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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.


Reduction Mammoplasty
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

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