Breasts Surgery

The breast lift is the surgical procedure by which breast ptosis ("fallen") is treated. The causes for breast ptozarii are different for each person, the most important being:
  • genetic
  • Multiple tasks
  • Long lactation period
  • Sudden and massive fall in body mass, etc.

Sagging breasts can be of normal consistency or lack volume and the recovery procedures to a normal breast contour is different in each of these two cases.

Breast ptosis has 3 degrees of severity, ranking according to the position of the isolamamelonar complex with respect to the inframamar (submamar) shaft. This classification is very important and is an important tool in making the operator plan by the surgeon. Technique varies depending on the degree of ptoosis; The higher the number of scars will be, the higher the number of scars
If the breast is devoid of volume and the ptox is relatively small, breast correction can only be done by introducing a silicone-like, which by filling the volume will aesthetize the mammary gland and "put it" in a satisfactory position. In this case, the only scar that results is that of the inframamar shaft.

If the ptosis is larger and the breast is devoid of volume, then with the introduction of the implant must be excised and the skin that is in surplus, the incision and the scar that will result is periareolara (around areola). In cases of severe pycosis, the periareolara scar is accompanied by another vertical scar and sometimes another one that will be positioned in the inframamar shaft (inverted "T" scar).

Frequently Asked Questions

What are the indications of breast enlargement (mastopexy)?

Lifting is addressed to the following types of patients:
  • Patients who understand that they will remain with definite scars and accept them as such
  • Patients with a higher or lower degree of ptosis, with or without volume deficiency, and for whom this defect has psychic implications
  • If you are young breast development must be complete
  • You have to be emotionally mature and understand perfectly the motivations for which you want this surgery
  • Your expectations must be real, knowing that this operation brings improvements but not perfection

  • What are the healing stages of breast augmentation (mastopexy)?

    The scars heal in several phases. Until about 6 months, they are in a continuous process of reshaping, the scars being red and bigger. After this period, the scars appear, the scars bleach in order to finally heal by forming a fine white line.

    The healing process does not only depend on the surgical technique, which is very correct, or the type of suture material that is of the highest quality for all our patients. A very important factor is how each of us heals. On this factor, as it is an impediment, we can not intervene. Sometimes a post-operative scar retouch is needed, which is done with local anesthesia, at least 6 months after the primary intervention.

    What are the complications of breast enlargement surgery (mastopexy)?

    Complications of the method can be immediate postoperative:
    • Massive bleeding
    • hematomas
    • Skin necrosis
    • infections
    • Cutting sutures, etc.

    Hospitalization for 24 hours in our clinic, the use of 48-hour vacuum drainage, 48-hour consultation, and removal of suture material will all prevent the above-mentioned complications. That's why it's a must come whenever your doctor asks you!

    Other complications may occur at a distance:
    • Poor scarring
    • Malposition of areolo mamelonar complex
    • Capsular contraction when breast implants are used
    • Malposition of breast implants in relation to mammary gland
    • Breast asymmetry, etc.

    What are the contraindications of this surgery?

    The contraindications of this technique are:
    • Serious blood disease
    • Diabetes
    • Serious infectious diseases
    • Autoimmune diseases
    • Serious dermatological diseases
    • The tendency to the formation of keloid

    How can I tell if my breast implant is lifting or not?

    Your surgeon will ask you to come through more preoperative consultations before setting the date for surgery. This is to inform you fully about the operation you are about to undergo. During these consultations you will be measured and you will be offered one or more methods to solve your problem, and you still have to decide exactly what you want. You will be shown pictures of patients similar to you, which were the phases of healing and how the final result looks. That way you will know exactly what to expect
    As a generally valid rule that could focus a little on your personal situation, if your breast is totally lacking and your surplus skin is high with the areola and nipple dropped a lot, then you will definitely need implant lifting. If your breast is pulled more or less, but its volume is significant then lifting will not necessarily require an implant to mount the already existing volume.

