Reducing Mammoplasty / Mammopexy
It is defined as a surgery to lift the breast, when it has descended. It may be accompanied by its reduction (removal of a portion of breast tissue), or its increase (simultaneous augmentation mammoplasty)
Depending on the degree of descent of the nipple, we decide whether the lift is done only by reducing the skin around the areola (slight breast descents), or extending the incisions vertically, through the lower area of the areola-nipple complex, and up to the lower crease of the breast (sub-mammary groove). This would leave a wound and thus a final inverted "T" scar, when the descent of the breast tissue is from moderate to severe.
If the desire is to increase the final volume of the breast, or fill the upper pole (projection), a simultaneous augmentation mammoplasty is performed; that is done by placing a silicone gel implant. For choosing such implant we follow the same guidelines regarding brand and safety, described in the section "Augmentation mammoplasty".
This surgery is strictly ambulatory, under general anesthesia (the breast is an organ rich in nerve endings, which simply does not allow local anesthesia)
The pain, usually described in the postoperative period, is moderate to low, which is easily manageable with commonly used analgesics.
To assist in the recovery, postoperative physical therapy (external ultrasound, lymphatic drainage massage) is often used for the first 3 weeks. This therapy is provided by specialized personnel.
Work disability is normally no more than 3 days, though, as in any other surgical procedure, we will not see the end results before 4 to 6 weeks.
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