Breast - Areolar Reduction
Package 7.2
***Prices are subject to change without prior notice.
Package Includes
Package Excludes
Patient Eligibility
The package is applicable for elective, uncomplicated patients. Patients with the following conditions are considered to be complex or high risk cases and will not be qualified for the package:
About the Procedure
Breast Hypertrophy (causing painful strain on the neck, shoulder and back)
General Anesthesia
Reduction mammoplasty typically is performed to reduce disproportionately large, sagging breasts. It also can reduce the size of the areola (the dark pink skin enlarged as the breast develops). The choice of operation will depend on the degree of hypertrophy and the amount of breast removal. Periareolar breast reduction is suitable for minimal amount of breast removal. Vertical incisional line is drawn around the areolar margin and extend downward inferiorly towards the mammary crease. Horizontal extending incision from the vertical line is the choice for bigger breast and more volume breast reduction is anticipated. Still there are a number of modifications of operations to suit with the different type of hypertrophic breast.
The most commonly employed technique, called brassiere pattern skin reduction, involves both horizontal and vertical incisions that follow the contour of the breast. The vertical incision creates a key hole-shaped pattern above the areola. Working through the incisions, the surgeon excises excess tissue, fat and skin on the sides of the breast. Skin is removed from the area within the vertical incision and around the areola. The nipple, areola and underlying tissue are moved through this space to a new higher location.
Another technique involves completely detaching the nipple from the breast before relocating it. Since a transplanted nipple loses all sensitivity, this approach is performed only when deemed necessary for patients with extremely large breasts. After the nipples are repositioned, skin on both sides of the breast is moved down and around the areola and then brought together to recontour the breast. Sutures close the wounds under the breast and around the nipple area. Following surgery, a gauze dressing may be applied to the breasts or the patient may be placed in a surgical brassiere.
5-6 hours
4 days 3 nights
After surgery, you will be wrapped in elastic bandage or a gauze dressings and surgical bra. A small tube may be placed in each breast to drain blood and fluids for the first day or two. The extent of the post-operative swelling and bruising is dependent on whether you tend to bruise or swell easily. The amount you can expect varies for each individual but past surgery or injuries should be a good indication. Applying cold compresses or ice packs will reduce swelling and relieve discomfort. Many patients use a watertight plastic sandwiches bag filled with frozen berries or peas. Regular icing is the key to relieving swelling. The bandages will be removed a day or two after surgery, though you will continue wearing the surgical bra around the clock for several weeks, until the swelling and bruising subsides. In most cases, stitches will be removed in one to three weeks. Sometimes the surgeon will use only dissolvable sutures. If breast skin is very dry following surgery, moisturizer can be applied several times a day, but the suture area must be kept dry at all times.
Swelling and skin discoloration around the incisions generally will subside in a few days. After surgery, there may be a temporary loss of sensation in the nipples and breast skin. If it occurs, this condition will improve with time. Sutures will be removed within two weeks after surgery. Although the surgeon makes every effort to keep scars as inconspicuous as possible, reduction mammoplasty scars are extensive and permanent. The patient must be willing to accept the change from large uncomfortable breasts without scars to small comfortable breasts with scars. Scars remain highly visible for a year following surgery then fades to some degree. Since incisions were made around and below the nipples, scars should not be noticeable even in low-cut-clothing. To permit proper healing, you should avoid excessive exercise and refrain from over heal lifting for three to four weeks. The decision on when to return to work and normal activities depends on how fast you heal and how you feel. It is important to follow a careful plan on return to strenuous activity, in order to avoid tension on the wound (which could lead to worse scarring). Keep your bandage clean and dry. Sponge bathe only. You will remain in bandages for about one week. Light activities can be resumed within a few days. Routine physical activities and exercising (especially lifting, pulling) should be avoided for at least 6 weeks. Empty and record the drains three times a day. NO SMOKING for two weeks after the surgery.
Risk
The possible risks of surgery are divided into two groups. First, those are seen in all operations and second those that are unique or special for a particular operation. In the first group, the main risks are swelling, bruising, bleeding, infection, a scar and numbness or change in sensation. The main problem, which is unique to this operation, is damage to the blood supply of the nipple and a heavy scar.
Postoperative complications, such as delayed healing, infection or localized collections of blood are uncommon. Poor healing may necessitate subsequent scar revision. Risk of complications can be minimized by closely adhering to your surgeon’s advice on follow-up care during healing process.
Breast-feeding may not be possible after surgery.
Prepare for Surgery
Dr. Ronachai Komthong, M.D. A board certified Plastic surgeon , Naravee Aesthetic Clinic & Surgery 16 Udom Suk Soi 30, Sukhumvit 103 road, Bangna district, Bangkok 10260 Thailand International call( +7 GMT) ; Mobile: +668-1399-7175 Office tel.+66-2398-8565 Mobile(ENG): +668-1624-7352 number on off time 08.00am. to 19.00pm FAX no. +66-2398-8565 Ext. 425 contact(E-mail): naravee_clinic@hotmail.com
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