    How long after breast lift (mastopexy) can I return to normal life?

    Healing the sutures will be done for 10-12 days, the suture thread will be extracted. It is advisable to use a support bushel for at least 2 months after surgery. Postoperative scars should be groomed daily by applying special creams or patches. If the postoperative scar is just periareolar, then exposure to UV immediately after surgery is welcome, their hyperpigmentation rendering them final and less visible! If the scars are multiple then the contraindication for UV exposure for at least 6 months is absolute.

    After 2 months, the nonstop wearing of the bustier can be dropped, which will later be replaced during the day by the normal bra. All movements of the arms will gradually resume, the degree of intensity of physical activity will gradually increase from one week to another postoperatively, so after 2 months half-three months, all will return to normal.

    Although treatment is very effective, however, 1% of patients do not get the desired results!

There are cases of breast ptosis (falling) that can be solved by means of fitting the breasts with implants through a breast augmentation surgery (the breast implants solve the ptosis). Most often though there will also be a need for a periareolar mastopexy surgery pariareolar mastopexy, an intervention that corrects the periareolar skin surplus.

Usually patients with breast ptosis are not happy with their breasts, especially in the upper pole (upper half) of the breast area where there is a most noticeable lack of volume, the neck contour lacking whatever type of bra used. Therefore, for patients with ptosis round convex implants are usually recommended.

Although these treatments are very effective, 1% of the patients do not achieve the desired results!
If you want your breasts to be bigger, full of volume or have a more youthful look, this surgery is probably the best solution.

Known also as augmentation mammoplasty, breast augmentation is a cosmetic surgical procedure that uses breast implants to restore the natural shape of your breasts.

Frequently Asked Questions

Is breast enlargement with silicone implants (breast augmentation) indicated in my case?

Women who use this type of surgery want to “fix" deficits in this part of the body and thereby improve their self-image. Some people just want to balance breast size, others to restore their natural volume after pregnancy or weight loss. If you have any of the following, it means you are a good candidate for breast augmentation:
  • breasts too small
  • changed size and shape of the breasts after weight loss
  • breast firmness loss after birth
  • clothing covers the lower half of the body well but is usually too large on the chest
  • difference in size between the two breasts

Patients must meet the following requirements to qualify for this intervention:
  • If you are young, breast growth must be complete
  • You must be emotionally mature and understand perfectly the motivations for which you want this surgery
  • Your expectations need to be realistic, knowing that this operation brings improvements but not perfection

What does the first consultation for breast enlargement with silicone implants (breast augmentation) consist of?

This is the first step that future patient must make. During this meeting, your surgeon will evaluate your physical, mental and emotional health. You should be prepared to answer questions about:
  • surgery history
  • past or present illness
  • medication you take, including herbal remedies or supplements
  • the results of mammograms, if any
  • history of breast cancer in your family

Your surgeon will explain to you the procedure and how internal and external factors can change the shape of the breasts. The breasts will be examined and probably shoot for the clinic medical records. Breast size and shape, skin quality, location of the areola and nipple will be considered.

If you have not done a recent mammogram, it is recommended you do one before the surgery. Your surgeon may suggest you other additional procedures in order to improve the results. For example, if your breasts are sagging, breast augmentation can be done in conjunction with a breast lift procedure.

What does the breast enlargement with silicone implants (breast augmentation) surgery consist of?

The surgical technique used by your surgeon depends on the results you want. The incision can be located in three different places: in the mammary groove, periareolar, or in the axilla. The "pocket" where the prosthesis is inserted can be done behind the pectoral muscle in contact with the rib grid or, respectively, behind the breast tissue, over the pectoral muscle.

What are the risks of breast enlargement with silicone implants (breast augmentation) surgery?

There are two types of breast implants: saline and silicone gel. Saline implants are history now. Modern implants contain cohesive silicone that does not leak and does not change shape. Silicone gel implants are very natural to the touch and are therefore preferred over saline.

