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Makromastiya

Makromastiya (big breast) is anomaly of development of mammary glands at which excessive, usually bilateral increase in their volume and weight is observed. Increase in the sizes of a breast happens owing to excess development of mainly fatty and connecting tissue. A big breast, putting the strong pressure upon a thorax, promotes violation of a bearing, stoop formation, causes shoulder, backbone pains, development of an intertrigo and emergence of skin rashes in chest folds, brings considerable physical and psychological discomfort.

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Makromastiya

Makromastiya (big breast) is anomaly of development of mammary glands at which excessive, usually bilateral increase in their volume and weight is observed. Increase in the sizes of a breast happens owing to excess development of mainly fatty and connecting tissue. A big breast, putting the strong pressure upon a thorax, promotes violation of a bearing, stoop formation, causes shoulder, backbone pains, development of an intertrigo and emergence of skin rashes in chest folds, brings considerable physical and psychological discomfort.

Because of a problem of a big breast many patients experience restrictions in daily activity and physical activity, intimate relations, the choice of clothes, suffer from foreign views and own complexes, show discontent with own forms. Besides, the big breast complicates carrying out the self-inspection directed to early diagnosis of a breast cancer.

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The factors influencing development of a breast

The form and size of a breast of the woman are especially individual. Distinctions in sizes of a female breast depend on thickness of a hypodermic and fatty layer, and in shape - on elasticity and durability of the soyedinitelnotkanny capsule and skin into which mammary glands are put. Sometimes at women the insignificant or expressed asymmetry of a breast is observed.

Ideas of an ideal breast are often dictated not only esthetic, but also racial, public and ethical traditions. A number of researchers suggest to consider optimum the volume of a breast of equal 275 cm ³ that corresponds to the size "C", and consider a breast of bigger volume the hypertrophied, i.e. increased rather average norm. However when determining a small, average or big breast it is necessary to consider such parameters of a body as weight, growth, features of a figure. For example, women of fragile build weighing 45-55 kg and height of 154-177 cm harmoniously look, having the breast size "In", equal 150 – 200 cm ³.

The size of a female breast depends on heredity, body weight, a hormonal background. Increase in mammary glands at women begins during puberty, and their development and changes continue throughout all life. As the mammary gland is a hormonal and dependent target organ, its development at different stages is stimulated with a large amount of hormones: estrogen, progesterone, Prolactinum, hormones of bark of adrenal glands, tiroksiny, insulin, growth hormone. On development of ferruterous tissue of breast the greatest influence is exerted by progesterone, on stimulation of a lactation – Prolactinum.

It is proved that the hypertrophy of mammary glands arising during puberty or pregnancy is the wrong, excessive answer of a breast to the hormonal background which is normal. At such state the breast quickly grows, reaching the large volume and weight without the subsequent reduction. Similar cases do not give in to hormonal therapy, performance of a reducing mammoplastika - reduction of mammary glands is recommended to such patients.

Also expeditious reduction of a bigger breast is shown at the asymmetry of mammary glands caused by a unilateral giperplaziya. Unilateral increase in a mammary gland can be a consequence of scoliosis (a backbone curvature) and to be followed by emotional pressure and psychological problems.

As the statistics shows, as the main incentive motives for reduction of the sizes of a big breast at patients serves the psychological and esthetic discomfort, and already then the caused physical inconveniences.

Conservative method of reduction of a breast in plastic surgery is the liposuction recommended for carrying out correction, insignificant on volume. At the same time the breast should not have the expressed degree of a ptoz.

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Expeditious correction of a big breast

During expeditious reduction of a big breast from it excess fatty, ferruterous and connecting tissue and skin is removed, the shape of a breast and position of nipples is corrected. Quite often reduction of a breast is followed by reduction of the areola corresponding for a breast of smaller volume. At asymmetry of a breast operation of a reducing mammoplastika is usually combined with tightening or increase in other breast.

Expeditious correction of a makromastiya can result further in impossibility of breastfeeding therefore the reducing mammoplastika is recommended to the women who were already giving birth and not planning to have further children. Before operation to the woman consultation of the mammologist, ultrasonography of a mammary gland or mammography is held.

At a presurgical stage full informing the patient on the expected result, possible risks, technical features of operation and a current of the postoperative period is necessary. During consultation the woman and the plastic surgeon should define an optimal variant of future form and the size of a breast.

Operation on reduction of a big breast can be carried out by means of various techniques. If the patient plans not only to reduce a breast, but also to lose gross weight, then it is recommended to make it before operation as weight loss after a reducing mammoplastika can negatively affect it esthetic results.

The choice of a method of carrying out operation depends on the size by which it is necessary to reduce a big breast and individual indications.

Reducing mammoplastika by method of a vertical (short) seam – the often carried most out operation for reduction of a big breast. As its advantages serve short time of carrying out operation, preservation of sensitivity of a nipple and a natural shape of a breast, small percent of complications. The maximum esthetic results are achieved during removal from one breast to 800 grams of fabric.

Classical technique of reduction of the sizes of a big breast is performance of operation with use of a "anchor" (T-shaped) section. Its carrying out is recommended in need of a resection of large volumes of fabrics. As shortcomings of this technique serve longer cuts and bigger time of operation.

After application of any method of reduction of a big breast around an areola, on the lower pole of gland and in a submammarny fold there are seams of various length and a form. Full healing and a pobledneniye of operational hems happens in half a year then seams become almost imperceptible.

Operation of a reducing mammoplastika is carried out under the general anesthesia, its duration can average from 2 to 4 hours. After operational reduction of the size of a big breast the woman will need to wear compression linen for one month.

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Complications of a reducing mammoplastika

In the course and after carrying out operation on reduction of the sizes of a big breast bleeding, an inflammation of fabrics of gland (mastitis) and a postoperative seam can develop that is more often observed at the smoking patients.

It is necessary to refer reduction of sensitivity of skin of a breast and nipple, loss of ability of breastfeeding, postoperative asymmetry of mammary glands to the remote consequences of a reducing mammoplastika in a form and the sizes. Expressiveness of hems depends on specific features of process of healing.

At a right choice of a technique of operation, carrying out necessary preoperative preparation and sufficient qualification of the plastic surgeon risks of development of complications after a reducing mammoplastika are minimum.

Carrying out a reducing mammoplastika allows not just to reduce the sizes of a big breast, but also to save the woman from huge freight of the problems connected with this state, to change quality of life and the state of health to the best, to raise a self-assessment, to improve family and intimate relations.

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Makromastiya - treatment should be carried out only under the supervision of a doctor. Self-treatment is unacceptable!!!

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