Mammoplasty in Iran

What is Mammoplasty?

Mammoplasty is a term used in plastic surgery that refers to a variety of breast surgeries. Contrary to what is commonly thought, this surgery does not have to be related to breast prosthesis, and there are different types of mammoplasty surgery according to people’s needs. We will be familiar with the kinds of Mammoplasty available in the following. Mammoplasty surgery is a procedure performed to beautify the breast, which is generally referred to as the reduction of breast volume by reduction mammoplasty surgery. Mammoplasty is one of the most popular surgeries among women globally and in Iran, and most women who suffer from large breasts want to have this surgery. Mammoplasty surgery includes incremental Mammoplasty and reduction and reconstructive Mammoplasty (mastopexy).

There are four general categories of cosmetic surgery performed on the breasts (also called Mammoplasty):

1. Increased Mammoplasty or increase in breast volume (prosthesis)
2. Reduced Mammoplasty or reduction of breast size
3. Breast tissue reconstruction (therapeutic Mammoplasty)
4. Breast lift (Mastopexy).

Mammaplasty or breast reconstructive surgery is a plastic surgery procedure to correct the size of the breast or change the shape and repair of the sagging breast, which is performed in women and usually for the beauty of the breast.

Mammaplasty can be done in two ways; Reduction or reductive mammoplasty is usually performed to shrink the breast and reduce fat, glandular tissue, and skin of the breast, which is then reshaped breast tissue.

Another method is breast augmentation mammaplasty, which aims to increase breast size for beauty and improve the appearance of the breast.

Mammoplasty surgery has three main steps:

1. The first step is to incision under the breast or around the areola.
2. The second step involves removing excess fat from the breast tissue and skin to reduce breast volume.
3. The third step consists of changing the breast’s position and the nipple, and its surroundings.

Why Mammoplasty?

The patient may frequently see a physiotherapist or plastic surgeon due to the recurrent neck, back, and shoulder pain due to heavy chest weight. The patient’s daily activities, such as exercise, etc., may be limited due to the large size of the breast because the more extensive the breast volume, the greater the amount of shaking and the resulting pressure.

If you are upset about the size of your breasts and have physical and mental problems such as chronic neck and back pain, difficulty doing physical activity, and loss of confidence, breast reduction mammaplasty surgery may be a possible solution to your problem.

Reasons to Have Mammoplasty

Although breast reduction is often made to relieve physical and medical problems, patients who do not have macro mastic symptoms but are unhappy with their breast size can still have breast reduction surgery as an aesthetic procedure. Patients undergoing cosmetic breast reduction surgery for various reasons may point to a variety of reasons, one of which is anxiety and embarrassment of being in the community.

Given the high cost of this surgery, choosing a less expensive but effective country for breast reduction surgery will help you achieve your goals.

Iran can be one of your options for this surgery. With the low cost of surgery alongside skilled doctors in hospitals equipped with medical facilities and equipment, a country of four seasons with natural sights and tourist attractions can be an exciting experience and receive medical services.

Why mammaplasty surgery in Iran?

Traveling to another country for breast surgery can be a difficult decision. However, when it comes to surgery with the same quality but at the right price, it makes sense to travel to a country with an excellent reputation as Iran. Everything in Iran is cheaper than anywhere else globally, from accommodation and travel services to medical services. Not only is the price reasonable, but this surgery is performed by some experienced Iranian surgeons in modern private hospitals.

Today, Iran is among the top 10 countries that perform plastic surgery with the highest rate, especially rhinoplasty globally. It is reaching the forefront of the medical tougloballyworld, especially in plastic surgery. Iran’s advances in medical services and the expertise of Iranian surgeons are reliable solutions for many people with anomalies.

The country includes a strong community of reputable and skilled plastic surgeons who have up-to-date knowledge in their field and come to the patient’s bedside with years of proven experience and a proven track record of successful surgeries. For this reason, plastic surgeries, including mammaplasty, are performed with a high percentage of success and safety in this country.

In the end, Iran has attracted many people due to its tourism experience, and the New York Times has mentioned Iran among the 52 most popular places in 2019. History, rich culture, unique architecture, excellent food, and most importantly, hospitable people are other attractions of Iran.