Every year thousands of women benefit from this procedure without experiencing major complications. Your surgeon will provide you all the information about the risks and benefits of this procedure. It is advisable to follow all instructions given by your doctor regarding both the preoperative and postoperative period to minimize the risks.

How do I know what size of breast implants is right for me ?

The final consultation with your doctor should include a series of measurements after which he or she will indicate a maximum and a minimum size that would fit you. Also your doctor will recommend a shape for the implant, depending also on your preferences.

In our clinic a range of external sizers are made available for the patient, ie prosthetics placed in a special bra that can give the patient a relative but pretty close to reality perspective of the future breast.

How do I prepare for the breast enlargement with silicone implants (breast augmentation) surgery?

  • certain medications that should be avoided
  • stopping smoking
  • preoperative tests and investigations

The surgery is performed in an operating room under general or local anesthesia with intravenous sedation. Immediately after the surgery you will be monitored in a special recovery room and your breasts will be bandaged with bandages or a special bra.

How will I feel after the breast enlargement with silicone implants (breast augmentation) surgery?

After a day or two, you will be able to get up out of bed and perform less demanding activities. You will feel discomfort like chest tightness and strong muscle soreness. Although each person heals differently, we can draw some general guidelines, as follows:

In the first week:
  • You have taken the first postoperative shower
  • You will be able to resume daily activities
  • You may resume sexual life as long as the breasts protected

After 7-8 weeks:
  • Most of the swelling will disappear and the final outcome will begin to shape
  • You can discontinue the non-stop use of the bustier
  • You may resume your more intense workouts and broad movements of the arms

After 8 weeks:
  • resume all the activities you did before the surgery
  • one thing should not be overlooked, namely soft, circular massage is indicated since week 3 must continue up to 6 months after the intervention.

What do I need to know about the results of thie breast enlargement with silicone implants (breast augmentation) surgery?

Usually patients show a high degree of satisfaction. You will give up bras coupled with sponges or other artificial methods of breast enlargement. Most women find that their new figure grows their self-confidence.

The results last for many years, however remember that the effects of gravity, the body mass fluctuation and aging affect the operated breasts. After the healing period the patient should come back for more consultations with her surgeon so the long-term results can be measured.

How do I know if I have breast implants of the highest quality?

Your surgeon will present a series of implants he or she works with. Original implants show dentures and a serial number and are also marked with the producing company's logo. In the Care Zone clinic the doctors use the best brands, namely Mentor, Inamed, Sebbin, Eurosilicone.

The patient will receive a card with the serial number of the implants used, this card also represents the manufacturer's warranty.

After how much time should I change my breast implants?

The vast majority of these authorized prostheses are guaranteed for "life". What can not guaranteed by anyone is that the breast shape will be maintained over time. Breast shape is influenced by many factors, the most important being: multiple pregnancies, breast size, degree of elasticity of the skin, the type of daily activities etc.

Usually, in normal conditions, the breast shape keeps for a number of years (10-15) adter which it will probably require an intervention for breast lifting, during which most of the patients opt to change prostheses.

Although these treatments are very effective, 1% of the patients do not achieve the desired results!
Breast reduction is a procedure that greatly improves the quality of life for women with large breasts. Following this procedure women will get not only a reduced breast volume, but also an improved shape. Also, physical, mental and emotional discomfort disappears, obtaining freedom of physical movement and freedom to choose from a larger variety of clothes. Of all surgeries, breast reduction enjoys the highest degree of satisfaction among patients.

Breast reduction, also called reduction mammoplasty, is a procedure that consists of removing excess breast tissue, bringing breast size in proportion to the body. The areola may be reduced and repositioned as well.

Frequently Asked Questions

Is breast reduction recommended in my case?

