Chirurgie esthétique, plastique et reconstructrice, par le docteur Sarfati,
PARIS Rivoli
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Chirurgie esthétique, plastique et reconstructrice, par le docteur Sarfati,
PARIS Rivoli
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Chirurgie esthétique, plastique et reconstructrice, par le docteur Sarfati,
PARIS Rivoli
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Chirurgie esthétique, plastique et reconstructrice, par le docteur Sarfati,
PARIS Rivoli
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Breast
reduction and lift
" A natural-looking, reduced
bust "
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Rather than a long text,
we thought we would answer
the most commonly-asked
questions as concretely
and objectively as possible.
Dr Frederic Sarfati answers
your questions
Ex Head of Clinic, Hospitals
of Paris
Fellow of the Endoscopic
Plastic Surgery Center Baltimore,
USA |
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I) Before treatment
Back
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1. Why would I have a breast reduction
and lift ? |
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« If the size of your breasts is a problem for you. Heavy
or asymmetrical breasts
can come with age, pregnancy,
weight loss or time. The
advantages of surgical
breast reduction are lowering
bra-strap strain and shoulder,
neck and back pain as
the weight is reduced
by the breasts' change
in size and position.
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2. How
do you find out what my
needs are ?
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« Before treatment, we discuss what would be suitable. We use both recent
and older photos and remorph
them so I can advise you
on how we get a nice natural-looking
result that fits with your
figure. » |
3. Does
breast reduction make my
figure look younger ? |
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« This treatment changes the size of your bust, so you have a more balanced
figure. You will have
more attractively shaped
naturally younger looking
breasts. You may find
modifying this most feminine
part of the body will
have effects elsewhere,
influencing your clothing
habits, sporting and social
life, also possibly your
love life. »
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4.
How
do you get natural-looking
results ? |
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« I carry out about 100 of these procedures a year and I make sure, through
proper procedure and rigorous
care and attention, that
shape and symmetry is
as natural as possible. »
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5.
Do I need a medical examination before treatment ?
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« During
your preparatory consultation
with the anaesthetist
or the surgeon, we will
ask you for the results
of a general medical examination
to spot any medical contraindications,
including for example
a mammogram for those
over 38 years old or if
there are particular problems
in the breast region.
You should take no aspirin
or anti inflammatory medicines
for ten days prior to
your visit. »
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| II ) During treatment :
Back
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6.
How
long would I stay at the
clinic ? |
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« Hospitalisation is from 24 to 48 hours;
we only remove the drains
the day after treatment.
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7.
How long would the treatment last ? |
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« The
treatment lasts about
two to two and a half
hours. »
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8.
What
kind of anaesthetic do you
recommend ? |
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« A general anaesthetic is needed
for this type of procedure. »
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9.
What
happens during the treatment ? |
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« We reduce, reshape and reposition the
breast on the thorax and
the skin is adapted to
the new volume. We have
to remove part of the
breast tissue and we send
this off for tests. The
visible effect is of smaller,
reshaped, higher breasts. »
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10.
Will we see any scars ? |
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« There are two types of procedure, which
lead to two different
types of scarring. The
first one, used in four
out of ten cases leaves
a scar round the areola
and then vertically down
to the breast/body crease.
The vertical scar is slightly
creased for a few weeks
then is reabsorbed. »
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Before
and after
a breast
reduction
with vertical
scar.
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After 16 months.
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« The other type of procedure is with an inverse T. It makes
a scar around the areola,
then vertically down to
the breast/body crease,
then a short (mostly around
nine cm) horizontal line
along the crease. This is
used for when a large reduction
is required or if the skin
is very elastic and mobile »
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Before and after a breast lift with T scar.
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11.
What will the risks be ? |
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« We take all active measures before,
during and after treatment
to reduce risks, namely
of haematoma and infection,
to the minimum. We prescribe
antibiotics from two days
before to seven days after
treatment and carry out
preventive surgical procedures
during treatment. Sensitivity
in the nipple and areola
may be modified temporarily,
or very rarely, permanently.
This treatment does not
at all encourage breast
cancer. »
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12.
What risks of phlebitis (deep vein thrombosis) would
there be ?
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« There is a very low risk of phlebitis for this type
of treatment. It would
consist of a blood clot
appearing in the deep
veins of the leg, which
can detach and move to
the lungs, causing a lung
embolism. We can effectively
deal with this risk using
anti-coagulants and support
stockings during your
whole stay. During the
treatment, we also do
leg massages. So far,
we have had no cases of
phlebitis at all. »
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III )
After treatment
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Back
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13.
Will it be painful ?
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« This
is not very painful treatment,
patients measure it at
2.5 on a scale of 0-10.
You will feel some discomfort
due to the breasts' change
of position and pulling. »
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14. How
quickly will I see the results ? |
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« Results
are immediately visible
but the breasts will take
two months to settle into
place. Scars will be smoothed
out in three weeks and
after a vertical type
procedure healing will
be complete after two
months. »
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15. How
often would I have to come
back ? |
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« You will have a check up after about
12 days, then one month,
then every six months.
Of course you can make
an appointment at any
other time too. »
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16. What
will you do to protect the
treatment zone ? will I
have to wear bandages ? |
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« We
apply waterproof bandaging
which you keep for three
weeks so you can take
showers, but not hot baths.
Then you would wear silicone
bandaging, to improve
the cosmetic healing,
for a three week period.
We recommend you wear
seamless sports bras day
and night for two weeks,
then at night for two
months. »
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17.
What care should I take afterwards ?
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« The only post-operational treatment
you will need is antibiotics
for five days and normal
painkillers. We use deep
seated invisible permanent
stitching, and you will
be able to shave off the
visible ends yourself
after a three week period. »
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18.
How
soon would I be able start
work again ?
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« You
can start work after four
days if you have a sedentary
job, otherwise after two
weeks. »
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19. Should
I avoid physical activity
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« You
can start sports activities
only after six weeks. »
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20. Will
this treatment be reimbursable
on my health insurance ? |
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« You
will have to consult your
local health authorities
and your private health
insurers to see if you
can be supported financially
following a serious illness
or congenital deformation,
for example. »
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IV) Photos gallery :
Back
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Docteur
Frédéric Sauveur Sarfati
- 242, rue de Rivoli - 75001 Paris
PLASTIC,
RECONSTRUCTRIVE AND AESTHETIC SURGERY
- ANDOSCOPIC PLASTIC SURGERY - MICROSURGERY
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