Laserplast
Reduction mammoplasty
True beauty lies in the beholder’s eyes

Reduction mammoplasty (or breast reduction) is a procedure in which the shape, size and position of large breasts are modified. The breasts are elevated, maintaining the nipple/areola complexes in position. Under general anaesthetic an incision is made in the skin which, in cases of moderate volume reduction and moderate ptosis circles around the areola and extends vertically down to the inframammary fold (key hole). In more severe cases a further incision will be made horizontally (length is variable) along the curve of the inframammary fold (inverted T). The nipple/areola complex is left inserted on a fibroglandular pedicle (superior, inferior, lateral, medial or central, according to the chosen technique) is repositioned correctly and sutured.  The excess fibroglandular tissue is removed and the remaining tissue is reshaped to create a smaller, higher-positioned breast. Excess skin is also removed. This procedure is always preceded by ultrasonography and/or radiology exams in order to exclude or clarify the possibility of existing pathologies.

TYPE OF TREATMENT
Surgical procedure
INFORMED CONSENT REQUIRED
Yes
LENGTH OF EACH TREATMENT
1 – 1,5 hours
NUMBER OF TREATMENTS
1
TIME BETWEEN TREATMENTS
 –
TYPE OF ANAESTHETIC
Generale
SIDE-EFFECTS (ALSO TEMPORARY)
Pain and swelling for several days, controllable with medication. At the end of the procedure drainage tubes can be left in place, and removed 24-48 hours later. Possible risks are haematoma (accumulation of blood that very rarely requires surgical drainage) and seroma (accumulation of serous fluid that rarely requires surgical drainage). Necrosis, sometimes partial, of the nipple/areola complex can occur, although extremely rarely, and usually linked to the major surgery required in the most severe cases. This leads to poor-quality scars which often require a second surgery. Insensitivity of the nipple/areola complex: during surgery it is possible to damage, even only partially, the sensitive innervations of the nipple/areola complex. A temporary reduction in sensitivity is considered normal, but sometimes it may be permanent. Liponecrosis: liquefaction of the subcutaneous adipose tissue which tends to exude in the form of a yellow oily liquid. It causes depressions in the skin surface. Infections are very rare and controllable with medication. Pathological or keloidal scarring.
PRECAUTIONS AFTER TREATMENT
Avoid intense physical activity (including sexual) for 2-4 weeks after the procedure, avoid sunlight exposure, wear a supportive bra for 2-6 weeks after the procedure.
PRECAUTIONS BEFORE TREATMENT
No anticoagulant or antiaggregant medications for at least 4 days before the procedure; stop smoking