This procedure can be practiced at any age but the surgeons' recommendation is to wait until breast development is complete. Childbirth and breastfeeding can affect the size and shape of the breasts. If you have planned to have a child in the future it would be better to discuss this with your doctor.

You are a good candidate for this procedure if you have one of the following problems:
  • Back shoulder and neck pain, caused by the weight of the breasts.
  • Heavy sagging breasts with areolas and nipples placed at a very low level.
  • Very bulky breasts, disproportionate to the body.
  • Submammary skin irritation.
  • Scars left by the bra on the shoulders.
  • Restriction of physical activity due to the size and weight of the breasts.
  • Psychological issues created due to the increased size of the breasts.
  • Volume differences between the two breasts.

What do I need to know about the risks of the breast reduction surgery?

Every year thousands of women undergo this procedure with minimal complications. One of the most important parts of the consultation is the discussion about the possible complications. It is advisable to follow your doctor's instructions strictly both before and after the surgery.

What are the breast reduction surgery preoperative recommendations?

Once established the intervention, your surgeon will instruct you both in terms of the day before the surgery and the following days:
  • Avoiding drugs that can complicate the healing process.
  • There are several blood tests recommended before the surgery, also a mammogram if your family history includes breast cancer.

Breast reduction is done in an operating room under general anesthesia. You will be given specific medication to keep you comfortable throughout this procedure .

How will I feel after the breast reduction surgery?

After the surgery is finished you will be taken to a recovery room. In some cases drainage tubes will be mounted below the breasts in order to prevent fluid accumulation. The breasts will be bandaged with an elastic bandage. Starting with the day of the surgery you will be encouraged to do some light movement. The discomfort that you will feel in the coming days will be kept under control with proper medication.

Although each body heals differently, a few general conclusions can be drawn:

In the first week:
  • You will resume movement, in some cases you can go back to work.
  • Drainage tubes will be removed.

After 7-8 weeks:
  • The ecchymosis (bruising), edema and discomfort disappear.
  • You can discontinue the non-stop use of the conformer.
  • Normal sensitivity of the nipples and areolas gradually improves.
  • You will resume normal daily activities and some medium intensity exercise.

After 3-4 months:
  • Your breasts will get a more natural form and the scars will begin to diminish.
  • You will notice the disappearance of pain in the neck, back and shoulders.

What do I need to know about the results of the breast reduction surgery?

You will gain a well proportioned body shape, clothing will fit you better, you will be able to do physical activity with more ease. Although the incision lines will be permanently visible, they will soften over time and are easily covered with clothing.

Breast reduction usually dramatically improves body shape and you may need some time to get used to your new appearance. It is expected that the new breast size will maintain over a long period of time, if you will keep your weight at a constant level.

If, over time, due to the effect of gravity and aging, your breasts will lose their firmness, a cosmetic surgical procedure (breasts lifting) could be needed for correction, which will rejuvenate the breasts' contour.

You will have to come back for a checkup one month after the healing period ends, three months and again in six months time, or whenever your surgeon asks you to. It is important to follow these appointments so that your doctor can assess long-term results.

Although these treatments are very effective, 1% of the patients do not achieve the desired results!
Breasts can be modeled on the basis of fatty tissue which is quite abundant at this level in the case of heavy bodied patients. Some experts perform mammary reduction by liposuction of the glandular and periglandular fat. This method is successful only in selected cases in which the breast is made up mostly of fatty tissue.

Liposculpture also addresses the thiner patients, who, after a breast augmentation surgery with silicone implants, can feel the edges of the implant. By introducing fat at those levels this shortcoming is fixed.

Lately there have been international efforts to put in place a method of breast augmentation with autologous fat transfer (microlipofiling). Large amounts of fat were collected from other areas and were introduced using small cannulas. The operation is extremely thorough, lasts 6-7 hours and the results are inconsistent. Usually the procedure must be repeated to obtain satisfactory results. There are not many followers of this intervention because it is very expensive and the results are not up to the expectations.

