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Breast Reduction

Provided by Wockhardt Hospital
Brought to you by Healthbase

WHO NEED BREAST REDUCTION?
 

If you have any or some of the underlying conditions, you may want to consider the option of breast reduction –

 

  • your breasts appear too large in proportion to your body frame
  • heavy, pendulous breasts having nipples and areolas pointed downward
  • one breast is much larger than the other
  • weight of your breasts cause pain in back, neck or shoulder
  • skin irritation beneath your breasts
  • tight bra straps resulting in indentations in your shoulders
  • size and weight of your breasts restrict the physical activity
  • the largeness of your breasts resulting in dissatisfaction or self-consciousness

During the consultation, you will be asked to point out the exact areas which you would like to see improved. This would include your desired breast size as well as anything else about your breasts that you would like to see improved.

This will help your plastic surgeon to understand your expectations and determine whether they can realistically be achieved.

Subsequent childbirth and breast feeding must be discussed with your surgeon.

 
BREAST REDUCTION SURGERY EVALUATION
 

After examining your breasts, your plastic surgeon will perhaps take measurements & photographs for your medical record. Factors like the size and shape of your breasts, the quality of your skin, and the placement of the nipples and areolas will be carefully evaluated.

A detailed medical history will be taken. Past and future weight loss should also be discussed.

 
HOW BREAST REDUCTION SURGERY IS PERFORMED
 

Quite frequently three incisions are involved in the method of reducing the breasts. The first incision is made around the areola. The second runs vertically from the bottom edge of the areola to the crease underneath the breast. The third incision follows the natural curve of the breast crease.

After the excess breast tissue, fat and skin have been removed by the surgeon, the nipple and areola are shifted to a higher position. Liposuction might be employed to improve the contour under the arm.

Generally, since the nipples and areolas remain attached to underlying mounds of tissue, the preservation of sensation is retained. This method might help to retain the ability to breast-feed, although this cannot be guaranteed.

Rarely, in case of extremely large breasts, the nipples and areolas may need to be completely detached before they are shifted to a higher level. In such cases, you may have to decide to sacrifice sensation and the possibility of breast-feeding in order to achieve your desired breast size.

UNDERSTANDING RISKS
 

A few potential complications that may be discussed with you would include bleeding, infection and reactions to anesthesia.

Post Reduction, it is possible that the breasts may not be perfectly symmetrical or the nipple height may vary slightly.

Desired minor adjustments, if any, can be made at a later time. In rare cases, permanent loss of sensation in the nipples or breasts may occur. In certain instances where incisions may have healed poorly, Revisionary Surgery is sometimes helpful.
In the case of injury to or loss of the nipple and areola which is usually an unlikely event, they usually can be satisfactorily reconstructed using skin grafts.

Following the advice and instructions of your plastic surgeon, both pre and post surgery is advisable as it can help to lessen certain risks.

A detailed information booklet will be provided with instructions and precautions for the immediate and early postoperative period.

This will also discuss the sequelae of Breast Reduction Surgery.

HOW WOULD THE INITIAL LOOK AND FEEL BE?
 

In the post surgery days, you will be encouraged to get out of bed for short periods of time. After considerable time, more comfortable movement will be possible.

Surgical drains, if any, will be removed in a day or two after surgery. At the same time your dressings may also be changed or removed. Wearing a support bra for a few weeks will be instructed. This has to be continued until the swelling and discoloration of your breasts diminishes. Generally, stitches will be removed in stages beginning about one week after surgery. You may realize that you feel less sensation in the nipple and areola areas, which is usually temporary. For sensation to return to normal it may take weeks, months or even more than a year. Your breasts may also require some time to assume a more natural shape. Incisions will initially be red or pink in color and will remain this way for many months following surgery.

BREAST REDUCTION & LIFT are in locations easily concealed by clothing, even low-cut necklines.

 
WHEN CAN MY NORMAL ACTIVITIES BE RESUMED?
 

Post breast reduction surgery, it is often possible to resume work within just a couple of weeks, depending upon your job. Quite often, you can resume most of your normal activities, including some of your mild exercises, after several weeks.

Experiencing some mild periodical discomfort during this time might persist, but such feelings are normal. Severe pains should be reported to your doctor.

Any sexual activity should be abstained from for a minimum of one week. Your plastic surgeon might advise you to wait longer. After that you must be extremely gentle with your breasts for at least the next six weeks.

 
HOW LONG WILL THE RESULTS LAST?
 

Your breast size should remain fairly constant unless you gain or loose a significant amount of weight or become pregnant. However natural factors like gravity and aging will eventually affect the size and shape of virtually every woman’s breasts.

But certainly without the excessive weight of large breasts, you may discover greater enjoyment in playing sports and engaging in physical activity.

Incisions from your breast reductions surgery will heal and fade over time. It is important to realvize, however, that the incision lines will be permanently visible, more so in some individuals that others. Fortunately the incisions for breast reduction are in locations easily concealed in clothing, even low-cut necklines.

 

 

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The contents or materials provided in this website are for general information only and are not intended as medical advice.

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