Professional Cosmetic Surgery and Healthy Ageing Clinic
Nearly all patients who seek breast reduction suffer from a variety of physical challenges and medical problems that are brought about by breasts that are disproportionately large for their bodies. Excessive breast size can also be associated with decreased sense of attractiveness and self confidence. Medical conditions and problems usually associated with large breasts, are back and neck pain, skin irritation, skeletal deformities, breathing problems, shoulder indentations due to tight bra straps and poor posture. Breast reduction in women ,experiencing such physical problems, is especially rewarding, as outside of an aesthetic improvement, the results of the procedure give them a sense of freedom and increased self confidence.
What is Reduction Mammoplasty?
Mammoplasty or breast reduction is a surgery to remove excess skin and fat from the breasts, thereby reducing their size to be in proportion with the rest of the body. In some cases it can help achieve a better breast shape and nipple position. Nipple size can also be reduced by means of Mammoplasty.
In most cases, a breast reduction is perfomed in combination with a breast uplift, as removing just excess tissue and skin, will result in low set droopy breasts, which will need further correction.
- Large oversized breasts that cause shoulder pain
- Large breasts that do not respond to diet and exercise
- Large extended nipples
- Inability to accept scarring
- High expectation patient
- Those planning to have children in the near future
- Those who are particular about being able to breast feed their future children
The scars for Breast reduction surgery are permanent and partially visible; one must carefully weigh the expected improvement against the scarring before embarking on this surgery.
Anaesthesia and hospital stay
The surgery is usually performed under a combination of local anaesthetic and sedation. It can also on occasion, be performed under a combination of local and general anaesthetic. The procedure requires one night’s stay ,at the hospital.
Incision site and scarring
- Anchor shaped scar – Goes around the areola, vertically down the breast and extends horizontally under the breast in the natural breast crease
- Lollipop scar – goes around the areola and vertically down the breast
- Nipple scar – goes around the areola alone. Is used in cases where only minimal correction is needed.
The surgery usually takes 1 and a half to 3 hours to perform depending on the size of the breasts and the type of incision used.
The area to be operated upon is marked prior to surgery in a sitting position. At the theatre the treatment area is cleansed with antibiotic solution. The chosen incisions are made. Any excess glandular tissue, fat and excess skin is excised. The nipple remains attached to the blood supply in order to preserve nerves attached to it. This aids in retaining a degree of nipple sensation in spite of the surgery. The nipple and areola is then moved to the new higher position. Sutures are used to hold the nipple areola complex in place and close the incision. Relevant dressings are applied and patient is sent to the recovery room.
The breasts will be covered with gauze dressings and elastic bandage. The recommended support bra is fitted on top of the dressing following surgery, to provide support and keep swelling and fluid collection, to a minimum. You will experience moderate amount of pain and discomfort especially when coughing or moving around. This can take up to 2 weeks to resolve. The incision site may appear reddish or pinkish in colour for several weeks, following the procedure.
The support bra is recommended for 2 weeks night and day and there after for 4 weeks at night time. You may experience some shooting pains over the first few months and the breasts may become more swollen and tender, during the first menstrual cycle following surgery. This is normal and will resolve with time. Most normal activities can be resumed at the end of 3 weeks. No long drives for 2 weeks. No heavy bending, lifting or heavy shoulder movement for up to 4 weeks, following surgery. Depending on the nature of the job, you may be able to return to it in 2 weeks time. Bruising takes 2 weeks to subside and swelling can take up to 6 months to fully settle. The final results can be seen at the end of 6 months.
There might be some loss of sensation at the nipple, which may recover with time. Permanent loss of sensation is possible, though rare.
Follow up Schedule
10 days, 2 weeks, 6 weeks, 3 months, 6 months, 1 year
- Breast Uplift
- Liposuction abdomen
Limitations of End result
Cannot eliminate any pre existing stretch marks
In cases where there is significant droopiness, the procedure must be combined with a breast uplift procedure for a good result
Longevity of result
The results of the surgery are not permanent and the results of the surgery are altered with pregnancy, breast feeding and weight gain . Good diet and life style factors play a significant role in prolonging the effects of the surgery.