Another indication is the breast reconstruction with liposculpture after breast ablation in oncology. The autologous transfer technique can be very useful in obtaining increased consistent tissues to cover the breast implant as natural as possible.

Frequently Asked Questions

What are the indications of liposculpture?

These types of interventions arevapplied to patients where there is excess fatty tissue that can be collected, transferred and grafted in the breasts.

Breast reduction is recommended by liposuction if it is desired a moderate decrease of the mammary gland, when there is adequate skin turgor at this level, and when the permanent scarring from a classic breast lift (mastopexy) procedure is not allowed.

What are the contraindications of liposculpture?

Contraindications for this method are serious blood diseases and consumptive dermatological diseases, extremely high laxity of skin or low patient compliance.

What are the risks of breast liposculpture?

Breast liposuction, although it seems slightly barbaric, it seems risk free because there is no evidence that the canaliculi are destroyed.

During this procedure, the fat near the lactiferous ducts is suctioned, the ducts remaining intact. The risks are the same with any common surgery: excessive bleeding, hematoma, infection, temporary lack of sensitivity in certain operated areas.

How long does the breast liposculpture surgery last?

The surgery can last from a few minutes to 6-7 hours, depending on the workload and the chosen technique. Remodeling the breast contour by microlipofilling is an intervention that can last 15 minutes.

After how long can I undergo a new breast liposculture surgery?

There is in almost all localizations and all patients, a greater or less resorption of the transplanted fat, most often patients being informed that there will be done a hypercorrection (that there will be introduced a little more fat than it should), just as about 30 to 50 % of the fat will reabsorb. Even in these cases, it it required another intervention that can be made 5-6 months apart , sometimes even faster.

Although these treatments are very effective, 1% of the patients do not achieve the desired results!
This type of correction is most commonly associated with corrections in the mammary areola during breast reconstructions, after breast cancer. There are several techniques using the tissue surrounding the nipple correction. In the case of an unilateral ablation a portion of healthy breast nipple may be used for transplantation to the reconstructed breast.

The results are good in every situation, but for symmetry it is still preferable to transplant a piece of contralateral nipple when possible. In the case of a massive breast reduction by means of amputation, nipple reconstruction is done using one of the techniques of reconstruction using local flaps.

Another type of pathology at the nipple that can be corrected surgically is represented by their invagination. It is a deformity of the nipple that instead of naturally protruding outward they are "buried" in the areola. A Correct can occur spontaneously during a breast augmentation surgery with implants, if desired.

It is usually a congenital problem but may also be related to scarring after breast feeding, breast duct infection or a history of breast surgery. Clogging the nipple can cause functional problems such as irritation, redness and discomfort, and can hinder breastfeeding. Surgical correction is often chosen for cosmetic reasons.

Invaginated nipple problem occur in about 2% of women. Is anatomically related to the degree of contraction of the mammary ducts, pulling the nipple down, and the amount of tissue left at the base or neck of the nipple. There are several degrees of retraction:
  • I Degree: nipple can be pulled off quite easily and kept in this position;
  • II Degree: the nipple can be pulled out with more dificulty, has a tendency to fall back quite easily;
  • III Degree: it is difficult or impossible to pull off the nipple.

The treatment involves several procedures over the years, dating back to 1888. The procedures are classified into two groups: some keep the breast ducts, other intersect the breast ducts.

More than 20 surgical procedures have been disclosed, methods varying from thickening the neck and the base of the nipple, adding tissue to the base of the nipple, incisions to relieve contracture scars, to the internal incisions and suturing to support the nipple.

Frequently Asked Questions

What are the possible risks of the nipple correction surgery?

The risks involve necrosis of the transplanted tissue, in which case another method of reconstruction must be found. Another risk is marked asymmetry in the case of unilateral reconstruction done by the neighborhood flap technique.

What should I know about the healing period after a nipple correction surgery?

