Plastic surgery

Breast Reduction

Breast Reduction is a procedure to reduce the weight of breasts and to improve their shape. Excess fat is removed, as well as glandular tissue and skin and the nipple together with the areola are lifted.

The surgery is carried out under general anaesthesia and takes approximately 3 hours. During the procedure the plastic surgeon will reduce the breasts by removing excess fat, glandular tissue and skin. The nipple/areola complex is lifted to its normal position. The scars will most often be around the areola, there will be a vertical scar from the areola down to the inframammary fold and sometimes a horizontal scar in the inframammary fold.

Post surgery, the patient will be instructed to wear a special bra for 2 months. There may be swelling and bruising which will resolve within a few weeks. Strenuous physical exercise should be avoided in the postoperative period.

The surgery is performed on patients who are in general good shape and have normal lab results.

Contraindications to the surgery

  • unrealistic expectations of the patient
  • active infectious disease
  • mental illness
  • untreated hypertension
  • untreated heart diseases
  • untreated diabetes
  • untreated hormonal imbalances
  • untreated bronchial asthma
  • venous thrombosis
  • menstrual bleeding
  • pregnancy

Lab tests required

  • General anaesthesia:

    • blood group
    • CBC
    • coagulation parameters (PT/INR, APTT)
    • electrolytes (Na, K)
    • glucose
    • creatinine
    • anti-HCV and anti-HIV antibodies
    • urinalysis
    • electrocardiogram
    • chest X-ray

     

    Local anaesthesia:

    • blood group
    • CBC
    • coagulation parameters (PT/INR, APTT)
    • electrolytes (Na, K)
     

    The patient must be vaccinated against hepatitis B virus.

The patient must be vaccinated against hepatitis B virus.

Preparation for the surgery

Before the scheduled surgery, you have to inform the doctor about any existing medical conditions as well as about any medications you are taking or allergies you have.

  • at least 4 weeks before the scheduled surgery you have to stop taking any hormonal contraception or replacement therapy (HRT);
  • at least 3 weeks before the scheduled surgery you must refrain from smoking
  • 14 days prior to the surgery you should not take any salicylates (Aspirin, Polopiryna, etc.) or other substances affecting blood coagulation (e.g. herbs, garlic);
  • 3 days before the surgery you must refrain from taking pain medication: paracetamol, pyralgin and NSAID drugs (e.g. Ketonal, Ibuprofen, Naproxen, etc.);
  • 6 hours before the surgery you must refrain from eating, drinking or chewing gum;
  • you must take your chronic medication with a small amount of water.