Breast Reduction

If you have disproportionately large breasts there are chances that it can lead to neck pain, back pain and other physical symptoms. In that case breast reduction is a good option that one can reflect upon. Majority of the women who undergo breast reduction surgery express satisfaction post procedure. Through breast reduction women can ease the discomfort of having a large breast and achieve a breast size proportionate to their body.

Breast reduction surgery is also known as reduction mammoplasty and in this procedure excess fat, gland and skin from the breasts are removed. A breast reduction surgery may enhance your self-image and provide you comfort for participating in physical activities.

If you are considering breast reduction surgery, consult a plastic surgeon. As it is a major surgery, you are supposed to know what the surgery entails, potential complications and what is involved in recovery. One should have realistic expectations regarding surgery.

Why it’s done?

Women with large breasts who wish to resolve following issues can also consider Breast Reduction.

• Chronic back, neck and shoulder pain that requires pain medications
• Chronic rash or skin irritation under the breasts
• Nerve pain
• Restricted activity
• Poor self-image related to large breasts
• Difficulty fitting into bras and clothing

Consulting a plastic surgeon

During your consultation with the surgeon, you will talk about your past medical history, especially if any lump removed from breast or if you suffer from any condition that affects your breasts. Make sure you are fully open with the surgeon about your medical history and the reasons for seeking breast reduction. Surgeon is likely to take photographs of your breasts, measure them and talk with you as to how much breast tissue needs to be taken off to achieve your goal. Surgeon will also give you a clear idea as to the preparation and planning for the procedure. You may get a ultrasound / bar mammogram and a thorough breast exam before the procedure.

Preparation for the procedure

For an optimal recovery, it is advisable to follow the instructions of the surgeon carefully before and after the surgery.

In the run up to the procedure, you will be sent for a complete lab tests. Moreover, surgeon may request you to stop smoking for a stipulated period of time before and after the surgery. You may also be asked to avoid taking aspirin, anti-inflammatory drugs and herbal medications to control bleeding during surgery.

How it is done?

During the surgery, you will be put under general anesthesia. A normal breast reduction surgery may last anywhere between two to five hours, it may go longer if it is a complicated one. Your surgeon will make a cut around your nipple then downward on the breast in the form of a keyhole. The operating team will remove extra skin, tissue, and fat from your breasts and reposition your nipple. Your surgeon may use drainage tubes and then stitch up your breasts and wrap them in a special gauze. You may also need to wear a surgical bra.

Recovery period

Post surgery your breast will be tender, sensitive, swollen and bruised. You may be given an elastic compression bra to protect the breasts. Minimum one week off from school or work is advisable post surgery. You should not engage in any strenuous physical activity for one month post surgery. It is normal to have some discomfort and pain after the surgery.

You will have to make visits to the surgeon as per schedule to get bandages and stitches removed. Scarring will fade over time.

Results

Most of the patients can resume a normal exercise routine about six weeks after surgery. You will be advised to take a balanced diet including lot of fruits and vegetables. There will be an overall improvement in your self-image.

You can feel visible difference in your breast post surgery, but it will take months for the swelling to completely subside. Rest assured, the final result is permanent, though breast size and shape can change due to factors such as age, weight gain or loss.

For questions related to breast reduction (Mammoplasty), send a message to www.pinkappleaesthetics.com/contact

Types of Breast Reduction

Breast reduction surgeries are one of the top 5 cosmetic surgeries performed among women.Breast reduction surgeries help relieve the pain caused by large, droopy breasts that put a lot of pressure on the back, neck, and shoulders. The heavy bust needs to be supported by a thick bra, and the bra straps end up making indentations on the shoulders. On top of these problems, it also has a major influence on the self-image of the woman.

So, how is breast reduction surgery carried out? Well, there are three different types of breast reduction surgeries used to reduce breast size surgically:

The Vertical Breast Reduction

Also known as the lollipop technique, this procedure involves the breast being reduced vertically. Women with moderately large breasts opt for this technique. The breasts are first opened around the areola and the middle of the breasts. The excess breast tissue is then removed from this incision along with the excess skin. The areola and nipple are repositioned on the breast at a more aesthetic location .

The Anchor Scar

The Anchor Scar technique is named so, owing to the scar it leaves post-surgery. This type of breast reduction surgery leaves an anchor-shaped scar on the bottom of the breast. This is because the surgeon makes an anchor-like incision or an upside-down ‘T-shaped’ incision at the bottom of the breast. This technique helps remove all the excess breast tissue and skin easily. The surgeon then reshapes and recontours the breasts giving them a natural lift and placing them in an aesthetically more pleasing position.

