According to the American Society for Aesthetic Plastic Surgery (ASAPS), in 2007 more than 153,000 breast reduction surgeries, or reductive mammoplasty, were performed in the USA. The main motivation is pains in the dorsal region caused by the weight of the breasts, which affect the social, sexual and psychological life of women.
One of the biggest doubts about breast reduction is whether, after it, you can breastfeed without affecting the outcome of the operation. According to plastic surgeon Rodrigo Mangaravite, who attends in Ipanema, in Rio de Janeiro, breastfeeding after reductive mammoplasty may be normal.
In addition, it has to be emphasized that reductive mammoplasty is indicated to reduce the size of the breasts. To raise sagging breasts, the right indication is mastopexy.
According to Dr. Rodrigo Mangaravite, who attends in Rio de Janeiro and São Paulo, reductive mammoplasty is indicated for patients with excessively large breasts, with asymmetry between the breasts or with breasts neither so big but that want to reduce their volume.
Reducing mammoplasty lasts two to four hours. It is worth mentioning that Dr. Rodrigo performs all his surgeries with all possible attention and calmness. Following an individualized surgical plan minutely for each patient, using all their technical capacity and resources to arrive at the best possible result, and only then, the surgery can be finished. Dr. Rodrigo only leaves the surgical center when he is sure that he has reached the maximum, the desired result.
In the first 48 hours after breast reduction surgery, the patient is allowed to shower. Swelling and ecchymoses (purple spots) are common in the early postoperative days.
In the first week, the site will become swollen and with some areas of bruises (purple spots), especially in the lateral region of the breast. This swelling is greater in the morning and regresses throughout the day, and one side may be more swollen than the other.
It is important to remember that this is temporary and does not interfere with the final result of reductive mammoplasty. From the second week, there is a progressive improvement of the swelling, providing greater comfort.
The breast stays with cotton bandage for two days and it can not be wet. In the first week, the incision site is protected with a micropore tape that will be removed by the surgical team. The patient is not allowed to manipulate the dressing.
A modeling bra should be used 24 hours a day for a period of two weeks, and can only be taken to the bath after breast reduction surgery. From there, you’ll have to use it for another 15 days, until you complete a month, or for two months, depending on your doctor’s recommendation.
Absolute rest should be done for five days after the reduction mammoplasty, as well as avoiding sports, gymnastics and other activities that require a lot of effort with the arms. The less you move your arms the better.
Physical exercises will only be released 30 days after breast reduction surgery, or depending on your recovery, at the discretion of the doctor. Any sport with a risk of injury (eg ball sports or physical contact) should be avoided for 60 days.
Take a shower normally, as long as the breast is dry for the first two days. In the following days, the breast can be gently wetted with water and soap, and the micropore dressing can also be wet but never removed without medical order.
After bathing, carefully dry the breast and dressing with the towel (do not use a dryer to dry the dressing) and put a dry gauze between the micropore and the bra.
Be very careful when washing your hair so you do not jerk with your arms.
Do not dry your hair in the first week after breast reduction surgery. This movement can impair your healing.
Sleep on your belly up the first week after breast reduction surgery. This is one of the points of greatest discomfort for the patient, but it is important to note this detail so that one side is not more swollen than the other. Try to avoid.
If you turn around at night, sleeping, no problem. This will not change the final result of the reduction mammoplasty. Do not take sun for two months after surgery. If there are purple spots, it is essential to apply the sun block. Unprotected exposure is only allowed after two months or according to medical release. These care can help prevent dark spots and scars.
Avoid, during the first week after breast reduction surgery, intercourse, due to the risk of bleeding and trauma.
Acute pain in the reducing mammoplasty is not common. The manipulated region is slightly sore in the first 72 hours, and a mild compression sensation in the chest may occur during this time, which is more intense in the morning. This is normal due to the swelling of the site. If pain is present, analgesic is recommended.