Practo Review

Breast Reduction Surgery

Well-developed breasts enhance women’s beauty. But the same breasts sometimes grow disproportionately large and become a reason for chronic pain and embarrassment. Breast Implants surgery can bring large breasts to normal size.

You may be a good candidate for breast reduction surgery if you have one or more of the following conditions:

  1. Breasts are too large in proportion to your body frame.
  2. Back, neck or shoulder pain caused by the weight of your breasts.
  3. Skin irritation beneath your breasts.
  4. Grooving in your shoulders from tight bra straps.
  5. Restriction of physical activity due to the size and weight of your breasts.
  6. Heavy, pendulous breasts with nipples and areolas that point downward.
  7. One breast is much larger than the other.
  8. Dissatisfaction or self-consciousness about the largeness of your breasts.
  9. Inability to find bras that fit.

The Procedure:

  • Anaesthesia: General
  • Duration of Surgery: 3-4 hours
  • Hospital Stay: 1 Day
  • Stitches: Self-absorbable
  • Recovery: Walking and dinner same day

How Is It Done?

Individual factors and surgeon’s preferences will determine the specific technique selected to reduce the size of your breasts. Dr Priti uses short vertical scar technique which results in a scar around the nipple and going vertically down from it till the breast crease. Rarely the scar may be inverted T-shaped if the breasts are too large.

One incision is made around the areola. Another runs vertically from the bottom edge of the areola to the crease underneath the breast. After the excess breast tissue, fat and skin are removed, the nipple and areola are shifted to a higher position. The areola, which in large breasts usually has been stretched, also is reduced in size. Skin that was formerly located above the nipple is brought down and together to reshape the breast.

Liposuction may be used to improve the contour under the arm. Usually, the nipples and areolas remain attached to remaining breast tissue, and this allows for the preservation of sensation. The ability to breastfeed may also be preserved by this method, although this cannot be guaranteed. Rarely, if your breasts are extremely large, the nipples and areolas may need to be completely detached before they are shifted to a higher level. In such a case, you will need to have made the decision to sacrifice sensation and the possibility of breastfeeding to achieve your desired breast size.

Self Care: Getting dressed, combing hair, eating

Next Day

Self Care: Preparing tea, heating food

Next Day

Work: Cooking, dusting, light household work

1 Weeks

Work: Driving, desk job

1 Weeks

Activities: Morning walk

1 Weeks

Activities: Treadmill/Yoga/Swimming

1 Month

Activities: Handling of Breasts

6 Weeks or more

Activities: Upper Body Weight lifting

6 Weeks

5 Steps To Breasts Reduction Surgery

Before & After

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Before

After

Patient - 2

Before

After

Patient - 3

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After

Patient - 4

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After

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Breast Reduction Surgery

FAQ

Breast Reduction Surgery can be performed at any age, but plastic surgeons usually recommend waiting until breast development has completed, usually by 18 years. Childbirth and breastfeeding may have significant and unpredictable effects on the size and shape of your breasts. Nevertheless, many women have breast reduction done even in their teens if the symptoms are severe and causing health, social and psychological problems.
Individual factors and surgeon’s preferences will determine the specific technique selected to reduce the size of your breasts. Dr Priti uses short vertical scar technique which results in a scar around the nipple and going vertically down from it till the breast crease. Rarely the scar may be inverted T-shaped if the breasts are too large.One incision is made around the areola. Another runs vertically from the bottom edge of the areola to the crease underneath the breast. After the excess breast tissue, fat and skin are removed, the nipple and areola are shifted to a higher position. The areola, which in large breasts usually has been stretched, also is reduced in size. Skin that was formerly located above the nipple is brought down and together to reshape the breast. Liposuction may be used to improve the contour under the arm.Usually, the nipples and areolas remain attached to remaining breast tissue, and this allows for the preservation of sensation. The ability to breast-feed may also be preserved by this method, although this cannot be guaranteed.Rarely, if your breasts are extremely large, the nipples and areolas may need to be completely detached before they are shifted to a higher level. In such a case, you will need to make the decision to sacrifice sensation and the possibility of breastfeeding to achieve your desired breast size.

Fortunately, significant complications from breast reduction are infrequent. Anyone considering surgery, however, should be aware of both the benefits and the risks.

Some of the potential complications include bleeding, infection and reactions to anaesthesia. Rarely, a patient may require a blood transfusion during the operation. This usually can be anticipated in advance, and blood of a known donor can be reserved for possible transfusion.

Following reduction, sometimes the breasts may not be perfectly symmetrical, or the nipple height may vary slightly. If desired, minor adjustments can be made at a later time. Permanent loss of sensation in the nipples or breasts may occur rarely. Revision surgery is sometimes helpful in certain instances where incisions may have healed poorly. In the unlikely event of injury to or loss of the nipple and areola, they usually can be satisfactorily reconstructed using skin grafts.

