Breast Reduction

July 2, 2019 Written by Beautiphi - 0 Comments

Breast Reduction

A lot of our clients ask about this surgery – we recommend Dr Greg Taylor, plastic surgeon, for discussion and treatment.

Breast reduction surgery – is done to change the size, weight, firmness, and shape of the breasts. You may decide to have breast reduction surgery to:

  • Feel more comfortable. Large, heavy breasts can cause back and neck pain, skin irritation, and posture problems. The constant pull of heavy breasts may make bra straps leave painful indentations in a woman’s shoulders. Breast reduction surgery can eliminate these problems in most cases.
  • Reduce the limitations that large, heavy breasts place on participation in sports or other activities. Some physical activities may be painful or awkward for women who have large breasts.
  • Alter your appearance. Large breasts, especially when they are out of proportion to your height and weight, can be embarrassing. Teenagers and young women with large breasts may especially feel self-conscious wearing swimsuits and other types of clothing due to unwelcome attention to large breasts. It also may be hard to find clothes that fit well.
  • To improve posture and ease pain in the back, neck and shoulders caused by the weight of heavy breasts.
  • To relieve pain in breast tissue, particularly around menstruation.
  • To raise the position of downward pointing nipples and areolas.
  • To reduce skin irritation in the breast folds.
  • In women with a strong family history of breast cancer or multiple lumps in large breasts, this procedure provides the surgeon with an opportunity to carefully examine breast tissue. This may not completely rule out cancer, but if the tissue is normal, the process can be reassuring for the woman.

To Prepare For Your Surgery

Initially, you’ll consult with Dr Taylor about your preferences for breast size and shape.  You must discuss this in detail with him.  Mention anything else about your breasts that you would like improved.  This will help Dr Taylor understand your expectations and determine whether they can be met.  To predict the exact outcome of breast size and shape is not possible.  Other factors such as weight gain, weight loss, and hormonal factors will continue to affect the breast tissue.  Inform Dr Taylor if you intend to lose a large amount of weight.  He may recommend that you stabilise your weight before breast surgery.

Dr Taylor will examine and measure your breasts while you are sitting or standing.  Photographs are usually taken for your medical records.

Dr Taylor will discuss surgical options that are available, including how and where the nipple and areola will be repositioned, and the site and number of incisions.

The shape and size of the breasts before surgery will influence the surgical procedure and outcome.

Dr Taylor cannot guarantee symmetry of shape and size after your reduction – some differences are likely to occur.

Before you decide to go ahead with surgery, consider some important factors about breast surgery:

If you decide to have the surgery, you might need lab tests or a baseline mammogram ahead of time. Dr Taylor might adjust certain medications before the surgery as well. For example, it’s important to avoid aspirin or other medications that can increase bleeding.

Tell us if you have had any of the following:

*An allergy or bad reaction to antibiotics, anaesthetic drugs, any other medicines, surgical tapes, or dressings.

*Prolonged bleeding or excessive bruising when injured.  Previous problems with blood clots in the legs or lungs.

*Any recent or long-term illness.  Previous surgery for breast cancer, or radiotherapy to the breast.  Any bad scarring or poorly healed scars after previous surgery.  Any psychological or psychiatric illness.

If you smoke, you will be asked to stop smoking for a certain period of time before the surgery. Do not drink alcohol prior to surgery for at least 3 days – 2 weeks.

Do not take aspirin, unless discussed with Dr Taylor in advance for urgent medical reasons.

Do not take any other anti-inflammatories for two weeks before surgery.

Notify us about any other drugs or natural remedies you are taking.

Fish, fish oil, spicy food and green tea are also known to increase your bleeding by thinning your blood and adding to bruising and bleeding complications during and after surgery.

Do not take arnica, as this also can increase bruising.

Arrange for someone to drive you home after the surgery and to stay with you for at least the first night.

Risks

The most common risks of breast reduction surgery include:

  • Breast reduction surgery always leaves visible scars on the breasts. But how bad the scars are varies from person to person and by the type of incision. Although red and swollen at first, scars typically fade over time. But scars may remain very noticeable in some women long after surgery. Fortunately, the incisions usually can be limited to areas of the breast that can be covered by a bra.
  • Unevenly positioned nipples, or breasts that are not the same size or shape.
  • Loss of feeling in the nipples or breasts. This is often temporary, lasting a few months. But in some women it lasts much longer or becomes permanent. Because some women with large breasts do not have a lot of feeling in their breasts before surgery, this may not be a concern.
  • Inability to breast-feed after surgery. Some women may still be able to breast-feed, depending on what type of reduction was done.

