Breast reduction (reduction of mammary glands)

In contrast to breast augmentation, the reduction procedure reduces the mass of the breast (Breast reduction), because excessively large breasts can lead to physiological and mental problems

Breast reduction – a solution to a common problem

Some women, by nature, have a large bust in relation to the proportions of their body. The size and weight of the chest can lead to a restriction of opportunities in movement and restriction of sports. Big breasts can lead to problems with posture, tension in the brachial and cervical spine, and cause headaches.
Often, women with big breasts complain about violations of self-perception, and the sensations of their body, and sometimes not so rarely arise problems of a mental nature.

What can change breast reduction?

Reduction of the mammary glands is a way of reducing too large breasts. Depending on the initial size, the volume to which the breast will be reduced will be determined. Whether your desires can be fully satisfied, you should talk with your surgeon. Very often in addition to surgery, it is also necessary to lift the breast and move the nipples to a new location. Also, using the operation, the differences between the mammary glands (asymmetry) will be smoothed out.

Sometimes the capacity for lactation can be limited by a reduction in breast size. In case you are planning to have children in the near future, you should postpone the operation to a later date.

Breast reduction overview

Duration: 2 to 3.5 hours
Anesthesia: general anesthesia
Hospitalization: at least 1 day
Acceptable form: approximately 7 to 14 days
Sport: approximately 3 to 4 weeks

Your views and expectations

Breast reduction can improve the appearance, strengthen your self-esteem and free you from the many inconveniences associated with size. For a successful operation, it is necessary that you soberly assess what kind of optimal result for changing your figure you want to achieve. You can demonstrate your wishes to the surgeon, with the help of the photo brought by you.

All the chances for the success of the procedure are in women with realistic views and expectations. As a rule, if a woman decides to reduce breast, then very personal reasons are preceded. In any case, a sense of comfort should stand in the first place. Improved appearance can have a direct or indirect, but positive impact on personal and professional self-realization.

Discuss as openly and frankly with your plastic surgeon, your expectations, desires, and perceptions of the operation, and its outcome.

After a detailed examination, depending on the skin characteristics (skin texture, shape, and breast size) and your personal wishes, the doctor will explain in detail the course of the operation.

What are the risks associated with the breast reduction?

Breast reduction surgery is not one of the simple operations, but, nevertheless, is associated with a low level of risk. But in the case of surgical intervention, it is never possible to exclude possible risks completely, in some cases they can be unpredictable. Possible complications are best discussed during a personal interview with your plastic surgeon.

As in the case of any operation, hematomas and swelling may occur. Only in very rare cases, they will have to be treated with the help of a follow-up operation, but, as a rule, they pass independently in a few days – a maximum of one week after the operation.

In rare cases, infection of the edges of the wound and violation of the healing process of the wound may occur, accompanied by a divergence of the edges of the suture, which may lead to a subsequent widening of the scars. Most often, the reason for this are factors that are discussed and discussed before the operation, for example, diabetics, smokers, and patients with bleeding disorders are affected by the slow healing of wounds. Difficult healing of the sutures, as a rule, does not affect the new form of the breast. Clearly noticeable expansion of the scar can be corrected later, by carrying out a small operation.

Also, there may be a temporary numbness of the skin and nipples in the area of the operation, which is caused by a violation of the tender nerve endings of the skin. As healing progresses, the sensitivity of the skin is fully restored.

However, in some cases, sensitivity in the chest and nipples is not restored to its full extent. Nipples in some rare cases may completely lose sensitivity.
Any operations leave behind more or less noticeable scars. Also, after a breast lift, there will be scars. On the nature and shape of the scars, your plastic surgeon will consult you.

Both breasts are not in perfect symmetry, neither before nor after the operation. During the operation, the maximum possible symmetry will be achieved. Sometimes it happens that the shape and size of the breast or the position of the nipples are not completely symmetrical. If this is clearly visible, a correction procedure may be required later.

Information before the operation!

Before each operation, the attending physician is given a detailed explanation. We recommend that you write down your questions in advance. Do not hesitate to ask about everything that interests you. Ask questions, including by phone, if your questions are still unanswered.

Informed consent of the patient is a document in which your name, date of birth, type of treatment, causes of treatment and all possible complications are recorded. Your signature will indicate that you have received an appropriate explanation, are familiar with possible complications and risks, and give your consent to the operation.

How should I prepare for the procedure for breast reduction?

Depending on your age and heredity, the doctor may ask you to do a mammogram, before the surgery, in order to exclude the possibility of having nodes in your chest.

Before the planned operation, you should be in the most physically calm and balanced state. Please reduce the use of nicotine and alcohol to a minimum. Smoking partially limits microcurie provision in the area of operation. For this reason, it is recommended, at least two weeks before the operation and two weeks after, to quit smoking.

If you take hormonal medications (birth control pills, replacement therapy), you most likely need to temporarily cancel them. In either case, you should stop taking aspirin or preparations containing acetylsalicylic acid for at least 14 days before surgery.

At least a week after your operation, you should get rid of all your personal and work cases. If you have a person who can take care of you after the operation, talk with him (her) in advance tips from the head – postoperative recommendations.

It is advisable not to take too many classes directly for a couple of days before surgery, in order to be in a calm and physically balanced state during the operation. If you have questions or concerns immediately before surgery, please call your surgeon.