Different countries worldwide, including Iran, have made significant progress in providing various medical services to applicants. Many factors make you choose Iran as your destination country for mammoplasty surgery. One of the main reasons for choosing Iran as a destination country for mammoplasty surgery is that you have to pay less for Mammoplasty in Iran than in other countries. Of course, in addition, other vital factors encourage you to choose Iran, including:

• Experienced and expert plastic surgeons and specialists
• Reputable and high-quality hospitals and clinics

In this article from Moj Aramesh Amitis Health Tourism Company, we examined the factors affecting the cost of mammoplasty surgery. If you plan to have mammoplasty surgery, you can talk to your specialist about your questions and concerns.

Your doctor will talk to you about whether you are a good candidate for Mammoplasty. You can get the necessary advice in mammoplasty surgery with the capable experts of Moj Aramesh Amitis Health Tourism Company and receive the answer to all your questions.

What is a reduction mammoplasty?

Breast reduction, also known as reduction mammoplasty, removes excess fat from the breast, glandular tissue, and skin to relieve discomfort or achieve a breast size that fits the body.

If you plan to have breast reduction surgery, consult a specialist plastic surgeon. It is essential to understand that breast reduction surgery has potential risks and complications and that we should also have realistic expectations of it.

Incremental Mammoplasty (breast prosthesis)

Breast augmentation surgery increases the volume, size, and breasts. It is also performed to lift sagging breasts, eliminate asymmetry in breast size, and restore lost volume after breastfeeding.

In fibrocystic diseases, infection, or breast cancer, incremental Mammoplasty is prohibited.

Breast augmentation is done by implanting a prosthesis that can be placed under the chest muscle or on the pectoralis muscle. The incision can be made in the armpit, areola (the area around the nipple), or the crease below the chest. In general, all breast augmentation methods are minimally invasive. An endoscope (a thin tube with a tiny camera and light) may be used for mammoplasties that make an incision under the armpit.

Reduction mammoplasty

It has been proven that large breast sizes affect people’s psyche more psychologically than small breasts, and these patients try to hide their breasts as much as possible. In addition to psychological problems, the large size of breasts affects the spine’s health and causes chronic back pain.

For this reason, reduction mammoplasty is essential both in terms of prevention and aesthetic aspects and prevents spinal problems.

The purpose of this intervention is to reduce the size of the breasts and raise and maintain the natural position of the breasts. There are two leading causes in which surgical intervention surgery is recommended: 1. When the breasts are too large due to hormonal factors, obesity, and breastfeeding, or when the breasts become sagging due to aging or the effect of gravity.

Therapeutic Mammoplasty (breast reconstruction)

What is therapeutic Mammoplasty? Therapeutic Mammoplasty is a surgical procedure to remove breast cancer (therapeutic) and reshape (Mammoplasty) the breast by removing tissue and skin. This is done both as a treatment for breast cancer and to maintain the breast’s natural shape.

Regenerative Mammoplasty makes sense in cases where the patient is diagnosed with a condition such as breast cancer. It is necessary to eliminate the breast and chest muscle in these cases, and part of the lower abdominal wall can also be used. Other tissue options for autologous regeneration (using a person’s body tissue) use muscle behind the back of the back and skin or fat and buttock muscle. Breast reconstruction increases the patient’s self-esteem.

Reconstructive Mammoplasty can be performed through anatomical or round prostheses and implants using the patient’s body and adipose tissue. Breast reconstruction surgery is often performed on women undergoing mastectomy to treat breast cancer.

The breast is reconstructed with the desired appearance, contour, and volume in this method. In this method, the nipple and areola are also reconstructed. When the sensory nerve or mammary glands and ducts are removed or significantly damaged, the breast’s normal sensation and normal breast function can not be restored.

The shape, contour, and breast volume can be recreated by implants or using a person’s body tissue. If the implant is used, the size of the implant is the size of the other breast. If possible, implantation will be placed under the chest muscle.

Breast reconstruction surgery can be performed at any time after a mastectomy. This method does not affect cancer recurrence and does not appear to affect cancer. However, your doctor will give you the necessary training about breast self-examination, and you will be monitored for follow-up appointments.

