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Reduction Mammoplasty (Breast Reduction)

 
 

Often large breast hampers many physical activities and source of strain on shoulder and upper spines.  This can happen in young women or after the pregnancy when Cosmetic Surgery is sleeked for the help.  This is one surgery, where the patient satisfaction usually very good.

Who is the best candidate for breast reduction?
How is breast reduction performed?
Details of surgery
Results of surgery

BREAST REDUCTION

If you are a woman with overly large breasts, breast reduction surgery can be a tremendously life enhancing option. This procedure will reduce the size of your breasts and you will also get significant relief from many physical and emotional discomforts. Of all the procedures, breast reduction ranks among the highest in patient satisfaction.

Who is the best candidate for breast reduction?

Breast reduction can be performed at any age but we recommend waiting till breast development has stopped. If you plan to breast feed in future, you can discuss this with your surgeon so as to modify the procedure. You may be a good candidate for breast reduction if you have any of the following conditions

 
     

 

  • Back, neck or shoulder pain caused by the weight of your breasts
  • Heavy, sagging breasts with very low nipples and areolas
  • Breasts that are too large in proportion to your body frame
  • Skin irritation beneath the breasts
  • Indentation in your shoulders caused by tight bra straps
  • Restriction of physical activity due to the size and weight of your breasts
  • A feeling of self consciousness about the large size of your breasts
  • One breast is much larger than the other
     
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How is breast reduction performed?    
     
Excision of Breast tissue   After operation

 

     

The method for breast reduction will be determined by your anatomy and the desired result. In most common methods, an incision is put around the nipple; another runs vertically from bottom of areola to the crease underneath the breast. The third part is a horizontal incision beneath the breast along the breast crease. After that the excess of breast fat and skin, the nipple and areola are shifted to a higher position. The areola that is usually larger than ideal is reduced in size. Certain techniques of breast reduction preserve the ability to breast feed, although it is not guaranteed. Liposuction can be used with breast reduction for finer correction.

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Preparation for surgery:

  • Smoking and Aspirin can increase the chance of complications; so it would be advisable for you to stop or cut down on cigarette consumption 2 weeks before and 2 weeks after surgery.
  • Notify the doctor or nurse of any cardiac or medical problems you may have, allergies to any kind of tape, drugs or medications must also be reported.
  • You will need to purchase a soft cup sports bra and bring it with you on the day of your surgery. The size of the bra will be discussed during your consultation with the surgeon. We recommend that you purchase two sports bras that either hook or zip in the front.

Morning of Surgery:

  • Do not eat or drink after midnight the night before. Have good body and hair wash by medicated soap.
  • Please inform the office if you take any heart or blood pressure medications, some medications may be taken with a small sip of water.
  • Do not wear your contact lenses, makeup, facial lotion or creams.
  • Wear clothing that fits loosely and does not have to go over your head, preferably a button down shirt, sweat pants, and slip on shoes.
  • Leave all jewelry and valuables at home.

First day of surgery:

  • The effects of anesthesia will pass slowly which may take a variable amount of time. Pain medications may prolong the sense of fogginess or an upset stomach. The anesthetic and pain medicines tend to produce constipation, so it is advisable to eat high-fiber foods. Start with liquids, and advance to a normal diet when you are sure your stomach is comfortable. Try to maintain a low-salt diet to discourage water retention.
  • The use of frozen pea bags or ice placed over the breasts during the first 24-48 hours after surgery will help minimise swelling. Apply for 15-30 minutes on and 30 minutes off.
  • There will be drainage tubes on each side of the breast. These will be removed when they are no longer necessary, which is usually within 24-48 hours.
  • If you feel comfortable you can go home 24 hours after surgery, or you will be discharged in two days.

First week following surgery:

  • You will start to move around and will be able to do nonstrenuous work
  • Dressing will be removed and you will be wearing supportive bras, and will able to take shower after removal of dressing.
  • Immediately report any redness, pain and swelling from the incisions

After several weeks:

  • Bruising, swelling and normal periodic discomfort will diminish within 4-6 weeks
  • Sutures will dissolve in approximately 4-6 weeks.
  • You can discontinue wearing a support bra.
  • Sensation in the nipple and areola area will gradually improve
  • You may return to most of your normal activities, including mild exercise.
  • Once the incisions are healed, you can massage the scar twice daily with any body lotion containing Vitamin E
  • Your breasts will start settling into a more natural shape and incision lines will begin to fade, but there will be permanent scars hidden in natural lines

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What should I know about my results?

Without the excessive weight of your large breasts, your body will look better proportioned and you will have greater freedom to enjoy physical activities. Although the incision lines will be permanently visible, they will fade over time and are easily concealed by clothing. Breast reduction typically makes a dramatic change in your body image and it may take some time to adjust to your new appearance. However, most women soon become comfortable with their small breasts and feel pleased with the results of surgery. You can expect to maintain your new breast size, unless you gain or lose a significant amount of weight or become pregnant. If, over time, the effects of gravity and aging cause your breasts to lose their shape or firmness, you may choose to undergo a cosmetic breast lift to help restore a more youthful contour.

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