All about the complications of reduction mammoplasty – Cosmetology, plastic surgery and diets

All about the complications of reduction mammoplasty

Many modern women turn to breast plastics, believing that the increase in forms is a very fashionable trend, which is a standard of beauty and a level of wealth. But do not forget that in nature everything should be natural and harmonious.

At the same time, there is a large percentage of the fair sex in which their magnificent forms can be unnecessarily increased, as a result of which there may be health problems. For this, one of the sections of plastic surgery aimed at reducing breast sizes was invented, which helps women solve problems associated with this deficiency, so to speak.


Reduction mammoplasty is a plastic surgery aimed at reducing the size of the breast aimed at reducing the mammary glands., By resection of adipose tissue and excess skin.

In fact, this operation is one of the complex operations and is divided into several types:

  • breast reduction by complete removal of internal tissues;
  • breast reduction when removing excess skin and moving the nipple-areolar complex;
  • breast reduction by removing internal tissues, but maintaining the areolar complex in place.

Indications for operation

Pathological breast augmentation as a result of the use of hormonal drugs and therapy:

  1. breast enlargement due to breastfeeding, or age-related changes;
  2. breasts of different sizes;
  3. pain in the neck and chest;
  4. shortness of breath caused by the large size of the mammary glands;
  5. congenital abnormalities;

An essential indicator for breast reduction is one’s own dissatisfaction, as well as the creation of physical and psychological problems caused by a large bust.

At an earlier age, girls are often ridiculed for their magnificent forms, as a result, isolation and fear of self-realization in society due to physical disability appear.

Contraindications for surgery

An absolute contraindication for breast reduction are such factors:

  • reduction mammoplasty is not done for patients under the age of 18;
  • oncological diseases;
  • skin diseases;
  • diseases of the internal organs;
  • lactation;
  • the presence of tumors in the mammary glands;
  • Thyroid gland diseases;
  • diabetes;
  • poor blood coagulation.

Classification of breast hypertrophy

Breast hypertrophy – is a pathological breast enlargement.

Hypertrophy can begin at an early age during puberty and continue throughout the life of a woman.

This is directly connected with the hormonal background and its violation. With the improper use of hormones such as estrogen, prolactin, breast hypertrophy begins.

Also, breast augmentation can be, as a result, large deposits of fatty tissue.

If the alignment of the hormonal background does not have a positive effect, then it is possible to resort to such an action as breast plastic surgery by surgery.

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In general, mammary gland hypertrophy can be classified and divided into several such types:

  1. hypertrophy about pregnancy;
  2. hypertrophy in obesity;
  3. juvenile hypertrophy;
  4. hypertrophy with curvature of the spine;
  5. with an increase in body fat;
  6. with an increase in the volume of glandular tissue.
  1. one-sided;
  2. double sided;
  1. insignificant
  2. average;
  3. big;
  4. gigantomastia.

Juvenile hypertrophy occurs during puberty and after puberty, and can achieve large breast enlargement, even on one side only.

This is one of the most difficult types of hypertrophy that is hard to study, since when conducting studies in women they do not find any diseases that contribute to breast augmentation.

Also, breast augmentation can be with curvature of the spine.

That is, it can also develop mechanically at an early age with improper posture, as well as in more mature women working in the office with a seated lifestyle.

Breast augmentation can be either unilateral or bilateral, that is, only one breast can increase, and the other at the same time wakes up to normal sizes and naturally both breasts increase at once.

More than 75 percent of women have unilateral breast hypertrophy, but it is not significantly noticeable. This is due to various factors, including the individual characteristics of each woman.

A slight increase in the bust means that the excess weight can be up to two hundred grams. With an average increase in breast volume can be from two hundred to five hundred grams.

With a large breast augmentation, excess weight can be from five hundred grams to one kilogram. Gigantomastia breast augmentation can be more than one and a half kilograms.


A woman, before conducting an operation on breast plastic surgery, should think about the possible risks of such an operation.

Thinking about the operation, it is worth noting that there is a so-called risk of relapse, that is, repetition.

After a decrease, the breast continues to grow, and this is not due to the fact that the operation was performed incorrectly, but to the fact that the hormonal background was not stabilized or all the body studies were not done before the operation.

There are also risks of the appearance of tumors, which are impossible or difficult to identify.

How to prepare for surgery

In addition to the psychological attitude, it is also necessary to carry out a series of sequential actions in order for the breast correction operation to take place without complications and not a difficult rehabilitation period.

