Breast Surgery

Kapcsolt galéria: 
Mell önvizsgálata
INTRODUCTION OF THE BREAST

Woman breast is the symbol of effeminacy and motherhood, thus it has a sexual and aesthetic meaning as well. To determine the ideal breast shape and breast size is very difficult. This is influenced by the era, in which we are living and the social and cultural background. The woman breast is continuously changing by the time. It has different shape and structure during the adolescence, around the age 20 and 30, and after the climax as well.
With healthy lifestyle the flexibility of the breast skin can be preserved for longer time. Everything which is harmful for the woman’s beauty: the unhealthy nutrition, smoking, excessive consumption of coffee and alcohol, hot bathes, excessive sun-bathing and using of solarium decreases the flexibility of the skin, thus it can cause the sagging of the breasts. Swimming -since it developes the muscles of the back and the pectoral muscle- has a beneficial effect on the shape of the breasts. During weight loss the amount of fat tissue reduces in the body, thus in the breasts as well. In the case of bigger amount of weight loss the breast tissue reduces significantly and its shape will change infavourable. In these situations it is especially important to care the skin of the breast and wear bra.

THE DEVELOPMENT OF THE BREAST
 
After the age of ten the breasts start developing. First the areola will outrise with the nipples, then the breast will enlarge as well. Later the areola will slick into the level of the breasts. The fully-developed breast will present in 2-3 years. Usually the development of the two breasts is not simultaneously and at the end of the development there can be some changes in the size of them.
 
LOCATION AND SHAPE

The breasts are located in the chest. The convexity of the chest causes that the two axles of the breast evade to the sides. There are no muscles which could inhibit the sagging of the breasts. With exercising only the muscles under the breasts can be developed. The stretching of the skin and the ligaments of the connective tissue can be decelerated only by wearing bra.
The upper part of the breast is flatter, the lower part is more rounded. The areola and the nipple are located in the middle of the breasts. The size, the shape and the flexibility of the breasts are determined by the amount of the glandular, the fat and the connective tissue. The proportion of these three components gives personal appearance to the woman breast. Woman breasts are never similar, their size, shape can be different in smaller or bigger measure. The difference can be increased by weight gain and breast-feeding. The breast does not have own muscle. Its shape and location are ensured by the skin and the connective tissue. The breasts are meshed by inflexible filaments of the connective tissue, which can be loosened by aging. The breasts will sag because of the effect of gravity. You can prevent this by wearing bra, which is recommended to use from the end of the adolescence. You have to chose the bra as it adapts to the size and shape of the breasts. It has to be comfortable but not tight and it has to hold the breasts. It is especially important to wear bra during exercising, pregnancy, breast-feeding, periods and weight loss.
The function of mammary glands is under hormonal influence from the adolescence till the climacteric. The decrease or the lack of sexual hormon levels causes the atrophy of the mammary glands and the fat tissue after the menopause. The amount of the fat tissue is increasing by aging at the expense of the glands.
 
PREGNANCY AND BREAST-FEEDING

During pregnancy and breast-feeding the size of the breasts can significantly increase because of the excessive swelling of the glandular tissue. Several times the skin is not capable to follow the fast growth of the breasts, and on their surface striae will be presented. After breast-feeding the structure of the breast will transform. The glandular tissue will decrease, and fat tissue will be presented in its place. This changes are totally individual and even not always the same in the two breasts. To keep the consistence of the breasts it is recommended to wear special breast-feeding bra and groom the skin of the breasts with special ointments.
 
EXAMINATION OF THE BREAST

The self-examination of the breasts is recommended to perform directly after the periods. During the periods and a few days after that the blood level of the two main hormones (oestrogen and progesterone) is low, thus the swelling of the breasts ceases, the glands are contracted.
 

This time is the most suitable to examine the breasts, since the breasts are well-palpable, and are not sensitive. Every months perform the self-examination in this part of the period! The parts of the examination are inspection and palpation.
 

According to the age other- imaging methods- examinations can be necessary. Above the age of 45 mammography screening is necessary to be performed in every 2 years. The highest diagnostic security of the mammography is the most optimal after the age of 40, thus in this age there are more fat tissue than other components in the breasts. The smaller ray absorption of fat tissue ensures the higher security of the dissociation of healthy and pathological parts. The diagnostic value of mammography in the case of younger women (under the age of 30) is limited. In this age the amount of glandular tissue is higher, thus ultrasonography is recommended to be performed.

