Today we will talk about accessory breasts.

What is accessory breasts(polymastia)?

This is a term related to multiple breast syndrome, or additional breast tissue. The additional breast tissue is found elsewhere than the breast. When the mammals are born, mammary gland tissue is formed but this does not go away and the tissue stays due to some problem.




This can be found anywhere from the armpit down to the groin.



There are some cases where this multiple breast syndrome also has nipple and areola as well. There are cases that do not have the two.

If you have multiple breast near the armpit, you might feel pain during the pregnancy and also might have secretion coming out from it.

Revealing of the accessory breast

This is very common with the American Indians. This is also passed down from one generation to another within the same family line.
This is less common on the women. This can be found in 1~3% of men and 0.4~0.6% of women.
The ectopic breast tissue can be found anywhere in the body, but 20% of the accessory breast can be found on the armpit.


 

Symptoms of accessory breast

This can be seen during puberty, and a lot of fat and tissue are centered around the mid part of the body. Some patients come to the hospital or clinic because they do not like how it looks.

This might hurt a lot as well in the beginning stages.
It reacts according to the hormone level, therefore the pain and the side effects are greater during pregnancy, breast feeding period, etc.




Another fact that is important to know is that all things that happen on the breast can happen to the accessory breast as well. Breast cancer, and fibroadenoma can be found in the accessory breast as well, but the recurrence rate is low
If you are concerned about a tumor, then it is recommended that you get a check up on it.

Diagnosis 

There are many who are not aware of this accessory breast. Also it is difficult to get diagnosis on it. It cannot be seen easily from the outside unless there is a nipple or areola. But, if not, we cannot virtually make out if it is accessory breast or not.
It becomes bigger or smaller during period, and also cause discomfort, pain, secretion, restriction on the arm movement during pregnancy.
If you want to know if you have the accessory breast or not then you need to take X-ray, biopsy, etc.



We also do ultra sound. The accessory breast tissue look similar to those on the actual breast as well.
Some do the MRI as well but some do not if the accessory breast is too big or look too bad.

Treatment

The best treatment is to surgically remove it. You can also apply liposuction to remove it.


Today’s post was on the accessory breast. I hope the details have helped you understand it.
Thank you for reading.

Areola reduction surgery

Let’s talk about the areola reduction today.

The diameter of the areola in an average woman should be about 4.7cm.
Also, we would consider the shape of the breasts along with the proportion in the upper body to decide on the size of the areola.

If the areola is larger than 4.7cm then one must seriously consider getting the areola reduction surgery. However, there is no right answer on how much you need to reduce. One must consider various aspects in order to decide on this.




We remove appropriate amount of tissue from around the areola and permanently stitch up so that there is no possibility of recurrence.
Also, we use the dissolving threads to pull, using the 'purse string suture' method to finish off the procedure.




Areola reduction is for permanent effect. The scar is limited on the boundary of the areola. Local anesthesia is used. The recovery period is very short as well.

The exterior skin tissue is tightly pulled making the nipples stick outwards a little more.
There are some patients with areola sticking out as well. These patients have large breasts with nipples that stick out too much. These patients may require breast reduction as well along with the areola reduction.

There are some with areola that are not shaped rounded. This may be oval shaped. We can make the shape round also.

Some might have the areola color different from others, and also might have small bumps on the areola. We can use the medical tattoo to change the color and apply incision for the small bumps.

I hope this post has helped you.
Thank you for reading.

Nipple reduction surgery

There are relatively many of those who have physical complex with their nipples and areola. Today, we will talk about the nipple reduction.

Nipples point outwards and are used for breast feeding, but they are important in terms of beauty as well. There are many nerves in the nipples and also the nipples act as a sexually sensitive area.

If you have nipples that are too thick or long, you can get a nipple reduction surgery. The explanation of this surgery is provided below with the help from the image.




As you can see in the image above, if you have long nipples, the nipples tend to sag down without much strength. If the nipples face outwards straight, your breasts look better. However, if the nipples are as those in the image, the breasts may look like the ones of the old women.





This is how we reduce the nipples. As shown in the image, we remove the tissue surrounding the nipples so there is no influence on the blood circulating to the nipples. The length becomes shorter and makes the nipples tighter and stronger.
Also, your nipples would face outwards after this surgery.

There are another method for those who have relatively thick nipples.



The method in the image above would effectively reduce the circumference of the nipples.

The core issue of this method is to not hurt the blood and the breast milk circulation and deriving the most beauty effect.

Then we can minimize the damage on the nipples and change the look into one that is very attractive.