Breast lift (mastopexy)

In some women, the skin is not resistant enough to withstand breast weight, causing the breasts to hang. With these conditions called ptosis, there is too much skin compared to breast tissue. To lift the breast, the excess skin should be removed. There are generally three surgical procedures for lifting:

• Wise pattern. This anchor-shaped incision is located around the breast and underneath the breast.
• Cut around the areola and goes down.
• The doughnut or half-areolar cut is just around the areola.

This surgery involves some degree of permanent scarring, but it is trying to perform a procedure that will help minimize scarring.

Round block mammoplasty (doughnut)

A small piece of skin is taken in the form of a donut from the areola – the dark skin area around your nipple. If the cancer is on the inside or top of the breast, your surgeon will use this method. After removing the cancerous tissue, the areola is then sutured using absorbent sutures. This method leaves a scar around the tip of the nipple in the form of a donut.

Vertical scar mammoplasty (lollipop)

Again, a small patch of skin is removed from around the areola, but this time your surgeon will make a vertical incision in the center of the lower breast. This is done to eliminate cancer in the lower half of the breast. After the tissue is removed, the skin is sutured, and the nipple is placed higher than in the past. This procedure has a candy wound around the nipple and under the breast.

Wise pattern mammoplasty (anchor)

The same incisions were made before, but an additional incision is made along with the breast folder. Your surgeon can use this method to eliminate cancer from anywhere inside the breast. It is widespread and leaves scars in the form of anchors.

Mammoplasty Alternatives

• Significant weight loss if you are overweight
• Wearing special underwear that makes the breasts look smaller.
• Talk to a counselor who relieves your concerns about the appearance of your breasts.

Am I a Candidate For Mammoplasty?

Are you a candidate for breast surgery?

• You are physically healthy and have realistic expectations.
• Skin irritation under your breasts bothers you.
• You have back pain, neck pain, and shoulder pain due to the weight of your breasts.
• You have trouble choosing clothes and bras.
• Your physical activity is limited due to your large breasts.
• You have lost your self-confidence and are embarrassed by your big breasts

Breast reduction surgery is usually not recommended if:

• You have certain conditions, such as heart problems or diabetes
• You are a smoker
• Your breasts are not yet fully developed
• You are very obese

How can I prepare for breast reduction surgery?

The decision to have breast reduction surgery is critical. Below are some suggestions on how to prepare for this surgery.

You should consult with your surgeon to decide on breast reduction surgery. Take this opportunity to answer your questions and ambiguities. The surgeon will review your medical history after a physical examination.

You should tell your surgeon:

• you think you are pregnant, or you are in a pregnant period or breastfeeding
• You or a close relative has breast cancer or any other breast disease
• You have had breast surgery in the past
• you have general health problems
• You have an allergy or reaction to anesthesia, latex, or other medication.

If you are over 40 and have not had a mammogram before, you should have a mammogram before the operation.

• Stop taking aspirin and ibuprofen 14 days before surgery and at least a week after surgery, and talk to your doctor about it. These drugs increase the chance of bleeding.
• Stop smoking and avoid being near anyone who smokes for at least four weeks before and two weeks after surgery. Smoking does not heal wounds and infections.
• Make sure someone accompanies you at home for surgery and aftercare and stays with you for at least the first 24 hours.

Preparation for Mammoplasty and operation

Before the surgery, you’ll meet with your surgeon to discuss your medical history, including whether you’ve lumped removed from your breast or any other medical conditions that affect your breasts. Your surgeon will also ask about your family’s medical history. Be completely open with the surgeon about your medical history and why you want a breast reduction. The surgeon may take photos of your breasts, measure them, and talk with you about how much breast tissue will need to be removed to achieve your goal.

You will also learn about preparing for the surgery and planning for your recovery. You may get a mammogram and breast exam before the surgery. Your surgeon will ask about your habits during your consultation, including whether you smoke and what medications you take. You may have to quit smoking for a period before and after surgery to ensure proper healing. You also may have to stop taking certain medications, including aspirin or other anti-inflammatory drugs. Your surgeon will give you instructions about what you need to do.

