What is Breast Reduction?
Breast reduction, or mammoplasty, is a procedure for breast reduction. Fat, skin and tissue cells are taken in order to reduce the breast. This process can be done completely with aesthetic concerns or because of different health problems. It can be done for reasons such as back pain, neck pain, chest rashes and bra strap marks caused by large breasts. In general, it can be said that there are physical and psychological reasons that arise the need for this procedure.
What Are the Different Types of Breast Reduction?
There are different types of breast reduction procedure, which will be decided according to the patient’s condition and expectations. These types are:
1) Anchor Breast Reduction
In this method, an anchor-shaped incision is done down the nipple and the breast. Fat, skin and tissue removal is done on the lower part of the chest. Finally, the nipple and areola are moved to a higher position and the incisions are closed and the procedure is completed.
2) Vertical Breast Reduction
It is a procedure for patients with moderately large breasts and it has recently been developed. An incision is formed around the nipple, vertically going downwards. After removing fat, skin and tissue; the incision is closed.
3) Scarless Breast Reduction
It is a method in which liposuction technique is applied. Cannulas are inserted into small incisions. Then the fat tissue is removed from here. This method is suitable for candidates who have too much fat in their breasts.
Stages of Breast Reduction Surgery
At this stage, while you learn the details of the procedure to be applied, the doctor determines whether you comply with this procedure. Your weight status, whether you intend to have children and your medical history are decisive in this step.
2) Planning the Surgery
Your doctor should examine your chest closely and in detail to determine how the procedure will be performed and how much tissue will be removed. The location, length and similar properties of the areoles are considered at this stage. At this stage, a mammogram may also be requested by the doctor.
3) Starting the Surgery
General anesthesia is applied for breast reduction surgery. In some special cases, sedation or local anesthesia may be applied. The steps to be followed in the surgery are as follows:
• First, an incision is made around the nipple and the lower part of the chest. Thus, an incision in the shape of an inverted letter T or an anchor is formed.
• Repositioning the nipple.
• Removal of fat, tissue and skin.
• Finally, reshaping the breast is performed and the incisions are closed and the process is completed.
What Should Be Considered in Breast Reduction Surgery?
There are some important considerations in the breast reduction procedure. These can be listed as:
- You should stop eating and drinking completely 12 hours before the operation and come to the surgery in this way.
- Sleep well at the night before and come to the surgery after having a rest.
- Note that mammography should be performed during pre-operative check-ups. This is an important detail for the examination of breast tissue.
- Tell your doctor about the medications you are taking and see if they have any effect on the operation.
- Do not use alcohol or cigarettes for 2 weeks prior to surgery. If possible, give it up completely.
- Make sure you are healthy and come to the surgery in a fit way.
- Follow all recommendations given by your doctor during this process.
- Leave your jewelry and valuables at home, and do not bring them to the clinic.
- Wear comfortable and loose clothing.
- After surgery, arrange a companion to assist you.
After the operation, your breasts will be covered with gauze and a bra will be worn. In addition, a small tube may be fitted into the breasts to discharge liquids. These tubes, which will be attached to each breast separately, remain attached for 1-2 days.
Post-operative swelling and bruising on your breasts may occur. This is very normal, the tension of the muscles due to surgery may lead to such a situation. For this reason, your breasts may be hard at first.
Swelling, redness, bruising and stiffness on your breasts significantly reduce by up to 1 month. At the end of the first month, you can start the exercises and continue your normal life. But remember that you need 1 year for full recovery.
What Should I Expect from Breast Reduction Surgery?
You may experience pain in the first week after the operation. You will only need to use the medications given by your doctor. The use of tubes to drain fluids and gauzes to wrap your breasts may cause difficulty in dressing and moving. It is very important to have a companion with you during this period.
Your recovery rate will increase between 2 and 4 weeks after the operation. In particular, the initial loss of sensation greatly reduces. Your sutures are removed during this period and swelling, bruising and redness significantly disappear. After this stage, you can start the exercises in line with your doctor’s advice and return to your normal life. But remember that you will have to wait a little longer before the exact result is seen.
Frequently Asked Questions About Breast Reduction
How much can I reduce my breasts?
The answer varies from person to person. But in general you can say that you can have a breast that is proportional to your body.
Why should I have a mammography?
A close examination of the breast tissue while getting prepared for the surgery provides both successful results and minimizes the risk of complications.
Is the surgery painful?
You will not feel any pain because you will be under anesthesia during the operation.
Is there an age limit for breast reduction?
This procedure can be applied to anyone who is 18 years old and healthy.
Will I have pain after surgery?
After the surgery, you will feel some pain after the anesthesia has passed. At this point, you can get rid of your pain by using the painkillers given by your doctor regularly.
Can this procedure be carried out during pregnancy or lactation?
Breast reduction surgery is not performed during these periods. You should have this surgery at a later stage to feed the baby.
Will there be any scars on my chest?
The incisions opened for the procedure are kept as small as possible and necessary measures are taken to prevent any scarring. If you follow the instructions given to you after surgery by an expert surgeon, there will be no scarring or it will almost disappear.
Can the results vary from person to person?
Yes. Different results may occur depending on the person’s weight, chest size and general condition. In addition, depending on the expertise of the surgeon performing the procedure, it can be mentioned that different results will occur.
When can I get back to work?
It varies depending on the job you do. If you are not working in a heavy job, you can start working in a week. But remember that if your job is heavy, you will have to wait for at least 3-4 weeks.
Can I get a rest report?
Yes. You will be given a report by taking into account the time required for your recovery.
Is there a risk that my breasts will grow again?
If you gain excess weight, your breasts may grow again. There is also some growth during pregnancy. If you pay attention to your weight, the process will give permanent results.
Do I need to wear a special bra after breast reduction?
Yes. You will need to wear a special bra for 4 weeks after surgery. With a comfortable uplift bra, your healing process will proceed more smoothly.
When can I take a shower?
You can take a shower after 1 week after the operation. But remember that this requires your doctor’s approval. You should also protect your wounds from water with the help of waterproof tape before taking a shower.
When will my sutures be removed?
Soluble materials are used for suturing. Therefore, the sutures do not have to be removed. The sutures are solved by themselves over time.
Do I experience constipation after surgery?
Constipation is normal after surgery. In order to overcome this in a short time, painkiller intake should be discontinued and you should feed with fiber foods.
You can examine the successful results closely by comparing the before and after photographs of our patients who have undergone Breast Reduction surgery in our clinic. These results will help you in your decision-making process.