Breast Reduction (Mammoplasty)
Breast reduction is a surgical procedure to reduce the breast volume so as to achieve a smaller aesthetically shaped breast mound along with relief of all problems associated with a large breast. There is some evidence to suggest that breast reduction may reduce the individual risk of breast cancer( as it is difficult to assess for swellings and lumps in a large breast).
Psychological issues and personal embarrassment associated with the looks are the key reasons why younger people look for this surgery.
Indications for Mammoplasty surgery
Shoulder pain and backache caused by very large breasts is a primary indication for this surgery. Physical and sexual embarrassment and infections below the breast are also indications for surgery.
Other indications include discomfort in the breast during exercise, not able to find fitting clothes and grooving of shoulder by bra straps. The primary aim of this surgery is to reposition, reduce, recontour and reshape the breasts thus reducing and raising the breast tissue and repositioning the nipple and areola. Breast reduction can be carried out at any age after breast development
THE BREAST FEEDING POTENTIAL IN THE REMAINDER OF THE BREAST IS MAINTAINED TO A LARGE EXTENT BUT THEY MAY NOT BE ABLE TO NOURISH THEIR CHILDREN COMPLETELY BY ONLY BREAST FEEDING AND SUPPLIMENTAL DIET MAY BE REQUIRED.
This happens as the remainder of the milk carrying ducts is not disrupted by the surgery. This means that the breast feeding potential in young patients is maintained to a large extent. Many young women with large breasts tend to be poor breast feeders. This would continue after the surgery too. Since a large portion of the breast tissue is removed, there is a significant reduction in eth risk of breast cancer. Regular screening and checkups should be continued after the surgery, as the cancer risk is not nullified. Mammography findings will be slightly altered after the surgery due to scarring and calcium deposits. These surgeries do not increase the risk of having cancer.
Marking of the breast has to be meticulously done with the patient sitting up. The placement of the nipple, amount of skin and breast tissue to be removed are pre marked. The surgery done under general anaesthesia takes about 3-4 hours to complete depending on the amount of breast reduction and the technique used.
The procedure employed for reduction of the breast depends on the volume of breast to be and the amount of skin sagging to be corrected. Liposuction would be used if there are significant fat stores. We prefer the short scar technique which is a hall mark of our center, sometimes large reductions leave an anchor shaped scar. We prefer to perform breast reduction as a hospital based surgery.
After Breast Reduction Surgery
There would be supportive dressing on the breast and you are allowed to walk in the evening of surgery. Tubes are placed to drain body fluids which are removed when the drainage is significantly less in about 48 hours. There is no pain but only a tight feeling on the chest.
Light work and joining back to office is possible within 2 weeks but heavy physical exertion is to be avoided for 6 weeks. After the first week, we need to see you only once a week.
You are allowed to wear a full cotton sports bra for 6 weeks after which all other types of bra are allowed. Driving a car, gym activity or fondling of the breasts is not recommended for 6-8 weeks.
Minor complications which are addressed easily and do not alter the final result are delayed wound healing, fat necrosis and serous collections in the breast. Major complication like Skin loss and nipple loss are very rare complications. Decreased sensation on the nipple areola or other parts of the breast and pigmentation changes do occur following breast reduction and that improves with time. Mild breast asymmetry can occur, which is usually not very striking.
Cosmetic Surgery Institute in India is the best option if you are planning breast reduction and lifting. You can visit our centers for a consultation and discussion regarding possible procedures for Breast Reduction Surgery by our expert cosmetic surgeons.
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