Less commonly, damage to the breast’s blood supply may occur during surgery. This may delay the skin’s healing process. Loss of part or all of the nipple and areola can also occur, but this is not common.

Other risks of surgery include:

  • Excessive bleeding during surgery.
  • Reaction to the anaesthesia.
  • Blood clots in large veins traveling up to the heart and lungs (pulmonary embolism). This is not common.

These risks can be serious or even life-threatening, but they rarely occur.

What To Think About

Keep in mind that breast reduction may make breast-feeding difficult or impossible in the future, however some women are still able to breast-feed after having reduction surgery.

If you are thinking about having a breast reduction, contact your insurance company. Some insurance companies cover some or all of the costs of breast reduction surgery if surgery is being done to relieve back pain, skin problems, or other medical problems caused by large or heavy breasts. They typically will not cover breast reduction surgery being done solely to change the appearance of the breasts, because it is not considered a medically necessary procedure when done for this reason.

What You Can Expect

Usually breast reduction takes between 3-5 hours and is carried out under general anaesthesia – in which you are asleep for the surgery – at our day-stay surgical facility.  For smaller reductions, the surgery may be done with local anaesthesia.

You will typically go home the same day after at least an hour at the rooms. Rarely, the procedure requires a hospital stay.

You will be given a mild sedative, so you will not be allowed to drive.

When you are at home, rest completely for 48 hours.

Take Panadol 4 hourly for 3 days.

No heavy lifting.

During The Procedure

Breast reduction surgery (reduction, mammoplasty) removes some of the tissue and skin from the breasts to reshape and reduce the size of the breasts. It can also make the area of dark skin surrounding the nipple (areola) smaller.

To remove tissue and skin from the breast, the surgeon first makes one or more cuts in the breast. After the excess tissue and skin have been removed, the skin is closed with stitches. Sometimes the nipple and areola have to be removed and repositioned.

Sometimes liposuction is used along with surgery. If most of the breast is fatty tissue and if excess skin isn’t a problem, liposuction alone may be enough for breast reduction.

Breast lift mastoplexy is similar to a breast reduction, except that in some cases only skin is removed. A breast lift can raise sagging or drooping breasts, which is a common problem with large, heavy breasts, and can elevate the nipple and areola.

After The Procedure

You will leave the surgery with medication for pain and sleeping.

Soreness and swelling are likely for a few weeks after surgery. Bruising is possible, too.  You will have support bandaging across your breasts and 2 small drains that will be collecting excess blood.  These drains will be removed a day or two following your surgery.   The bandages stay in place for a week.

Sutures will be removed a week later, although most breast surgeries will use self-absorbing sutures.  At the same time the bandages will be removed.

You will have follow up appointments with Dr Taylor for 2 weeks after surgery to assess your healing.

Expect your scars to fade gradually over time, although they won’t disappear completely.

While you’re healing, it might help to wear a compression bandage or sports bra for extra support.

Follow instructions about returning to regular activities. If you don’t have a physically demanding job, you might be able to return to work within a few days to a week. Avoid strenuous activities — anything that could raise your pulse or blood pressure — for at least two weeks. While you’re healing, remember that your breasts will be sensitive to physical contact or jarring movements.

You can drive after one week.

If you notice warmth and redness in your breast or you run a fever, you might have an infection. Contact us as soon as possible. Also contact Dr Taylor if you experience shortness of breath or chest pain.

Results

How Well It Works

Women who have breast reduction surgery are often extremely satisfied. It can make the breasts smaller, firmer, lighter, and more evenly proportioned. It usually relieves the physical discomfort and pain caused by large breasts.

The results of breast reduction surgery are considered permanent, but the breasts may become larger or their shape may change as a result of pregnancy, weight gain, or weight loss.

As you anticipate the outcome of breast reduction, keep your expectations realistic.

Breast reduction can change the size and shape of your breasts. The surgery might even improve your body image and self-esteem. If you’re looking for perfection, however, you might be disappointed.

Also, remember that your breasts will continue to age after reduction. Weight gain or weight loss might change the way your breasts look, too.

To find out more about Dr Greg Taylor this link will take you to his website: Dr Greg Taylor

 

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