Breast augmentation

Kapcsolt galéria: 
Mellnagyobbítás

Plastic surgical procedures have to be done by plastic surgeons!
The breast enlargement is one of the most popular aesthetic procedures. The breast augmentation helps to fulfill your desire for fuller, tighter breasts and make them more favourable shape. The breast enlargement makes the women more assertive and gives them back their self-confidence.
The breast enlargement is mostly suggested after the full development of the breasts. Weight-loss, after pregnancy and with aging the breasts can vary in size and/or shape. Every women has assimetric breasts. It is a natural expectation that the women want to have feminine-shape breasts and have balance between the upper and the lower body. The augmentation –with implantation- enlarges the size of the breast and enhances its shape as a result of beautiful and more youthful breasts.
In Europe the plastic surgeons mostly use implants filled with silicone gel. The most modern silicone gel is stable in its structure and has high cohesivity, that’s why it is stable in shape. According to the implant shape we can distinguish between round or shaped (anatomical). The anatomical implants give much more natural result, than the round implants. Instead of the previously used smooth-surface implants, nowadays we use the textured surface implants, which can reduce significantly the chance of capsular contraction. The augmentation is almost always performed with general anaesthesia with hospital background. After the procedures which were performed with general anaesthesia it is adviced to spend one night in the hospital.
The final result of the implantation will be visible when the post-surgical swelling will totally disappear. The breast enlargement makes the breast attractive again.
The implantation does not influence the further pregnancy and the capability of  breast-feeding. After the augmentation self-examination of the breasts is as necessary is it was before the mammaplasty.

WHO IS CANDIDATE FOR BREAST AUGMENTATION?
The breast enlargement can not correct all the expectations -sometimes unreal-, which were dreamt by the patients. We can not resolve everything with the operation. On the one hand it has limits by the technics of the operation, on the other hand just only those corrections can be performed which are fit to the harmony of the chest and the breasts.

THE FIRST CONSULTATION

At the consultation we will discuss Your problems, expectations and desired outcome. We will talk about everything which is in connection with the mammaplasty and important in the aspect of the breast enlargement procedure. We will examine the chest and the breasts and their proportion to each other. We will draw attention to the asymmetry of the breasts, which can manifest in the difference of the breasts in size and/or shape. The placement, the size and the shape of the nipples can be different as well. We will check the quality of the skin and the connective tissue as well. There is asymmetry which even can not be corrected with augmentation. Certain asymmetries can become more expressed after the breast enlargement procedure. The mammaplasty does not enhance on striae of pregnancy or growing striae.
We will take some photographs –from different directions- about the present condition. The photographs allow the patients to examine and evaluate their breasts from different directions. If the breasts are strongly sagged and simply the breast enlargement surgery is not enough, breast lift may be required in conjunction with breast augmentation. The necessity of this is determined by the placement of the nipples.
You will be asked about Your medical conditions, medical treatment, drug allergies, use of current medications and previous surgeries, procedures. It is very important to get accurate information about every medical conditions to plan the procedure with the best thoughtfulness. After the proper information the well-planned breast enlargement procedure will  ensure You the biggest satisfaction.
Weight-loss, pregnancy and breast-feeding after the implantation can influence the further result of the mammaplasty.

ABOUT THE IMPLANTS

According to the implant filler we can divide the implants as saline-filled or silicone gel-filled. In Europe the plastic surgeons mainly use the silicone gel-filled implants. The most modern silicone gel is stable in its structure and has high cohesivity, that’s why it is stable in shape. With the silicone gel we can achieve a more beautiful shape, and after the implantation the touch of the breasts are much more flexible and soft than in the saline-filled implants. The motion of the silicone gel implants are more natural and their weights are lighter. The silicone is widely used in the medicine: in cardiac surgery, in urology, in neurosurgery, in otolaryngology and plastic surgery. Several oral medications, cosmetics, surgical stitches, injections and lubricants include silicone. The silicone gel implants – in the contrast of all other information – do not have any health-damaging effects ( carcinogenic effect, autoimmune effect or connective tissue disease-causing effect ). There is no scientific evidence about the health-damaging effects of the implants in the body. (link to the EQUAM )
We can sort the implants according to the shape as well. We can distinguish round or shaped (anatomical) implants.  The anatomical implants give more natural result than the round implants. Instead of the previously used smooth-surface implants, nowadays we use the textured surface implants, which can reduce significantly the chance of capsular contraction.