Liposuction 

Women who need mild breast reduction can opt for this technique. Women with more of fatty breast tissue and good skin elasticity can undergo this type of breast reduction surgery. This helps in providing a shorter, less invasive option that gives virtually undetectable scars on the breasts.

Recovery After A Breast Reduction Surgery 

Breast reduction surgery is performed under general anesthesia. Depending on the type of breast reduction technique, the incisions are made on the breast. The cosmetic surgeon will remove the excess breast tissue, fat, and skin from the breast. This helps in moving the nipple/areola higher up and in a more forward position on the chest. This makes the breasts look full and perky without making them sag. The remaining breast tissue, fat, and skin is reshaped and closed properly with the help of dissolvable sutures.

Breast reduction surgery is usually a daycare procedure. Post-surgery, the patient is kept for supervision in recovery. After a few hours, the patient can go home the same day. Expect some soreness and pain around the surgical site for a few days. Once the pain medicines kick in, the patient feels relieved from pain discomfort. Ice packs help in alleviating the discomfort.

Post-surgery patient is advised to avoid strenuous exercise,chect work outs for 3-4 weeks. The patient can resume normal activities with ease. There is a sense of immediate freedom and an increase in self-confidence after the surgery. The burden finally feels lifted off, and they can wear all the clothes they want without a second thought.

Swelling, soreness, and tingling are common after the surgery. There is no need to worry about either of these symptoms.

Steps for Breast Reduction Surgery

From severe back problems to cosmetic or aesthetic reasons, there are different reasons why a woman goes in for breast reduction surgery. This surgery, also known as reduction mammoplasty is the surgical reshaping of the breast to make it smaller. Your doctor will, in course of the surgery remove excess fat, glandular tissue, and skin to reduce breast size. We take a deep dive into the types of breast reduction surgeries and how they are done.

The types of breast reduction procedures are mainly

1. Vertical reduction and
2. The inverted T breast reduction.

The procedure.

1. All the important marking are done pre operatively with patient in standing position as once the patient is lying on the OT table the shape of breast changes. Markings maybe done before the surgery or one day prior to surgery. Photographs are taken to help the doctor in the operating room to look back at the images and do any alterations if needed and also to compare it to post surgery results.

2. Patient is asked to be without food for 6 hours before surgery for general anaesthesia. Normally the procedure is done under general anaesthesia as a day care procedure.

3. The nipple remains attached to its blood and nerve unless the doctor performs a ‘free nipple graft’. Depending on the blood supply maintained to the nipple aerola it is can be

• Superior pedicle breast reduction
• Medial pedicle breast reduction
• Supero-medial breast reduction
• Lateral pedicle breast reduction
• Inferior pedicle breast reduction

During the surgery, excess skin, fat and glandular tissue is removed. Sometimes, the doctor will use liposuction to help remove excess fat and contour the breast.  The doctor puts stitches deep inside the breast tissue to add support. The incisions on the skin are closed up.

What to expect immediately after surgery?

After breast reduction surgery,  the difference can be immediately seen but to appreciate complete results it may take upto 3 months.

There may be bruising and swelling, especially around the area of the incision. You may feel numbness around the area. However, the best part is that the results of the breast reduction surgery will be immediately visible.

Potential complications with breast reduction surgery.

All surgery carries some degree of risk.  Before opting for Reduction Mammoplasty surgery, your doctor will brief you about the potential risks involved. Risks include less sensation in the nipples or breasts, uneven shaped breasts or nipples, scars on the breasts, fat necrosis, skin necrosis and general surgery allergic reactions.

Self-care after breast reduction surgery.

Your doctor will provide you with detailed post-operative care instructions on how to care for your surgical site(s) following the breast reduction surgery. You will also be instructed on the medications to apply or take orally to aid healing and reduce the risk of infection. The doctor will also address specific concerns related to your post-op situation or to your general health. It is ideal to draw a follow-up schedule with your healthcare provider post the operation.

Alternatives to breast reduction surgery.

There are alternatives to breast reduction surgeries too. The first step will be to reduce your weight if you are obese. Liposuction can be done in not that big a breast.

Think about the pros and cons before going in for breast reduction surgery

Who is a good candidate for breast reduction surgery?

Here’s the thing: The thoughts of breast reduction surgery can be confusing. Read along to understand if you are a good candidate for breast reduction surgery along with the all-you-need-to-know about breast reduction surgery.

Why choose breast reduction surgery?

We understand how overwhelming it could get to decide whether or not you require breast reduction surgery. So, to make things easier, here is a list of symptoms for you to analyse before you plan to undergo breast reduction surgery.

