Breast reduction surgery, also known as reduction mammoplasty, is a surgical procedure aimed at reducing the size of the breasts by removing excess fat, glandular tissue, and skin. This procedure is often sought by individuals experiencing physical discomfort or emotional distress due to the size of their breasts. Here are some key points about breast reduction surgery:
Indications
Physical Discomfort: Large breasts can cause back, neck, and shoulder pain, skin irritation, and posture issues.
Activity Limitations: Excessively large breasts can restrict physical activities and exercise.
Psychological Distress: Some individuals may experience self-consciousness or emotional distress due to the size of their breasts.
Clothing Fit: Difficulty in finding clothes that fit properly can also be a concern.
Procedure
Consultation: A thorough discussion with a board-certified plastic surgeon about goals, medical history, and expectations.
Preoperative Planning: Includes physical examination, mammograms, and possibly other tests.
Anesthesia: The procedure is typically performed under general anesthesia.
Incision Techniques:
Anchor or Inverted-T: Around the areola, vertically down to the breast crease, and horizontally along the breast crease.
Vertical or Lollipop: Around the areola and vertically down to the breast crease.
Liposuction: For minor reductions, liposuction may be used alone.
Tissue Removal: Excess fat, glandular tissue, and skin are removed. The nipple and areola might be resized and repositioned.
Reshaping: The remaining breast tissue is reshaped to create a more natural contour.
Closing Incisions: Incisions are closed with sutures, skin adhesives, or surgical tape.
Recovery
Initial Recovery: Patients typically stay in the hospital or surgical center for a few hours post-surgery.
Pain and Discomfort: Managed with prescribed medications.
Support Garments: Wearing a special support bra to minimize swelling and support the breasts.
Activity Restrictions: Avoid heavy lifting and strenuous activities for several weeks.
Follow-up Appointments: Regular check-ups with the surgeon to monitor healing and progress.
Risks and Complications
Scarring: Incisions will leave permanent scars, though they typically fade over time.
Changes in Nipple Sensation: Temporary or permanent changes in nipple and breast sensation.
Breastfeeding: Potential difficulties with breastfeeding in the future.
Infection and Bleeding: As with any surgery, there’s a risk of infection, bleeding, or adverse reactions to anesthesia.
Asymmetry: Some differences in size or shape between the breasts post-surgery.
Results
Immediate Relief: Many patients experience immediate relief from physical symptoms caused by large breasts.
Long-term Satisfaction: High satisfaction rates due to improved physical comfort and appearance.
It’s essential to consult with a qualified plastic surgeon to discuss individual goals, potential risks, and the benefits of the surgery.