Breast reduction surgery removes excess breast fat, glandular tissue and skin of overlying large breasts. In a breast reduction surgery for re-establishing a functional bust that is proportionate to the woman's body, the critical corrective consideration is the tissue viability of the nipple-areola complex (NAC) to ensure the functional sensitivity and lactational capability of the breasts. The indications for breast reduction surgery are three-fold — physical, aesthetic, and psychological — the restoration of the bust, of the woman's self-image, and of her mental health.
• If your breasts are too large for your body frame and create neck, back, or shoulder pain
• If you have heavy breasts with nipples and areolas (pigmented skin surrounding the nipples) that point downward
• If one breast is much larger than the other
• If you are unhappy and self-conscious about the large appearance of your breasts
• Your breasts will be in better proportion with your body and will feel firmer.
• Surgery will alleviate neck, back, and shoulder pain and make it easier to breathe and exercise.
• Your clothes will fit better and you will feel more confident about your appearance.
• You may have decreased sensation in some areas, including the nipples and areolas.
• Some women complain that their breasts and nipples look slightly uneven.
• Breast-feeding may be a problem.
Breast reduction surgery, which usually takes from three to five hours, is performed in a hospital or surgical center. After the surgeon removes excess breast tissue, fat and skin; the nipple and areola are shifted to a higher position. The areolas may be reduced in size. Liposuction may be used to improve the contour under the arm.
• Your surgeon will use a surgical marker on your skin to indicate where the incisions will be. These markings are especially important, because your breasts change shape once you are lying on your back on the operating table. It is performed under general anesthesia .
• Your incision pattern will depend on the size of your breasts,
• A donut incision, or periareolar incision, is made solely around the border of the areolas.
• Your surgeon will remove excess breast skin and fat with a scalpel and/or cautery instrument based on the size breast you desire. If your breasts are asymmetrical (or uneven), the surgeon may remove more tissue from one breast than the other. He or she will then reshape the remaining skin and fat to create a more youthful breast shape and move the nipple-areola complex to a higher position.
• In most cases, drains will be placed in the breasts to collect excess fluid.
• Breast incisions are then closed with sutures that go from the deep tissue layers to the more superficial layers (the skin).
The goal of your aesthetic plastic surgeon and the entire staff is to help you achieve the most beautiful and natural-looking results, as well as to make your surgical experience as easy and comfortable as possible.
The post op period is usually uneventful; the drains are removed after 24 hrs. The patient is mobilised and sports bra advised.