Breast reduction surgery

Giant breast disease can cause massive hyperplasia of the breast due to endocrine disorders, and a large accumulation of fat. It can also be seen in the obstruction of the lymphatic vessels of the filariasis, which causes breast augmentation. There are also genetic factors, which are more common in the cystic changes of the breast. Breasts are too large, too long, too heavy to affect social, but also cause varying degrees of mental disorders, low back pain, cervical vertebrae arthritis, breast folds, etc., in addition to breast disease often associated with chronic mastitis, breast pain. Therefore, the breast reduction surgery of breast disease has both the beauty and the treatment. Treating diseases: big breast disease Indication Big breast disease in all age groups. Preoperative preparation 1. The mental preparation of the patient is very important. The necessity and effect of the operation must be repeated before surgery to obtain the full understanding and trust of the patient and relatives. This is essential for ensuring the cooperation of the patient and preventing the bad mental state that is easy to occur after surgery. 2. Prepare blood 200 ~ 400ml. 3. Determine the new position of the nipple and the position of the areola. The new position of the nipple is set at the midpoint of the upper clavicle, which is equivalent to the midpoint of the upper arm. It is usually located in the 5th intercostal space, and the unmarried youth is in the 4th intercostal space. The new areola is round and has a diameter of 4 to 5 cm. 4. Design incision: At present, there are many surgical methods reported at home and abroad, there is no certain type of surgery, and the corresponding incision can be designed according to the surgical method selected by the surgeon. Here, a method of breast reduction surgery is performed by excising the inner part of the gland and retaining the straight skin tissue flap underneath. (1) Trapezoidal incision: a trapezoidal incision line is designed with the lower edge of the original areola as the top and the lower wrinkles of the breast as the bottom, and the bottom width is generally 8 to 10 cm. (2) crescent-shaped incision: design a transverse arc at 3cm below the lower edge of the designed new areola, with the concave side facing up, and the two ends coincide with the line under the breast fold, showing a crescent-shaped incision line, and the inner multiple is combined with Beside the sternum, the lateral multiple is combined with the anterior line. Surgical procedure 1. Position: flat supine position, double upper limb abduction, slightly higher back. 2. Preparation of dermal tissue flap: After excising the epidermal layer in the trapezoidal incision line, the upper edge of the areola is incision, and the two ends of the incision extend upward along the two sides of the trapezoid, respectively, to reach the underlying fold of the breast, and the incision is deep to the subcutaneous layer. 3. Expose the glandular tissue: Avoid the full layer of the skin in the trapezoidal area along the crescent-shaped incision line, and then lift the upper flap to reveal the glandular tissue. 4. Excision of the inner part of the glandular tissue: according to the size of the gland, near the midpoint of the upper edge of the gland, the upper medial edge of the areola and the medial edge of the dermal tissue flap are S-shaped to remove the upper glandular tissue, and the gland is created. Suture together. 5. Place the nipple in a new position: cut the hole along the design line at the new position of the nipple, and lift the nipple out of the hole below the upper flap to suture the edge. 6. Close the incision: If the dermal tissue flap is too long, it can be appropriately folded and shaped, sutured and fixed 1 to 2 needles, and then the upper flap is pulled down on it, and the edge of the flap is sutured to the edge of the incision below. Note that the pedicle of the dermal tissue should be shallow and sewed as little as possible to avoid affecting blood supply. 7. Place the negative pressure drainage tube: Cut the 10cm longitudinal section of the 30cm long latex tube into two halves, respectively placed on the same side and opposite side of the flap, and the same side head is shortened by 3cm; the posterior tube is on the side chest wall. Another poke is drawn out (return to the ward followed by a vacuum suction device). 8. The entire breast is pressure bandaged with a thick layer of dressing.