The purpose of breast reduction is to reduce the volume of the mammary gland and to change the shape and position of the breast.
The procedure consists in a reduction of the breast volume, by removing the gland located at the lower portion of the breast.
The remaining gland is then remodeled and raised to the upper portion of the breast.
The areola and nipple are thus repositioned to an ideal position located at the top of the breast.
This mammary reduction then creates an excess of skin that must be resorbed by cutaneous scars. These can be located around the areola and:
– vertical in rare cases (young patient and moderate hypertrophy)
– most often vertical and horizontal: technique called “T” or marine anchor which are carried out most of the time
If you have a family history of breast cancer, a mammogram and an ultrasound may be required.
Breast reduction is performed under general anesthesia. This requires a pre-anesthetic consultation at least 48 hours before surgery.
In most of the cases, the procedure is carried out in conventional hospitalization (entry at 1 pm and leaving at 11 am the following day) but not exactly consider in ambulatory surgery (entry at 8am, exit at 18h).
The procedure is not painful but the post-operative care requires to disrupt your professional activity for 5 to 7 days.
Unlike the majority of our French colleagues who use a superior pedicle technique, we use a specific surgical technique (superimposed pedicle technique) described by a Canadian surgeon (Elisabeth Hall-Findlay).
This technique has the great advantage of not separating the areola and the nipple from the underlying gland. This allows to:
– avoid almost any risk of necrosis of the areola and nipple (5% of cases with the upper pedicle technique)
– Greatly improve the postoperative sensitivity of the areola and nipple and preserve this erogenous zone.
– To be able to consider breast-feeding after breast reduction (impossible with the upper pedicle technique).
This technique also allows us to limit the detachments of a large amount of tissues and to allow breast reduction surgery in ambulatory without installation of drain of Redon.
What are the possible complications of breast reduction?
The main complication is the alteration of the sensitivity of the areola and nipple. This occurs in about 30% of cases and can last in the long term.
A hematoma or blood clot may occur on the evening of surgery but this is extremely rare.
In the case of extremely large breasts, canola pain can occur in 5% of the cases requiring an areola transplant during or the day after surgery.
The scars are initially thick and inflammatory in the first 3 months, and then decrease sharply until 18 months after surgery.
What are the postoperative care?
Post-operative care is relatively simple.
The day after the procedure, the drains are taken out by the nurse and the care is taken after the shower.
They consist of disinfection of the scar followed by placement of dressings or compresses in the sports bra.
This care is repeated every day at your home for 15 days, possibly helped by a nurse the first few days.
The compression bra should be kept constantly for up to 3 weeks after surgery.
What will my cup size be after the procedure?
Most of the patients requiring breast reduction have a higher cup than E.
In order to maintain a harmonious breast shape, it is necessary to keep a breast volume equivalent to a cup C.
Some women want a B-cup, but they should be warned that the breasts may be a bit flat and less aesthetic.
Can you breast-feed after the procedure?
It is strongly advised not to breast feed.
Indeed, since breast reduction surgery separates the areola from the underlying gland, the galactophoric ducts leading to the milk are cut.
There is a very high risk (more than 80%) of breast engorgement during the rise of milk which can evolve towards an infection.
How much does a breast reduction cost?
The health insurance covers the breast reductions whose glandular resection piece is greater than 300g per breast operated.
This corresponds in practice to a large cup D.
In these cases, I practice complementary supplements of fees that vary between 2000 and 3000 Euros, possibly taken care of by your complementary health insurance.
If the planned glandular resection is less than 300 g, the prices correspond to those of a simple ptosis treatment (from 4500 to 5500 euros)