Areolareduksjon - det pigmenterte området rundt brystvorten
Årsaken til at man ønsker å redusere størrelsen på areolaen er som regel estetisk. Noen er født med stor areola mens andre har fått sine strukket ut i forbindelse med at brystet blir større ved graviditet eller vektøkning eller som en del av en brystutviklingsforstyrrelse som f.eks. tubulær brystutvikling. Man må vurderer om det skal i tillegg gjøres mindre snitt vertikalt under selv mamillen for å avlaste trykket på selve areola etter operasjon eller et mindre bryst løft hvis brystene henger. Dette gjør at areola holder sin form og diameter etter operasjon og ikke faller tilbake. Hvis det er kun forminskning av selve omkretsen på brystvorten kan dette korrigeres relativt enkelt med kirurgi, enten under lokalbedøvelse og/eller med sedasjon.
Stingene etterlater seg minimalt med arr og løser seg normalt sett opp av seg selv, eventuelt fjerner vi stingene etter 10 dager.
Operasjonen gir i prinsipp ikke grunnlag for sykemelding, men man bør være i ro i noe dager. Fysisk trening og hardt kroppslig arbeid bør man vente med i 2-3 uker. Arrene er i begynnelsen ofte røde, kløende og harde men med tiden ca. 3-6 måneder blekner og mykner dem. I svært sjeldne tilfeller blir arrene brede og godt synlige hvis pasienten lett får kolloide arr. Unngå direkte soleksponering det første året for ikke å utvikle pigmentforandringer og pen sårtilheling.
Pick-up and accommodation
You must arrange in advance with someone to pick you up from the clinic approximately 1 hour after the surgery, as you cannot drive, take public transport or taxis on your own. You must also have someone with you on the same day and the first night.
If you live far from the clinic, we recommend that you stay overnight in Oslo, either with family/friends or in a hotel with a relative.
Hotels near Oslo Plastic Surgery;
Hotel Gabels Hus in Gabelsgate 16.
Frogner House Apartments, Bygdøy Allé 53.
(We have an agreement with Frogner House Apartments, please inform us when booking a room)
Before the operation
You must be healthy on the day of the operation. If you are in doubt whether you have a cold or similar, you must contact us. The operation is not performed when you have the flu with fever, cough or other infection in the body. Before the operation you will receive a prescription for antibiotics, possibly painkillers and Hibiscrub solution 40 mg/ml which you can buy at the pharmacy.
The day before surgery and on the day of surgery, you should wash your entire body with Hibiscrub solution in the shower. This is a disinfectant soap that should be rinsed off with water, and the skin should be dried with a clean towel. Put on clean clothes when you leave home. Do not use perfume or cream. All jewelry, piercings and nail polish/false nails must be removed at the latest the day before surgery and may be put back on 7 to 10 days after surgery.
To get the best possible result and to avoid complications, it is recommended that you have a normal weight, and not an excessively high BMI. If you smoke, or use nicotine such as snus or electronic cigarettes, you must quit at least 2 weeks before the surgery and 2 weeks after the surgery.
You should arrive at the surgery fasting. This means that you should not eat food including fruit or drink juice with pulp or dairy products 6 hours before the surgery. You can drink water, juice, juice without pulp or coffee/tea without dairy products or chew gum/drops/throat lozenges up to 4 hours before the surgery. Medications that you may need to take on the day of surgery can be swallowed with 1 glass of water max. 100 ml up to 1 hour before the start of anesthesia.
You must arrange in advance with someone to pick you up from the clinic approximately 1 hour after the surgery, as you cannot drive, take public transport or a taxi alone.
It is important that you stop taking blood-thinning medications about 14 days before the operation, preferably after consulting your GP or us. For other medications, consult the clinic before the operation. A lot of garlic and health food preparations should also not be consumed.
On the day of surgery
You will be received by our staff who will prepare you for the operation before the surgeon sees you. Before the actual procedure, the surgeon will go over the procedure, draw up the plan, and answer any questions you may have. Anesthesia personnel will also come to greet you and answer your questions. When the operation is about to begin, the operating room nurse will pick you up and wash the surgical area while the anesthesia personnel will give you a sedative in your arm so that you are asleep during the operation. In addition, the surgeon will put local anesthesia in the surgical area for a long-lasting pain relief effect in the surgical area after the operation, which also reduces bleeding in the area.
Etter operasjonen blir du flyttet til oppvåkningsrommet der du har din egen seng. Du hviler så i 1-2 timer og får servert mat og rikelig med drikke i form av brødmat, yoghurt og saft (husk å informere om allergier). Evt smertestillende gis ved behov. Kirurgen ser til deg før hjemreise/ hotelloppholdet og du blir avklart av anestesipersonell før du reiser hjem med en voksen ledsager. PVK som er festet til hånden blir fjernet før du drar. Det må brukes bil eller drosje som transportmiddel rett etter operasjon, vi anbefaler ikke kollektivtransport eller det å gå.
