In adolescence or also due to pregnancy sometimes occurs an extreme enlargement of the breast size, their hypertrophy (macromasty, gigantomasty). Although it may seem incomprehensible for a part of men’s population, this condition is very stressful for the patient and means also a great restriction to her. This condition may be resolved by a surgery, i.e. reduction surgery of the breasts, which is in principle similar to the reshaping surgery. This surgery may also reduce the size of the breast, sagging of the breast or adjust mild asymmetry. The size of areola may also be adjusted.
The surgery is performed in general or epidural anaesthesia, which means that during the whole surgery is the patient sleeping and surgery lasts in average 3 – 4 hours. Areola with the nipple is moved several centimetres upwards and the breast tissue around is "wrapping“ the gland body whereas the excessive skin and the actual mammary gland is removed. The cut, which is made in the breast, has a shape of a "keyhole" and the resulting scar which is created around the areola is directed downwards and than transversally in the whole submammary groove. Reshaping of the breast is possible in certain situations only from one cut around the areola but this has however certain advantages and disadvantages.
In the first hours after surgery, you can experience pain, which may be very well relieved by pain-killers. Breasts are covered with sterile dressing and you must stay at rest in the first days after the surgery. Dressing will be removed after several days and it will be replaced by a surgical bra. This needs to be worn exactly according to the recommendations of the physician. It will be possible to start changing the surgical bra with normal firm bra after 8 weeks. You will probably stay in hospital for the following one or two days after the surgery. Healing is a gradual and greatly individual process. In the first days, your breasts will be swollen and you will have bruises, which start to disappear quickly. Some swelling could persist for several weeks. Sutures are absorbable and it is not necessary to remove them. After a week, you can return to your job again. If you perform physically demanding job, it is best that you defer your return to job for few more days. It is necessary to wait for at least a month with sport and similar activities. Your nipples will be more sensitive for a certain time after the surgery.
Photogallery before and after operation you can find here.