REVIEW ABOUT THE AUGMENTATION

THINGS TO DO BEFORE THE OPERATION

Before the implantation some examinations are necessary to make: blood test, ECG, chest X-ray and baseline mammogram. With these data the operation will be performed in the best security. If You smoke, take aspirin or other blood thinner medications, or any anti-inflammatory drugs or other medications, please let us know! This drugs can increase bleeding or can cause other interactions during the general anaesthesia.

SURGICAL PROCEDURE

The augmentation is always almost performed in general anaesthesia ( in some assorted cases it can be performed  in intravenous sedation and local anaesthesia ) with hospital background. For Your security during the surgical procedure which is performed with general anaesthesia we check Your heart rate, heart beat, blood pressure and blood oxygen level with monitors. For Your bigger security antibiotics are administerd during the breast augmentation.
The incision can be placed into the inframammary, the periareolar or the axillary region. The incision of the mammaplasty is always chosen individually. Not everybody is candidate for any type of the incisions. To minimize visible scarring the best option is the inframammary incision. From this incision the inserting of the implant is the most easiest and saftiest. After the implantation the natural shape of the breast will hide the scar.
To insert the silicone implant there are different methods. The traditional methods are directly behind the breast tissue (between the glandular tissue and the muscle) or under the pectoral muscle (between the muscles and the ribs). In the case of submuscular placement the post-surgical period is more painful and uncomfortable.
In the case of anatomical implants there is a new technique, called „dual plane” technique, which gives a very natural result. In this method the upper pole of the implant – approx. the upper 1/3 part – is placed under the pectoral muscle, and the lower approx. 2/3 part under the breast tissue. With this procedure we can achieve maximal shape-correction with natural effect. With the augmentation as the result of the different inserting techniques, we can achieve slightly different breast-shape. The round implant is more conspicious, and the anatomical implant gives more natural shape to the breasts.
After the mammaplasty there are always a little amount of leaking blood and swelling, which are eliminated by a drain from the cavity. With this the recovery will be faster and saftier and the post-operational pain will decrease. The drain will be removed the following day of the operation.
At the end of the augmentation we cover the wounds with bandages and help the patient to take on a special bra.

THINGS TO DO AFTER THE OPERATION

In the case of the operation, which was performed with general anaesthesia, it is practical to spend one night in the hospital. If the operation was performed in intravenous sedation or local anaesthesia, after the surgical procedure it is allowed to go home. After the breast enlargement operation it is suggested to relax and spare Your breasts with due foresight. Sleep on Your back and avoid pushing the breasts! Between the first and the third days after the operation You can feel more discomfort, but this is just a temporary problem, which is caused by the stretching effect of the implants. The initial decoloration and swelling are just temporary symptoms and disappaer fast. These are natural consequences of the operation. The stitches will be removed after 2 weeks, when the tension is significantly decreased.
It is recommended to wear a special bra in the first 6 weeks. Two weeks after the implantation do not drive car and for six weeks avoid any stiff sports and physical activity! During this period You have to avoid sunbathing and going to the solarium! After the sparing period You have to cover the scar with sun protection cream for a long time!
After the augmentation self-examination of the breasts is as important as it was before the operation. If You are recommended to go for baseline mammogram because of Your age You have to do it independently the implantation!
After every plastic surgical procedures You have to return for follow-up care regularly, thus after the implantation as well. The regularity of this depends on the type of the procedure and other personal feautures of the patient. At the previously discussed follow-up cares we will examine the operational area and discuss about the things to do in the future. Please remember that if You have any questions or problems, please do not hesitate to contact us independently the appointment!