The day after surgery, you will be encouraged to get out of bed for short periods of time. After several days, you will be able to move about more comfortably. Straining, bending and lifting must be avoided, however, since these activities might cause increased swelling or even bleed. You may be instructed to sleep on your back to avoid pressure on your breasts.

Any surgical drains will be removed a day or two after surgery, at which time your dressings may also be changed or removed. You will be instructed to wear a support bra for a few weeks until the swelling and discoloration of your breasts diminishes. Stitches are self-absorbable.

You may notice that you feel less sensation in the nipple and areola areas. This usually is temporary. It may, however, take weeks, months or even more than a year before sensation returns to normal. Your breasts may also require some time to assume a more natural shape. Incisions will initially be red or pink in colour. They will remain this way for many months following surgery.

After Breast Reduction Surgery, it is often possible to return to light work after a week or two, depending on your job. In many instances, you can resume most of your normal activities, including some form of mild exercise, after several weeks. You may continue to experience some mild, periodic discomfort during this time, but such feelings are normal. Severe pain should be reported to your doctor.

Any sexual activity should be avoided for a minimum of one week, and your plastic surgeon may advise you to wait longer. After that, care must be taken to be extremely gentle with your breasts for at least the next six weeks.

Breast Reduction Surgery will make your breasts smaller and firmer and lighter. If you have suffered from back ache due to heavy breasts, it will be relieved. Your posture will improve. The incisions from your Breast Reduction Surgery will heal and fade over time. It is important to realize, however, that the incision lines will be permanently visible, more so in some individuals than others. Fortunately, the incisions of Breast Reduction Surgery are in locations easily concealed by clothing, even low-cut necklines.
Unless you gain or lose a significant amount of weight or become pregnant, your breast size should remain fairly constant. However, gravity and the effects of ageing will eventually alter the size and shape of virtually every woman’s breasts. If, after a period of years, you become dissatisfied with the appearance of your breasts, you may choose to undergo a Breast Lift Surgery to restore their more youthful contour.
You will return to the clinic for follow-up care at prescribed intervals, usually two days, two weeks one month and three months later. At these visits, your progress will be evaluated, and minor problems are taken care of. Once the immediate postoperative follow-up is complete, you come back for periodic checkups to observe and discuss the long-term results of surgery. You are not charged for follow-up visits after surgery till one year. Please remember that the relationship with your plastic surgeon does not end when you leave the operating room. If you have questions or concerns during your recovery or need additional information at a later time, you should contact Dr Priti.
The chances of breastfeeding go down after breast reduction surgery because of removal of gland and ducts. The remaining gland can still produce milk, and you can safely breastfeed if you are producing milk. A lot of women have breastfed after this surgery, but there is no guarantee that you will be able to do so.
That is entirely up to you. Scars of the surgery tend to fade out but usually are visible on close examination permanently.
It is recommended to have the tissue examined by a pathologist to detect any coincidental tumour that is too small to be detected otherwise. If you are younger than 25 and have no history breast lump or family history of breast cancer, the biopsy is optional.
As the swelling goes down the breast size continues to decrease after surgery till next three months. The majority of swelling is gone by one month so you should wait for at least one month before buying new clothes.

Breasts do not enlarge again usually. They may enlarge to some extent if you gain weight, become pregnant or if you have got the surgery done while your breasts were still growing. If necessary, the same procedure can be repeated.

Scars can be improved by creams, gels and taping for 3 to 6 months. Excessively prominent scars can be revised surgically after six months.
Liposuction surgery can remove fat but not the gland part so breasts can be reduced to some extent by liposuction through small holes, but the big reduction is not possible by this method. Breasts also will sag after liposuction.
Breast Reduction Surgery will help you to be active. Size will further reduce with weight loss. You may opt for a medium reduction. Also, you may need a Breast Lift Surgery to reduce the sagging after you have lost lots of weight.
Breast Reduction or Breast Lift is commonly required after massive weight loss. In your case, the skin folds going to sides, and arm folds also can be addressed.
That depends on your desires and surgeon’s assessment. Any of the above options may be chosen. At times surgery on both breasts may be required to reach the desired size and symmetry.
No, Breast Reduction Surgery will not increase your risk of developing breast cancer. Depending on your age, or if you have a history of breast cancer in your family, your plastic surgeon may recommend a baseline mammogram before surgery and another mammographic examination some months after surgery. This will help to detect any future changes in your breast tissue. Following Breast Reduction Surgery , you will still be able to perform breast self-examination.
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