Keep in Mind Before Mammoplasty that

• The procedure is best done when breasts are fully developed.
• During pregnancy, changes in the breasts or significant weight loss or gain can alter mammoplasty outcomes.
• Your ability to breastfeed after breast reduction surgery may be limited. Talk to your medical practitioner if you plan to breastfeed or get pregnant in the future.
• Nipple scarring can cause an infection.
• Breast reduction surgery can interfere with some diagnostic procedures.
• Breast reduction is commonly considered a cosmetic surgical procedure, so health insurance companies may not cover the surgery.
• Smokers are at increased risk of complications. To decrease the risk of complications and your general health and well-being, try to quit smoking before surgery.
• Consider asking another medical practitioner for a second opinion. It is essential to have as much information as possible before deciding to have breast reduction surgery.

Examination of the patient is mandatory for any type of Mammoplasty. Breast augmentation surgery is performed under general anesthesia. High-quality silicone implants are used for internal prostheses. They are placed in precise and regular incisions in a specific chest area.

In reducing Mammoplasty, the incisions are made regularly, an extra piece of skin is cut, excess fat deposits are formed, and the neurovascular bundles are not affected. In the mastopexy process, a breast lift is performed, and a parallel endoprosthesis is completed, allowing the mammary glands to look attractive.

Preoperative preparation

It is good to know before the Mammoplasty:

• Breasts may sag over time after surgery.
• The scar may remain on the skin, and the patient’s nipple sensitivity may decrease or disappear after surgery.
• Breasts will get bigger during pregnancy, and the patient may not be able to breastfeed after delivery. Make sure you do not intend to become pregnant after surgery.
• In women whose large breast size has affected their quality of life, the benefits of surgery outweigh the complications.
• But surgery results may not be worth the risk in women with medium breast size.

It should be noticed before having mammoplasty surgery in Iran that:

• Take a shower with antibacterial soap the night before surgery to reduce the chance of infection. Be careful to wash your breasts and armpits, and do not use deodorant, powder, or lotion.
• In the event of a skin rash or active infection, surgery will be delayed until the symptoms go away.
• Wear comfortable clothing that opens from the front and shoes that are easy to wear, as raising the arms or bending the waist will be difficult after surgery.
• To reduce infection, do not use makeup, lotion, or deodorant on the operating site.
• Do not wear contact lenses.
• Follow your surgeon’s instructions for eating and drinking before surgery to minimize the risk of aspiration or other anesthesia-related problems.

Preoperative Stage of Mammoplasty

For two to three weeks, the patient will feel stretched or in pain, and the patient will get tired earlier than usual due to low energy levels. The patient should consume 7 to 10 calories per kilogram of body weight. If the calorie intake is lower, the muscles will break to provide the calories consumed. Use quality proteins such as turkey and fish and cheeses to speed up the healing process of wounds. You can also use protein supplement powders in breakfast and snack drinks to increase the quality and volume of protein intake. Snacks can include plant proteins such as nuts such as peanuts and almonds.

Also, drinking plenty of water with a doctor’s advice is very helpful for recovery.

• Visiting a doctor and checking the patient’s medical history, the doctor Performs preoperative tests such as:
• Various tests such as preparing a mammogram: A mammogram is an X-ray image of a doctor that examines a patient’s breast condition.
• Precautions before mammogram: Avoid using deodorants and wear a one-piece dress like a hospital gauze.
• It is best not to have a mammogram during or before menstruation.
• Avoid caffeinated substances such as coffee and chocolate for a few days to two weeks before mammography.
• A complete blood count (CBC) before health surgery shows an overview of the patient’s general health. Such as the number of white blood cells that indicate the presence of infection in the body and the number of red blood cells that show whether the patient has anemia or not?
• Also, stop taking aspirin and anti-inflammatory drugs or herbal medicines and teas that dilute your blood.
• You can use soft fruits such as bananas and berries and fruit compotes such as peaches after surgery.
• Avoid heavy foods and foods that are difficult to digest, such as processed and processed foods.
• Avoid alcohol and smoking for at least a month.

Recovering from Mammoplasty

After plastic surgery, some recommendations need to be taken into consideration. Doctors and patients say recovery is not painful but may also depend on the patient’s condition.

Recommendations after these types of surgical interventions include:

• Sleep on your back.
• Use orthopedic braces without substructure for one month.
• Follow your doctor’s instructions on the medication.
• You should move cautiously and avoid lifting weights.
• Preferably not to consume alcohol or tobacco.
• Do not go to the sea or pools for 15 days after surgery.
• Protect your scar from sun rays within a few months of surgery.

