main reason
increase (hypertrophy) breast is the increase mammary glands. Usually
hypertrophy begins at puberty and women going
not only during pregnancy and lactation, as is commonly believed, but on
throughout life.
Doctors say that
excessive breast augmentation , which is particularly bright in the period progresses
puberty, as well as pregnancy - this is an incorrect response of breast cancer
to normal hormonal woman. In this period, the breast starts to grow
without further recourse, delivering a huge amount of trouble,
complexes, unpleasant and even painful sensations.
In such cases,
when excessive growth of breast Cancer is caused by a reaction to hormonal
background women, hormone therapy is simply powerless,
therefore, recommended the special woman
surgical intervention in the form of reduction mammoplasty .
Reasons
mammary gland is so responsive to hormones, so far doctors have not yet
found. It is believed that estrogens stimulate the mammary gland and its ducts
, but a direct link between macromastia (hypertrophy of the mammary gland) and
estrogen receptors - not yet proven, as well as their direct relationship.
in the development of breast
plays an important role not only estrogen, but many other hormones, such as
progesterone, prolactin, insulin, thyroxin, a hormone of the adrenal cortex, as well as
growth hormone. Each of them performs its own special function, such as
progesterone plays the most important and major role, providing a strong impact on
alveoli of the breast. Prolactin directly associated with lactation, helps
differentiation of alveolar epithelial cells responsible for reproduction
milk.
macromastia
accompanied by excessive increase in body fat and connective tissues in the mammary gland
, and how, experts say, exaggerated breasts look like
glandular element with an overabundance of connective tissue and fat.
Any woman,
which is solved by surgical intervention, of course, weigh the pros »
and cons, but, unfortunately," for "muchmoreso
a reduction mammoplasty is a big success and development as compared to operations
breast augmentation .
The most important
reason why a woman appeals to the surgeon, usually a physical
discomfort, as well as psychological problems. Huge hanging breasts causes
not only a lot of discomfort, but also physical pain. Usually the complaint, which
women come to a specialist, begin with a description of pain in the shoulders,
headache, and ending
pain in the back, spine and waist.
Women complain of severe neck tension, cramps from bra straps,
dermatological problems in
breast folds and diaper rash.
worth noting as well
and that breast hypertrophy entails such global
physiological problems such as spinal curvature, a big belly,
limited physical activity. Many patients
also note that due to a problem macromastia are limited not only
in their daily activities, but also in choosing clothes and
intimate relationships, their views and confuse outsiders
comments, worries a lot of complexes and dissatisfaction with himself and his
figure.
whole list of data
problems mean that for many women, a reduction mammoplasty is
not only necessary but also a pleasant transaction, exempt from the huge list
problems and gives an opportunity to change their lives and their physical health in
better. Many women also understand that operation to reduce
hypertrophic breast cancer - a great chance to dramatically change
yourself and your appearance , which is also important and plays a huge role in my life
women, both in terms of improving their own self-esteem, and in terms of personal,
intimate and family relationships.
is important as well and he
fact that most women who fell in such a situation and having such
physiological abnormalities are also a family history of breast cancer.
Living under the fear that you're in the percentage of risk - also has a huge
pressure on the psyche of women as well as any of them know the main minus
typical for this situation: hypertrophic breasts are very difficult to assess at
the presence of small tumors. Therefore, a reduction mammoplasty - maybe
in many cases useful for patients at risk, as
breast reduction is much easier to check for cancer even
independently, with the help of self.
Another problem,
falls within section hypertrophy and solved in the same,
reduction mammoplasty - this is the asymmetry of the chest due unilateral hyperplasia.
Call a physiological problem usually scoliosis
(curvature of the spine) associated with the pathology of development.
major problem,
by reason of which in this case recommended an operation - it's
zakompleksovannost very strong constant emotional stress, as well as
stressful conditions associated with about dnostoronnim breast augmentation ,
cause as zakompleksovannost in an intimate relationship with a beloved person or
men in general.
most important part of preparing women for surgery - this is a good informative consultation with
specialist, through which women can obtain the necessary information, it
and realistically assess its expected future results.
consultations to obtain the patient should include information
about the possible future of the operation, potential risks and postoperative
picture of her chest, joints, as well as its possible post-operative state.
Specialist
must pay attention to the description of the operating procedures
breast reduction, as well as the results of exactly what the patient can confidently
expect after surgery.
Dr.
and patient during the consultation - it is necessary to achieve
understanding on the future shape of the breast. Specialist
(surgeon) should give the patient
recommendations, as well as make
conclusions about whether it is possible to reduce the breast to the desired size without
particular risk.
