Breast Reduction Surgery




Both in the past and present, the breast has been one of the key attributes of female and male physical identity. The size, appearance and shape of the breast have assumed great importance to both the patient herself and her admirers.

Large uncomfortable breasts may cause understandable and frequently severe psychological distress. There are also physical factors to consider: women with very large, pendulous breasts may experience a variety of medical problems caused by the excessive weight-from back and neck pain and skin irritation to skeletal deformities and breathing problems.

Breast reduction surgery (Reduction Mammaplasty) is ideal for patients with excessively large breasts. The procedure allows reduction of a portion of the breast gland, skin, fat and other tissues making breasts smaller, shapelier and firmer with better shaped and positioned nipples.

What is Unique about Dr. Chugay’s Technique?

Dr. Chugay has perfected his own variation of the Breast Reduction procedure originally developed by famous Brazilian plastic surgeon, Ivo Pitanguy.

A triangular cut is made around the areola then extended to the inframammary line in a keel-shaped wedge. Skin and gland are then reduced as a whole unit. Then, the breast cone is sutured together from within, giving a natural round shape. The nipple is placed usually about 21 cm below the mid-clavicle (collar bone) and skin is sutured with a subcuticular stitch.

Why is Dr. Chugay’s Procedure better Than the Traditional Technique?

This procedure preserves good circulation to the nipple. Loss of circulation is very rare, but when it occurs, skin necrosis in the nipple area can develop. This technique is a very safe procedure. The traditional technique involves reduction of long narrow strips of gland and skin. The strips are folded upon themselves, which can cause loss of circulation. The surgeon then brings the skin from both sides of the breast down and around the areola, shaping the new contour of the breast. Unfortunately, 80% of surgeons in the United States still use the traditional Breast Reductions technique.

After your Surgery

After surgery, you’ll be wrapped in an elastic bandage or a surgical bra over gauze dressings. A small tube may be placed in each breast to drain off blood and fluids for the first day or two.

You may feel some pain for the first couple of days-especially when you move around or cough-and some discomfort for a week or more. Dr. Chugay will prescribe medication to ease any pain and discomfort.

The bandages will be removed a day or two after surgery, though you’ll continue wearing the surgical bra around the clock for several weeks, until the swelling and bruising subside. Your stitches will be removed in one to three weeks.

If your breast skin is very dry following surgery, you can apply a moisturizer several times a day, but be sure to keep the suture area dry.

Although you may be up and about in a day or two, your breasts may still ache occasionally for a couple of weeks. You should avoid lifting or pushing anything heavy for three or four weeks.

Dr. Chugay will give you detailed instructions for resuming your normal activities. Most women can return to work (if it’s not too strenuous) and social activities in about two weeks. But you’ll have much less stamina for several weeks, and should limit your exercises to stretching, bending, and swimming until your energy level returns. You’ll also need a good athletic bra for support.

Dr. Chugay will make every effort to make your scars as inconspicuous as possible. You will have an advantage of Dr. Chugay’s advanced Breast Lift technique that causes much less scarring than the traditional method. However, it is very important to remember that Breast Reduction is impossible without some scarring which will be permanent. However, over time they may fade and you will benefit enormously from your new smaller and shapely breasts.