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These actions are:

  • monitoring clinics for such specific operations;
  • specialist selection;
  • conduct a detailed blood test;
  • make an ultrasound of the internal organs;
  • do lung fluorography;
  • conduct an electrocardiogram of the heart;
  • make an ultrasound of the mammary glands;
  • quit smoking and drinking alcohol;
  • stop using drugs;
  • dieting;

An essential preparation after a series of actions is consultation with doctors and, if there are no contraindications for a number of actions, you can safely carry out the operation.

Reduction plastic
Photo: Reduction plastic

How is reduction mammoplasty performed?

Like any other operation, mammoplasty is performed by surgery, using general anesthesia.

Such an operation lasts 2-3 hours, depending on the level of complexity and the volume to be removed.

Before the operation, the doctor draws lines for the necessary incisions with a medical marker.

During the operation, the plastic surgeon performs the following steps:

  • an incision is made along the marked lines and the location of the future nipple and areola is determined;
  • excess adipose tissue is excised;
  • excess glandular tissue is excised;
  • the nipple-areolar complex rises;

In complicated operations, drainage can be established and then removed after two to three days.


Complications after reduction mammoplasty can be classified into two types:

  • early postoperative;
  • late postoperative;

Early complications include:

  • hematoma;
  • suppuration of the wound;
  • discrepancy of seams;
  • necrosis of adipose tissue.

Late postoperative include:

  • cicatricial changes;
  • loss of sensitivity of the skin and nipple;
  • relapse of breast hypertrophy;
  • deformation of the nipple and areola;

Such complications can arise if the surgeon does not conduct such an operation correctly and if the correct rehabilitation period is not observed.

A hematoma can appear within a day after surgery.

It is characterized by a large accumulation of blood in the wound, which disrupts the blood supply and subsequently leads to the following complication – like suppuration of the wound.

With the help of the drainage system, it is necessary to eliminate the hematoma.

Suppuration of the wound appears due to hematoma, as a result of introducing infection into the wound. It is treated with antibiotics.

Adipose tissue necrosis results from volumetric removal of the mammary glands.

Body temperature and pain may increase. Symptoms are circulatory disorders and large swelling.

With a large removal of fatty and glandular tissues, large scars remain that do not look aesthetically pleasing. It is possible to reduce, but not earlier than six months after breast plasty.

Loss of sensitivity of the skin and nipple can occur because, during incisions, it is possible to hook small nerve branches leading to the nipple and areola, as a result of which the sensitivity of the nipple is lost or completely disappears.

But after a while, sensitivity is restored again.

Relapse of breast hypertrophy can occur in too young women, as well as in women who are planning a pregnancy again.

Therefore, it is not recommended to perform operations for girls younger than 18 and women who, after the operation, will breast-feed their children naturally.

Nipple retraction
Photo: Nipple Retraction

Deformation of the nipple and areola can be divided into two types:

  • retraction of the nipple;
  • flattening of the contour.

For all complications and pains that bother you after the operation, be sure to consult a specialist.

The period of recovery

Breast rehabilitation period is very important and requires a careful approach and attention to yourself. After the operation, you need to prepare the right clothes and shoes, as the movements will be limited and careful.

If necessary, you need to fix the chest with elastic bandages, or wear compression underwear or bandage. Wears such underwear must be worn for two to three weeks around the clock.

In addition, you need to carry out the necessary actions:

  • sleep only on the back, placing a pillow or roller on the back so that the position is slightly elevated;
  • do not take a shower, about ten days after surgery, when the healing of surgical sutures takes place. While taking a shower, do not rub your chest;
  • do not sunbathe and do not visit tanning salons within three months after the operation;
  • Do not engage in physical activity;
  • do not follow a diet, but at the same time do not eat too much, because when losing weight or vice versa gaining weight, there is a risk of losing the shape of the breast.

What to ask a doctor

When deciding to have breast plastic surgery, in consultation with a specialist, feel free to ask questions that are of interest to you, as this is only your decision and you need to live with it.

There is a list of important questions often asked by patients, to which a specialist doctor must correctly answer you without concealing or hiding anything.

If you still doubt the answers, consult with several experts at once.

So the list of frequently asked questions is as follows:

  1. How much does breast reduction surgery cost?
  2. At what age can surgery be performed?
  3. Is it possible to breast-feed a baby after breast plastic surgery?
  4. Is the operation dangerous?
  5. How is the surgery going?
  6. How long does the rehabilitation period after surgery last?
  7. How to choose the right plastic surgeon in the industry?
  8. Can the breast again grow out?
  9. How long do scars heal?
  10. What tests should be taken before surgery?
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