BREAST REDUCTION / GYNECOMASTIA

      Forget about your dissatisfaction about your breast size.
 

Also known as reduction mammaplasty, this is an operation intended to reduce the size of a woman's breasts and improve their shape and position.
Frequently, the areola (dark skin around the nipple) is also made smaller. Functional symptoms (medical disorders) caused by excessive breast weight may be relieved or improved by this operation. Inverted T-Scar or Anchor Scar.
 

The first consultation
In Sensual Body Dream during the first consultation the surgeon analyzes the conditions of the patient which is the best way to correct the defect.
The surgeon will recommend the best solution with respect to the intervention to be made and the best form to perform it. He will also answer all the questions that you have and tell the reasonable expectations that you can have regarding the final result.


Where are the incisions?
This is probably the most important topic that gets discussed in relation to Breast lift and Breast Reduction. Plastic surgery does leave scars and it is important that you see plenty of postoperative photos to understand the spectrum of scarring that can occur with breast surgery.

Types of incisions and techniques:
There are a variety of techniques for breast reduction (reduction mammaplasty) procedure. The techniques reflect a combination of differing skin incisions (scar pattern) and the methods used in shaping the breast substance.

Liposculpture - This technique is not commonly used. However, in patients who have large breasts that are mainly fatty in nature and do not exhibit droopiness (ptosis), liposuction can be quite successful with almost no scarring.

The European technique involving an incision around the areola (BENNELLI'S-GOES). This method is usually reserved for breast lifting and a very small breast reduction.

The French-Canadian breast reduction technique involves the extra incision between the areola and breast crease as well as the one around the nipple (lollypop scar, LE JOUR and HALL-FINDLAY).
This is a method of reducing small-moderate size breasts in generally younger patient (20-50 range). It produces remarkably perky breasts with excellent long term results.

The final technique involves the above incisions, plus the extra long incision within the crease under the breast (WISE pattern- most traditional). This is an "anchor-shape" or inverted "T" incision. Our surgeons still utilize this method in very large to gigantic breast reduction cases especially in the older age group (50-70).

Occasionally, especially with Breast lifting only, these incisions may be modified and more limited. Some operations may require only the incision around the areola.
 

Anesthesia
Local anaesthesia and complementary sedation, or general anesthesia, depending on the extent of the procedure and on what you and your surgeon prefer.

Duration of the operation
Between 1H30 and 2H30.


How long is the patient hospitalized?
For a breast reduction, one day of hospitalization is usually needed if there are no complications.

Usually suction drains (plastic tubes) are left in place after surgery with breast reduction, and possibly with a Mastopexy.

Recovery
Discomfort, swelling, and discoloration of the breasts are to be expected for several weeks. Usually, our patients return to almost normal activity within two weeks. The scars at the incision lines typically become reddish, raised, and firm a few weeks after surgery, but after many months become pale and soft. After 8-12 months, the scars are relatively inconspicuous. The nipples and some areas of the skin may be numb or sensitive after surgery. Sensation frequently returns within a few weeks or months but may be diminished or overly sensitive.

What are my limitations in activity post-operatively?
You should plan to avoid activities which require much raising of the arms above the level of the head for 10 days after surgery. With great care, you can drive about 7 days after surgery. Patients can usually return to work in a few days unless their occupation requires particularly strenuous movements and lifting. In such cases, 2-3 weeks should be allowed.

Will the breasts start to sag again?
Gravity continues to have its effect, and there is a tendency for the skin of the breast to stretch over a long period of time. Women vary a great deal in this respect. In general, the smaller the breasts, the less tendency for sagging to recur. If the breasts sag further, excision of the skin on an outpatient basis can be used to correct the problem. If we try to lift heavy breasts without making them smaller at the same time, sagging will return soon. One key to a satisfying result is realistic expectations - a wide-based large breast will not look like a smaller, but firm, narrow-based breast.

 
Post Op Follow up
In Sensual Body Dream the strictest norms of quality are followed, that go beyond the intervention. For that reason detailed postoperative controls are made, so the patient feels safe and accompanied. During your stay you will have several consultations, to check that the process follows the natural course and to ensure you that can leave Bolivia without any problem once in your country.
 

Note: The information offered in this Web site is directed to support and not to replace the relation between you and your doctor.
 

GYNECOMASTIA / MALE BREAST  REDUCTION

The term comes from the Greek words gyne meaning "woman" and mastos meaning "breast." In practical terms, this means abnormally large breasts on men.

