1. line drawing anesthesia: under local anesthesia, the operation is performed by incision around areola or fan-shaped incision. Avoid injury to nipple and breast tissue. Incision marks are left at the edge of areola or in areola, which is generally not obvious.
2. Excision of areola skin: Draw a circle with an appropriate radius (generally 1.5 ~ 2.5 cm) with the nipple as the center, excise the annular areola skin outside this range, and keep the dermis and subcutaneous vascular network to prevent the nipple areola from insufficient blood supply.
3. Reduce the radius: cut off a triangular skin inside and outside the surrounding skin to reduce the radius to make it consistent with the radius of the new areola.
4. Accurate suture: the peripheral subcutaneous tissue is slightly free and then sutured contraposition. After operation, just cover the gauze, take antibiotics, and don't change the medicine. The stitches were removed 7 ~ 8 days after operation.
Characteristics of areola reduction
1. Small scar
2. It can maintain the function of nipple.
3. It is very unlikely that nipple sensation will disappear.
4. You can keep a natural chest
1. The areola of pregnant and lactating women is too large. The areola of the male with breast development is too large.
Solution: Most of the areola in the above two cases is accompanied by breast hypertrophy or sagging, which can be reduced at the same time as breast reduction and male breast development surgery.
2. The areola is too big and the breast is not big or drooping.
Solution: In this case, simple skin partial excision of areola can be performed to reduce areola. That is, the excessive part of areola tissue is removed to make it commensurate with the size of the breast and make it smooth and symmetrical.
What are the contraindications for areola reduction?
1. People who are mentally abnormal or have psychological barriers, lack knowledge of their own conditions, and blindly pursue unrealistic double eyelid morphology; Those with severe scar constitution or abnormal coagulation mechanism should explain to the doctor in advance.
2. Diseases with bleeding tendency and hypertension, patients with active and progressive diseases of heart, lung, liver, kidney and other important organs, patients with uncontrolled diabetes and infectious diseases.
3. Congenital diseases, such as amblyopia, internal or external eye, and acute and chronic infections around the eyes, are not controlled and self-healed; In previous operations, those who are obviously allergic to local anesthetics or anti-anesthetics should inform the surgeon.
4. Facial paralysis and blepharoptosis with incomplete closure; If there are infectious diseases inside and outside the eye, they should be cured before operation. Have some kind of infection, mental illness or mental disorder or mental instability.
5. Exophthalmos, fovea or eyelid retraction caused by various reasons; If you know that the operation can't achieve the desired effect, you should treat it with caution.
6. Female physiological period, during the period of menstruation, pregnancy or menstruation.
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