Contraindications to mammoplasty surgery

Breast reduction surgery, also called reduction mammoplasty, is a procedure used to remove excess fat, tissue and skin from the breasts. If a person’s breasts are large, breast reduction surgery can be chosen to reduce discomfort or to achieve a breast size that fits your body.

Things to consider before breast reduction surgery:

1. This procedure is best done when the breasts are fully grown.
2. Nipple breast piercings can cause infection.
3. Breast reduction surgery can interfere with some diagnostic procedures.
4. A person’s ability to breastfeed after breast reduction surgery may be limited, and if a person plans to breastfeed their baby in the future, it is best to refrain from mammoplasty surgery.
Changes in the breasts during pregnancy or significant weight loss and gain can alter the results of previous breast reduction surgery.
Smokers are more prone to side effects after surgery. To reduce the risk of complications and increase general health, smoking should be stopped before surgery.
It is important to have as much information as possible before deciding to have breast reduction surgery, so it is best to ask a few doctors.

Can breast reduction surgery be performed during pregnancy?

It is incorrect to perform any plastic surgery during pregnancy, as it may affect the health of the mother and baby during surgery. Mammoplasty surgery is often not medically necessary, and most physicians oppose surgery, which can be performed with greater confidence.
Gigantomachia
Breast reduction surgery is performed on girls with oversized breasts, which may cause back and shoulder pain as well as limit physical activity. Breast reduction is usually delayed until the breasts are fully developed.
Gigantomachia is a rare disease that causes the breast to overgrow. This complication may occur during puberty, pregnancy, or while taking certain medications.

Gigantomachia can occur in two ways:

1. Adolescent hypertrophy that occurs between the ages of 11-19. In the severe form of this disease, treatment is necessary due to the occurrence of mental and physical problems caused by large breasts in the patient. Treatment with drugs such as danazol and bromocriptine may be helpful, but surgery is currently the only reliable treatment.
2. Breast enlargement during pregnancy, which occurs in the first few weeks of pregnancy and intensifies with increasing gestational age.
In some boys, overgrowth of the breast (gynecomastia) can become a major problem. In these cases, the extra tissue can be surgically removed.

Do breasts regrow after reduction surgery?

Unfortunately, the answer is yes. It is possible for a person’s breasts to return to their original size even after shrinkage. But the good news is that this is a rare occurrence among patients and in most cases is preventable.

Is it possible to have two breast reduction surgeries?

Yes, breast reduction is possible again. Depending on the technique used for the first time, the risks of sensory nerve changes and skin repair problems may increase. The technique used in the second breast reduction surgery is also very important.

Can a person with diabetes have breast reduction surgery?

Reduction mammoplasty is considered unnecessary surgery in diabetic patients. It is safe to perform this surgery if their diabetes is controlled or the patient’s blood sugar is properly controlled after surgery.

Contraindications to mammoplasty surgery

What cannot be done after breast reduction surgery?

Smoking delays wound healing and leads to infection. The patient should refrain from lifting more than two kilograms or bending at the waist for a while and do not do heavy activities such as running or aerobics for six weeks.

What cannot be done after breast reduction surgery?

Smoking delays wound healing and leads to infection. The patient should refrain from lifting more than two kilograms or bending at the waist for a while and do not do heavy activities such as running or aerobics for six weeks. Avoid sunbathing for at least six months, especially in stitched areas.

What should be checked before surgery?

A person’s physical health, including past medical history, such as illness, surgery, vaccination, and the patient’s mental health, including any mental illness, medications, including vitamins and supplements, and past reactions to medications
Your current physical condition, which will include your diet and exercise diet, will be assessed. The doctor can analyze the patient’s blood pressure, temperature, heart rate, oxygen saturation and respiration rate and decide to perform surgery accordingly.

What problems can occur in breast reduction surgery?

Slow wound healing process
Irregularities in the structure and shape of the breast
Breast skin discoloration
Swelling and bruising
Damage to deeper structures – such as nerves, blood vessels, muscles, and lungs – may occur during surgery, but can be temporary or permanent.

legal age

The issue of cosmetic surgery in adolescents can be controversial. There is no specific law in the United States that prevents teen cosmetic surgery. But parental consent is required for patients under 18 years of age. Therefore, it is the parents’ responsibility to help their children make the right decision.
Cosmetic surgery can be performed in qualified adolescents and performed safely. In 2013, the American Society of Plastic Surgeons (ASPS) released data showing that the number of cosmetic surgeries performed on teens has been steadily declining over the years, with media reports to the contrary.

Incremental mammoplasty

Augmentative mammoplasty is a cosmetic surgery procedure using breast implants and fat transplants to increase the size, deform and change the texture of the breasts.
The patient may have to undergo surgery to achieve the desired shape and size. It cannot be suddenly changed from a small size to a large size.
The US Food and Drug Administration (FDA) recommends incremental mammoplasty for patients under 18 years of age. Has not been approved for breast augmentation in patients under 18 years of age. According to ASPS, more than 8,000 surgeries were performed in 2013 on girls under 18 years of age.

What are the complications that may occur after breast augmentation surgery?

The contraction of the implanted capsule, where a strong scar tissue forms around the implant, causes it to lose its shape and softness.
Improper planting size
Rupture or emptying of the implant
Asymmetry of the breasts
Calcium deposits in the scar capsule around the implant
Granulomas, or masses, in the tissue of localized lymph nodes caused by silicon leakage
Breastfeeding problems, including decreased milk secretion
Reduces the effectiveness of breast cancer screening because an implant may hide breast tissue (and tumors) during mammography.
Move the implants from their original position
Further surgery to treat complications
Risks of anesthesia including allergic reaction or possible cardiovascular complications such as heart attack
Blood clots in the deep veins of the legs (deep vein thrombosis), which can travel to the lungs (pulmonary embolism) or brain and may be life-threatening./Mammaplasty surgery in Iran
People with the following problems should avoid breast implants.
People with autoimmune diseases have found that women who have silicone gel-filled implants in their breasts are eight times more likely to develop Sjنgren’s syndrome, an autoimmune disorder, and 7 times more likely to develop scleroderma. It is a rare and progressive rheumatic disease in which the skin of patients becomes thick, stiff and dry, and sometimes ulcers appear at the ends of the limbs.
In some susceptible individuals, autoimmune disorders, such as lupus erythematosus, may cause implant autoimmunity immediately after breast implant placement.
The FDA found that one in five women who underwent breast prosthesis surgery had to undergo approximately half of the implantation time within ten years of women who underwent reconstructive surgery after a mastectomy. This means that revised breast implant surgery is common for cancer survivors.
The risk of rupture of the breast implant is higher in those who have salt implants, while the implant contraction is higher for those who have silicone implants. Implant contraction occurs when the breasts become hard and painful because the body rejects the breast transplant as a foreign body, causing scarring around the implant, which is an immune response to breast implant implantation.
People with blood clotting disorders such as hemophilia or Von Wilber’s disease.
Van Will brand disease is the most common inherited coagulation disorder due to a lack of a type of protein in the blood that causes patients to have very slow blood clotting and heavy bleeding during surgery.
People with chronic diseases such as diabetes and heart disease.
Iranian physicians can consider the best treatment for patients due to their high proficiency and up-to-date knowledge. Moj Aramesh Amitis Company, in cooperation with the best laboratories and diagnostic centers, can examine the patients’ condition from all angles and inform them in complete honesty if they are not suitable candidates for mammoplasty.

Written by: S.hajizadeh
Translated by: N.Rahimifar

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