Plastic surgery and you - per heden esthetic surgery plastikkirurgi

to contract the blood vessels. If the only procedure necessary is liposuction, a small incision is made either at the edge of the nipple or below the breast, and the fat is removed. The procedure is described in the section on liposuction. If there is too much glandular tissue, however, liposuction is not a very effective way to remove it. Several methods have been developed and described, but the usual way is to make a small incision at the edge of the areola or straight across it and cut the glandular tissue loose from the under side of the areola. It is then possible to carefully free the entire gland down to the underlying muscle, so that all of it can be lifted out via the incision. After the small blood vessels in the area have been cauterized, the incision is sewn up and bandaged.

Complications and risks

As usual with aesthetic surgery, the largest risk is aesthetic. The greatest risk is that there may be some unevenness in the areola s some depressions or some remaining bulge. The
reason may be that it is always necessary to leave a thin layer of

glandular tissue precisely below the areola so that it will look natural after the surgery. Bleeding or infection are of course possible, as with all surgery, but they are unusual and if they do occur and are treated correctly they should have little or no negative effect on the result of the surgery.

After the operation

These operations are relatively minor, and most patients can return home the same day. The area should be tightly bandaged to discourage bleeding and swelling, however. The stitches are usually removed after a week or two. By that time the chest already has a flatter, less feminine appearance, although it will take a few months for the tissues to adapt fully to the new situation. If the skin on the breast has been stretched by a really large amount of fat and glandular tissue below it, it may take up to six months to adapt to the new shape. It is unusual to have to remove skin when these reductions are performed on men, so the only scar is usually the small one at the edge of the areola or across it. Older patients, however, may have such poor skin elasticity that removing some skin may be necessary, and this will leave scars outside the areola. The appearance of the scars depends on the technique the surgeon uses to remove the excess skin.