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Breast Reduction



OVERVIEW

• Breast Reduction is a surgical procedure to reduce the size of excessively large Breasts.
• Excessively large breast may cause back pain, neck pain, grooves in shoulders from bra strap.
• Breast Reduction alleviate the discomfort associated with overly large breasts.
• In a breast reduction, the surgeon removes tissue and skin to make breasts smaller and perkier.

Breast reduction surgery is advised to females because of discomfort arising from excessively large Breasts. Excessively large breast may cause back pain, neck pain, grooves in shoulders from bra strap. Breast reduction can solve these problems as well as Improve the size & shape of your breast.

Reduction mammoplasty (also breast reduction and reduction mammaplasty) is the plastic surgery procedure for correcting over-sized breasts. In a breast reduction surgery for re-establishing a functional bust that is proportionate to the woman’s body, the critical corrective consideration is the tissue viability of the nipple-areola complex (NAC), to ensure the functional sensitivity and lactational capability of the breasts. The indications for breast reduction surgery are three-fold — physical, aesthetic, and psychological — the restoration of the bust, of the woman’s self-image, and of her mental health. In corrective practice, the surgical techniques and praxis for reduction mammoplasty also are applied to mastopexy (breast lift). Moreover, the correction of gynecomastia (woman’s breast) is the analogous, enlarged male-breast reduction surgery procedure, wherein there is no consideration of lactation capability.


Am I a candidate for Breast Reduction?
Yes, if you have any of the following symptoms,
• Asymmetry in Breast size.
• Back & Neck pain because of heavy weight of Breast.
• Indentations on your shoulder due to tight bra straps.
• Rashes underneath the breast.
• Breasts are large in proportion to your body size.
• Heavy pendulous breast with Nipple Areola complex (NAC) pointing downwards.
• Physical disability like shortness of breath, due to large size breast.
Breast reduction surgery are usually done in early adolescence or after pregnancy & Breast feeding. In adolescence it’s advisable to wait until breast development has been completed. Pregnancy & breast feeding may have significant changes in size and shape of Breast, therefore the procedure is recommended after completion of Family.Weight should stabilize before surgery.

What will be my breast size after Reduction surgery?
During Consultation surgeon will ask your desired Breast size & shape. The Surgeon will assess your Breast size & shape, position of NAC, quality of skin & Body frame. This will help surgeon understand your expectations & will let you know what realistically can be achieved.

How is Breast reduction Surgery done?
Breast reduction surgery involves removal of excess Breast tissue, Fat & skin. The Nipple & Areola are shifted to a higher position. The size of areola is also reduced. Skin that was formerly located above the nipple is brought down and together to reshape the breast. This would result in smaller & more attractive Breast.Liposuction is usually required for Axillary & lateral chest wall folds. There are various techniques for Breast Reduction, each having it’s advantages & disadvantages The surgeon will discuss with you the various techniques & let you know which one is best for you.

What are the consequences of Reduction Mammoplasty?
Decrease in sensations of Nipple Areola Complex. Breast feeding in future pregnancy may not be proper.Scars around the NAC, Vertical scar in inferior half & may be along the Infra mammary fold also. The scars are designed such that they are hidden even in low neck dresses. The scars fade off over time but do not go completely.

How do I proceed for surgery?
After Consultation with the surgeon, you will asked to get few blood tests done, to ascertain your general fitness for surgery.
You are asked to come to hospital on day before surgery.
Breast reduction is done under General Anaesthesia. The surgery last 3-4hrs on average.
You will be shifted to your room after that. Your Breast would be wrapped in gauze dressings. Drainage tubes will be there.
Drainage tubes will be removed on Day 2 after surgery. After which you can go home.
There may be some Post operative Swelling& bruising over the chest, but it settles down fast.

Follow Up?
First follow up on 7th day after surgery. Your gauze dressings will be changed.
Second Follow up on 10th day for stitch removal.
You will be asked to wear support/ sports bra for at least 1-3 months.

When can I resume my normal activities?
You can resume your personal chorus from the next day of surgery. But we advise you to keep your activities restricted for at least 7 days.
Vigorous movements of arm may be restricted for few weeks.
Sexual activities are restricted for few weeks.

What will be the consequences of Surgery?
The Nipple Areola sensations & ability to Breast feed are preserved.

The Scar lines generally fade over time. However they are permanent lines & may be in some women they may be more noticeable. But they are easily concealed by clothing, even in low cut necklines.