BREAST REDUCTION

Breast Reduction

Breast reduction, also known as reduction mammaplasty, is a procedure to remove excess breast fat, glandular tissue and skin to achieve a breast size more in proportion with your body and to alleviate the discomfort associated with excessively large breasts (macromastia).

Disproportionately large breasts can cause both physical and emotional distress for patients. Patients with macromastia may experience physical discomfort resulting from the weight of their breasts. The resulting pain can make it challenging for some patients to perform common physical activities. Along with the physical ailments of macromastia, some patients may suffer from emotional distress or more significant mental health problems as a result of their large breasts.

Boob reduction is performed under general anaesthesia, takes an average of 2 to 4 hours. Surgery may be performed using three type of incisions; one made around the areola, one that vertically follows the bottom edge of the areola to the underneath breast crease and one that follows the natural curve of the breast crease. During the operation, the plastic surgeon will:

• Make an inverted T incision to remove excess breast fat, tissue and skin;
• Relocate the breast and decrease the size of the areola;
• Put sutures to avoid scarring and achieve a natural looking boob job.

What can a breast reduction achieve?
You may consider having a breast reduction if your breasts are causing you physical discomfort, or you are unhappy with the size and shape of your breasts. A breast reduction can help:

Balance a difference in breast size
Achieve a more desirable look
Relieve a feeling of unwanted attention.

Incisions of Breast Reduction
There are three different methods for breast reduction incisions. Plastic surgeons will determine the most appropriate method of breast reduction and uplift by evaluating the size and shape of your breasts as well as your desired size and shape during your consultation.

Inverted T or anchor pattern: Involves an anchor-shaped incision starting around the areola, going down across the breast crease.
Circular pattern: Involves incision around the aerola in circular pattern.
Keyhole pattern: Involves an incision around the areola and vertically down to the breast crease.

Frequently Asked Questions

+ Can I return to work? When?
Yes, you can return to work within 1 to 2 weeks after your breast reduction surgery. You can carry on your daily routine and activities after one month. The scars on your breast will be gone within one year or more.

+ What if I get pregnant after the breast reduction?
Your breasts will naturally change with pregnancy, but it does not mean that the condition will defect the results. Expect some changes in size and position of the breasts.

+ What are the steps of a breast reduction procedure ?
Breast reduction surgery is usually performed through incisions on your breasts with surgical removal of the excess fat, glandular tissue and skin.

In some cases, excess fat may be removed through liposuction in conjunction with the excision techniques described below. If breast size is largely due to fatty tissue and excess skin is not a factor, liposuction alone may be used in the procedure for breast reduction. The technique used to reduce the size of your breasts will be determined by your individual condition, breast composition, amount of reduction desired, your personal preferences and the surgeon’s advice.

Step 1 – Anesthesia
Medications are administered for your comfort during breast reduction surgery. The choices include intravenous sedation and general anesthesia. Your doctor will recommend the best choice for you.

Step 2 – The incision
The incision lines that remain are visible and permanent scars, although usually well concealed beneath a swimsuit or bra. Incision options include:

A circular pattern around the areola
A keyhole or racquet-shaped pattern with an incision around the areola and vertically down to the breast crease

Step 3 – Removing tissue and repositioning
After the incision is made, the nipple (which remains tethered to its original blood and nerve supply) is then repositioned. The areola is reduced by excising skin at the perimeter, if necessary. Underlying breast tissue is reduced, lifted and shaped. Occasionally, for extremely large pendulous breasts, the nipple and areola may need to be removed and transplanted to a higher position on the breast (free nipple graft).

Step 4 – Closing the incisions
The incisions are brought together to reshape the now smaller breast. Sutures are layered deep within the breast tissue to create and support the newly shaped breasts; sutures, skin adhesives and/or surgical tape close the skin. Incision lines are permanent, but in most cases will fade and significantly improve over time.

Step 5 – See the results
The results of your breast reduction surgery are immediately visible. Over time, post-surgical swelling will resolve and incision lines will fade. Satisfaction with your new image should continue to grow as you recover.

+ Can I minimise the risk of complications?
A breast reduction is a complicated procedure. You should therefore make sure you choose a highly-experienced surgeon to perform your operation.
You can also minimise the risk of complications by exercising regularly, reducing your alcohol intake, eating a healthy diet and most importantly, stopping smoking.

Breast Reduction Aftercare
The following instructions are general information to be followed before and after a breast reduction surgery. Clinic Center does not take the responsibility for the accuracy of these instructions. The instructions of your surgeon in Turkey after breast reduction should be implemented.

Important Note:
Surgery will be cancelled if there is any chance that you are pregnant.

Pre-Operation Instructions

Two Weeks Before Surgery:
Do not use alcohol ans stop smoking. Nicotine affects the circulation of the body and may affect the result of your surgery and increases the risk of complication with anesthesia.
Do not take any products containing ibuprofen (Advil, Motrin), aspirin, anti-inflammatory medication or Vitamin E.

One Day Before Surgery:
DO NOT EAT OR DRINK ANYTHING AFTER MIDNIGHT. A fasting is required to receive sedation for surgery.

Day of the Surgery:
Shower or bathe normally.
Do not wear makeup, hair sprays or gels, nail polish or false eyelashes.
Pack a bag of loose-fitting clothes and comfortable shoes.
Do not wear jewelry, or bring valuables to your breast reduction surgery.

Post-Operation Instructions
Avoid smoking and drinking alcohol for at least two weeks.
Avoid swimming pools and using creams on the treated area
Keep the sterile bandage on the wound for a day
You may walk around on the day of surgery and after to prevent blood clots from developing also move your legs frequently.
It is normal to feel tired for the first few days. Do not exercise for the first week. After this week, you may resume low intensity, lower body exercise; however, avoid using the upper body muscles for 3 weeks. You may resume all exercise/activity after 3 weeks thereafter. When you do resume exercise, you should wear a supportive bra to minimize bounce and droop of the breasts.
Take all medications as instructed by your surgeon. Take your pain medication before your pain becomes severe as incisional discomfort for the first 24 hours after breast reduction surgery is expected.
Some bruising and swelling is expected and takes between 3-6 months to see final results.
You will have adhesive strips in place over your incision. Keep your dressing clean and dry.
Initially, you may take a quick shower with your back to the water, keeping your incisions completely dry to prevent infection.
Please where your medical support bra for 3 weeks which will provide additional support.

Procedure time
1.5 to 3 hours

Hospital stay
1 night

Anaesthetic
General

Final results
6 – 12 months

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