The overall procedure takes about 20 min and most patients get local anesthesia.
However, most of this procedure is simultaneously done with breast augmentation so if you are doing the breast augmentation, you would be required to take the general anesthesia.

If you have dark nipples, then you might be able to see a white line as a scar, but if you have light colored nipples, then you may not be able to see the scar at all. You can also get medical tattoo 6 to 12 months after the surgery in order to hide the scar.

Thank you for reading the post.
Have a nice day.

when can i wear a wire bra after breast augmentation

When can I wear a bra after the breast surgery? This is another common question. (There are many types of bra and there are different time to as when you can start wearing different types)



I usually say this.
Just use the breast patch and wear shirts.
If you really want to wear a bra, wear a no wire bra, sports bra, or soft wire bra.

Patients have a strong belief that they must wear a bra.
This is something awkward, why do women think that they must wear a bra?

Is it unhygienic if you not wear a bra? Is it not good for your health?

Many think that the bra helps maintain the shape of the breast.
Then, this might seem like the patients want to use correction bra in order to maintain the shape, but this actually is not a correction bra.



One TV show announced that bra hurts the blood circulation and so this might lead to breast cancer and also damage the shape of the breasts.



The side effects that this TV show announced have not been proven. Wearing bra does not lead to breast cancer.

The TV show also let us know that wearing a bra is meaningful but nothing more.
There are no evidences that show bra has bad influence or good influence on the body.

If you compare this to food, it is not something like rice or salt, but something such as coffee, ice cream or biscuits. You can choose the type of bra according to your taste or preference.

If we dig more about this issue, we might have to talk about the origin of clothing, so I will stop here.
However, I need to provide answers on when you can wear the bra after the breast surgery, and what is good or bad for the patients.

If you are a patient with armpit incision, the implant may rise up (this is different from capsular contracture). Normal recovery may lead to this effect. If you want to avoid such a problem, you must not wear under wire bra for at least 6 months.




You must not use metallic under-band type that might pressurize the implant and the pocket the implant is in.

If you want to avoid the implant rising up after the armpit incision surgery, you must wear a lose fit, less pressure causing bra.

If you had subfascia plane surgery, then you need to protect the skin on the subfascia. Therefore, you cannot wear under wire bra for at least 6 months. There is a very low possibility that the implant would move to another position.

If you know few things then you would not have any problem in choosing and wearing the bra after the breast surgery.

First, the underwear must not have any pressure on the implant and the pocket.
Second, the underwear must not have any pressure that may change the shape of the breast.
Third, you may use the correction bra at the recommendation of the doctor if you had problem with the shape prior to the surgery.


If you have further question, please leave your feedback.

Have a great day.

How Soon Can I Swim After Breast augmentation?

This seems a little funny but this is a question that I get asked often. There are many patients who want to wear swim suit to show off their new body and so they ask me this question a lot.

1 day after breast augmentation

If there is a scar on the skin, there would be bleeding and the blood sticks together making a blood clot. This blood clot blocks germs getting into the body.
If this remains for 48 hours, even the water cannot penetrate through it.
This is very natural and it is also a natural healing.
But if you have a surgery, we stop the bleeding and stich up the scar so that the scar is in its minimum.

We call this in beauty surgery, a ‘Water tight closure’. If you get the Water tight closure, you can have a shower right away.

(Showering after the breast augmentation surgery) ; However, the doctor may not allow you to take a shower on the very same day because the dressing that you have on the scar may get wet and fall off. It is not because that the water is bad for the wound.

There are some patients who want to have shower right away after the surgery. These patients use water-proof band aid or wraps to have shower right away.

Going into a swimming pool is a little different from showering. If you stay in the water for a long time, your skin rises up and also this might have some effect on the scar. Therefore, we recommend that the patients stay off the water for about a week.

You can go in and get out of the swimming pool for a short period of time. If you have water-proof band aid on, you can go into the swimming pool after 2 to 3 days.

If you want to stay in the swimming pool for a long time or have a long bath, they I would suggest the patient to do so after 2 weeks.

Also, if you go to a swimming pool or the beach, you might want to wear a tight swim ware, however, this is not good for you. Your clothes must be lose in order for the scar to be healed quickly.

Sweating does not have any problem on the scar. It does not cause inflammation or infection, so you do not need to worry about sweating.


Shall we summarize everything?

If you want to have shower on the day of the surgery, use a water-proof band aid or wrap.
Have a shower after 2 days.
You can go to the swimming pool after a week.
Bathing can be done after 2 weeks.

Do not wear tight swim suit or clothes in the first few days. Wear lose clothing.





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Thank you very much.