Figures: Gigantomastia, where it is removed more than 1 kg per breast; And the end result showing the scars.

Technical Name: Reducing Mammoplasty.
Part of body: female breasts. In men with enlarged breasts it is called Gynecomastia.
Objectives: Remove excess gland and fat, just as in cases of breast fall (ptosis) only the skin is removed (Mastopexy). Remodeling, lowering and raising the breast.
Recommended age: from 15 years old.
Anesthesia: local with sedation for breasts with narrow base or only with excess skin; And general anesthesia for large and wide base breasts.
Duration of surgery: 2 to 3 hours.
Hospital stay: from 12 to 24 hours.
Scar: inverted “T” shaped or “I” (lower vertical and around the areola). The scar is proportional to the size of the breast. The suture is internal, with no stitch marks on the skin.
Laboratory exams (Complete blood count, Coagulogram, Blood glucose, optional anti-HIV, Urine examination, E.C.G. and chest X-ray PA for over 40 years) and Medical photography. And women over 35 years are done a breast study with Mammography and Ultrasound. Avoid smoking 15 days before, at least. Do not use Acetyl Salicylic Acid (AAS, Aspirin) or Anticoagulants, as well as Ginko biloba, for 15 days before and 7 days after surgery.
1o. Day: rest in bed with headrest raised to 30 degrees. Get up just to go to the bathroom, slowly. Avoid raising your arms or making jerky movements with your arms to prevent bruising. Light diet at the end of the day. Medications taken at the hospital: Antibiotic (Keftaple 1g EV 12 / 12h), Anti-inflammatory (Prexige 400mg 01 comp. VO 01 times a day, 01 box of 04 comp.), Analgesic (Tramal 01 amp EV if you have pain). Other usual medications for vomiting, stomach, antihypertensive.
2nd day: the dressing is renewed. Medications taken at home (WITH MEDICAL RECIPE): Antibiotic (Cefadroxil 500mg VO of 12 / 12h box with 8 comp.), Antinflammatory (Biprofenid 01 comp. VO every 12 hours), Analgesic (Dipirone or Tylex 30mg VO if pain ) And the usual ones.
Day 7: The Micropore is renewed every week, and kept up to 1 month.
Day 10: If there is any skin spot, in a place of greater tension, it is removed. Most stitches are internal, and absorb with 3 months.

Recovery time: 20 to 30 days.

Associated Surgeries: Liposuction, Abdominoplasty

Breast Augmentation Care

Apply topical antiseptic (70% alcohol, colorless Merthiolate or Rifocin spray) over the scars, over the Micropore. Renew the micropore every 7 days, and withdraw with 1 month.
Sleep from dorsal decubitus (belly up), and exercises only after 1 month.
Return to work or drive after 1 month.
Do not pick up sun for at least 2 months. Photoprotector 30 FPS daily, after removing the Micropore.
Edema: decreases 50% at 1 month and 100% at 6 months.
In case of a high scar, massage for one minute with Rosehip Cream at 15% + Tamoxifen Citrate 0,1%; Or 0.5% Triamcinolone + 0.5% Hydrocortisone. In case of reddish scar, use Kelo-cote gel 2 times a day.
The scar may turn red for up to 6 months. In this case, do not expose yourself to the sun and avoid crustacean.
Return for one month, two, four, and six month reviews. Final return for photography and possible retouching with one year.