BREAST AUGMENTATION RISKS AND COMPLICATIONS

If the operation is performed by a qualified plastic surgeon, the operation and the post-surgical recovery period will be without any unexpected episodes. The breast enlargement as all other surgical procedures can have complications, even ideally. Besides the generally presented complications ( bleeding, infection, poor healing of incisions and thrombosis ) – which are very rare -, can occur some special complications because of the implants.
Changes in nipple or breast sensation can occur temporary. This will cease in a few days and become normal again.
The implanted silicone is totally tissue friendly, but it is still a foreign material for the body. Around the implant a thin, connective tissue- pod will develop, which is a natural consequence of the recovery period. In normal case this connective tissue scar around the implant is the same in thickness. In one part of the cases ( according to statistics, in the 5-15 % of the implants which were inserted by us ) this pod will become more thick, will thighten and can malform the breasts. This can happen months or years later, after the implantation. This is called capsular contracture.  Till today we do not know the reason of this, but there are a lot of different assumptions. This is a special firm scar tissue, and to its effect the shape of the silicone implant will change and the breasts malform. 
The breasts can become firm, and wrinckles can develop on them. Because of the contracture a stretching feeling will develop in the breast, and possibly some pain will be presented.  In this case a little correction is necessary. In the correction procedure the firm scar tissue will be cut or eliminated. With this procedure the implant will be free again and the breast will have its natural shape. After the operation the problems will cease and the breast will get back its beautiful and attractive shape. Unfortunately those people who are liable to this kind of scar formations, this mutation can happen several times. To decrease the possibility of the capsular contracture we prefer to use the textured surface implants.
With the most modern devices, materials and stitches which were inserted by the most friendliest techniques it can happen that the colour of the scar will be brisk and red, thick in touch and a little bit widened. This depends on mostly personal liability, thus it can have significant differences. This malformation decreases by the time, thus the scar will be thinner and its colour will lighten. If this does not occur, we remove the scar and treat the new scar with other special scar-treating methods.
In a very exceptional case the infection after the implantation needs the temporary elimination of the implant. After the total cessation of the inflammation we insert back the implant to reconstruct the beauty of the breast.
The complications can be vanquished or revised with the appropriate treatments and procedures, thus they do not effect the final result of the operation or slightly influence it.

RESULT

The breast augmentation helps to fulfill your desire for fuller, tighter breasts and make them more favourable shape. The breast enlargement surgery makes the women more assertive and gives them back their self-confidence.The operational scars will pale by the time and  fade into its environment. But You have to notice that they will never be invisible.
The result of the implantation is long-lasting but does not take forever. The gravitation and the change in the flexibility and water-content of the tissues, the other alterations with aging have effect on the size and shape of the breast. If the breasts change with aging, it can be necessity to perform breast lift or reimplantation with bigger implants.

Breast Lift

Kapcsolt galéria: 
Mellfelvarrás
Plastic surgical procedures have to be done by plastic surgeons!
Breast lift is a common plastic surgical procedure. It is mostly suggested after the full development of the breasts. Weight loss, after pregnancy and with aging the woman’s breasts often change, losing their youthful shape and firmness. During breast-feeding the breasts become bigger, the skin will sag. After breast-feeding the swelling will cease, which is sometimes accompanied by the atrophy of the glandular tissue, thus the breasts will sag. With aging the skin will become thinner, thus it is more difficult to resist the gravity. The sagging of the breasts is caused by the extension of the skin and the fastening filaments of the glandula. As a result of this the filaments will loose their flexibility and will be elongated, thus the glandular tissue, the connective tissue and the fat tissue will drop according to the rules of the gravity. Principally the reason of the sagging breasts is the size if the breasts.
Every women’s breasts are asymmetric. It is a natural expectation that the women want to have feminine-shape breasts. If You are satisfied with Your breast size, and only have problems with the sagging of Your breasts, You are a good candidate for breast lift surgery. The breast lift only changes the placement of the breasts, but does not change the size of the breasts. The mastopexy raises and firms the breasts by removing excess skin and tightening the surrounding tissue to reshape and support the new breast contour. In the case of small and sagging breasts the breast lift could be necessary to be performed with breast enlargement to get a more beautiful result. This can be performed in the same time. Sometimes the implantation in itself is already the solution for the sagging, and by inserting a well-choosen implant the breast lift can be skipped.
With less scars we can reach a fuller and more beautiful shape. The operational scars will pale by the time and fade into their environment. But You have to notice that they will never be invisible. Before the operation we can not predict the quality of the scars. The final result of the breast lift will be seen after the total cessation of swelling. Regular wearing of bras can ensure a long-lasting result in the shape of the breasts.
The breast lift surgery makes the women more assertive and gives them back their self-confidence. The mastopexy does not influence the further pregnancy. In the case of small and medium size breasts it does not have effect on the breast-feeding capability.
 