Where will the treatment take place?

As a rule, a short one-two day stay in a hospital clinic will be rational, especially for people with diseases requiring constant medical care. In some cases, the operation can be performed on an outpatient basis, then you will have a postoperative rest phase, after which you will be able to go home. In no case is it allowed to drive alone.

Which anesthesia will be used?

Breast reduction surgery is usually performed under general anesthesia, during the entire operation you are immersed in sleep. For this, an anesthesiologist will examine you right before the operation, in order to find out your tolerability of anesthesia. Of course, an anesthesiologist is present in the operating room throughout the operation and controls anesthesia.

For some patients, in exceptional cases, there is the option of choosing a local anesthetic (injection of a local anesthetic) as an alternative to general anesthesia. When using a local anesthetic, you will first receive a sedative (in the form of tablets or intravenous injection), which will lead you into a state of drowsiness. In this case, you will be conscious, but relaxed and unresponsive to pain, although during the operation you can feel something (for example, feel tension or something like that).

How is the operation?

Most often, breast reduction surgery takes from one and a half to three and a half hours. Methods can vary; the most commonly used method involves the removal of excess mammary tissue and adipose tissue in the lower region of the breast in combination with a nipple shift upward and possibly a decrease in the nipple.

In some cases, breast reduction can be accompanied by the suction of adipose tissue in the chest area. Especially in the case of very large breasts, this can improve the desired result.
Depending on the size of the breast, various techniques are used. During these various techniques, the scars are in different places. This might look like this:

breast reduction

around the nipple and the incision downward.
As a result, the scar will run around the nipple, and vertically down.

Or in rare, most complex cases

breast reduction 1

The incision goes around the nipple and down in the form of T.
In this case, the scar will run around the nipple and move along the T-shaped direction outward and towards the decollete.

breast reduction 2

What should I expect after a breast reduction operation?

During the first few days, the breasts will be susceptible to hypersensitivity and swollen. Various cooling methods can help reduce edema within the first few days. Moderate pain in the wound area is the norm and can be easily eliminated by taking medication.

Prescribed medications must be taken strictly according to prescription. In case of sudden pain, bleeding, or numbness, immediately inform your surgeon. Also, for any other outstanding issues, contact your doctor. The level of healing will be controlled at regular intervals. Drainages will be removed within the first few days after the operation. The stitches will be removed, as a rule, after a lapse of two weeks. In a few days, you can take off your bandages. It is recommended, during the first 3-6 weeks after the operation, to wear a tight, protecting bra, in order to reduce the swelling of the breast, and in order not to interfere with the healing process.

Scars, during the first few months, can become much more visible and redden. Over time, they will become less noticeable. Healing of scars can be accelerated and protected with the help of special creams. To avoid the appearance of pigmentation, you will need to avoid direct exposure to sunlight for at least six months after the operation. Hematomas and edemas, in the majority pass during the first two weeks.

In some patients, they can stay for several months, especially during warm weather. Avoid tense activities during the first weeks after surgery. Also, during the first 3-4 weeks, you should never lift heavy objects or raise your hands to shoulder level or higher, otherwise the healing process worsens due to strong pressure on the seams around the wound. For questions about when you can go back to work and return to your normal lifestyle, you should contact your surgeon.

Your chest will initially be sensitive to pressure. As a rule, it passes through 3-4 weeks after the operation. You may experience some anxiety or maybe even sadness after the operation. These feelings are related to the operation and its attendant factors, as well as to the tense expectation of a positive result of the measures you have taken. During the recovery, as you feel better, these feelings will pass.

Regarding body hygiene:

After you drain the drain, you can take a shower, but you should avoid baths filled with warm water for several weeks. What skin care products can be used, you should discuss in each case. In case of edema or bruising, it will be correct to use the appropriate cream and ointment.

Your new appearance after breast reduction

In a few days you can already get your first impression of a new shape of your breast, nevertheless by that time the edema is still not falling enough, so sometimes it is necessary to wait a few weeks to see the final result. The final result can be seen only after 3-6 months. Your doctor will do everything in his power to make scars that can be seen, the smallest and the inconspicuous. But the scars cannot become completely invisible, at first they can be pronounced and red, but eventually, they will equalize and decrease. Modern methods of plastic surgery, as a rule, tend to locate scars in the least noticeable places, such that it would be possible to wear clothes with a deep neckline. In some cases, the result of the operation can be improved,

Breast reduction leads to huge changes in your appearance and perception of your body. After breast reduction surgery, women can again enjoy sports. Most women, as a rule, remain very satisfied with the result achieved and enjoy their new appearance. Especially if their expectations from the operation were within the scope of the possible, and the operation went without complications, they can rejoice at the result achieved.

Can breast reduction be repeated?

The repeated carrying out of the reduction of mammary glands can, as a rule, be carried out without problems. After a few years, due to factors such as weight changes or the natural aging process, the result of the operation can be lost again. In this situation, you may need to re-tighten your chest. For the surgeon, there will be an advantage if he will know which particular method/technique the operation was used for the first time.
If you want to correct the result of a recently transferred operation, you have to wait until the result is over after the previous operation.

Please remember that even after a successful operation, the plastic surgeon can agree with you about regular consultations, in order to predict the duration of the result of the operation. If you have any further questions, please contact your surgeon.

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