Breast Reduction

  • Breast Reduction
  • FAQ
  • Fast Guide

SUMMARY

A breast reduction (mammoplasty) will reduce the size of larger breasts, which can cause backache, neck pain, marks in the shoulders from bra straps and rashes under the breasts. The tissue is removed to make your breasts smaller and your breasts are lifted to give you your desired shape.

Cosmeticium is one of the main clinics who offer breast reduction surgery in İstanbul, Turkey.

HOW TO PREPARE YOURSELF FOR THE SURGERY?

Depending on your age and genetic risk, your doctor can ask you to pass a mammogram investigation in order to exclude nodes in your breasts.

Prior to the planned surgery, you should be in as good a health as possible.

Limit your nicotine and alcohol consumption to a minimum. In addition to overall blood circulation, smoking also harms micro-circulation in the surgery area. Due to this indication, it is recommended that you avoid smoking for a period of two weeks before and after the surgery.

The administration of preparations containing hormones (pills, hormonal substitution preparations) must be temporarily suspended.

The use of aspirin or any medicines containing acetylsalicylic acid, for a period of at least 14 days prior to surgery, is strictly prohibited.

You will need to withdraw from your job and private life for at least one week after the operation. If you have the opportunity to ask someone to take care of you after the operation, please speak with this person about postoperative care requirements.

It is recommended not to be too active pre-operatively, in order to rest well physically and mentally after the surgery. If you have any questions or doubts before the operation do not hesitate to contact your doctor.

THE PROCEDURE

The procedure is carried out under general anaesthesia and takes approximately 2-3 hours to complete.

Techniques for breast reduction vary, but the most common procedure involves an anchor-shaped incision that circles the areola, extends downward, and follows the natural curve of the crease beneath the breast. Your surgeon removes excess glandular tissue, fat, and skin and moves the nipple and areola into their new position. Then brings the skin from both sides of the breast down and around the areola, shaping the new contour of the breast.

WHAT ARE THE DIFFERENT TYPES OF BREAST REDUCTION?

There are a number of ways breast reductions are done. It depends primarily on the skill and experience of the plastic surgeon. Surgeons often decide on the technique based on the size and shape of one’s breasts. Different kinds of breast reduction surgery are:

Anchor Breast Reduction

The incision in this procedure is made around the nipple, down the breast and along the crease of the breast, in the shape of an anchor. The fat, skin and tissue will be removed from the lower segment of the breast. At the end the nipple and areola will be moved to a higher location, and then a stitch is made to close the original incision.

Vertical Breast Reduction

A relatively new procedure, this is employed for its less invasive approach and longer lasting effects. A ‘lollipop’ incision is made around the areola and down the breast, after which fat and tissue is removed. The incision is closed by pleating the excess skin over each other. This is a popular procedure amongst patients with moderately large breasts.

Scarless Breast Reduction

This technique uses liposuction, with minimal scarring outcomes. The incisions are only a few millimeters wide and are made into the crease of the breasts or armpits. This is used in females whose breasts are large due to fat collection rather than the glandular tissue. This happens when the glandular tissue (which produces milk), does not have fat that can be removed by this technique. Thin women with large breasts do not make good candidates for this procedure.

RECOVERY PERIOD

After the surgery, you’ll be wrapped in a surgical bra over gauze dressings. A small tube may be placed in each breast to drain off blood and fluids for the first day or two.

In the few days following your surgery, it’s normal to experience some pain and discomfort. Your breasts and areas around your breasts may be bruised and swell up. This is because the breast tissues and muscles have been stretched.

Between 1 and 2 months after surgery, the breasts will begin to feel natural and soft. And, while breast reduction recovery may be complete, the swelling could continue for up to a year.

Exercise is permitted after 1 month while the breast heal.

RESULTS

Patients will see the results immediately, remember that it can take months for the swelling to completely go down and the surgical scars to fade. The final result is permanent.


How long do I need to be off of work?

It is recommended that you take one week off of work after breast reduction surgery and continue to avoid strenuous activity and heavy lifting for 4 weeks after the surgery. We also ask patients not to drive for 7-10 days after surgery, or until off all medications and can react to an emergency when driving.


What are the risks of breast reduction?

Complications are rare but can occur. Risks that pertain to almost all surgeries include risks associated with bleeding, infection, scar formation and adverse effects related to medications. The risks specific to breast surgery include loss of feeling or sensation of the nipple and skin of the breast, delays in healing, and loss of circulation to the nipple. Most of the scars from reduction surgery will be found along the crease between each breast as well as around and below the nipples. The scars will fade somewhat after the surgery has been completed but could take many months or even years to do so.


What cup size will I be after breast reduction surgery?

Most women who undergo breast reduction will end up as either a large C or a small D cup. However, some women have expressed that they would like to be smaller than this size. Although it is possible to reduce the size down further, reducing the breasts to a large C or small D is usually enough to relieve patients of their symptoms. In addition, the build and weight of the average breast reduction patient is such that anything smaller than a large C cup would not be proportional.


How long will I have to wear this special bra?

Normally, the bra will need to be worn for 4 weeks. Each patient is different and so the recovery will also be different. After 4 weeks, a comfortable non-underwire bra with support is OK.


When can I start to exercise?

We do not recommend heavy weight lifting or strenuous exercise until 6 weeks after the procedure. Patients may resume lower body exercise 10 days post-surgery.


When can I shower after this procedure?

1 week post-surgery with the waterproof band aid, IF given the OK by your doctor.


When do these tapes come off?

Steri-strips come off 4-6 weeks after surgery, as long as they stay clean and dry during that time.


Do I have stitches that have to be removed?

No sutures need to be removed for this surgery- they dissolve.


When can I remove the Surgical Stockings?

Remove 1-2 days post op surgery as long as you are getting up and walking around.


When should I stop taking Herbal Supplements/Dietary Supplements?

We ask that you stop 2 weeks prior to surgery and resume 2 weeks after surgery.


When can I go into Ocean water/Pool/Hot tub

In general, 2-3 months post op. We need the incisions to be healed 100%.


Is Constipation normal?

Yes, constipation after surgery is quite common. The way to reduce constipation is to ween off of pain medication as soon as possible, use stool softener, eat high fiber foods, prune juice is helpful and staying hydrated is very important.


Will I have drains after surgery?

Yes, most likely you will have drains in place after surgery and they will be removed once the drainage is less than 15-20cc/ drain.



Procedure: Performed with incisions on the breasts by removing excess fat, breast tissue and skin to reshape and resize the breasts

Duration: 3 to 4 hours

Stay: 1 night hospital, 4 nights hotel

Anesthesia: General anesthesia

Recovery: 1 to 2 weeks to return to work

What to bring: Comfortable clothes (sweatshirts, button-down or zipped shirt etc.)

Side Effect: Temporary swelling, bruising, discomfort, soreness, numbness, nipple sensitivity

Exercise: 3 to 4 weeks after

Scars: Yes

Pain: Slight (depends on the patient)

Results: After 4 to 6 months (May change due to pregnancy, gravity, weight or age)

Multiple surgeries: Breast lift, liposuction, botox and fillers, nose surgery