Any surgical interventions during cancer treatment can be dangerous for the patient
  • Infectious diseases in active form

It is important to consult with a plastic surgeon and take into account all medical recommendations before making a decision about reduction mammoplasty.

Comprehensive examination before surgery

Before undergoing surgery, it is extremely important to conduct a physical examination of the patient to ensure maximum safety of the process. The patient will have to undergo a number of important studies, combined with laboratory and instrumental diagnostic methods.

As part of laboratory tests, a detailed blood test is performed, which includes:

  • Assessment of hematological profile
  • Biochemical indicators
  • Study of electrolyte balance and blood coagulation system
  • Tests for various infections, including HIV and hepatitis

Urine analysis provides information about kidney function and possible inflammatory processes in the body.

As for instrumental diagnostics, the key attention is paid to the functioning of the cardiovascular system. An electrocardiogram (ECG) will help evaluate the functioning of the heart, and if necessary, the patient can be referred for consultation to a cardiologist. You may also need to perform a chest tomography and ultrasound examination of the mammary glands. Vascular Doppler sonography will show the condition of the patient’s veins and arteries.

Additionally, depending on the nature of the upcoming surgical intervention and the individual characteristics of the patient, consultations with a phlebologist, gynecologist or therapist may be recommended.

To prevent complications such as blood clots, patients are advised to use compression garments.

The final stage of the examination is a generalized analysis of all the data obtained and a decision on the possibility of performing the operation.

Preparation and performance of reduction mammoplasty: step by step

Understanding the steps of breast reduction surgery provides comfort and peace of mind for many patients. Let's go through the main points of this procedure.

After your arrival at the clinic, the administrative part will begin: you will have to fill out medical documents and register. You will then be asked to change into surgical clothing in the room. The anesthesiologist will examine you to make sure you are ready for anesthesia.

Your surgeon will make special markings on your chest that will serve as a guide during surgery. Sensors will be placed on your finger and chest to monitor your vital functions. Next, depending on the expected duration of the operation, a urinary catheter may be installed.

To prevent thrombosis, your legs may be wrapped in specialized compression "boots". Before going under anesthesia, you will be given a sedative to help you relax. The anesthesiologist will then put you under general anesthesia.

The surgeon will treat the skin with antiseptic solutions and begin surgery, which includes:

  • Removal of excess breast skin
  • Correction of the position of the nipples and areola
  • Creating a harmonious form taking into account the individual characteristics of the patient

After the operation is completed, you will be moved to the recovery room, where, under the supervision of medical staff, you will awaken from anesthesia. At this point, you may be given painkillers and antiemetic medications to ease your discomfort.

The path to recovery: the basics of rehabilitation after reduction mammoplasty

Many women wonder: is it possible to reduce breasts without health consequences? Consultation with a medical specialist will help dispel all doubts.

Recovery after surgical breast reduction is a complex process that requires strict adherence to recommendations and constant monitoring of health status. The correct rehabilitation process will help achieve optimal results and avoid possible complications.

  • Postoperative period. Immediately after the intervention, the patient is recommended to wear compression products. These products serve not only to support the breasts, but also to reduce pain, prevent swelling and prevent stress on post-operative sutures. If an implant is placed, additional fixation may be required to ensure its stable position.
  • Early rehabilitation period. A week after the operation, the patient is invited to see the surgeon for examination and removal of sutures. This is an important stage that allows the specialist to evaluate the results of the operation and the condition of the tissues. Sutures that do not dissolve are removed, while internal ones disappear on their own over time.

It is important to remember that the upper body, especially the chest, requires special attention after surgery. It is necessary to avoid unnecessary stress, active movements of the hands and maintain hygiene. It is recommended to sleep on your back. And do not visit swimming pools and saunas for a month.

Possible complications and their prevention

First of all, it should be remembered that improper or rough handling of the postoperative area can lead to complications such as necrosis and suppuration of the sutures.

Some patients may experience keloid degeneration of the scar, especially if they have a genetic predisposition. Discussing this risk with your surgeon in advance and using topical anti-scar medications may prevent or minimize this effect.

Many people ask: how much does breast reduction surgery cost? The cost varies depending on the clinic, region and surgeon’s qualifications.

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Our doctors

Adamyan Ruben Tatevosovich
Experience 40 years
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Adamyan
Ruben Tatevosovich
Deputy Chief Physician for Plastic Surgery, Plastic Surgeon
Meloyan Mkhitar Misakovich
Experience 39 years
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Meloyan
Mkhitar Misakovich
Plastic surgeon
Gulyaev Igor Valerevich
Experience 22 years
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Gulyaev
Igor Valerevich
Plastic surgeon
Mitoyan Ruzanna Esaievna
Experience 14 years
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Mitoyan
Ruzanna Esaievna
Plastic surgeon
Telnova Galina Sergeevna
Experience 8 years
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Telnova
Galina Sergeevna
Plastic surgeon
Mithish Elena Valeryevna
Experience 15 years
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Mithish
Elena Valeryevna
Surgeon
Kapitanova Yulia Dmitrievna
Experience 8 years
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Kapitanova
Yulia Dmitrievna
Plastic surgeon
Volenko Ivan Alexandrovich
Experience 14 years
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Volenko
Ivan Alexandrovich
Surgeon-oncologist-mammologist, plastic surgeon
Sinanyan Ariana Mushegovna
Experience 3 years
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Sinanyan
Ariana Mushegovna
Plastic surgeon
Korenevich Oleg Sergeevich
Experience 8 years
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Korenevich
Oleg Sergeevich
Plastic surgeon
Djamilov Sherali Radjabalievich
Experience 9 years
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Djamilov
Sherali Radjabalievich
Surgical oncologist, mammologist, reconstructive plastic surgeon
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Reviews 10