The condition is relatively common in adolescent boys, and 90% of the time symptoms disappear in a matter of months, or, as adolescence wanes, a few years later. But the remaining 10% are burdened with a social handicap that causes a deep and complex shame, and puts one's relationship with one's body at risk.

There are several potential causes:
• puberty
• steroid abuse (bitch tits)
• obesity
• marijuana use (this is in question)
• tumors
• genetic disorders
• chronic liver disease
• side effects of many medications
• castration
• Klinefelter Syndrome
• Gilbert's Syndrome
• aging


The Remedy
In cases of obesity, weight loss can alter the gynecomastic condition, but for many it will not eliminate it. For all other causes, surgery is the only known physical remedy. Once the physical encumbrance is lifted, psychological scars still need to be addressed. One must come to terms with one's body, accept it, and heal the wounds from the past.


Psychological Issues
Gynecomastia can be emotionally devastating. Feelings of shame, embarrassment and humiliation are common. One does not feel masculine in a society where masculinity is exalted. Self-hate threads itself through all aspects of the individual's life, creating an insidious web of powerlessness. A man or boy with gynecomastia struggles with anxiety over such simple acts as taking off his shirt at the beach.

For many men, the best solution is surgery. That accomplishes step one of the healing. Step two is psychological redress. From childhood taunting to a lifetime of hating his chest, the hurt feelings will not go away with the fact of breast reduction alone.

Men who have developed gynecomastia later in life from steroid abuse or some other cause may have little to no psychological distress. However, for some in this situation, it can leave them feeling out of control of their body or emasculated in some matter. Hopefully, corrective surgery will resolve these feelings, for some it will not and therapy will needed to relieve the distress.

It is important to recognize the scars on the inside. This is difficult work because it means coming to terms with one's body and past. Acknowledging the pain, moving into a new relationship with one's body and changing how he thinks the world sees him is the key to healing and freedom.

Men often have a very difficult time talking about their breasts to anyone, but it is the first step toward relief. Realizing that they are not alone is a powerful antidote for the shame and a beginning toward healing.


The first consultation
In Sensual Body Dream during the first consultation the surgeon analyzes the conditions of the patient which is the best way to correct the defect.
The surgeon will recommend the best solution with respect to the intervention to be made and the best form to perform it. He will also answer all the questions that you have and tell the reasonable expectations that you can have regarding the final result.


Procedure
The most common technique for GRS is where the surgeon makes a peri-areolar incision to remove glandular tissue and then performs liposuction of the area for definition. Some surgeons only use liposuction, but in most cases I think this is a mistake unless it is pseudo-gynecomastia (all fat content). Twenty percent of my practice is re-do surgery from unhappy patients. This is most often due to the technique of liposuction only. This leaves the glandular tissue behind.


Anesthesia
Local anaesthesia and complementary sedation, or general anesthesia, depending on the extent of the procedure and on what you and your surgeon prefer.


Duration of the operation
Between 1 hour and 2 hours


How long is the patient hospitalized?
This procedure can be done as an outpatient procedure requiring no hospitalization.


Recovery
The initial recovery period is the 7 to 10 days right after your procedure. If drains are used, they will typically remain in for about three days after which they will be removed at your first post-op appointment.
Total recovery time can vary from patient to patient. Most patients can expect to be fully healed by 3-6 months. At this point most or all of the bruising and swelling should have dissipated and the scars should have begun to shrink and fade. Sometimes, it may take as long as a year to completely heal to the point where the scars are no longer visible.
For the first 4 to 6 weeks after surgery, it is necessary to avoid all strenuous activities, especially those involving the upper body such as lifting weights or intense workouts at the gym. In addition We advise our patients to wear a compression garment for 6 weeks post-operatively.
You as a patient have invested a lot of time and money into this procedure, and as such you owe it to yourself to also invest the time and patience needed for healing in order to achieve optimum results.

What are my limitations in activity post-operatively?
You should plan to avoid activities which require much raising of the arms above the level of the head for 10 days after surgery. With great care, you can drive about 7 days after surgery. Patients can usually return to work in a few days unless their occupation requires particularly strenuous movements and lifting. In such cases, 2-3 weeks should be allowed.


Post Op Follow up
In Sensual Body Dream the strictest norms of quality are followed, that go beyond the intervention. For that reason detailed postoperative controls are made, so the patient feels safe and accompanied. During your stay you will have several consultations, to check that the process follows the natural course and to ensure you that can leave Bolivia without any problem once in your country.

Note: The information offered in this Web site is directed to support and not to replace the relation between you and your doctor.
 

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