ALL ABOUT BREAST REDUCTION
Breast reduction is a surgical procedure that aims to reduce the volume of disproportionately large breasts known as breast hypertrophy.
Breast hypertrophy is caused by the excessive development of the mammary gland, which can be traced back to the period of puberty. It is often characterized by sagging breasts because the skin folds under their abnormal weight. In addition, pain in the upper joints and back can cause difficulty in practicing sports and even daily activities. Breast reduction is the second reconstructive surgery performed after
abdominoplasty.
The plastic surgeon will remove excess glandular tissue and refocus the gland breast. The skin will be lifted to give a nicer appearance. It is important to respect of the gland vascularization in breast reduction so that it does not affect sensitivity or any subsequent lactation.
This is why we cannot remove excessive amounts of gland.
WHO IS A GOOD CANDIDATE FOR BREAST REDUCTION SURGERY?
The process of breast reduction depends on the volume of glandular tissue to remove. The bigger the volume is, the more important the scar will be. For small volumes ─up to 300 g (about 2 cups)─, the scar is limited to the periphery of the areola and a vertical line that goes from the bottom edge of the areola to the fold breast. In this case, the procedure is considered an aesthetic one and cannot be supported by Social Security. For larger volumes, especially if one wishes to correct an associated ptosis, the scar goes with a splash horizontal under the breast fold that gives with the vertical line the shape of an inverted T.
REASONS FOR BREAST REDUCTION
Breast reduction surgery, or reduction mammaplasty, is sought by individuals for a variety of reasons, primarily related to physical comfort and psychological well-being. One of the most common reasons is to alleviate chronic pain and discomfort associated with excessively large breasts, including back, neck, and shoulder pain, which can significantly impact daily activities and quality of life. Many individuals also experience skin irritation, rashes, or infections under the breasts due to friction, which can lead to further discomfort. Additionally, large breasts can limit physical activity, making it challenging to engage in exercise or sports. Beyond physical concerns, breast reduction can have profound psychological benefits; many individuals report increased self-esteem, improved body image, and enhanced confidence after the procedure. Ultimately, breast reduction surgery can provide relief from both physical and emotional burdens, allowing individuals to enjoy a more active and fulfilling lifestyle.
CONDITIONS AND INSTRUCTIONS
Carrying big breasts everyday is equivalent to the carriage of heavy weights daily. Back pain is one of the most frequent motifs of undergoing breast reduction along with the pain associated to the neck, shoulders and legs. In some cases, hypertrophy is unilateral and causes breast asymmetry, which can range from mild to very important giving an unsightly looking and discomfort clothing.
The gradual infiltration of fat in the breast tissue due to aging may also be a motif of seeking out breast reduction .
Liposuction
may be considered, depending on the degree of ptosis associated and the amount of fat to remove. Breast reduction, like almost all plastic surgeries, cannot be considered before the age of eighteen years old (18).
Similar to breast implants, a radiograph and a mammography are requested before breast reduction .
WHAT HAPPENS DURING BREAST REDUCTION SURGERY?
During breast reduction surgery, also known as reduction mammaplasty, several key steps are involved to ensure the procedure is both safe and effective. Initially, the patient is placed under general anesthesia, allowing them to remain completely comfortable throughout the surgery. The surgeon begins by making incisions, typically around the areola and extending downward, which allows for the removal of excess breast tissue, fat, and skin. The amount removed varies based on the individual's needs and goals. Once the desired volume is achieved, the remaining breast tissue is reshaped to create a more proportionate and aesthetically pleasing appearance. The areolas may also be repositioned if necessary. After the procedure, the incisions are closed with sutures, and the patient is placed in a supportive bra to aid recovery. The entire process usually takes a few hours, and while patients can expect some swelling and discomfort during the initial healing period, most can return to their regular activities within a few weeks, enjoying the benefits of lighter, more manageable breasts.
WHAT HAPPENS AFTER PROCEDURE?
Bruising and swelling are expected after the procedure; both causing difficulty in raising the arms. The latter will fade away after two (2) to three (3) weeks. The surgeon recommends the local application of ice packs on the oedematous areas for ten (10) minutes at a time to reduce deflation and discomfort.
A compression bra is prescribed for one (1) month and must be worn day and night after removing the dressing. Tiredness and loss of sensitivity are transitory and moderate pain can be relieved by analgesics. Two (2) to three (3) weeks off work must be taken. Physical activity can only be resumed after one (1) to two (2) months. The most important phase in recovery is the healing process.
The scars can become pink or red at first and then the colour will eventually normalize. Some recommend light massages with a hydrating cream two (2) weeks after surgery to smooth out the scars. Sun exposure must be avoided because scars may darken.
WHAT ARE THE RISKS OF BREAST REDUCTION SURGERY?
Breast reduction surgery, while generally considered safe and effective, does come with potential risks and complications that patients should be aware of before undergoing the procedure. One of the most common risks is infection, which can occur at the surgical site and may require antibiotics or additional treatment. Hematoma, or the accumulation of blood outside the blood vessels, can also occur, leading to increased swelling and discomfort. Other possible complications include changes in nipple sensation, which can be temporary or, in rare cases, permanent, as well as scarring from the incisions. Additionally, there is a risk of issues related to wound healing, particularly for individuals with underlying health conditions like diabetes or obesity. While breast reduction surgery typically results in high satisfaction rates, it is essential for patients to have thorough discussions with their surgeon about these risks, follow preoperative and postoperative instructions carefully, and attend follow-up appointments to monitor their recovery, ensuring the best possible outcome.
WHAT CAN I EXPECT DURING RECOVERY FROM BREAST REDUCTION SURGERY?
Recovery from breast reduction surgery typically involves a gradual healing process, and patients can expect a range of experiences during this time. Immediately following the surgery, it is common to experience discomfort, swelling, and bruising in the breast area, which can be managed with prescribed pain medications. Patients are usually advised to wear a supportive bra to help minimize swelling and support the breasts as they heal. The first few days post-surgery may require rest and limited movement, especially avoiding heavy lifting or strenuous activities. Most individuals can return to light activities within a week or two, but full recovery and the resumption of all normal activities may take several weeks to a few months, depending on individual healing rates. Follow-up appointments with the surgeon are essential to monitor the healing process and ensure that there are no complications. While patients may initially notice some changes in sensation in the breast and nipple areas, these often improve over time. Ultimately, many patients report significant relief from discomfort and an improved body image, leading to a more confident and active lifestyle after recovery.