Usually within 2 weeks the healing process is complete, if there are no complications. In 12 to 14 days the suture material is removed and the patient can clean the area with soap and warm water. The scar will reach maturity usually in 6 months after the surgery.

What are the contraindications for the nipple correction surgery?

The contraindications are major diseases of the blood or skin, insufficiently investigated pathologies associated with the breast, uncooperative patients with unrealistic expectations, disorders of wound healing.

How long does the nipple correction surgery last?

The surgery usually lasts between 30 and 60 minutes, depending on the chosen technique. The neighborhood flap technique is faster. The graft technique is laborious and requires an graft initially harvested from the groin.

Do I have to stay hospitalized in the clinic after a nipple correction surgery?

Usually there is no need for hospitalization. If there is an associated pathology, it is betterto stay in the clinic for 24 hours after the surgery, under medical supervision.

Is nipple correction a painful surgery?

It is a painful surgery. It is performed under local or intravenous anesthesia. For the comfort of the patient general anesthesia can also be choosen. Postoperatively, at reconstruction, the discomfort can easily be countered with common analgesics.

Although these treatments are very effective, 1% of the patients do not achieve the desired results!

Absolute symmetry in the breast is extremely rare in women. Often there are differences between the two breasts, differences the patient is conscious about or not. If the differences are minimal, the patient usually does not know about them and is for the surgeon at the preliminary examination of alleged interventions to highlight. Sometimes the differences between the two breasts are influenced by large or small deformations in the chest, half of the chest being "clogged" than the other half.

There are numerous cases where differences are obvious in the areolo-niple area, areolas being arranged at different heights, too lateralizate or too medializate. Asymmetries can occur in the inframammary fold, one being disposed above and the other below. In the case of very small breasts, this trench does not exist and has to be created during the breast enlargement surgery. Sometimes there is such a big difference between the breasts that they seem to belong to two completely different people.

Some of these differences can be easily corrected, some not! Your surgeon will make a thorough inventory of possible asymmetries and will expose possible methods of correction, if necessary.

Solving all these differences is difficult and depends primarily on the surgeon's experience.

If the breasts of different sizes can be fitted with different sizes of silicone implants, but the difference in volume between the two breasts remains, an arbitrary discretion has to be made by the surgeon, which will be more exact as the surgeon's experience is greater. It is the same in the case of breasts equal in volume but with an unilateral chest deficit. If equal implants are introduced, then the result can be disastrous. In this case, the difference in volume between the two prosthesis is more difficult to assess than for asymmetric breast volume but normal ribcage.

If there are deficits in the inframammary fold, corrections are more easily made, and the results are satisfactory, also maybe because this element is not too visible.

The most difficult to correct are differences of breasts and areola-nipple positioning. If a breast is above and one below, it is mandatory to seek a visual balance juggling with implants fitted at different heights. If the implants are mounted at the same level, the difference in height between the breasts will be more obvious and the patient's dissatisfaction very high. The differences mitigation solution is to place implants at different heights so that the overall appearance to be more harmonious.

If there are differences in the size and shape of the nipples, this can be corrected easily by a periareolar incision. Although immediately after the surgery the areolas look exactly the same, the healing process can influence their size because the tissues has a "memory" that tends to restore the original shape even after a surgical correction.

In the case of breast asymmetry, more retouching surgeries are often needed in order to get results close to the desired outcome.

Frequently Asked Questions

When is it right to use one of these methods of breast asymmetry correction?

Patients who know their breasts show important asymmetries and have developped psychological issues:

  • large differences in volume between breasts
  • large differences in breast appearance
  • asymmetric positioning of the areola-nipple
  • large differences in diameter of the mammary areola
  • Poland syndrome
  • other malformations of the chest which cause a deformed breasts look

What guarantees do I have that the breast asymmetry correction surgery will have a good result?

