The combined application of breast reduction and breast lift is of great significance in plastic surgery, especially for patients with large breasts and varying degrees of sagging. The combination of the two surgeries can not only improve the appearance of the breasts, but also effectively improve the patient's quality of life and self-confidence. This article will systematically discuss the combined technology, indications, surgical design and postoperative effects of breast reduction and breast lift, aiming to provide a reference for clinical practice.
1. Background and indications of surgery
Excessively large breasts often cause problems such as shoulder and neck pain, skin itching and movement disorders, and are accompanied by sagging breasts, affecting appearance and mental health. Breast reduction surgery is mainly aimed at the discomfort caused by excessive breast size, while breast lift surgery is aimed at sagging breasts. The combined use of the two surgeries is suitable for patients with significantly enlarged breasts and varying degrees of sagging, especially those who want to achieve both breast volume reduction and breast shape improvement.
Indications include:
①. The breast volume increases significantly, causing inconvenience in life.
②. The breasts are moderate to severe sagging.
③. The position of the nipple and areola is too low, which affects the overall beauty of the breast.
④. Accompanied by uneven breast tissue or abnormal morphology.
2. Surgical design and technical points
The combined surgical design of breast reduction and breast lift surgery needs to be based on the patient's specific situation and a personalized plan should be formulated. The key to the design of the surgical plan lies in the accurate assessment of breast volume, skin elasticity, nipple and areola position, and breast morphology.
Cutout design
There are various incision forms, the commonly used ones include anchor incision, vertical incision and periareolar incision. The anchor incision is suitable for a larger range of tissue resection and significant breast lift, the vertical incision is suitable for moderate reduction and lifting, and the periareolar incision is suitable for mild adjustment. The purpose of incision design is to minimize scar exposure while maintaining the natural and lasting breast shape.
Tissue resection and remodeling
Breast reduction requires the removal of excess breast and fat tissue to ensure a moderate breast volume after surgery. The amount of tissue removed should be determined based on pre-measured data and intraoperative evaluation to avoid removing too much or too little. During reshaping, attention should be paid to maintaining the blood supply to the nipple and areola to avoid the risk of necrosis. Through appropriate tissue rearrangement, the fullness and natural contour of the breast can be restored.
Nipple and areola repositioning
Correct positioning of the nipple and areola is the key to postoperative beauty. The nipple and areola are usually lifted to a new anatomical position to coordinate with the inframammary fold. During the lifting process, the nipple and areola nerves and blood vessels should be protected to ensure their sensation and function.
Suture Technique
Layered sutures are used to reduce tension, promote wound healing, and lower the risk of scar formation. The inner layer sutures enhance the stability of the breast shape, while the outer layer sutures focus on aesthetics and avoid obvious scars.
3. Postoperative Management and Prevention of Complications
Postoperative management is crucial to maintaining the surgical effect. Patients should follow the doctor's instructions, wear a supportive bra, avoid strenuous exercise, keep the wound clean, and follow up regularly to monitor wound healing and changes in breast morphology.
Common complications include:
①. Nipple and areola necrosis or decreased sensation.
② Scar hyperplasia or hypertrophy.
③. Asymmetrical breast shape.
④. Infection or hematoma.
Preventive measures include careful intraoperative manipulation, reasonable incision design, and standardized postoperative care.
4. Clinical Effect and Patient Satisfaction
After combined breast reduction and lift surgery, patients' breast volume is significantly reduced, breast contours are firmer and more upturned, and nipples are positioned naturally and beautifully. Many clinical studies have shown that combined surgery can significantly improve patients' quality of life, relieve physical discomfort, and enhance their self-image.
Patient satisfaction is closely related to preoperative expectations. Adequate preoperative communication and reasonable setting of expectations can help improve postoperative satisfaction.
5. Advantages and limitations of surgery
Advantages:
①. Comprehensively solve the problems of enlarged and sagging breasts.
②. After the operation, the breast shape is natural and the long-lasting effect is remarkable.
③. Improve physical discomfort and enhance the quality of life.
limitation:
①. The surgical trauma is greater than that of simple reduction or lifting.
②. Highly technical support is required, and the operator’s experience affects the effect.
③. Postoperative scar management needs to be strengthened, as some patients may experience scar hyperplasia.
VI. Future Development Direction
With the advancement of plastic surgery technology, combined with microsurgery and tissue engineering, the safety and effectiveness of breast reduction and lift surgery will continue to improve. Preoperative three-dimensional imaging and personalized design will become a trend, helping doctors plan operations more accurately. Improvements in postoperative recovery technology will also reduce the risk of complications and shorten recovery time.
New technology exploration includes:
①. Liposuction assists breast reduction and reduces the length of the incision.
②. Autologous fat transplantation assists breast reshaping.
③. Biological materials help disperse skin tension and reduce scars.
Beauty Encyclopedia Tips:
The combined use of breast reduction and breast lift can effectively improve the morphology and function of the breasts. However, due to the complexity of the operation, patients should choose experienced doctors, conduct sufficient preoperative evaluation and communication, and strictly abide by postoperative nursing standards, which will help achieve satisfactory postoperative results and reduce the risk of complications.