Periareolar breast reduction

Abstract

Introduction. The purpose of this study is to examine the preoperative, operative and postoperative management of the periareolar breast reduction intervention. These include marking, anticipating anatomical changes by reducing weight and volume, adjusting the nippleareolar complex as a whole, and monitoring post-traumatic regeneration. Aim of the study. Indications and contraindications for this intervention; Shall list the advantages and disadvantages; Establishing the effectiveness of pre and post operative monitoring methods. Materials and methods. In order to provide reliable study data, patients who have been operated at the "TerraMed" Clinic and diagnosed with hypertrophic mammary gland were supposed to use the "Periareolar Breast Reduction". Were taken into account information about surgeons experience, bilateral breast reduction work-load, pre-operative assessment, selection criteria, issues of operative technique and postoperative management. Results. During 5 years, between 2015 and 2020 (including), 34 patients aged 30-60 years were operated at the "TerraMed" Clinic and the mammary reduction was performed. For 23 patients the peri-areolar reduction was performed and for 11 patients - other types of reductions. 19 patients needed for the use of mammary implants. During the mammary reduction, complications occurred at 3 patients - marginal necrosis of epidermis (0.3-0.5 cm). Conclusions. The achieved results have an impressive rate of success. Transareolar breast reduction is an interesting procedure in reconstructive breast surgery. This method focuses exclusively on describing techniques of approach which gives us fulfilment and long-lasting results in breast reconstruction. Patients are delighted with cardinal changes and reintegrate them selfs into society. This intervention is successful one by taking into account the satisfaction and minimisation of initial symptoms of the patients in the post-operative period.