Breast Reduction

Breast reduction, also called mammareductionplasty, is a surgical procedure aimed at reducing and reshaping breasts. It is primarily performed to relieve physical discomfort, improve breast proportions, and enhance overall well-being. Below you will find some information about breast reduction and the techniques used in the process:

Examination and Planning:

During the initial consultation, a plastic surgeon specializing in breast reduction will evaluate your breasts, discuss your concerns and goals, and assess your overall health and medical history. The surgeon will determine the most appropriate technique based on factors such as breast size, shape, degree of sagging, and nipple position.

Types of incisions:

There are several types of incisions used in breast reduction, depending on the desired result and the amount of excess breast tissue to be removed:

a. Anchor incision or inverted-T incision: in this technique, an incision is made that surrounds the areola, extends vertically downward from the areola to the breast crease, and then runs horizontally along the breast crease. It is suitable for people with larger breasts and severe sagging.

b. Vertical incision or lollipop incision: in this technique, an incision is made around the areola and a vertical incision is made from the areola to the breast crease. It is suitable for people with medium sized breasts and moderate sagging.

c. Peri-areolar incision: in this technique, the incision is made only around the areola. It is suitable for people with smaller breasts and mild to moderate sagging.

Breast tissue removal and reshaping:

After making the necessary incisions, the surgeon removes excess breast tissue, fat and skin. The remaining breast tissue is reshaped and lifted to create a more proportional and esthetic breast contour. The nipples and areolas may also be raised to a higher position for a more youthful appearance.

Liposuction:

In some cases, liposuction may be performed in conjunction with breast reduction to remove excess fat from the sides of the breasts or underarm area to create better contouring and symmetry.

Closure of incisions:

Incisions are closed with sutures or surgical staples. The surgeon places bandages or dressings over the incisions, and a supportive bra or compression garment may be recommended to aid in healing.

Recovery and results:

Swelling, bruising and discomfort may occur after a breast reduction. Pain medication, cold compresses, and wearing a supportive bra as directed can help alleviate these post-operative effects. It is important to follow your surgeon's postoperative care instructions.

The initial results of breast reduction are visible after the swelling subsides, but it may take several weeks or months to see the final results as the breasts heal and firm up. The procedure can result in reduced breast size, improved breast shape and symmetry, relief from physical discomfort, and an overall more balanced and proportional appearance.

During the recovery period, you should avoid strenuous activity and lifting heavy objects. Follow your surgeon's instructions regarding resuming normal activities, wearing supportive bras, and caring for the incision sites.

It is important that you consult with a plastic surgeon who specializes in breast reduction to discuss your goals, understand the technique recommended for your situation, and receive personalized advice and guidance throughout the process. The surgeon will provide detailed pre-and post-operative instructions to optimize your recovery and help you achieve your desired results.

Preoperative care for candidates preparing for breast reduction surgery includes several important steps:

Consultation: schedule a consultation with a plastic surgeon who specializes in breast reduction surgery. During the consultation, discuss your goals, concerns and medical history. The surgeon will examine your breasts, assess your overall health and determine if you are a candidate for the procedure.

Medical Exam: You will undergo a comprehensive medical exam to ensure you are in good health for the procedure. This may include blood tests, imaging tests, and other diagnostic tests as determined by your surgeon. Inform your surgeon of any pre-existing conditions, allergies or medications you are currently taking.

Smoking and Alcohol: If you smoke, it is important that you stop smoking well in advance of your surgery. Smoking can interfere with the healing process and increase the risk of complications. Also avoid drinking alcohol for a recommended period of time before surgery, as it can interfere with anesthesia and increase the risk of bleeding.

Medication review: provide your surgeon with a complete list of medications, supplements and herbal remedies you are taking. Some medications and supplements may increase the risk of bleeding or interact with anesthesia, so your surgeon may advise you to stop or adjust them before surgery.

Preoperative instructions: Follow your surgeon's instructions about fasting before your procedure. You will usually be asked not to eat or drink anything for a certain amount of time before the procedure.

Postoperative care after breast reduction is critical for optimal healing and recovery. Here are some general guidelines:

Recovery facility: provide a comfortable and supportive recovery environment. This may include having someone available to assist you in the first few days after surgery and having necessary supplies and medications handy.

Rest and recovery: plan for plenty of rest and downtime after surgery. Avoid strenuous activities and lifting heavy objects during the initial recovery period. It is important to elevate your chest when sleeping to minimize swelling and promote healing.

Pain management: take pain medications as prescribed by your surgeon to relieve discomfort and pain during the initial recovery period. Use cold compresses as recommended to reduce swelling and bruising.

Supportive bra: Your surgeon may recommend that you wear a supportive bra or compression garment after surgery to support your breasts and aid in healing. Follow your surgeon's instructions about what type of bra to wear and how long to wear it.

Care of the wound: Follow your surgeon's instructions for caring for your incisions. Keep the incision areas clean and dry and apply any ointments or dressings prescribed. Avoid excessive sun exposure and protect your incisions from direct sunlight.

Follow-up appointments: Attend all scheduled follow-up appointments with your surgeon. At these appointments, your surgeon can monitor the healing progress, remove any sutures or staples, and address any concerns or complications.

It is important that you follow your surgeon's pre- and post-operative instructions closely for a successful recovery and optimal results. Contact your surgeon if you have any questions or concerns during the recovery period. He or she will provide specific advice tailored to your individual needs and monitor your progress throughout the recovery process.