Mammoplasty

Mammoplasty (Mammoplasty) is a type of breast cosmetic surgery that is performed to correct or repair breast sagging in women. This operation is usually used for beauty and to reduce the size and change the shape of the breasts. Various reasons such as disease, genetics, weight gain and pregnancy cause this disorder. Women who have problems in performing some daily and sports activities due to having large breasts and are dissatisfied with their fitness, or women who do not have symmetrical breasts, are good candidates for breast surgery. The best way to find out if your conditions are suitable for breast cosmetic surgery is a consultation with Dr. Amir Daryani, plastic surgery specialist. In addition to dissatisfaction with shape and size, breast size causes many problems, including neck, back and shoulder pain, breathing problems, back pain and inflammation, skin infection, folds and darkening under the breast.


Mammoplasty surgery is not recommended for people with the following conditions:

  • Those who are significantly overweight and very obese. Weight loss after surgery causes breasts to become loose and droopy. So it is better to lose weight first before doing this procedure.
  • People who smoke. If these people want to do this operation, it is mandatory to quit smoking one month before the operation.
  • Those who do not have realistic expectations of the operation should not do the surgery.
  • People who have cardiovascular problems such as diabetes.
  • People who have diseases in the chest area.
  • Women who have not developed physically.

The important point is that breast reduction can also be done for men. Gynecomastia is used for men who have sagging breasts for various reasons, including enlargement, to have a proportional body.

The right age for mammoplasty

Breast cosmetic surgery is suitable after 18 years of age when the breast is fully grown and the breast tissues are formed.

Does mammoplasty cause breast cancer?

As you know, mammoplasty surgery is performed to reduce breast volume. Logically, removing and reducing the volume of breast tissue reduces the risk of breast cancer. To make sure there is no cancer, it is better to do a mammogram before the operation.

Mammoplasty after pregnancy

If you plan to breastfeed after giving birth, breast reduction is impossible. According to plastic surgeons, it is possible to perform reduction mammoplasty two months after the end of breastfeeding. But if you do not intend to breastfeed your child or your breasts do not have milk, you can perform this surgery 6 months after giving birth under the supervision of a specialist.

Pregnancy and breastfeeding after reduction mammoplasty

Reduction mammoplasty is not considered a contraindication for pregnancy. A patient can get pregnant after breast reduction surgery, but depending on the technique and skill of the surgeon, damage to the vessels of the breast may occur, and this operation will stop breastfeeding or reduce the volume of milk in a person.

Procedures before mammoplasty

One of the most important measures before performing mammoplasty surgery is choosing a good and experienced doctor. After consulting and choosing a doctor, an in-person visit is definitely needed to perform examinations by a specialist surgeon. After the examination, the surgeon prescribes tests according to the patient’s age and conditions before the operation.

Before surgery, you may be asked to:

  • Performing breast and armpit ultrasound on both sides
  • Prescribing mammography for people over thirty-five years old
  • CBC / FBS – BUN – CRP tests
  • U/A – PT – PTT
  • HIV – HBSAG – HBSAB – HCVAB
  • Heart consultation for people over 40 years old

To show the results of the tests, it is better to go to the office and if there is no problem, the specialist surgeon will schedule an operation time.

  • Depending on the opinion of the plastic surgeon, one or two weeks before breast surgery, avoid taking aspirin tablets and drugs containing it, as well as anti-inflammatory drugs that cause more bleeding.
  • Avoid alcohol and blood thinners for two weeks before surgery.
  • Take a bath the night before the procedure.
  • Fast on the morning of surgery.
  • On the day of surgery, have someone with you.

Mammoplasty surgery process

In breast cosmetic surgery, a part of extra fat, glands and skin is removed from the breast and the position of the breast areola is corrected. In some cases, according to the expert surgeon’s opinion, in addition to breast reduction, breast lift is also performed.

  • Augmentation mammoplasty: This type of surgery is used to increase the size, volume and highlight of the breast. This surgery is performed because the breasts are small and uneven, and it is a relatively simple procedure.
  • Reduction mammaplasty: This procedure is usually used in people who have large breasts and causes a decrease in breast sensation. The important point in this model is the loss of the ability to breastfeed in women.
  • Reconstructive mammoplasty (breast reconstruction after breast cancer): This reconstructive procedure is used for women who have undergone a mastectomy to treat breast cancer. In this surgery, instead of the lost tissues, a new breast with the appropriate appearance and size and nipple will be created, but there will be no sensation or nerves.

The method of performing this surgery is different for each person. Things such as physical condition, condition of breasts, amount of excess fat, patient’s desire and doctor’s recommendation determine the appropriate method for performing mammoplasty. All these procedures are performed under general anesthesia and under the supervision of an anesthesiologist. Click to see more examples of mammoplasty.

Swelling after mammoplasty

Swelling after surgery is completely normal and the results of the operation are invisible due to swelling in the breasts. The shape of your breasts may not be to your liking after the operation. Usually, two months after the surgery, the existing swelling will decrease and will decrease over time.

