The breast is made up of glandular tissue, connective tissue, and fatty tissue.
The most common benign lesions can be developmental or growth abnormalities, male breast enlargement (gynecomastia) or benign tumors.
– Developmental abnormalities – During development, the female breast develops under hormonal influences in women, but any abnormality can lead to the appearance of so-called multiple mammary glands (usually in the armpits, back, thighs), which can also show typical breast diseases and therefore should be removed for reasons other than cosmetic.
– Benign tumors – Breast tumors can be divided into benign and malignant tumors, which can be distinguished by their behaviour, growth rate and structure. In the case of benign tumors, it is important to note that certain types have a higher risk of becoming malignant. Benign tumors are characterized by a sharp histological boundary, separation from the surrounding tissue, which allows the presence of well palpable bumps and lumps. They grow slowly and recur after removal, but do not metastasize. They can occur at any age, but the background to their development is not always identifiable. Common benign tumors include cysts, lipomas or fibroadenomas. One of the most common symptomatic breast lesions are cysts. They are less common in young people, as they are a natural part of a breast that is in the process of involution. They often have multiple appearances, ranging in size from microscopic to several centimeters. It usually appears as a flexible, well-defined, painless, palpable lump. Lipomas grow slowly, forming bumps in fat cells. The most common tumor before menopause is fibroadenoma. Mostly found in young women, it appears as a thick circumscribed lump that is easy to palpate and can be moved from its base. Removal is usually recommended, as malignant transformation occurs in 0.5-1.5% of cases, especially over the age of 40.
In addition to aesthetic aspects, benign lesions also run the risk of malignant cells growing, possibly degenerating, and it is recommended to remove the lesions to prevent this.
Benign breast lesions are treated by surgery. The surgery is performed under local or general anesthesia to avoid the discomfort of the operation. The surgery depends on the size, location, and type of the lesion. Depending on the lesion, the size of the incision varies, usually a small incision is made in the line of the nipple and the unwanted lesion is removed through it.
In some cases, a standby position may be allowed, with frequent clinical and ultrasound follow-up examinations and monitoring. Surgery is the only definitive solution for lesions, as removal prevents the lesion from growing, and the recurrence rate is significantly low for lesions removed in time.
The length of in-hospital stay may vary and depends on the post-surgical condition, but usually the patient can return home on the 1th day after surgery. At the end of the operation a bandage will be applied to cover the wound,. A bra with strong tension is recommended to be worn permanently for the following 2-6 weeks to facilitate faster healing and prevent complications.
To avoid physical exertion is important for a few weeks, followed by gradual exercise and a balanced lifestyle to ensure a speedy recovery, with a return to a normal lifestyle after 1-2 weeks. Gentle, gradual exercise is possible from 2-3 months after surgery. The overall recovery varies from person to person, as the pace of rehabilitation and the general condition and activity prior to surgery are largely determined by the individual.
The final shape will be fully visible 2-3 months after the surgery, by this time the shape of the breasts will have improved significantly and the scars will be barely visible.
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