It is a procedure in which excess breast tissue and skin is removed to achieve a breast size proportional to your body and relieve discomfort associated with large breasts (macromastia). Breasts that are disproportionately large to the body can cause both physical and emotional distress for patients. Patients with excessively enlarged breasts may experience neck and back pain. Patients may have limitation in physical activity due to pain.
This limitation can cause more weight gain. This group of patients especially complain that bra straps make pressure and marks on their shoulders. In summer, they may encounter hygiene problems, rashes and wounds under the breasts. Due to the large breasts, patients have a forward posture and gait. In most people, this posture disorder gives the impression of an insecure mood. Many patients are comfortable with people looking at their breasts for the first time when they meet new people, and some are embarrassed by it.
Although breast reduction is usually performed to eliminate medical problems, breast reduction surgery can also be performed as an aesthetic procedure for patients who do not have the above-mentioned macromastia-related complaints but are not satisfied with the size of their breasts. With this surgery, more aesthetic breasts are obtained while eliminating the medical problems related to breast size.
Extremely large breasts can cause health problems and emotional problems. In addition to a distorted image created by large breasts, you may also experience neck and back pain and some other discomforts. The weight of excess breast tissue can impair your ability to lead an active life. The emotional discomforts often associated with having large saggy breasts can be just as important a concern as the physical ones.
If;
You are a good candidate for breast reduction surgery.
The success and safety of breast reduction surgery is directly related to the information you provide about your health, wishes, expectations and lifestyle when you come for a breast reduction examination.
During the examination, you should talk to your surgeon about the following;
The success and safety of breast reduction surgery is directly related to the information you provide about your health, wishes, expectations and lifestyle when you come for a breast reduction consultation.
During the examination, you should discuss the following topics with your surgeon;
Your surgeon
You can use the list below as a guide for the questions you may ask when you come to the examination for breast reduction.
Before breast reduction surgery, you may be asked to:
Breast reduction surgery is performed by surgically removing excess fat, breast tissue and skin through incisions in your breasts.
In some cases, excess adipose tissue (for example, for lubrication extending into the armpit) can be reduced by applying liposuction. Technique used to reduce the size of your breasts; Your breast composition (fat-breast tissue ratio), the desired amount of reduction is determined by your personal preferences and the surgeon’s recommendation.
The most commonly used anesthesia methods for a comfortable and safe breast reduction surgery are general anesthesia or intravenous sedation. Your doctor will recommend the best choice for you.
The incision shape changes according to the technique to be performed on the patient.
With an incision made with a circular suture line only around the nipple (brown-white border),
or
With an incision made around the nipple (on the brown-white border) with a circular suture line and a second vertical suture line extending from the nipple down to the lower crease of the breast,
or
It can be done with an incision made in an inverted T-shaped suture line.
After the incision is made, the nipple is moved to a higher area. Generally, at this time, the wide nipple is also reduced. Breast tissue is reduced, lifted and shaped.
Before the incisions are closed, a total of two drains (plastic tubes), one for each breast, are placed under the skin. The purpose of placing these drains is to remove the blood that may accumulate in the breast after the surgery and to ensure a smooth recovery period. The skin incisions are closed with subcutaneous sutures. In most patients, there is no need for sutures to be removed, as the skin is not sutured. Surgical scars are permanent, but in most cases they disappear or decrease significantly over time. Some post-operative creams and bands will be recommended to you by your doctor so that the scars remain less and disappear.
The results of breast reduction surgery are immediately visible. Within 1-2 months, most of the post-operative swelling subsides and the scars begin to fade. In some surgical techniques, while the décolleté section is more puffy at first, the breast goes down over time and takes the form of a more anatomical “drop”. Your satisfaction with your new image will increase as the recovery period continues.
After the breast reduction surgery is completed, a dressing or bandage will be applied to the wound line. An elastic bandage or support bras may be worn to minimize edema and support the breast tissue as your breasts heal. It is recommended that the patient use support bras for at least 1 month.
Drains placed under the skin temporarily to drain excess blood or fluid that may collect under the skin during surgery are usually removed on the 1st to 3rd postoperative day.
After breast reduction, you will be given specific recommendations by your doctor. These,
Oral medications to aid recovery and reduce the risk of infection and the duration of their use,
How should you take the precautions to protect the operated area and your general health? The intervals at which dressings will be made and when the dressing will be terminated,
When can you take a shower
What days are your visits to the controls?
When can you return to your normal daily life?
If routine is part of your life, when can you start sports and exercise?
When to start using the cream and / or tapes you will use to reduce the scars and for how long you will continue to use them.
The results of breast reduction surgery will be long-lasting. The new shape and size of your breasts, yours; It will help you get rid of the back and neck pain you experienced before breast reduction surgery, the limitation of your physical activities, and the hygiene problems that occur under the breast. You will walk straighter and your new look will increase your self-confidence.
Making the decision to have breast reduction surgery is extremely personal. You must decide whether the advantages of the surgery will meet your expectations and whether the potential complications of this surgery are acceptable to you.
Your plastic surgeon will explain in detail the risks associated with the surgery. You will be asked to sign consent forms to ensure you fully understand the procedure you will undergo and the risks or potential complications.
Although the risks of breast reduction surgery are low, the possible risks are as follows:
You should know that
Breast reduction surgery may affect some diagnostic procedures of the breast, such as mammography.
Breastfeeding may be limited in your pregnancies after breast reduction surgery,
Breast reduction procedure can be done at any age. For patients who decide to have this surgery at a young age and their families, it should be reminded that the best time for this surgery is when the patient’s breasts are fully developed.
Pregnancy or large fluctuations in your weight after this surgery may change the results of the surgery.
The practice of medicine and surgery is not an exact science. Although good results are usually expected, there is never a 100% guarantee. Rarely, optimal results may not be achieved with a breast reduction procedure and another surgery may be necessary.
Following your doctor’s instructions is key to the success of your surgery. It is important that the sutures are not exposed to excessive force, abrasion or movement during healing. Your doctor will give you specific advice on how to take care of yourself after surgery and how to minimize the risks of breast reduction surgery.
Be sure to ask questions: It is very important that you share all your questions and concerns directly with your plastic surgeon. It is natural to be stressed and excited before the surgery about meeting your expectations. Share these feelings with your plastic surgeon.