Thanks to the reviews on the site, I went to have surgery with Ivan Aleksandrovich. I confirm every kind word about him. He is a great professional in his field. The suture looks very neat and aesthetically pleasing, he preserved the shape and volume of the mammary gland, despite the fact that he had to remove a fairly large part. The doctor inspires calm, confidence and a positive attitude. Ivan Aleksandrovich is very caring towards patients. You will definitely not feel embarrassed or afraid. Everything is very comfortable, professional and somehow very sensitive in a human way. A great doctor and person!
07.04.2025
F. Svetlana
Проходила операцию по поводу фиброаденомы молочной железы у Ивана Александровича, и он впечатлил меня на всех этапах: от диагностики и консультации до подготовки к операции и внимательного наблюдения после неё. Его аккуратность в перевязках, готовность помочь и внимание к восстановлению — это настоящий эталон для врача. Операция была проведена настолько профессионально и ювелирно, что иногда даже другие врачи не могут сразу найти шов! Огромная благодарность! Если вы выбираете врача, могу смело рекомендовать Ивана Александровича.
02.03.2025
Софья К.
Уважаемый Шерали Раджабалиевич! Огромное спасибо за быстрое, четкое и безболезненное удаление фиброаденомы из груди. Все прошло очень быстро и психологически комфортно, после операции я даже не потребовала обезболивающих. Вы внимательно и чутко отнеслись к моим просьбам, и я безмерно благодарна за то, как гладко прошел весь процесс. Шов получился аккуратный, ровный и зажил без проблем. Два разных врача на перевязках сделали комплимент вашему мастерству! Желаю вам всего наилучшего и удачи в вашей работе!
20.02.2025
Екатерина Ч.
Рак правой молочной железы — операцию проводил Иван Александрович. Это действительно врач от Бога, с золотыми руками! Работа на высшем уровне, швов почти не видно, все сделано ювелирно. Он очень внимателен, даже когда был уставшим после нескольких операций, приходил в палату по несколько раз, чтобы узнать, как я себя чувствую. Желаю, чтобы таких врачей было больше!
15.02.2025
Ксения З
В марте 2021 года я прошла операцию по удалению фиброаденомы молочной железы у Ивана Александровича. Спустя время с уверенностью могу сказать, что он — настоящий профессионал своего дела, врач с «большой буквы». Во-первых, его советы всегда по существу, подкреплены как практическим опытом, так и теоретическими знаниями. Во-вторых, операция прошла успешно, практически безболезненно, а шов после неё получился очень аккуратным. В-третьих, Иван Александрович всегда относился ко мне с дружелюбием, с улыбкой объясняя все детали. Желаю ему огромных жизненных успехов и выражаю благодарность от его пациентов. Также хочу поблагодарить весь профессиональный и дружелюбный коллектив первой онкологической больницы — здоровья вам и новых побед!
24.01.2025
Василиса М.
Моя мама попала в руки Ивана Александровича для частичной резекции молочной железы с диагнозом "карцинома 2 стадии", и это оказалось настоящим подарком судьбы. Иван Александрович — не только высококлассный профессионал, но и невероятно чуткий человек, который всегда внимательно относится к каждому пациенту. Огромное спасибо ему за операцию высочайшего уровня, за внимательное послеоперационное наблюдение, подробные консультации и его доброе сердце.
30.12.2024
Полина З.
Я обратилась за помощью к Шерали Раджабалиевичу и с большим удовольствием выражаю благодарность за операцию по удалению листовидной опухоли, к счастью, доброкачественной. Операция прошла 29 августа, и шва практически не видно, не было никаких осложнений. На перевязке сказали, что шов выполнен настоящим профессионалом! Внимание к пациенту было на 100%, он ответил на все мои вопросы. Очень рада, что попала именно к нему!
19.12.2024
Елизавета С.
Я обратилась к доктору Воленко Ивану Александровичу с диагнозом онкологии молочных желёз. Операция была проведена 31.01.23, и я благодарна этому замечательному врачу за его профессионализм и внимательное, чуткое отношение к пациентам. Благодаря Ивану Александровичу, я чувствую себя прекрасно, несмотря на диагноз и мой возраст (71 год). Хочу пожелать ему всего наилучшего и успехов в его трудной, но такой важной работе, которая возвращает людям здоровье и радость жизни!
07.12.2024
Алия П.
Выражаю искреннюю благодарность хирургу-онкологу Джамилову Шерали Раджабалиевичу за внимание и помощь, оказанную мне в период пребывания в стационаре с 26 апреля по 02 мая 2024 года. Огромное спасибо за проведённую операцию 27 апреля 2024 года, которая была выполнена на высочайшем профессиональном уровне. Благодарна за его золотые руки, доброе сердце, внимание и отзывчивость! Желаю вам крепкого здоровья и успехов в вашем благородном деле!
02.12.2024
Вера К.
I was admitted to the clinic with carcinoma. I am happy that I ended up in the hands of Ivan Aleksandrovich. A very competent, attentive to the patient, and most importantly - an honest doctor. I received answers to all my questions and was offered several options for subsequent plastic surgery. The doctor came personally for dressings, after discharge I could always ask questions at subsequent dressings. If you have a choice and have the opportunity to go to Ivan Aleksandrovich - know that you are in reliable and good hands.
01.08.2024
Elizaveta Igorevna
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