Breast reconstruction surgery

Breast reconstruction surgery offers solutions to various challenges related to the shape, size, or structure of breasts and nipples. The surgery can address issues such as tubular breasts, areola or glandular abnormalities, and breast lifting.

• Tubular breasts, also known as tuberous breasts.
• Breast lifting and shape restoration, for example, after pregnancy or weight loss.
• Areola correction, such as size reduction or reshaping.
• Glandular developmental disorders or asymmetry.
• Nipple reshaping surgery, such as correcting inverted nipples.

Tubular breasts are a congenital developmental disorder where the breast shape is abnormal: the breasts are often narrow, elongated, and the areola may be enlarged or protruding. This can cause asymmetry and affect body image.

Tubular breast correction surgery offers the opportunity to reshape the breasts to appear more natural and restore symmetry. The surgery may involve tissue transfers, implants, or areola reshaping based on individual needs. Correction surgery often improves both appearance and self-esteem, with many experiencing newfound confidence in daily life.

Areola correction and reshaping is a procedure where the size or shape of the areola can be aesthetically adjusted. Common reasons for seeking areola correction include an overly large, asymmetrical, or stretched areola, which may result from pregnancy, breastfeeding, or congenital factors.

During the surgery, the areola size can be reduced or the shape evened out. The procedure is usually performed under local anesthesia and has a quick recovery time. Areola reshaping surgery can enhance the appearance of the breasts and increase satisfaction with one’s body.

Glandular correction refers to procedures that modify the structure, size, or shape of the breast gland. Reasons for glandular correction may include developmental disorders, asymmetry, or abnormalities in glandular tissue.

In correction surgery, excess tissue can be removed, the gland reshaped, or implants used to achieve a natural result. Glandular correction can alleviate physical discomfort, improve body proportions, and boost self-confidence.

• Initial consultation. The first step towards breast reconstruction surgery is booking an appointment with a plastic surgeon. During the consultation, your expectations, aesthetic goals, and any concerns or questions about the procedure will be discussed. You will receive information about different surgical options and their suitability for your situation.
  
• General health. The plastic surgeon will assess your general health during the consultation. Your past and current medical conditions, medications, supplements, and previous surgeries will be reviewed to ensure the surgery can be performed safely and risks minimized.
  
• Physical examination. During the consultation, the doctor will carefully examine your breasts, assessing their size, shape, skin elasticity, and the position of the areolas. Photos may be taken for surgical planning. Often, the doctor will also recommend a mammogram before surgery, especially if age or family history suggests a risk of breast cancer.
  
• Treatment plan. The plastic surgeon will create an individualized treatment plan, defining the most suitable surgical technique and the scope of the procedure. You will receive detailed instructions for pre-surgery preparations, such as fasting, medications, and possible laboratory tests.
  
• Instructions. It is essential to follow the plastic surgeon’s instructions carefully to ensure the surgery and recovery proceed as smoothly as possible. Instructions include information on eating, drinking, and medication use before surgery.
  
• Smoking and medications. Smoking should be stopped at least 6–8 weeks before surgery and during recovery, as it slows tissue healing and increases the risk of complications. Certain medications, such as anti-inflammatory drugs and blood thinners, should be paused according to the doctor’s instructions.
  
• Clothing. On the day of surgery, wear loose, soft, and easy-to-put-on clothing. Supportive bras are often provided on the day of surgery at the surgical department, so there is no need to bring them from home.
  
• Support. Arrange for help at home after returning from the procedure. Assistance with dressing, household chores, and daily tasks may be needed to ensure a calm and safe recovery.

• Supportive bras. Immediately after surgery, supportive bras are placed on the breasts to support tissues, reduce swelling, and promote healing. The bra should be worn around the clock for 2–4 weeks or as instructed by the doctor.
  
• Swelling, bruising, and pain relief. Swelling, bruising, and mild pain in the surgical area are common in the early stages of recovery. These symptoms can be alleviated with doctor-prescribed pain medication and cold therapy.
  
• Physical activity. Heavy physical activity, such as lifting, sports, and sauna use, should be avoided for at least 4–6 weeks after surgery. Light activities, such as walking and light household chores, can usually be resumed a few days after the procedure.
  
• Stitches. Stitches are usually removed 1–2 weeks after surgery unless dissolvable stitches are used, which disappear over time.
  
• Scar care. Scars from the surgery are initially red and raised but will fade and soften over time. Scar care may include silicone gel or patches as instructed by the doctor. Direct sunlight and tanning beds should be avoided on the scar area for the first few months.
  
• Contacting the doctor. If unusual pain, swelling, redness, warmth, or discharge occurs in the surgical area, it is essential to contact the doctor to rule out infection or other complications. Sudden fever, breathing difficulties, or heavy bleeding require immediate medical attention.
  
• Follow-up: Follow-up appointments are an essential part of recovery. They monitor wound healing and the final results. Rehabilitation is usually not needed, but calm recovery, rest, and following the given instructions support good healing.