Reduction mammoplasty (breast reduction)

Changing the size and shape of your breasts is a serious undertaking. The operating team of specialists is involved, plus, the woman needs to provide conditions for primary rehabilitation. By contacting our clinic, the patient receives a whole range of services:

• Consultation first from a plastic surgeon, and after the tests - from an anesthesiologist.
• Operation: This can be performed both independently and supplemented by manipulations to lift the breast, change the position of the nipple.
• Anesthesia: Breast reduction is performed under general anesthesia.

After the operation, a woman should be in the hospital for 2-3 days under the supervision of a doctor.

• Regular dressings are carried out, at the end, the stitches are removed.
• Consumables and medicines are included in the price.
• After the operation, compression hosiery is required - from edema, to relieve stress on the skin, muscles, and internal tissues.

Such an operation is a serious surgical intervention, therefore, exceptionally high-quality support is required at every stage.

There are no specific age criteria here. The question is a woman’s self-awareness, her goals, and the environment in which she lives.

The standard countdown is from the 18-22 year mark when the body is fully formed and sharp growth spikes are not expected. On the other hand, overgrowth of breast tissue can be caused by:

• genetic predisposition;
• hormonal surges;
• due to weight gain.

For teenage girls, breast reduction in Kyiv can be carried out in exceptional cases when there is a medical indication.

Also, women who no longer plan to have children and breastfeed go to the operation.

Reduction mammoplasty is suitable for women who have lost a lot of weight, but the breasts are still excessively large and heavy.

Older patients want to reduce the size of the bust to relieve the thoracic spine and shoulder girdle, thus reducing the stress on the back, shoulders, and neck.

It must be remembered that after 40 years, the natural production of collagen and the regenerative capacity of the body decrease, therefore the recovery period may be longer than expected.

The need to reduce the mammary gland is more often because of medical reasons. An increase in the bust can be based on the growth of glandular tissue, which is because of hormonal levels during puberty, or fatty tissue - this becomes a consequence of weight gain.

Pregnancy and lactation. And not only relevant, but also in the future. Because of hormonal changes, the breasts can grow back. In addition, the excision of tissue leads to the impossibility of feeding the child, since the ducts are affected.

Even the most gentle operation will not give a 100% guarantee of maintaining the possibility of lactation.

If a woman plans to lose weight in the future. First, you should lose weight and only then have breast reduction surgery.

The tendency to keloid scars is a relative contraindication. Long pronounced scars will not just disappear, this will become another problem for the patient.

Standard contraindications for surgical interventions are added to this list:

• infectious and viral diseases;
• imbalanced diabetes mellitus;
• oncology;
• systemic diseases;
• renal and heart failure.

Before performing the operation and reducing the breast, the plastic surgeon gives a referral for testing, asks for advice from a mammologist, oncologist, and therapist.

The surgeon needs to carefully study the condition and characteristics of the mammary glands: the ratio of adipose and glandular tissue, the degree of ptosis, the condition of the skin - whether there are striae. The surgeon determines the size and individual characteristics. Often, in parallel with breast reduction, it is necessary to change the shape of the areola or remove neoplasms, and make a breast lift.

Research is being conducted:

• up to 35 years old - MRI or ultrasound of the mammary glands;
• after 35 - two studies, plus mammography;
• over 40 or with chronic diseases - additional studies if necessary.

Additionally, it is mandatory for everyone: fluorography (FLG) / X-ray of the lungs and an electrocardiogram.

With breast reduction in Ukraine, our specialists develop an individual surgery plan for each patient, considering the practical need and wishes of the woman.

Mammoplasty is performed under general anesthesia and takes 1.5-4 hours. Depending on the task, the surgeon provides access in 3 ways:

• “Anchor incision” - with a large excess of mass and pronounced ptosis of the breast.
• Vertical technique - when the bust is reduced with moderate hypertrophy.
• Periareolar incision - with slight to medium breast augmentation with good skin condition without ptosis.

Through the incision, the doctor excises the excess tissue, then raises the nipple-areola complex and removes excess skin. After suturing, a compression garment is put on the patient to prevent the development of edema and relieve stress on the sutures.

A woman can evaluate the results of the surgeon’s work after 2-3 months. The breast will take its final form in 8-12 months.

Plastic surgeons at the MC Dobrobut clinic carry out breast reduction in Kyiv by the highest standards. We have modern operating rooms and the ability to carry out the necessary diagnostics. Patients receive a comprehensive service, which includes everything necessary for a speedy recovery.

Want to shrink your breasts? Prices can be found at the initial consultation with a specialist. It is enough to call the contact number or leave a request for feedback to our administrator.

1. Ngaage, Ledibabari M., et al. A 12-year review of patient-reported outcomes after reduction mammoplasty in patients with high body mass index. Medicine 98.25 (2019).
2. Мішалов, В. Г., et al. Обґрунтування методу дозованої редукційної мастопексії для профілактики післяопераційної об’ємної асиметрії молочних залоз. Хірургія України 4 (2018): 39-43.
3. Мішалов, Володимир Григорович, et al. Порівняльна оцінка методів визначення об’єму молочної залози. (2018).
4. Wirthmann, Anna E., et al. Reduction mammoplasty in adolescents and elderly: a ten year case series analyzing age related outcome with focus on safety and complications. Journal of Plastic, Reconstructive & Aesthetic Surgery 71.3 (2018): 377-383.
5. Ambaye, Abiy B., et al. Recommendations for pathologic evaluation of reduction mammoplasty specimens: a prospective study with systematic tissue sampling. Archives of pathology & laboratory medicine 141.11 (2017): 1523-1528.
6. Piper, Merisa L., et al. Outcomes following oncoplastic reduction mammoplasty: a systematic review. Annals of plastic surgery 76 (2016): S222-S226.