After the operation
All patients will come for a post-operative check-up the day after surgery. We recommend that you do not travel by air for the first 48 hours after surgery. During this time, a check-up appointment will be arranged at the clinic and you will come for a check-up at the clinic the day after surgery.
De første timene etter operasjonen kan du føle deg litt sliten, og av og til noe kvalm. Det er viktig at du tar smertestillende medisiner etter avtale og ved behov, og passer på å drikke rikelig det første døgnet. Noen kan bli litt svimle, og det er derfor lurt å bruke noen minutter når du skal reise deg. De første to døgnene skal du ha ro og ligge mest mulig stille, med overkroppen hevet. De neste fem dager kan du bevege deg forsiktig. Dersom du har en aktiv jobb, er det lurt å være hjemme. Etter operasjonen får du en spesial-bandasje som fjernes etter 3 dager, teipen beholdes på i 2 uker. Du skal bruke sports-BH i 6 uker etter at bandasjen er fjernet. Etter at teipen fjernes (etter 2 uker) kan du dusje området og sette på ny teip. Det anbefales at du teiper arrene med hudvennlig teip i minst 2 måneder. Kirurgisk teip som Micropore eller Steri-Strip kjøpes på apoteket, alternativt silikon teip.
Vi lukker såret med sting som løser seg opp av seg selv.
The final result can only be assessed after 3-6 months. Follow-up checks are arranged with the clinic; the day after surgery, after 1-2 weeks and 3-6 months, as well as a final check-up after a year. You must call to arrange the check-ups yourself, or make an appointment with the clinic on the day of surgery.
Ask for guidance and advice
The best advice we can give face to face. We will guide you to the best solution for you.
The responsible physician is Dr. Amin Kalaaji , MD, specialist in plastic surgery and clinic manager at Oslo Plastic Surgery, and head of the Norwegian Society for Aesthetic Plastic Surgery (NFEP) 2018-2020.
Dr. Kalaaji holds many positions and gives lectures and trainings around the world. This benefits all our patients as he is always up to date on the latest and most advanced treatments and surgical techniques.
Patient safety, high quality and individual treatment always have the highest priority at Oslo Plastic Surgery.
FAQ - Frequently Asked Questions
Oslo Plastic Surgery answers frequently asked questions here, and we hope that this will provide you with good information. We want to be helpful in the process before an operation. If you have any more questions, just write or call us.
Når man ønsker mindre areola og/eller endre form.
Når man har underutviklede eller tubulære bryster.
In case of volume difference between the breasts/breast asymmetry.
Areolareduksjon går ut på at man fjerner huden i ytterkant av areolaen, så man forminsker brystvorten. Man lukker såret med sting som løser seg opp av seg selv hvis ikke annen tråd skal benyttes.
Operasjonen kan utføres som en separat operasjon, eller som en del av et brystløft eller en brystreduksjon.
Normalt kan man trene forsiktig etter 3 uker, og du skal bruke armene dine forsiktig de tre første ukene etter inngrepet, dvs ikke løfte armene høyt, ei heller sove på magen.
Du kan jobbe normalt etter 1-2 dager, så lenge du ikke har hardt fysisk arbeid. Konsuler med din lege om dette på konsultasjonen i tilfelle.
All patients must undergo a consultation before surgery. The consultation is conducted by our experienced plastic surgeon who will ask you questions about your medical status; past or current illnesses, previous surgeries, use of medications, etc. An examination is then performed, and the surgeon considers a possible operation.
If you are suitable for surgery, you will receive information about the surgery itself, precautions to take before and after the procedure, and you will get answers to your questions.
For patients with long distances to travel, we offer consultations via telephone and/or video consultation. We will then send you a health information form in advance, which you must fill out and return to us before the consultation. You will also send us some photos.
Should surgery be necessary, the surgeon will conduct a thorough assessment the day before the planned surgery.
You must be healthy on the day of the operation. If you are in doubt whether you have a cold or similar, you must contact us. The operation is not performed when you have the flu and/or fever or cough or other infection. Before the operation, you will receive a prescription for antibiotics, possibly painkillers and Hibiscrub solution 40 mg/ml, which you can buy at the pharmacy.
In Norway, it is not allowed to show before and after pictures of silicone from cosmetic procedures in marketing or on the clinic's website. However, we can show beautiful pictures from previous patients when you come for a consultation with the surgeon. This can be very helpful, and it can make it easier for you to imagine an expected result.
If correction is necessary due to complications or unsatisfactory results, this will be done free of charge within one year, provided there is a medical indication and a clear improvement potential. This is our one-year warranty agreement.