WHO IS CANDIDATE FOR BREAST LIFT?
 
The breast enlargement can not correct all the expectations -sometimes unreal-, which were dreamt by the patients. We can not resolve everything with the operation. On the one hand it has limits by the technics of the operation, on the other hand just only those corrections can be performed which are fit to the harmony of the chest and the breasts.
 
THE FIRST CONSULTATION

At the consultation we will discuss Your problems, expectations and desired outcome. We will talk about everything which is in connection with the mastopexy and important in the aspect of the breast lift procedure. We will examine the chest and the breasts and their proportion to each other. We will draw attention to the asymmetry of the breasts, which can be manifested in the difference of the breasts in size and/or shape. The placement, the size and the shape of the nipples can be different as well. We will check the quality of the skin and the connective tissue as well. There is asymmetry which even can not be corrected by breast lift. Only those striae of pregnancy or growing striae can be disappeared by the mastopexy which are in the area of the removed skin.
We will take some photographs –from different directions- about the present condition. The photographs allow the patients to examine and evaluate their breasts from different directions. If the breasts are strongly sagged and simply the breast lift surgery is not enough, breast enlargement may be required in conjunction with the breast lift. We will decide the necessity of this together with the patient.
You will be asked about Your medical conditions, medical treatment, drug allergies, use of current medications and previous surgeries, procedures. It is very important to get accurate information about every medical conditions to plan the procedure with the best thoughtfulness. After the proper information the well-planned breast lift procedure will  ensure You the biggest satisfaction.
Weight loss, pregnancy and breast-feeding after the breast lift can influence the further result of the mastopexy.

REVIEW ABOUT THE MASTOPEXY

THINGS TO DO BEFORE THE OPERATION

Before the mastopexy some examinations are necessary to be performed: blood test, ECG, chest X-ray and baseline mammogram. With these data the operation will be performed in the best security. If You smoke, take aspirin or other blood thinner medications, or any anti-inflammatory drugs or other medications, please let us know! This drugs can increase bleeding or can cause other interactions during the general anaesthesia.

SURGICAL PROCEDURE

The mastopexy is almost always performed in general anaesthesia ( in some assorted cases it can be performed  in intravenous sedation and local anaesthesia ) with hospital background. For Your security during the surgical procedure which is performed with general anaesthesia we check Your heart rate, heart beat, blood pressure and blood oxygen level with monitors. In the case of small breasts local anaesthesia can be possible, but in this situation we have to consider to perform a breast enlargement parallel to the breast lift to achieve a beautiful breast shape. For Your bigger security antibiotics are administerd during the breast lift.
The most common method is when we perform incisions around the areolas and vertically down from the areolas to the breast crease. This is called vertical mastopexy. This can be used in medium-degree sagging. If the breasts are bigger, the vertical incision can be completed with a horizontal incision to one direction. This is called short scar technique. If the breasts are significantly big, or the degree of sagging is excessive – the skin is seriously unstretched – this has to be completed with a horizontal incision along the breast crease. In the case of slight sagging, the excess skin can be removed by concentrical incisions around the areola. This method can be used just in a few cases, because we have only a little chance for lifting the breasts and reshape them. Its disadvantage is that the shape of the breasts will be a little bit flatter. This can be recommended in the case of tubular breasts, because the disadvantage of this incision will become advantage.
The incision of the mastopexy is always chosen individually. To chose the most appropriate method is influenced by several factors, like the size and shape of the breasts, the size of the areola, the degree of sagging and the patient’s expectations. Not everybody is candidate for all types of the incisions. We aim to minimize visible scarring and to achieve the most beautiful shape. After the breast lift the natural shape of the breast will partly hide the scar.
By breast lifting we remove the excess skin and fix the underlying breast tissue in the appropriate height. After the fixation we reshape the glandula, and reconstruct the right shape and position of the breast tissue. After the modellation the nipple and the areola will be repositioned to a natural height according to the new shape of the breast. If necessary, enlarged areolas are reduced by excising skin. If there is asymmetry which is necessary to correct the bigger breast will be reduced to the smaller one.
After the mastyopexy there are always a little amount of leaking blood and swelling, which are eliminated by a drain from the cavity. With this the recovery will be faster and saftier and the post-operational pain will decrease. The drain will be removed the following day of the operation.
At the end of the mastopexy we cover the wounds by bandages and help the patient to take on a special bra.

