As an important part of breast plastic surgery, breast reduction surgery not only has significant aesthetic value, but also plays a key role in functional improvement. This article combines real successful cases to deeply analyze the indications, preoperative evaluation, surgical methods, postoperative management and psychological effects of breast reduction surgery to provide a reference for clinical practice.
1. Surgical indications and preoperative evaluation
Breast reduction surgery is mainly suitable for patients with breast enlargement . Common symptoms include shoulder and neck pain, spinal deformity, skin inflammation and increased psychological burden. Those with benign breast hyperplasia and excessive breast volume are also often considered as the focus of preoperative evaluation. Before surgery, the doctor needs to conduct a detailed physical examination, breast B-ultrasound, breast mammography and other examinations on the patient to rule out the possibility of breast tumors. In addition, the patient's mental state must also be evaluated to ensure that her expectations for the surgery are reasonable and that she has a stable emotional foundation.
The patient in this case was a 32-year-old female with a height of 158cm and a weight of 82kg. She had severe sagging breasts on both sides, accompanied by persistent shoulder and back pain and skin eczema . She had not been able to wear properly fitted underwear for many years. After several consultations, the patient decided to undergo breast reduction surgery. Preoperative evaluation showed that there was no space-occupying lesion in the breast, her mental state was stable, and she was qualified for surgery.
2. Surgical methods and technical points
Currently, breast reduction surgery mainly uses an inverted T-shaped incision, vertical incision or circum-areola incision . The appropriate method is selected according to the breast volume, skin elasticity and nipple and areola position. In this case, the surgeon used an inverted T-shaped incision combined with breast tissue resection and nipple lift technology to remove about 950g of breast and fat tissue while preserving the blood supply to the nipple to reshape the breast.
The key steps during the operation include:
①. Accurately design the incision line to ensure that the postoperative scar is hidden
② Strictly control the amount of resection and maintain breast symmetry
③. Preserve the mammary ducts and nerves to reduce postoperative sensory disturbances
④ Use absorbable sutures for layered sutures to reduce the risk of infection and foreign body reaction
3. Postoperative recovery and follow-up management
After the operation, the patient rested in a semi-recumbent position and wore a professional elastic bra to stabilize the breast shape and reduce edema. The drainage tube was removed on the 3rd day after the operation, and the stitches were removed on the 7th day. Heavy lifting and strenuous exercise were avoided within 2 weeks. There was no obvious congestion or infection in the surgical area, and the nipple sensation was slightly decreased, which gradually recovered in the 4th week.
When the patient was reexamined 3 months after the operation, her breast shape was natural and symmetrical, her nipple height was good, there was no scar hyperplasia, and her shoulder and neck pain was significantly relieved. The patient said that her quality of life had improved and her self-confidence had increased.
4. Positive psychological effects of breast reduction surgery
Studies have shown that breast reduction surgery not only improves body structure, but also effectively enhances patients' self-image and mental health . The patient in this case filled out SCL-90 (Symptom Self-Assessment Scale) and BIS (Body Image Scale) one month after the operation, showing that her anxiety, depression and other psychological scores decreased significantly, the shame and self-enclosed tendency caused by long-term breast hypertrophy were significantly improved, and her social interaction ability was enhanced.
5. Prevention and management of complications
Although breast reduction surgery is a routine operation, there are still complications such as nipple necrosis, wound dehiscence, and breast duct damage . To reduce the risk, you should pay attention to the following:
① Rationally control intraoperative bleeding and maintain local tissue perfusion
② Reduce tension suture to prevent skin edge necrosis
③. Strictly follow aseptic operation to prevent infection
④. Change the dressing regularly after surgery and monitor the changes in the wound
In this case, intraoperative bleeding was well controlled, no signs of nipple necrosis were observed, no infection occurred after the operation, and recovery was smooth.
VI. Case Implications and Clinical Recommendations
It can be seen from this case that breast reduction surgery is not only a surgical operation, but also requires comprehensive consideration of the patient's physiological structure, psychological state and postoperative expectations . The key to the success of the operation lies in accurate assessment, standardized operation, and meticulous postoperative management . At the same time, full communication with the patient is required before the operation to clarify the changes and limitations that the operation may bring, establish reasonable expectations, and reduce the risk of medical disputes.
Beauty Encyclopedia Tips: Although breast reduction surgery can effectively improve breast shape and quality of life, preoperative evaluation and postoperative care are equally important. It is recommended to choose a regular medical institution and an experienced plastic surgeon to perform the operation, and follow the doctor's advice for postoperative recovery to ensure the effectiveness of the surgery and physical health. For those with enlarged breasts, they should not blindly pursue beauty and ignore surgical indications and potential risks. Scientific and individualized treatment plans are the key to achieving physical and mental balance.