Due to the many types of asymmetries and high diversity in the evolution of the healing process, guarantees regarding the outcome can not be given. Usually for the large corrections, at least two surgical steps will be needed, steps that patients need to be informed about.

The patient must have the availability for more possible corrective interventions.

What breast asymmetries can be corrected?

  • volume asymmetries, or asymmetries caused by mammoplasty reducing the higher dimension as close to the smaller breast, or by placing an implant in the smaller breast.
  • asymmetries in the areolas size
  • many of inframammary grooves positioning asymmetries

Which are the breast asymmetries that can not be corrected?

  • obvious chest asymmetries
  • asymmetries in the positioning of the breasts

Which are the contraindications for the breast asymmetry correction surgery?

Contraindications of these interventions are:

  • serious blood diseases
  • diabetes
  • serious infectious diseases
  • autoimmune diseases
  • serious dermatological diseases
  • tendency for keloid formation
  • consumptive diseases

After how long can a surgical reintervention be done for breast asymmetry correction?

A surgical intervention is possible after 2 to 3 months. If you wish to retouch the scar, then it is fair to expect the scar maturation (6-8 months) and only then can the reintervention be done.

Although these treatments are very effective, 1% of the patients do not achieve the desired results!

Gynecomastia is a condition specific to men and consists of excessive development of the mammary glands. The development of breasts in men can be attributed to the increase in the volume itself or on developing excess fat at this level. It may be unilateral or bilateral, symmetrical or asymmetrical in appearance and / or size.

One cause may be the growth of female hormones in the male body, at the expense of male hormones, or an endocrine-metabolic disorder. Administration of drugs can also cause temporary gynecomastia. Sometimes cancer with different locations may be accompanied by gynecomastia. 

Therefore there are required a series of preoperative investigations of the glandular tissue because excessive breast development in men may hide a serious pathology.

If gynecomastia occurs in adolescence it is usually due to a hormonal imbalance and is transient.

The surgical treatment consists of a partially or fully excision of the breasts with or without lipectomia of the adiacen fatty tissue. The operation is performed with a periareolar approach, namely in the bottom half of the areola or the breast halves side.

The resulting scars will not be very visible. If there is excess glandular tissue, part of it is sent for histopathological examination.

If after a gland excision there is a relatively large excess of skin and a turgor (tone), a breast reduction technique is suitable to be associated. Sometimes the mammary gland is so developed that the ablation becomes difficult if you wish to preserve the natural areola.

Most often though only liposuction is sufficient to solve this shortcoming with the mammary glands.

Frequently Asked Questions

How long does the gynecomastia surgery last?

The surgery is performed under general anesthesia and lasts about an hour. Preoperative preparation should include a full set of blood tests as well as a bilateral mammogram if excess glandular tissue is suspected.

What are the possible complications of the gynecomastia surgery?

The immediate complications are common to all surgeries and consist of excessive bleeding, hematoma, wound dehiscence, infection, seroma. Distance asymmetry of the breasts or pathological scarring may also occur.

What about the gynecomastia surgery postoperative care?

Immediately after the surgery, in the case of a large gynecomastia, it is possible to install drainage tubes which will be maintained at least 48 hours. The elastic bandages and compressions will be replace each several days and a conformer compressor will be worn for a month. Suture material suppresses 7 to 10 days after the surgery.

What are the contraindications for the gynecomastia surgery?

The contraindications for this surgery are major diseases of blood or skin, insufficiently investigated related diseases, uncooperative patients with unrealistic expectations, disorders of wound healing.

May gynecomastia recur?

In the case of total excision of the breast there is no risk of recurance.

What are the associated pathologies that gynecomastia may "hide"?

Excess breast tissue can hide more serious diseases, like tumors. Therefore complete preoperative investigations are required to provide appropriate patient treatment. The most important associated pathologies are:

  • testicular, liver, lung, pituitary or adrenal neoplasm
  • cirrhosis
  • hyperthyroidism
  • alcohol or drug abuse
  • certain medications as: cimetidine (ulcer) , phenytoin (antiepileptic) , prednisone, certain antidepressants, antiandrogenic, chemotherapies, digital etc.