THINGS TO DO AFTER THE OPERATION

In the case of the operation, which was performed with general anaesthesia, it is practical to spend one night in the hospital. If the operation was performed in intravenous sedation or local anaesthesia, after the surgical procedure it is allowed to go home. After the breast lift operation it is suggested to relax and spare Your breasts with due foresight. Sleep on Your back and avoid pushing the breasts! Between the first and the third days after the operation You can feel more discomfort, but this is just a temporary problem, which is caused by the stretching effect of the operation. The initial decoloration and swelling are just temporary symptoms and disappaer fast. These are natural consequences of the operation. The stitches will be removed after 2 weeks, when the tension is significantly decreased.
It is recommended to wear a special bra in the first 6 weeks. Two weeks after the breast lift do not drive car and for six weeks avoid any stiff sports and physical activity! During this period You have to avoid sunbathing and going to the solarium! After the sparing period You have to cover the scar with sun protection cream for a long time!
After the mastopexy self-examination of the breasts is as important as it was before the operation. If You are recommended to go for baseline mammogram because of Your age You have to do it independently the breast lift!
After every plastic surgical procedures You have to return for follow-up care regularly, thus after the breast lift as well. The regularity of this depends on the type of the procedure and other personal feautures of the patient. At the previously discussed follow-up cares we will examine the operational area and discuss about the things to do in the future. Please remember that if You have any questions or problems, please do not hesitate to contact us independently the appointment!
 
BREAST LIFT RISKS AND COMPLICATIONS

If the operation is performed by a qualified plastic surgeon, the operation and the post-surgical recovery period will be without any unexpected episodes. The breast lift as all other surgical procedures can have complications, even ideally. Besides the generally presented complications ( bleeding, infection, poor healing of incisions and thrombosis ) – which are very rare -, can occur some special complications because of the breast lift.
Sometimes there can be some minimal differences between the breasts in size or the location of the nipples. These little malformations can be corrected later with a small procedure perfectly.
Changes in nipple or breast sensation can occur temporary. This will cease in a few days and become normal again.
The incision around the areola and the vertical incision usually almost unvisible, cure with  beautiful scars. The incision along the breast crease can be problematic, although it is hiden in standing position by the natural shape of the breast. The different capabilty of the scars for recovering is originated from the different skin quality. The thin, pure skin around the areola is recovering with a purer scar, than the thicker skin along the breast crease.
With the most modern devices, materials and stitches which were inserted by the most friendliest techniques it can happen that the colour of the scar will be brisk and red, thick in touch and a little bit widened. This depends on mostly personal liability, thus it can have significant differences. This malformation decreases by the time, thus the scar will be thinner and its colour will fade. If this does not occur, we remove the scar and treat the new scar with other special scar-treating methods.
The complications can be vanquished or revised with the appropriate treatments and procedures, thus they do not effect the final result of the operation or slightly influence it.
 
RESULT

The breast lift helps to fulfill Your desire for fuller, tighter breasts and make them more favourable shape. The breast lift surgery makes the women more assertive and gives them back their self-confidence. The result of the mastopexy is long-lasting but does not take forever. The gravitation and the change in the flexibility and water-content of the tissues, the other alterations with aging have effect on the size and shape of the breast. In the case of big and heavy breasts the final result is not as long-lasting as in the case of smaller breast. Regular wearing of bras can ensure a long-lasting result in the shape of the breasts. If the breasts change with aging, it can be necessary to perform a re-breast lift or breast enlargement surgery.

