Indications for breast reduction
Encyclopedic
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In Africa, people suffer from heatstroke due to extreme temperatures, while in Russia, some stay indoors because of the bitter cold. This world is full of wonders—just as there are those who undergo breast augmentation, there are others who opt for reduction. Breast reduction is a common surgical procedure for those with large breasts. Let's explore breast reduction surgery below.
Hyperplastic breast hypertrophy, obesity-related breast hypertrophy, and adolescent breast hypertrophy. Due to differences in pathology and clinical symptoms, treatment approaches vary slightly.
1. Hyperplastic breast hypertrophy manifests as excessive proliferation of mammary tissue. The enlarged breasts feel firm, with pronounced lobular hyperplasia and often tenderness.Spontaneous pain often occurs during the menstrual cycle, accompanied by breast ptosis. This type is more common in married women who have given birth.
2. Obesity-related macromastia presents as symmetrical enlargement of the entire breast. Histologically, it is characterized by uniform proliferation of breast fat and hypertrophy of fat cells;During surgery, subcutaneous fat hyperplasia is observed beneath the breast skin, with fat hyperplasia and infiltration also present between mammary tissues. Patients with this type of breast enlargement often have systemic obesity. Although the enlarged breasts may exhibit varying degrees of ptosis, it is milder than in hyperplastic breast enlargement. Consequently, the demand for breast reduction surgery is highest among these patients.
3.Adolescent breast hypertrophy is a progressive enlargement and overdevelopment of the breasts observed during puberty, characterized by proliferation and hypertrophy of mammary gland tissue. The breasts exhibit symmetrical enlargement with minimal ptosis. A family history is sometimes present in these patients.
Basic Information on Breast Reduction Surgery:
Traditional breast reduction surgery involves three incisions. One incision encircles the areola.A second incision runs vertically downward from the base of the areola to the inframammary fold. The third incision follows the natural curve of the breast fold. After removing excess breast tissue, fat, and skin, the surgeon repositions the nipple-areola complex to a higher position. The areola, often stretched and enlarged, is reduced in size. Skin above the areola is pulled downward and sutured around it to reshape the breast.
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