And if your answer is yes to three or more of the below-mentioned pointers, then it’s ok to continue and go about and talk to or meet a board certified and skilled plastic surgeon regarding breast reduction surgery.

6 Key Facts to consider

1. Asymmetrical Ones: 

It is very common for some women to have breasts that may not be the same size. One may be considerably bigger or smaller than the other, and this might lead to self-consciousness. It is absolutely alright to talk to a skilled plastic surgeon to get expert advice.

2. Bad Posture:

Women with enormous breasts are more likely to have bad posture because their back muscles lack the ability to support their breasts. As a result of their breast size, they may get skin issues, wounds in their shoulders, and rashes. If you seem to be facing this kind of issue, it is important to consider breast reduction surgery.

3. Mismatched Body Frame:

The majority of women who undergo breast reduction surgery have excessively big breasts compared to their body frame or size. This in turn leads to severe pain in their shoulders, neck, and back as a result of having enormous breasts.

4. Genetic Condition:

Having a genetic condition or a drug reaction can also cause an increase in fatty breast tissue. This could occur with both women as well as men and result in severe shoulder, neck and back pain.

5. Shortness of breath when lying down:

If you seem to face difficulty in breathing while lying down due to the weight of your breasts or difficult and tiring to perform your day-to-day activities due to the heaviness of the breasts. Then it is ok to consider yourself an ideal candidate for breast reduction surgery.

6. Unable to find clothes & bra that fit:

As far as a woman is concerned, this could also lead her to unhappiness and sometimes even depression if she is always looked at as the heavy one, despite having a petite or perfect body size except for the large breasts.

Added Perks: Breast reduction surgery also offers the benefit of being a two-in-one treatment. The surgeon will reduce your breasts and push your nipple up during the process, giving you a breast lift in the end.

Finally, you will feel immense relief having the weight of the breasts lifted off your chest that will also take away all the pain, insecurity and discomfort along with it.

Contact us today to book a consultation!

For inquiries related to Breast Reduction Surgery, send a mail to www.PinkAppleAesthetics.com/contact.

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Vertical scar breast reduction surgery

The breast is composed of milk-producing mammary glands enclosed by an envelope of skin, resting on its breast footprint. The footprint rests on the pectoralis muscles and anterior chest wall. The mammary gland consists of fatty (adipose) tissue, milk-producing globules, and milk ducts leading the milk to the nipple-areola complex.

A normal breast is tear-shaped, and the dimensions and weight of the breast vary widely among women all over the world, depending on their genetic makeup as well as their dietary habits. In most women, one breast is slightly larger than the other, but abnormal enlargement of the breasts can cause severe neck and back pain. It mostly occurs during pregnancy or under the influence of medications

To reduce the size of abnormally enlarged breasts, a “lollipop” or vertical breast reduction technique is performed. This technique involves a shorter scar and is confined to cases where women experience sagging breasts and want a minimal to moderate breast reduction

Drawbacks:

• It is not much effective for large and very large breast reductions.

The technique includes two incisions

• The first incision is made around the areola
• The second is made from the bottom of the areola down towards the underlying breast crease.

The excision before closing resembles that of a snowman or keyhole. The scar will be located around the nipple-areola complex and vertically on the inferior part of the breast down to the inframammary folds

Steps involved in surgery:

1. The area to be removed from the breast is marked with the patient in a standing position.
2. The marked area is excised and removed under general anaesthesia
3. A suitable amount of breast tissue, fat, and excess skin is removed according to the preoperative markings.
4. Breast remodelling is done by the operating surgeon and then sutures are put in.
5. For suturing, absorbable multi-filament sutures are used.
6. Finally, micropore tape is placed, and a low compression bra is put on.
7. The scarring is usually confined to a small area of the breast, as these incisions are small.
8. The scars are located on the lower half of the breast (below the nipple) and are not visible through your clothing

Postoperative care

• Patients may be discharged on the day of surgery itself if there are no complications present.
• Removal of sutures is not required, as these get absorbed on their own.
• No sports activity should be undertaken for at least 4 weeks.
• A supportive bra must be worn for 6 weeks.
• Weight loss and exercise of muscles of the neck, back, and shoulders may further provide benefit to the patient coupled with breast reduction surgery.

Follow-up

• Final postoperative clinical control and photos are taken after 3 months.

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Q & As on Breast Reduction Surgery

1) What is breast reduction surgery?

Breast reduction surgery is an operation to remove extra fat, tissue, and skin from your breasts. If you are a person who tends to have large breasts that are out of proportion to the rest of your body and cause neck pain, back pain, or other symptoms, you may be considering breast reduction surgery. The procedure itself tends to take around three hours, and most patients are cleared to go home the same day. During your recovery, there may be some minimal pain or discomfort.