Breast Reduction

Kapcsolt galéria: 
Mellkisebbítés
Plastic surgical procedures have to be done by plastic surgeons!
Breast reduction is a common plastic surgical procedure. It is mostly suggested after the full development of the breasts. Weight loss, pregnancy and aging can enlarge significantly women’s breasts, thus their shape will change unfavourable. Overly large breasts can cause pain in the neck and back, and skin irritation beneath the breast crease. The oversized breasts, because of their weight, - according to the rules of gravity – stretch the fastening filaments of the glandula and the skin, thus they will be placed into a hanging position. In the case of large breasts the breast lift only gives a short-term result, thus it is necessary to remove one part of the breast tissue with the skin as well. With the appropriate reduction we can achieve a long-lasting and beautiful result.
Every women’s breasts are asymmetric. It is a natural expectation that the women want to have feminine-shape breasts. With breast reduction the excess glandular tissue and skin will be removed. To chose the most appropriate technique and the degree of the resection is influenced by the size and shape of the breasts, the size of the areola, the degree of sagging and the patient’s expectation. After the size reduction the glandular tissue will be repositioned, thus the size and the shape of the breasts will be reconstructed, which can ensure the more proportional, beautiful and youthful breasts.
The operational scars will pale by the time and fade into their environment. But You have to notice that they will never be invisible. Before the operation we can not predict the quality of the scars. The final result of the breast reduction will be seen after the total cessation of swelling.
The reduction mammaplasty makes the breasts smaller, fuller, tighter and more favourable in shape, repositioned them into the appropriate position. After the breast reduction surgery the women breasts will become again attractive. The women will be more assertive and get back their self-confidence.
Regular wearing of bras can ensure a long-lasting result in the shape of the breasts. The reduction mammaplasty does not influence the further pregnancy. Small and medium reduction does not  have effect on the breast-feeding capability.
 
WHO IS CANDIDATE FOR BREAST REDUCTION?
 
The breast reduction can not correct all the expectations -sometimes unreal-, which were dreamt by the patients. We can not resolve everything with the operation. On the one hand it has limits by the technics of the operation, on the other hand just only those corrections can be performed which are fit to the harmony of the chest and the breasts.

THE FIRST CONSULTATION

At the consultation we will discuss Your problems, expectations and desired outcome. We will talk about everything which is in connection with the reduction mammaplasty and important in the aspect of the breast reduction procedure. We will examine the chest and the breasts and their proportion to each other. We will draw attention to the asymmetry of the breasts, which can be manifested in the difference of the breasts in size and/or shape. The placement, the size and the shape of the nipples can be different as well. We will check the quality of the skin and the connective tissue as well. There is asymmetry which even can not be corrected by breast reduction. Only those striae of pregnancy or growing striae can be disappeared by the breast reduction which are in the area of the removed skin.
We will take some photographs –from different directions- about the present condition. The photographs allow the patients to examine and evaluate their breasts from different directions.
You will be asked about Your medical conditions, medical treatment, drug allergies, use of current medications and previous surgeries, procedures. It is very important to get accurate information about every medical conditions to plan the procedure with the best thoughtfulness. After the proper information the well-planned breast reduction procedure will  ensure You the biggest satisfaction.
Weight loss, pregnancy and breast-feeding after the breast reduction can influence the further result of the reduction mammaplasty.
 
REVIEW ABOUT THE BREAST REDUCTION

THINGS TO DO BEFORE THE OPERATION

Before the reduction mammaplasty some examinations are necessary to be performed: blood test, ECG, chest X-ray and baseline mammogram. With these data the operation will be performed in the best security. If You smoke, take aspirin or other blood thinner medications, or any anti-inflammatory drugs or other medications, please let us know! This drugs can increase bleeding or can cause other interactions during the general anaesthesia.

SURGICAL PROCEDURE

The breast reduction is almost always performed in general anaesthesia ( in some assorted cases it can be performed  in intravenous sedation and local anaesthesia ) with hospital background. The last two methods only can be possible in the case of smaller breasts. For Your security during the surgical procedure which is performed with general anaesthesia we check Your heart rate, heart beat, blood pressure and blood oxygen level with monitors.
For Your bigger security antibiotics are administerd during the breast reduction.
There are several methods to perform the breast reduction. The incision is always chosen individually. Not everybody is candidate for any type of incisions. To chose the most appropriate technique and the degree of the resection is influenced by the size and shape of the breasts, the size of the areola, the degree of sagging and the patient’s expectation. We aim to minimize visible scarring and to achieve the most beautiful shape.
The most common method is when we perform incisions around the areolas and vertically down from the areolas to the breast crease which is completed with a horizontal incision along the breast crease.
As bigger the breasts, as longer will be the horizontal incision.
After the breast reduction the natural shape of the breast will partly hide the scar.
With the surgical procedure we remove the excess skin with the appropriate amount of glandular tissue. The glandula will be fixed in the appropriate height. After the fixation we model the glandula and reconstruct the appropriate shape and position of the breast tissue. After the modellation the nipples and areolas will be repositioned according to the new shape. If there is excess fat tissue in the armpit we use liposuction to remove that.
If it is necessary the areolas will be reduced as well. If there is asymmetry we reduce more from the glandular tissue of the bigger breast.
After the reduction mammaplasty there are always a little amount of leaking blood and swelling, which are eliminated by a drain from the cavity. With this the recovery will be faster and saftier and the post-operational pain will decrease. The drain will be removed the following day of the operation.
At the end of the breast reduction we cover the wounds by bandages and help the patient to take on a special bra.