Be careful when exercising and preferably do only leg exercises.

• Arm movements should be smooth, and weight should not be borne on the breasts to facilitate recovery. In addition, resting the arms reduces inflammation, but moving them is mandatory.
• It is necessary to use an edgeless medical bra. In this way, the implant will remain in place until the tissue heals.
• The skin of the breast area must be well hydrated because the use of a medical bra causes excessive drying and stretch marks.

In addition to lying on your back, it is recommended to raise your head slightly with a cushion or blanket to reduce inflammation in the chest area.

• Physiotherapy can help reduce inflammation and return to routine faster.
• Breast examination is essential after surgery, but you should have regular visits and check-ups every year.
• Protecting the scar from the sun is very important, as it creates pigment and makes the scar clearer.
• Exercise rest after the surgery is essential. After an estimated time of 3 months to return to exercise, it should be noted that chest exercises can be harmful to breast prosthesis. Therefore, this type of exercise should be done with utmost care.

In The last stage of recovery from Mammoplasty, Breasts will become tender and sore. Breasts may also become bruised or swollen. It is best to use medical bras in consultation with your doctor and avoid wearing push-ups or spring bras for at least a month. The results of mammoplasty surgery are immediately visible, and the final results are visible over time and with the reduction of breast swelling and the disappearance of the suture line.

Postoperative Stage of Mammoplasty

These aren’t big-ticket items (prescription pain medication, garment bras, and scar cream or silicone gel sheets), but they add up. The patient’s chest will be bandaged with gauze and sterile bandages. A drain is placed under the patient’s armpit to expel fluid and blood so that the remaining liquid can eventually drain out of the breast tissue. To reduce pain and prevent infection at the surgical site, the doctor will prescribe painkillers and antibiotics for the patient.

So this process is long-lasting, but the permanent results of mammoplasty surgery can alleviate your concerns. At the same time, you should realize that over time and due to hormonal changes in the body, the shape and size of the breast may change.

• After mammoplasty surgery, plenty of ice, clean gauze and towels, and ointments prescribed by your doctor for incisions and wounds should be available.
• Avoid wearing tight and sticky clothes and wear loose and comfortable shirts.
• If you are discharged from the hospital the same day after a mammoplasty, someone should take you home and stay with you for at least one night.
• Ask your doctor how to take care of the site of Mammoplasty to avoid things or actions that unintentionally damage your breasts.
• Follow the time of the following appointments with the doctor for the subsequent examinations to prevent the possible complications of this surgery in time, or if it occurs, you can fix it quickly.
• Take medications prescribed by a specialist on time and as instructed so that the incision site does not become infected.
• Do not worry about possible swelling and bruising after surgery, as they will be resolved after about 18 months.

What are the Risks of Mammoplasty?

Like any surgical procedure, Mammoplasty carries many risks. Some common side effects include nausea and vomiting following anesthesia. Your breasts may also be sore, swollen, and bruised for a while after the surgery. Some more specific side effects may occur but are very rare:

Infection at the wound site

Infection in the incision area may appear after surgery. This is a common complication that can occur after any surgery, and your doctor will prescribe antibiotics to treat the problem.

Delay in recovery

Sometimes, the scar does not heal as quickly as expected. Suppose you have a specific type of cut (junction T) where the vertical spot faces the horizontal scar. In the event of this complication, you should pay special attention to your wound for several months until it heals completely.

Hematoma

Hematoma can rarely occur, which means bleeding into the tissues after surgery. The treatment is to return to the operating room to prevent bleeding.

Complications in nipple sensory nerves

During surgery, your surgeon should disrupt your blood supply to the nipple. There is very little chance that you will lose sensitivity in the nipple.

Hypertrophy or colloidal scars

Most of the time, the scar heals properly and disappears in less than 12 months. However, in rare cases, the lesions may turn red and form a mass or colloidal ulcer. The colloidal scar is when the skin continues to produce scar tissue, and as a result, the skin in the wound area becomes larger and larger.