2) Who is a good candidate for breast reduction surgery?

Every year, it’s estimated that 100,000 women successfully undergo plastic surgery to reduce the size of their breasts. Most candidates for breast reduction surgery have breasts that are exceptionally large when compared to their body frame or their body size. As a result of having large breasts, they battle with pain in their shoulders, their neck, or their back. Their gait and posture take a hit too. For these women, breast reduction surgery is a huge help.

3) Steps for Breast Reduction Surgery

From severe back problems to cosmetic or aesthetic reasons, there are different reasons why a woman goes in for breast reduction surgery. This surgery, also known as reduction mammoplasty is the surgical reshaping of the breast to make it smaller. Your doctor will, in course of the surgery remove excess fat, glandular tissue, and skin to reduce breast size. We take a deep dive into the types of breast reduction surgeries and how they are done.

The types of breast reduction procedures are mainly

• Vertical reduction and
• The inverted T breast reduction.

The procedure

1) All the important marking are done pre operatively with patient in standing position as once the patient is lying on the OT table the shape of breast changes. Markings maybe done before the surgery or one day prior to surgery.

Photographs are taken to help the doctor in the operating room to look back at the images and do any alterations if needed and also to compare it to post surgery results.

2) Patient is asked to be without food for 6 hours before surgery for general anaesthesia. Normally the procedure is done under general anaesthesia as a day care procedure.

3) The nipple remains attached to its blood and nerve unless the doctor performs a ‘free nipple graft’. Depending on the blood supply maintained to the nipple aerola it is can be

• Superior pedicle breast reduction
• Medial pedicle breast reduction
• Supero-medial breast reduction
• Lateral pedicle breast reduction
• Inferior pedicle breast reduction

During the surgery, excess skin, fat and glandular tissue is removed. Sometimes, the doctor will use liposuction to help remove excess fat and contour the breast.  The doctor puts stitches deep inside the breast tissue to add support. The incisions on the skin are closed up

4)What to expect immediately after breast reduction surgery

After breast reduction surgery,  the difference can be immediately seen but to appreciate complete results it may take upto 3 months.

There may be bruising and swelling, especially around the area of the incision. You may feel numbness around the area. However, the best part is that the results of the breast reduction surgery will be immediately visible.

5)What are the risks attached with breast reduction surgery?

All surgery carries some degree of risk.  Before opting for Reduction Mammoplasty surgery, your doctor will brief you about the potential risks involved.  Major risks include less sensation in the nipples or breasts, uneven shaped breasts or nipples, scars on the breasts, fat necrosis, skin necrosis, delayed wound healing and general anaesthesia reactions.

6) How to Prepare for Breast Reduction Surgery

You need to be in good physical condition to be sure you heal the way you should, so follow your doctor’s instructions before and after breast reduction surgery.

Before the surgery, get your home ready for recovery. Stock up on Loose, comfortable dresses. Be ready to use the special ointments or creams as recommended by your surgeon for the incision sites. You will be advised not to do any strenuous exercise /lift weights for about 6 weeks. You will need one week off from your work .

7) Will there be scars after the breast reduction surgery?

Breast reduction scars vary according to the type of incision your aesthetic surgeon suggests for you. Your surgeon can conceal some incision lines in natural breast contours, but others will be visible on the breast surface. Although incision lines are permanent, in most cases they will fade and significantly improve over time. Aesthetic plastic surgeons make every effort to hide and minimize scars, with the goal of achieving the desired results with the shortest possible scar.

8) What questions should you ask before the breast reduction  surgery? 

It is important for you to take an active role in your surgery. Ask, clarify after all it is your body.

• Am I a good candidate for breast reduction?
• Are the results I am seeking reasonable and realistic?
• Will my scars be visible? Where will my scars be located?
• What kind of anaesthesia do you recommend for me?
• What will be the costs associated with my surgery?
• What kind of recovery period can I expect and when can I resume normal activities?
• What are the risks and complications associated with my procedure?

9) Are there any alternatives to breast reduction surgery?

There are alternatives to breast reduction surgeries too. The first step will be to reduce your weight if you are obese. Liposuction can be done in not that big a breast.

Think about the pros and cons before going in for breast reduction surgery .

10) Is Breast Reduction Really Effective?

Most women are very pleased with the results of their breast reduction procedure.  Women who have their breast size reduced tend to be immediately gratified, and over time they notice an increase in their energy level, their stamina, and their day-to-day comfort level.