In
consultation should be carried out inspection of the patient,
during which the doctor must measure the mammary glands, and to provide
woman a rough plan of what will be the approximate amount of tissue removed,
in precisely what places will be made cuts, which will later
postoperative scarring, as well as possible state and size of the breast after
operation. In addition, the doctor will
necessary to analyze the risk of surgery, the healing process and its progress
.
Virtually all
setup procedures, a list which will be described below, rather
specific, but each one is important and plays a special role.
1. Inspection mammologist and
mammography.
2. Weight loss.
If the patient is planning to sit on a diet after surgery and has to do with the operated
beautiful breasts in their appearance in terms of reducing weight,
it must be done before surgery, for the simple reason that losing weight
after surgery may adversely affect the aesthetic shape of the breast.
2. Consultation
anesthesiologist. This procedure is required due to varying susceptibility
each patient to anesthesia as possible even contraindications.
3. 2-week
rest before the operation and use of vitamins, nutrition, smoking cessation in
within 2 weeks before surgery and within 1 week after surgery.
4 . Stopping
dasgs that reduce blood clotting, such as acetylsalicylic acid.
Refusal of such dasgs within 2 weeks before surgery and the first week after
.
5. On the day of surgery
need nothing to eat or drink. Since the operation performed under general anesthesia,
needed to fluid and food in the stomach of patients during surgery
absent.
6. Advance
before surgery, nail polish (even colorless dasg) should be
wash. The reason for this pre-operative condition is. That during
operations on his fingers to put on sensors, exercising control over the function
breath.
7. On admission to hospital
a measurement of the chest and causing a specialist using a marker
required figure. Breast patients photographed.
8. Operating.
Conducting operations.
9. After the operation
few weeks - a woman should wear a special compression
underwear. Acquire such clothes can be a very clinical.
During the operation,
which usually lasts for 2-3 hours under general anesthesia, the surgeon must
sterilize the operative field on the body of the patient and make an agreed and
agreed with her on the advice sections. The operative field must
sterilized with alcohol, then covered with a special sterile surgical linen
.
Methods
reduction mammoplasty are numerous, but most operations
There are basic and most important stages of transactions, such as
excision of the nipple and moving up to a new position, the removal of tissue from
lower chest, moving and podshivanie breast cancer at a higher
position.
All sections, whether
moving the nipple or tissue removal - reserve
scars. Scarring after surgery may remain as around the nipple and under the breasts and
an inverted "T" or L-shaped scar.
If during the operation
when removing tissue from the lower part of the breast nipple is moved to a new position,
then two cuts stitched together, and the very breast hem
on level 2 of the first and third edges zashivaya then the rest of the cuts,
the picture scars are muchmoretolerated than in many other cases. Since in this embodiment
surgery scar is only around the nipple and the nipple and the brisket
folds. In this case, the main advantage is the lack of horizontal
scar. After such an operation around the nipple formed wrinkles disappear in
within 2 months after surgery. The method of stitching,
used in reduction mammoplasty - this
samorassasyvayuscheysya stitching thread.
After suturing,
in the completion of surgery, the surgeon places a bandage whose type is determined by
its discretion. This may be as elastic bandage and a gauze
easy dressing, though, there is another option - a special compression
bra.
The main types
risk during and after breast reduction surgery
include:
1.
bleeding and inflammation.
2. Complications during healing , especially characteristic of women smokers
.
3.
Decrease the sensitivity of the nipple and the surrounding skin.
4.
risk of loss of ability to breastfeed. In this case, it all depends
of specialists who perform the operation and the method of breast reduction, so as
today's modern methods of mammoplasty have the opportunity to save a woman
full capacity of breastfeeding, as the relationship between glandular
tissue and milk ducts after the operation is saved.
5.
asymmetry of the breasts after surgery.
6.
Slight variations in size and shape after surgery.
7. Scarring after surgery
around the nipple and under the breasts - are forever.
Deciding
breast reduction - this is a very important step for any woman who is about
think. As in any case, reduction mammoplasty
has its pluses and minuses. The presence of risk - as important, but it's worth
account and do not forget the most important fact:
Much depends on what the specialist you choose. Main operatsionnnyh
methods to reduce the breast, there are several, but two different specialists,
using the same method, do their job differently. The extent
finely selected your surgeon will approach all your slightest wishes, as
done his job during the operation, plays the most important and fundamental role
in terms of what exactly the result you get.
Author: Komandrovskaya Kira Vladimirovna (kira26kom)