Accessory breast refers to excess breast or fat tissue in the armpits, chest or other parts of the body. It does not completely regress after puberty or proliferates again due to hormonal stimulation, often causing appearance problems, cyclical breast pain or hidden breast diseases. Accessory breast removal surgery, as one of the common plastic surgery projects, can effectively improve appearance and relieve discomfort, but not everyone is suitable for this surgery. Clarifying the contraindications of accessory breast removal is crucial to the safety and effectiveness of the surgery.
1. Basic definitions of surgical indications and contraindications
Indications refer to situations where a patient is suitable for a specific surgical treatment after meeting certain medical conditions, whereas contraindications refer to situations where a patient has certain underlying risk factors and undergoing surgery may cause adverse consequences to the body, so the surgery is not recommended.
Overview of accessory mastectomy surgery
Accessory breast removal surgery usually uses surgical excision or liposuction to remove excess accessory breast tissue. Ultrasound or magnetic resonance imaging is required before surgery to clarify the composition of the accessory breast tissue and its relationship with surrounding blood vessels and nerve structures. The main surgical methods include:
Traditional open excision method : suitable for those with large tissue volume or the presence of breast structure.
Minimally invasive liposuction : suitable for mild accessory breast cases where fat is the main component.
Combined surgical method : Some moderate or complex accessory breast cases require comprehensive treatment of liposuction combined with resection.
3. Common contraindications of accessory breast removal
1. People with local skin or soft tissue infection
When the skin has acute or chronic inflammation, infection, or suppurative disease, surgery may cause the infection to spread in the surgical area, affect wound healing, and increase the risk of postoperative complications.
2. Women who are pregnant or breastfeeding
During this stage, the breast tissue is in an active state, hormone levels fluctuate greatly, and accessory breast tissue may show physiological hyperplasia or swelling. Surgery will increase interference to the breast system and also involve potential risks.
3. Patients with severe systemic diseases
Severe heart and lung diseases, liver and kidney dysfunction, uncontrolled diabetes, coagulation disorders , etc. will increase the risk of surgical anesthesia and the difficulty of postoperative recovery. Surgery should be considered only after the underlying disease has stabilized.
4. Those with obvious scar-prone constitution or scar hyperplasia tendency
The accessory breast is mostly located in the axillary area. If the patient has a scar-prone constitution, obvious scars or keloids may appear after surgery, which will affect the appearance and may require secondary treatment.
5. Those who have unrealistic expectations for surgery
Some patients have excessively high expectations for postoperative results, such as hoping for no scars at all or immediate recovery. If the gap between psychological expectations and actual results is too large, it may lead to postoperative dissatisfaction or even psychological problems.
6. Those who are allergic to anesthetic drugs or surgical materials
Local or general anesthetics, suture materials, etc. may be used during the operation. If there is a clear history of allergies, alternative options should be carefully evaluated or surgery should be avoided.
7. People with blood system diseases or coagulation disorders
In cases of thrombocytopenia, hemophilia, or moderate , it is difficult to control bleeding during surgery, and complications such as hematoma and bleeding may occur after surgery. In this case, full preparation under the guidance of the hematology department is required before surgery.
IV. Preoperative evaluation and contraindication screening recommendations
Before surgery, the doctor should fully assess the patient's physical condition to ensure safety during surgery. The following preoperative examinations are recommended:
①, blood routine, coagulation function, liver and kidney function
② Breast ultrasound or MRI to evaluate accessory breast structure
③. Electrocardiogram and chest imaging examination (depending on age and underlying diseases)
④. Ask about allergy history and previous surgical history
For patients with suspected contraindications, consultation with relevant specialists should be conducted to carefully determine whether surgery is feasible.
5. Individualized management strategy for contraindications
In clinical practice, some “relative contraindications” can be treated or adjusted before surgery. For example:
Patients with mild diabetes can undergo surgery after their blood sugar is controlled to the standard under the guidance of the endocrinology department;
For patients with mild local inflammation , elective surgery can be performed after the infection is controlled through anti-infection treatment;
For those with high psychological expectations , sufficient communication before surgery is required to clarify the scope of the surgical effect.
Therefore, contraindications are not completely jeopardized and should be judged based on individual circumstances to develop a scientific and reasonable surgical plan.
6. Common complications after accessory breast removal and their prevention
While understanding the contraindications of surgery, we should also pay attention to possible complications after surgery and their prevention and control:
Postoperative hematoma and oozing : strictly stop bleeding, apply pressure bandage, and avoid strenuous activities after surgery;
Wound infection : standard preoperative disinfection, timely dressing changes after surgery, and preventive cross infection;
Scar issues in the surgical area : Use of silicone patches, pressure suits and other scar prevention measures in the early postoperative period;
Hypoesthesia or nerve damage : During surgery, pay attention to protecting the axillary nerve structure and avoid excessive dissection.
Beauty Encyclopedia Tips:
Accessory breast removal is a plastic surgery procedure that places equal emphasis on safety and aesthetics. Adequate preoperative evaluation, strict screening for contraindications, and full communication with the doctor are the basis for ensuring surgical safety and satisfaction. If surgery is required, it is recommended to choose a regular medical institution and have an experienced plastic surgeon perform diagnosis and treatment planning to ensure safety and maximize results during and after the operation.