MAMMOPLASTY

Mammoplasty - breast reduction surgery

Scientific Name: Known as mammoplasty redutora, the mamma reduction removes the fat excess, the glandular fabric and the skin to reach a size of proportional mamma with your body and to alleviate the discomfort associate with breasts very large.

Purpose The Mammoplasty redutora is a surgery to withdraw the gland and fat excess. In mamma fall cases (ptose), leaves only the skin (Mastopexia), remodels, decreases and it lifts the mamma.

recommended Age: The indication of this surgery is when the mammary glands reach your natural growth, that usually happens around of the 18 years.



Kind of Anesthesia: The used anesthesia in this surgery can be the peridural or local with sedation and can eventually employ the general anesthesia.

surgery Duration: The surgery is accomplished between 2 and 5 hours, could extend a little more, in a number of cases. However, time of surgical act should not be confused for time of patient stay in the environment of Surgical Center, because this stay also involves the period of anesthetic preparation and postoperative recovery.

Time of internment: The patient's internment varies from 12 to 24 hours.

Scar: The scars are very hidden, among most employed have:

• “T” inverted: The scar stays as a T inverted, being one in the vertical line, one in the horizontal line, in the mammary furrow and one around of aréola
• In “L”: The scar does the drawing of the “L”,
• In “I”: The scar is positioned in the vertical line and circling for aréola
• Periareolar: The scar is restricted to aréola

The scar is proportional to the mamma size. The suture is internal, without points marks in the skin. The scars will pass by several phases until reaches the final phase:

• Immediate Period (until the 30th day): During the first month, the scars present an excellent aspect and little visible. Some cases present discreet reaction to the points or to the dressing.
• Period Mediato (2nd until the 12nd month): In this period, there will be espessamento natural of the scars, as well as change in the tonality of its color, passing of "red" for the "brown", that goes, little by little, clarifying. This period, the least favorable of the evolution cicatricial, is what worries most the patients. As cannot hurry the natural process of the cicatrization, we recommend to the patients that are notworried, because the tardy period will take care of decreasing the vestiges cicatriciais.
• Tardy Period (12nd to the 18th month): After a year, the scars start to become clearer and less consistent reaching, this way, your definitive aspect. Any evaluation of the mammas surgery definitive result should be made after this period.



Preoperative Recommendations:

• Accomplish laboratory exams: Complete hemogram, Coagulograma, Glycemia, Urea and creatinina, sorologia for hepatitis B and C, sorologia HIV, dosage sérica of Sodium and potassium, E.C.G., Urine exam.
• Accomplish photographic documentation.
• Communicate your doctor up to 2 days before the surgery, in influenza case, period menstrual,indisposição, etc.
• Avoid alcoholic drinks.
• Do light meals in the surgery eve.
• Avoid the cigarettes use at least 15 days before the surgery until its complete recovery.
• Do not do medications use with Salicylic Acid Acetyl (THE ONES, Aspirin) or anticoagulant, as well as Ginko Biloba, for 20 days before and 10 days after the surgery accomplishment.
• Depilate by the pubianos, higienizar well the navel, accomplish a good corporeal hygiene and to do not use make-up in the surgery day, according to orientations documents supplied by the Dr. Ferrer.

Postoperative Recommendations:

• Avoid efforts in the 8 first days.
• Careful corporeal hygiene to without weting the dressings.
• Do its normal dental hygiene
• Return to direct after 30 days, on an average or second orientation of the Dr. Ferrer.
• Sleep of of dorsal (belly upwards).in the first days of postoperative.
• Do not rise the arms above of the shoulders for 3 weeks neither movimente in excess.
• Do not catch excessive weights
• Relative exercises to the inferior members, they will be able to be restarted between 5 to 10 days, avoiding itself the "high impact". The exercises that involve the thorax, generally should wait from 30 to 45 days.
• If Do not expose in the sun for at least 2 months, and use fotoprotetor 40 FPS daily.
• Safe in special cases, free alimentation, from second on day, mostly to the proteins base (meats, milk, eggs) and vitamins (fruit).
• Wait to do its weigh loss diet or regime, after the medical liberation. The anticipation of this conduct independently, it will be able to determine difficult consequences to are healed.
• You can use Hirudoid gel or similar in areas with bruises or ecchymosis, post-bath.
• If necessary can use a kind laxative Agarol or another habitually used.
• Do use of the postoperative bra as medical orientation.
• Do not use bathtub, swimming pools and beach for 30 days.
• In the stays close to hot places and avoid cooking for 4 weeks.
• Avoid to the maximum the cigarettes use until the complete recovery.
• Return for revisions of a month, two, four and six months. Final return for picture with a year.
• It abstain of sexual activities for 30 days or as another orientation.
• Avoid render pregnanting at least 1 year

Time of recovery: The patient's recovery varies between 10 and 15 days after the surgery, according to the physical condition of each patient.

Result: Besides the immediate result to be very good, only between 3 and 12 months is that the mammas will reach its definitive form.

Surgeries associates: The Mammoplasty Redutora can be associate to the next surgeries: Lipoaspiração and Abdominoplastia, come in another.