When the weight of the breasts is too great, it not only constitutes a aesthetic problem but also health. A reduction mammoplasty is the solution to this embarrassment that affects many women.
Complaints associated with a breast that is too large and bulky
The main causes of excessive breast volume are hereditary and related to hormonal factors. Sagging can occur as a result of ageing, weight loss or breastfeeding during pregnancy.
Heavy, bulky breasts can cause various physical complaints such as:
- Chest and back pain;
- Back pain (with accentuated dorsal kyphosis);
- Shoulder pain;
- Skin eczema,
- Wrong posture with muscle tension;
- Constrictions in the bra strap area.
This problem most often causes a loss of self-esteem, which interferes with a woman's physical and psychological well-being.
What is reduction mammoplasty?
A breast reduction is a surgical procedure aimed at reducing the size of the breasts.
This is achieved through an incision in each breast, through which excess glandular tissue, fat and skin are removed, making the breasts firmer (reducing sagging).
The procedure restores the natural size of large breasts and also promotes symmetry between unequal breasts, as there is a redistribution of breast tissue.
What are the benefits of breast reduction?
This surgery is recommended for women who feel uncomfortable with the volume of their breasts.
These are people who want to reduce the size and weight of their breasts for various reasons, the main one being relief from discomfort and back and/or neck pain.
Breast reduction not only improves the appearance of the breast, but also body harmony, will help to improve physical health, mental and patients' sexual, as it is highly beneficial from an emotional point of view.
How is the surgery performed?
As each woman is different. O plastic surgeon begins by assessing the amount of volume, the type of skin and the consistency of the breast. On the basis of this study, he will check which surgical technique is best suited to each case.
At the assessment appointment, the specialist doctor should explain all the steps of the surgery in detail.
This procedure is performed under local anaesthesia and sedation.
Techniques used in breast reduction
In T
The technique begins with an incision made around the areola and another along the breast crease.
It is through the incision that the surgeon is able to remove excess skin, fat and mammary glands, giving the new breast a better and smaller shape, proportional to the patient's body. The incision is made in the shape of an inverted “T”.
At the end of the procedure, the areola and nipple are reattached.
Vertical
This technique does not use a cut through the submammary fold. This avoids the scar. This procedure allows better hide incisions and make them as short as possible.
One of the concerns with breast reduction is preserving the position of the breast, maintaining the sensitivity of the nipple and the breast's ability to lactate.
How is the post-operative period of breast reduction?
After a breast reduction, the post-operative course is generally smooth and painless. The pain resulting from the surgery can be easily alleviated with the use of painkillers.
It is important for the patient to realise that her personal involvement at this stage is essential if she is to achieve the excellent result she so desires.
Most important post-operative care
O surgical success not only depends on the surgical procedure, but also on the post-operative care.
It is therefore extremely important to follow all the medical team's instructions for an excellent recovery.
Among the essential recommendations, you should:
- Maintain relative rest for the first 8 days;
- Strictly follow the medical prescription;
- Avoid excessive arm movements and lifting heavy objects, especially in the first 10 to 15 days (this is very important for good healing);
- Wear the surgical bra continuously (day and night) for a period of 30 days;
- Dressings are changed every 48 hours, with longer intervals over time;
- You should avoid getting the dressing wet;
- You should follow a normal diet (except in rare cases where medical advice is given);
- You should return to the clinic for post-operative check-ups within the first few days and at the stipulated times;
- The stitches are removed after two weeks. The date is agreed in advance with the doctor;
- After removing the dressing, you should massage the scars with the cream prescribed by the doctor, which will be essential for their healing;
- You should not drive for a period of one week;
- Exposure to the sun should be gradual after 30 days.
Can complications occur?
A breast reduction, As with other cosmetic surgeries, it is not without its complications. However, it is a very safe surgical technique, as long as it is performed by a competent and properly trained medical team.
Although rare, some of the complications that can occur are:
- Difficulty healing;
- Infections;
- Altered breast sensitivity;
- Thick, red scars (keloids) or wide scars (especially in black women).
In cases where the breast reduction is very large, the ability to breastfeed can be affected.
Breast Reduction Results
O breast reduction results can be observed immediately. However, the breasts will only be found fully recovered at the end of 6 months after surgery.
It can be more difficult to achieve excellent results in smokers or with extreme breast reductions.
The most modern reduction techniques aim for a breast reduction that leaves a beautiful breast shape, with sufficient residual volume, adequate projection and the smallest possible scars.
Breast reduction scars
The scars are partly hidden under the breasts, in the inframammary fold, and they also become less visible over time.
However, healing is a personal characteristic that varies from patient to patient, and is also dependent on the patient's involvement in post-operative care.
What deters you from having a breast reduction?
I'm sure you've already thought about organising a reduction mammoplasty, But she was afraid. Because she thought it was too painful or too complex.
Don't dwell on it. Inform yourself, clarify your doubts and your fear will disappear.
If you're fed up with this weight and it's affecting your day-to-day life, consult one of the best surgeons in Lisbon highly specialised in mammoplasties.
In our plastic surgery clinic in Lisbon you will find an experienced team ready to advise you on the best solution for your case.

