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    Breast Reduction

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    To reduce the breast size. It is indicated for women who have enlarged breasts, whether they are fallen or not.




    A scar will be made which looks somewhat like an upside-down ‘T’, encompassing the nipple, through to the underside of the breast and running along the crease underneath the breast.

    There is the possibility of a scar in the shape of an ‘L’, but this is only for very few cases since the resulting shape is usually not the most attractive. The scar technique in a ‘T’ format has been developed to give a best definition to the new breast.



    Generally, breast reduction surgery is done under general anesthesia. It can be done with epidural anesthesia but it is not my first choice since in my opinion I find that high epidural may be dangerous; nevertheless, there are colleagues who do use this type of anesthesia successfully.

    In certain cases, it can be done with local anesthesia and sedation (a sleeping pill).

    The patient remains hospitalized for a period of about 12 hours, although in certain cases this may be extended to 24 hours.


    Post-surgical Care

    The patient will use a shaping bra that is placed immediately after the end of the surgery and that will be remain on for 30 days (removed only for bathing).

    Complete rest at home for 5 days, with little movement of the arms.

    After this period some activities can be done.

    Depending on the profession, it will be possible to return to work; with certain limitations related to arm movement and lifting of heavy objects.

    Driving a car will be allowed only after 30 days!


    Feminine View


    As a woman, I know how important is the erogenous sensibility of the breasts, and that is why I always ask the patient if her breasts are an important erogenous zone for sexual pleasure. If the case is affirmative then I believe that it is fundamental to use a technique that does not reduce this sensitivity, so that after the surgery the woman can fully enjoy the results of the surgery. Otherwise it will be frustrating to have good looking breasts but not the ability to enjoy this sensual organ.

    It is important to note that there are some women whose breasts are not important areas of erogenous sensibility.


    The scar will undergo a special treatment that uses generally available medical tape (flesh colored works best) during the six months after the surgery. This treatment is designed to create the smallest scar possible.

    Taping method provides counter-tension to the scar during its forming process. Remember that any stitch and resulting scar will have a natural tendency to spread apart specially, those in areas of the body that are submitted to movement (breasts are in movement with each breath). I have found that consistent taping, daily, during six months, greatly reduces the possibility of creating a wide scar.

    The scarring process is individual to each person’s genetics; some persons will create scars that are better looking than others. Taping helps the normal scaring process but will not stop the formation of keloidal scars, if the patient has this tendency.

    For keloidal scars, plastic surgery offers some resources that help reducing their appearance.

    Internal Filling

    For more than 15 years I have successfully used a technique where I fill the upper part of the breast with excess tissue that is removed during the surgery.

    This technique preserves the balanced look of the breast throughout the years, without the possibility of the top section of the breast going down, something that is often seen with breast reduction surgeries. This technique is also offered by other surgeons.


    Contact us for more details…


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    Dr. Mariangela Santiago. – CRM 45138 states that this is a spontaneous and illustrative deposition procedure performed after medical consultation and indication of surgery and all medical and laboratory exams required as CFM’s recommendation.

    Even though this one was a successful case, no conclusion can be drawn based on this evidence, moreover, as in any case of plastic surgery, medical consultation with a Plastic Surgeon Specialist is required for making any decisions

    Following the rules of the Brazilian Federal Medical Council, to illustrate the results with photos made before and after procedures is not allowed.

    Dr. Mariângela Freitas Lima Santiago
    CRM-SP 45.138 (São Paulo Regional Medical Council)
    Plastic Surgery - RQE nº 11476 | General Surgery - RQE nº 7678

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