AESTHETIC MEDICINE AND SURGERY
Breast enlargement may be caused by enhanced hormonal receptivity or genetic factors and it can be exacerbated by pregnancy or breastfeeding. Breasts can also increase in size following significant weight gain.
Surgically, enlargement of breast tissue which requires the removal 800 grams of tissue per breast or more may also be described as gigantomastia.
Heavy breasts may cause neck pain and upper and lower back pain. Skin rashes under the breasts are common and bra straps can cause chronic irritation, redness, and indentations in the shoulders. Women with this condition may experience psychological stress due to limitations socially, clothing-wise, and in sporting and sexual activities.
Breast reduction aims to reduce the size of large (hypertrophic) breasts in combination with the uplift of the nipple-areola complex, reshaping smaller breasts in a higher position.
It involves the excision of excess mammary tissues, mainly from the lower part of the breast. Breast uplift (mastopexy) is attained through glandular moulding: the gland is anchored in a higher position with deep sutures. In this way, better-defined roundness is obtained in the upper mammary region and the nipple-areola complex is uplifted. Only deep, dissolvable sutures are used.
A short scar (vertical or “J”) is seen in cases of minor/moderate reduction surgery, whereas a longer scar, with a component along the inner inframammary fold (inverted “T”), is seen after major excision. Scars are usually hidden under the bra.
After the surgery, breasts are excessively high, more swollen in the upper region and stretched and square in the lower pole. Gradually, in the following weeks, they will settle and achieve the appropriate shape.
Breast reduction with mastopexy is performed under general anaesthesia (the patient is asleep) with a one-night hospital stay after the surgery.
Careful administration of pain-killers during and after the surgery ensures that post-operative pain and discomfort are kept to a minimum.