Breast Surgery - REDUCTION MAMOPLASTIES AND POSITION CORRECTION (MASTOPEXIES)

These operations are recommended for patients with large or drooping breasts.

It considers in reducing the large sized breast and at the same time correcting its anatomical position, making it graceful, with an adequate size and no droop and the nipples “looking” upwards and slightly sideways.

The incisions are similar for reduction and/or correction of the position. In our experience, the starting point for a mamoplasty is the Pitanguy technique, popularly known as the inverted T (or J-L) technique that has largely evolved, leading to progressively smaller scars.

The incision of this technique is carried out around the areola, with another one descending from the areola to the sub-mammary sulcus and another in the sub-mammary sulcus (not always necessary).

This technique has developed greatly due to the modifications by Professor Pitanguy who conceived it, and by the contribution of many plastic surgeons around the world that practice it and have improved their results.

Today excellent results can be achieved in relation to the scars, a small T (or J-L) resultant scar, smaller than before, or only a periareolar or vertical scar, or still, only a periareolar scar.

As I always say, it all depends on each particular case. Each patient needs a tailored resultant scar, that should always be the smallest possible and without hampering the final breast contour, an issue that should be discussed with the patient in depth during the examination.

Why is it so important an in depth discussion about mamoplasties scars?

Because these scars, the smallest they might be and the better they become with time (breast scars evolve to their most unapparent aspect after around 18 postoperative months) will always be present and constitute the “price” the patient pays to have proportional and attractive breasts.

Large and/or drooping breast are exchanged for more gracious and well placed breasts. Self-esteem and comfort is achieved, brassieres sometimes can be put aside, and the patient will be able to run and practice sports, but the surgical incisions will still be there.

It is a cost/benefit relationship that should be considered by each patient, who will follow up on it in a conscientious manner after being well instructed by his surgeon.