Breast Reduction (Reduction Mammaplasty)
Surgical reduction of the size of your breasts
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Oversized breasts can be the cause of other physical and psyhcological problems, including lower back pains and worries about your general appearance. Breast reduction surgery, or reduction mammaplasty, is designed to reduce the size of your breasts in order to allieviate these problems.
Breast reduction surgery can also be performed on individual breasts in the case where there is some asymmetry between the two breasts.
The procedure can last up to four hours.
The procedure is carried out under local anaesthetic and involves repositioning the nipple and its surrounding tissue and removing excess fat cells from the lower breast and underarm area. The goal is to achieve a natural shape to the breast and retain as much sensation and function as possible.
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You will be required to stay for between 1 and 3 days, and stitches are usually removed between 1 and 2 weeks later. Typically you are required to rest for between 2 and 6 weeks after the operation.
There can be significant scarring depending on the quality of the surgical stitching, and there can be up to three different scars per breast depending on the exact procedure required. There can be excess skin left after the breast reduction itself which can require another operation later on to remedy. There is also the risk of loss of sensation and function in the nipple itself.
Cosmetic Surgery in Poland
A guide to plastic surgery regulations in Poland
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Organizations
The Ministry of Health holds overall responsiblitiy for the management of healthcare within Poland.
Doctors are registered with the Polish Chamber of Physicians and Dentists. This is an independant body responsible for overseeing the profession in Poland. It is divided into 24 regional chambers with activities co-ordinated by the Supreme Medical Council.
The Polish Society of Plastic, Reconstructive & Aesthetic Surgeons is the main professional body representing plastic surgeons in Poland. Plastic surgeons specialising in head and neck surgery may also be members of The Polish Society of Otorhinolaryngologists, Head and Neck Surgeons.
Education
The basic medical degree takes 6 years. Graduates are awarded the title Lekarz and following this doctors either complete a compulsory 1 year internship or apply for training in one of the basic specialties: internal medicine, emergency medicine or family medicine.
Plastic surgeons hold a Specialist Diploma with the title "Chirurgia plastyczna" representing addtional specialist training of 5 years - This is commonly refered to as the "second-level specialization degree in plastic surgery".
Poland operates a mandatory system of compulsory continuing education with all doctors required to amass 250 continuing education points in a 5 year period. Continuing education points are only valid for accreditited courses and failure to gain the required number of points results in the suspension of the right to practice. Professional organizations such as the Polish Society of Plastic, Reconstructive & Aesthetic Surgeons help organize training and seminars specific to their specialties.
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Complaints
A Screener for Professional Liability (SPL) investigates any complaint against a medical professional. Their findings are adjudicated by a regional medical court. Appeals are sent to the supreme medical court. Full details are available on the site of the Polish Chamber of Physicians and Dentists in the reference section below.
Storage and Access to Medical Records
Polish doctors are bound by both ethical and legal constraints to respect patient confidentiality and ensure the security of their data.
Information must be stored in paper form but may be backed up by electronic means. The Act on Access to Public Information (6th September 2001) mandates an individuals right to access information stored about them and includes sections on access to medical data. As an E.U member Poland has an additional requirement to comply with the E.U's laws on data protection and access.
Resources
Polish Chamber of Physicians and Dentists
tel: (22) 559-13-00
00-764 Warszawa, ul. Sobieskiego 110
e-mail: ekretariat@hipokrates.org
website: http://www.nil.org.pl
register of doctors: http://www.nil.org.pl/xml/nil/rejlek/hurtd
Complaints
Complaint mechanisms may be found at
http://www.nil.org.pl/xml/nil/wladze/str_sad/odpzawoden