Pain after mammoplasty

One of the most important frequently asked questions among breast surgery applicants is that they are worried about pain after surgery. To answer this question, it should be said that the pain tolerance threshold is different for different people. This is despite the fact that the person does not suffer much pain after the surgery and these pains can be controlled with painkillers prescribed by the doctor.

Mammoplasty scar

One of the most important concerns of women who want to do mammoplasty surgery is the suture site after the surgery. This point is so basic that most people don’t care about surgery. While there is a very important point in the recovery period after the operation, and that is to perform the correct and basic care after the surgery, which is recommended by the surgeon before the operation. Post-operative care during the recovery period is so important that if not followed, its complications directly affect the surgical results. For example, removing the sutures of mammoplasty surgery is the most important point that, if the principles of post-surgery care are followed, will determine the desired result of breast cosmetic surgery.

Mammoplasty bra

After the breast surgery, you will have a special bra (breast band) which, if the doctor decides, an elastic band will be needed to close it on the chest. To learn how to close it correctly, contact the doctor or his assistant in the office. The appropriate medical bra for use after breast prosthesis surgery, breast lift, mammoplasty and other therapeutic purposes is introduced by the surgeon. Using a medical bra after breast prosthesis surgery is like a dressing, so that it keeps the breasts and prostheses in the best condition. Therefore, it is mandatory to wear a bra after surgery for at least 4 weeks full-time (24 hours a day) and until the doctor gives you a new prescription, you should continue to wear the medical bra around the clock. According to people’s conditions, the only main reference for diagnosing and prescribing medical bras is a specialist doctor.

Choosing the right bra after mammoplasty:
  • Any bra you get should be suitable for the same stage of recovery and must be under the supervision of your surgeon to get the right result.
  • Immediately after the operation, your breasts will be swollen, tender and thin and will need to wear a medical compression bra that holds the dressing and does not have underarms.
  • The selected bra should easily protect the breast tissue and limit the movement of the implants.
  • According to the opinion of the surgeon, the medical bra should be used permanently for at least two weeks. (under doctor’s supervision)
  • After partial recovery, a special bra is needed for support to prevent breast sagging.
  • The healing process of each person and the time of wearing a medical bra is different for each patient and does not have a specific date.
  • To learn how to close it correctly, contact the doctor or her assistant in the office.

Complications of mammoplasty

Breast reduction surgery can have risks like any other surgery. Among the things that can be mentioned are: bleeding, infection and disproportionate reaction to anesthesia, remaining surgical scar on the skin of the breast or scar, loss of sensation in the nipple and areola, inability or difficulty in breastfeeding the baby. If the instructions recommended by the surgeon are followed, the mentioned side effects will be minimized. To read more about the complications of mammoplasty, refer to the relevant link.

Mammoplasty cost

The costs of a surgeon for breast reduction surgery may vary based on his experience, the type of surgery performed, the condition and condition of the patient, or the geographical location. Among the things that have an effect on the costs of the operation can include the following:

  • Hospital or surgery center fee
  • Anesthesia wages
  • Prescriptions
  • Medical tests
Duration of surgery:

3 to 4 hours (depending on the size of the breast)

Surgical recovery period:

5 days

The time required to improve the swelling and the final observation of the result of the operation:

6 months after surgery

After mammoplasty surgery
  • After a few hours of the operation, if there is no vomiting and nausea, you can drink liquids and walk with the help of a nurse or your companion. After the visit by your doctor, you can be discharged.
  • It is normal to have a fever of 1 degree on the first day after surgery.
  • Due to the absorbability of most stitches, there is no need to remove them after the operation.
  • During the first week after surgery, avoid lifting things and picking things up off the floor.
  • After the seventh day, you can go to the bathroom and slowly remove the small stickers around the breast after getting wet. After your body is dry, lubricate the stitches with the prescribed antibiotic ointment.
  • In order to get better results, it is better to use the medical bra prescribed by the plastic surgeon for 2 to 3 months.
  • Avoid heavy activities and sports for 2 months after surgery.
  • The time required to see the final results of the operation is 6 to 8 months, and it is normal to see side effects such as swelling, inflammation, hardening of a part of the breast, asymmetry and folds under the breasts during this period.
  • Cosmetic surgery, like any other cosmetic surgery, may require minor corrections, which can be done without anesthesia and with local anesthesia on an outpatient basis.
  • Take the antibiotics prescribed by the doctor around the clock.
  • If you have pain, you can use painkillers. If the pain does not decrease, it is safe to use pain reliever suppositories.
  • To prevent the stitches from drying, lubricate them with antibiotic ointment 4 to 5 times a day for 3 weeks.
  • If the surgeon sees fit, you can use restorative ointments after finishing the antibiotic ointments.
  • It is mandatory to use all ointments until they are finished.

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