BREAST REDUCTION AND DANCE OF THE PYRAMIDS
Most women are only familiar with the term breast augmentation or enlargement; however, when the size of the breasts is naturally huge women might also need to undergo breast reduction treatment. This is a common plastic surgery procedure that is performed all over the world by experienced and qualified surgeons.
Dance of the Pyramids Technique
For breast reduction, making a three-dimensional pyramid-shape tissue design and using these pyramids as the base for the new breasts is called “Dance of the Pyramids,” under the scope of the Avsar technique. A customized design/drawing for the patient is made before the surgery. During the surgery, four breast tissue pyramids are planned and created in the breast structure. The upper pyramid (pedicle) carries the nipple/areola structure and is known as the pyramid that provides the upper volume for the breast, and it acts as a lift while preventing future sagging problems. The lower pyramid represents the sagging part of the old breast and does interfere the new breast. The lower pyramid is also removed during surgery and is sent for pathological examination. The right and left two pyramids are also very important: They move from left and right in the center during breast reduction and represent the bottom pole of the breast and support the breast from underneath. The new breast structure—that is, the neo-breast—has a healthy and firm structure with the joining 3 pyramids. The success of the surgery depends on how good these pyramids are designed. When the three-dimensional design, the right technique, and the experience come together, it will be possible to reduce very large breasts to the patient’s desired size and make them firmer. In this technique, the breasts are reduced to an ideal size while excess tissues extending to under the arms disappear with the movement of the side pyramids to the center.
If the breasts are too large a small anchor shape scar and if the breasts are mid-sized than a small lollipop shape scar can be visible. In most patients, scars become almost invisible within 6 months to 1 year. People who have wound healing problems have medical and laser therapies after their surgeries.
Similar to any breast surgery, patients younger than 40 must have a breast ultrasound and patients older than 40 must have a mammogram. Breast tissues removed during surgery should be sent for pathological examination.
Breast reduction surgery are done with high-tech equipment and an experienced medical team. Operation usually takes two to four hours.
The right breast shape and size changes from person to person. Surgeons must preserve the right proportion and symmetry of the breasts. The right size and shape can be determined before the procedure at the consultation stage with your surgeon.
Breast reduction procedure is done under general anaesthesia. Patients are not feeling any pain or disturb during the surgery. After the surgery, you may feel mild pain at the recovery stage, this pain is usually not disturbs patients daily life. Pain killers are also helpful to prevent the mild disturbs after the surgery.
BREAST LIFT (MASTOPEXY)
Post-operative healing is usually rapid. Your first dressing is done before you leave the hospital, you go home with your special postsurgical bra and rest until the next visit after an average of 48 hours. After this visit, your return to the daily life and your recovery will be completed in a short period. After about 5 days from the surgery, you can return back to your normal life, you can travel and begin to work . Between the 7-10th days, it will be helpful to do activities like walking that will not tire you too much. Moderate exercises should be preferred after approximately 4 weeks. The fit of the exact shape of the nipple and the relief of the surgical scars would realize within the following six months.