THINGS TO DO AFTER THE OPERATION

In the case of the operation, which was performed with general anaesthesia, it is practical to spend one night in the hospital. If the operation was performed in intravenous sedation or local anaesthesia, after the surgical procedure it is allowed to go home. After the breast reduction operation it is suggested to relax and spare Your breasts with due foresight. Sleep on Your back and avoid pushing the breasts! Between the first and the third days after the operation You can feel more discomfort, but this is just a temporary problem, which is caused by the stretching effect of the operation. The initial decoloration and swelling are just temporary symptoms and disappaer fast. These are natural consequences of the operation. The stitches will be removed after 2 weeks, when the tension is significantly decreased.
It is recommended to wear a special bra in the first 6 weeks. Two weeks after the breast reduction do not drive car and for six weeks avoid any stiff sports and physical activity! During this period You have to avoid sunbathing and going to the solarium! After the sparing period You have to cover the scar with sun protection cream for a long time!
After the reduction self-examination of the breasts is as important as it was before the operation. If You are recommended to go for baseline mammogram because of Your age You have to do it independently the breast reduction!
After every plastic surgical procedures You have to return for follow-up care regularly, thus after the breast reduction as well. The regularity of this depends on the type of the procedure and other personal feautures of the patient. At the previously discussed follow-up cares we will examine the operational area and discuss about the things to do in the future. Please remember that if You have any questions or problems, please do not hesitate to contact us independently the appointment!
 
BREAST REDUCTION RISKS AND COMPLICATIONS

If the operation is performed by a qualified plastic surgeon, the operation and the post-surgical recovery period will be without any unexpected episodes. The breast reduction as all other surgical procedures can have complications, even ideally. Besides the generally presented complications ( bleeding, infection, poor healing of incisions and thrombosis ) – which are very rare -, can occur some special complications because of the reduction.
Sometimes there can be some minimal differences between the breasts in size or the location of the nipples. In the case of oversized breasts and elder ages the fat tissue and the weaker skin blood circulation can cause problems, which can be accompanied by temporary discharge, or very rarely by fat tissue necrosis. These little malformations can be corrected later with a small procedure perfectly.
Changes in nipple or breast sensation can occur temporary. This will cease in a few days and become normal again.
The incision around the areola and the vertical incision usually almost unvisible, cure with  beautiful scars. The incision along the breast crease can be problematic, although it is hiden in standing position by the natural shape of the breast. The different capabilty of the scars for recovering is originated from the different skin quality. The thin, pure skin around the areola is recovering with a purer scar, than the thicker skin along the breast crease.
With the most modern devices, materials and stitches which were inserted by the most friendliest techniques it can happen that the colour of the scar will be brisk and red, thick in touch and a little bit widened. This depends on mostly personal liability, thus it can have significant differences. This malformation decreases by the time, thus the scar will be thinner and its colour will fade. If this does not occur, we remove the scar and treat the new scar with other special scar-treating methods.
The complications can be vanquished or revised with the appropriate treatments and procedures, thus they do not effect the final result of the operation or slightly influence it.
 
RESULT

The breast reduction helps to fulfill Your desire for smaller, fuller, tighter breasts and make them more favourable shape, repositioned them into the appropriate position. The breast reduction surgery makes the women more assertive and gives them back their self-confidence. The result of the reduction mammaplasty is long-lasting but does not take forever. The gravitation and the change in the flexibility and water-content of the tissues, the other alterations with aging have effect on the size and shape of the breast. In the case of big and heavy breasts the final result is not as long-lasting as in the case of smaller breast. Regular wearing of bras can ensure a long-lasting result in the shape of the breasts. If the breasts change with aging, it can be necessary to perform a breast lift or a re-breast reduction surgery.