Although these treatments are very effective, 1% of the patients do not achieve the desired results!

Areola is a very important component of the breast from an the aesthetic perspective. Functionally speaking, the areola does not matter too much! Any intervention in the breasts involves drawing up a plan that will take into account the position and size of the areola. Interventions targeting this segment are:
  • breast augmentation with implants through the periareolar approach
  • breast reduction (any technique)
  • breast reconstruction after cancer ablation

In the first case, some experts prefer the periareolar approach for the incision for aesthetic reasons, claiming that the boundary between the two shades of skin is less visible. This applies only in the case of patients with very white skin, for whom in fact, whatever the location of the scar, it is very inconspicuous. In the case of darker skin complexions, with a darker areola, the scar becomes very visible due to the contrast between the white color of the scar line interposing between the "beige" skin and "brown" areola. This shortcoming can be corrected with micropigmentation (medical tattooing). Usually the incised lower half of the areola or its external half.

The medical specialists at Care Zone feel there is no need for this type of approach in classical breast augmentation surgeries where the scar is situated in the inframammary fold, technique that has more aesthetic and functional benefits than the periareolar aproach.

If there are large differences between the size of the two areola, there is the possibility of their correction by excision of the periareolar surplus and suture. Immediately after the surgery there is unsightly "wrinkled" skin around the areola. This issue resolves itself in the first 3 months postoperatively.

In the case of the breast reduction surgery the areola size is also corrected. These surgeries should only be made through a periareolar incision, else if the incisions are wider a vertical will be visible and also another one in the inframammary fold.

How these scars heal depends on:
  • the way the patient heals
  • the type of yarn used
  • the type of suture used
  • the location of the incisions
  • the accuracy of the technique
  • the surgeon's experience
  • postoperative care compliance.

The only direction in which we can do nothing is the way each patient scars. It is therefore very important that these things be made known to the patient, and that the patient assumes this risk. Usually up to mature age, any of us have had at least one incident resulting in a scar somewhere on the body, and if there is pathological scarring this is already known. Do not hide this from your surgeon!

In the case of breast reconstruction after ablation, the most used methods of reconstruction of areolas are either hyperpigmented skin grafts or, more simply, tattooing the area. For the first method a graft is harvested from the groin area, where the skin is usually darker. The technique is called a skin graft. During this surgery the nipple is rebuilt through one of the nipple correction techniques.

Areola corrections are done both total and partial by way of a medical tattoo.

Frequently Asked Questions

What are the contraindications for the areola correction surgery?

The contraindications for this surgery are major diseases of the blood or skin, insufficiently investigated pathologies associated with the breasts, uncooperative patients with unrealistic expectations, disorders of wound healing.

How long after the ablation of the breast can the areola reconstruction surgery be done?

The areola-nipple reconstruction surgery can be done at the same time in the case of a breast amputation or reduction or in a few months time after an oncology ablation and breast reconstruction.

What are the risks of the areola surgery?

In the case of a reconstruction with a skin graft there is the risk of beeing necrotic and the need of another method of reconstruction.

There is also the risk that the grafted area will grow hair as usual hyperpigmented skin that has hair is harvested. In the case of tissues undergoing antineoplastic radiation the risk is greatly increased.

In the case of reconstruction by micropigmentation the risk is that the pigment will not be uniform, or be a shade darker or lighter. All these shortcomings are fixed through a meeting for correction.

Are the results of the areola surgery definitive?

The results of reconstruction with skin grafting are final. If the tattoo pigments are chosen accordingly, the results can last for many years or be permanent. In the case of permanent pigments there is the risk in time will occur an unwanted change in the shade. This can not be corrected.

Although these treatments are very effective, 1% of the patients do not achieve the desired results!
Suna Acum