Breast Reduction


Dr. Sinescu and our team have successfully accomplished numerous breast reductions. Surgery consists of removing excess breast tissue, fat and skin from very large, heavy or ptosed breasts. The procedure is generally indicated in the following situations:
– reducing or eliminating medical problems caused by high breast volume
– balancing the breast volume with the patient’s stature
– boosting self-confidence by improving the look of your breasts

Do you need this procedure?
If your overall health is good, your breasts have been fully developed and you experience one of the situations below, you may have an indication for breast reduction:
• Breast size causes medical problems such as back or neck pain, irritation or rash, poor breathing or changes in bone structure
• Breast size will limit physical activity
• Extremely high breasts will emotionally embarrass
• Breast size is disproportionate to the rest of the body
We want to emphasize that you can not breastfeed or plan to breastfeed after a breast reduction. Also, although only an adult woman has an indication for this intervention, adolescents whose breasts produce a real discomfort can benefit, in selected cases, from such a procedure.

First consultation
Before surgery, you will benefit from an initial consultation and assessment with Dr. Sinescu to determine if breast reduction is indicated in your case and to explain the details of the procedure.

We will discuss your expectations and we’ll review the various options suitable for you. You will be given a detailed explanation of the procedure, steps to be followed before and after surgery, potential risks and complications, costs and payment methods. We will answer all your questions. We’ll ask for your medical history, information on cigarette and alcohol consumption, and a list of all the medicines you use, including the over the counter ones. In addition, we’ll have you perform a mammogram or mammary ultrasound before surgery to certify the absence of any other medical problems. If necessary, our doctors will recommend a suitable medical imaging center.

Surgical procedure
Surgery will take place in one of the ultramodern private clinics where our doctors work. The surgery requires general anesthesia and lasts for about three hours. It usually takes at least one night of hospitalization. The incisions surround the nipple and areola and extend downwardly on the breast, sometimes to the inframammary fold. The excess glandular tissue, fat and skin are removed. The surgeon defines a new breast shape and repositiones the areola and the nipple. The breast is fixed in the final position with suture threads, incisions are sewn and sometimes drain tubes are used. The dressing and a medical bustier end the procedure.

Surgical procedure
Surgery will take place in one of the ultramodern private clinics where our doctors work. The surgery requires general anesthesia and lasts for about three hours. It usually takes at least one night of hospitalization. The incisions surround the nipple and areola and extend downwardly on the breast, sometimes to the inframammary fold. The excess glandular tissue, fat and skin are removed. The surgeon defines a new breast shape and repositiones the areola and the nipple. The breast is fixed in the final position with suture threads, incisions are sewn and sometimes drain tubes are used. The dressing and a medical bustier end the procedure.

What to expect after surgery:

Activity – Moment
Shower – The third day after surgery
Back at work – 7-10 days
Driving – About a week
Physical contact with the breasts – 3-4 weeks
Intense physical activity – 4-5 weeks
Fading of scars – A few months – 1 year

Risks and complications of surgery
Any surgery has a degree of risk, and breast surgery is no exception. During the first consultation, Dr. Sinescu will evaluate your individual risk level, all potential problems will be discussed and we will establish together if you have a strong indication for breast reduction. Strict adherence to all pre- and postoperative medical recommendations is crucial to reducing any danger. We will always be at your side to achieve a satisfactory and safe end result.

The most common complications include:
– postoperative bleeding and hematoma
– infections
– skin or areola-nipple complex necrosis
– skin dehiscence
– modified local sensibility
– hypertrophic scarring
– breast asymmetry
– malposition of areola and nipple
– increased consistency of the breasts

How long do the results last?
The results of mammary reduction are permanent. However, as part of the normal aging process, the breasts can sag to some extent and the skin can wrinkle.

Frequently Asked Questions

What other procedures can be associated with reduction to improve breast shape and size?
Liposuction is sometimes used together with breast reduction to remove excess fat around the breast and in the axilla.

Is the surgical intervention covered by health insurance?
Breast reduction is considered an aesthetic surgery and therefore it is not covered by medical insurance. You are responsible for all the costs. The costs and payment methods will be discussed during the initial consultation. However, in cases where the procedure solves serious health problems caused by the high volume of the breasts, the insurance may cover – in part or in full – the cost of the intervention.

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