Seroma

After surgery, your wound will likely still produce fluid under the wound. This can cause swelling known as seroma. This complication is quite common and is not dangerous in any way. A doctor or nurse can drain fluids from the breast.

Mammoplasty surgical anesthesia

Mammoplasty is typically performed using a general anesthetic. That increases the cost of the procedure compared to procedures performed under a local anesthetic plus sedation, but it ensures the patient’s comfort throughout the surgery. The doctor will choose the best method of anesthesia for the patient.

Breast Reduction Surgery, Mammoplasty in Iran

Breast reduction surgery in Iran is often performed under general anesthesia. However, it may be combined with local anesthesia and intravenous sedation, although your surgeon will recommend the best option. After anesthesia, the surgeon makes a circular incision around the nipples. The incision will continue down to the breast incision.

As a result, excess fat, tissue, and skin are removed from the breasts. Occasionally, the nipple may come off for sagging and huge breasts and be reattached to a higher position on the breast. All incisions are sutured and standardized. Your cut may disappear over time, but it will never completely disappear.

In some cases, small tubes are inserted into your breasts to help drain excess fluid. In addition, the dressing may be placed on your breasts and then covered with an elastic bandage or surgical bra. Depending on various factors, including the technique of surgery and the anatomy of the breasts, the operation usually takes about 2-3 hours, and patients are allowed to go home on the same day of the procedure.

Iran has become one of the hubs of health tourism in the region, with numerous specialized surgical centers and advanced laboratory and diagnostic centers. With the meager cost of health care in Iran and the low cost of staying in this country, many people travel to Iran annually for their medical procedures.

In addition to treatment in Iran, patients can benefit from this country’s historical and natural tourist attractions.

Make incisions in the breast tissue.

There are different types of incisions in Mammoplasty that vary depending on the patient’s condition and request: Depending on the patient’s condition and his desired result, additional incisions are used in this surgery to cut and remove the skin and extra parts or liposuction to remove excess fat. There are generally three main methods of this surgery:

• Cut around the halo or circular or peri-areolar halo
• Anchor cut or T inverted or so-called Wise cut
• Lollipop slicing, which is a combination of the above two methods, will involve cutting vertically both around the aura of the chest and below the chest, which is often used in those with moderate sagging breasts.

During surgery, the nipple and surrounding halo may remain attached to the breast tissue. But if the patient’s breast size is large, the surgeon will remove the nipple and the aureole around it and place it in a higher position than before in the previous direction for beauty.

Know that the doctor’s whole effort is to keep the patient’s breasts as symmetrical as possible, but changes may occur later in breast size and shape, or the size of the halo around the breasts may change—changes such as pregnancy or the use of birth control pills. And urgency and menopause and weight gain cause this.

Closing the cuts

In the next step, the incisions made in the breast tissue will come together and create a smaller breast. The incisions will be closed with medical sutures or adhesives. The sutures will be permanent, but they will fade over time in some patients. The stitches will not be visible on the underwear or swimsuit, and there is no need to worry about this.

What Are Your Expectations After Surgery in Iran?

The healing process after Mammoplasty takes about 2-6 weeks. You may need a week or two of rest and work leave and not drive for at least a week. You may experience swelling and bruising during this period, but they usually subside within a few weeks. There may also be a pain. The length of time it takes to hold the bandage depends on how quickly your wounds heal.

Sutures are usually removed within a week or two. Some surgeons recommend a special post-surgery bra 24 hours a day for three months after breast surgery. You should avoid heavy weight lifting, strenuous exercise, and stretching for six weeks after surgery. In addition, you are advised to abstain from sexual activity for the first few weeks, as it may cause inflammation around the incisions.

Because breast tissue is so involved in this surgery, it can sometimes take months for the swelling to subside completely; Therefore, you may need to wait until you see the final results.

Factors Affecting the Cost of Mammoplasty

Many women notice their breasts droop and become pendulous as they age, especially after pregnancy. A breast lift procedure can return perkiness to breasts to combat this inevitability, restoring a more youthful silhouette. The total cost of a breast lift can be impacted by several factors based on your unique needs and goals. Mammoplasty, known as one of the cosmetic procedures associated with breast lifting, can increase the total cost of surgery due to the required expertise. Many factors can be influential in the total cost of the surgery, including: