
You may be a good candidate for a breast reduction if you have
one or more of the following conditions:
• Breasts that are too large in proportion to your body frame
• Heavy, pendulous breasts with nipples and areolas that point
downward.
• One breast is much larger than the other.
• Back, neck or shoulder pain caused by the weight of your
breasts
• Skin irritation beneath your breasts.
• Indentations in your shoulders from tight bra straps.
• Restriction of physical activity due to the size and weight
of your breasts.
• Dissatisfaction or self-consciousness about the largeness
of your breasts.
• A breast reduction can be performed at any age, but plastic
surgeons usually recommend waiting until breast development has
stopped.
• Childbirth and breast-feeding may have significant and unpredictable
effects on the size and shape of your breasts.
• Nevertheless, many women decide to undergo breast reduction
before having children and feel that they can address any subsequent
changes later. If you plan to breast-feed in the future, you should
discuss this with your plastic surgeon.
What is the procedure?
• There are many variations to the design of the incisions
for breast reduction. The size and shape of your breasts, as well
as the desired amount of reduction, are factors that will help your
plastic surgeon determine the best technique for you
• In some instances, it may be possible to avoid the vertical
incision that runs from the bottom edge of the areola to the breast
crease or the horizontal incision underneath the breast.
o With a breast reduction, rarely, if your breasts are extremely
large, the nipples and areolas may need to be completely detached
before they are shifted to a higher level. In such a case, you will
need to have made the decision to sacrifice sensation and the possibility
of breast-feeding in order to achieve your desired breast size.
It reduces the size of excessively large breasts. If you feel uncomfortable
with your breasts or you feel they are unaesthetic, if they make
it difficult to find the right clothes, if they make your back or
neck hurt or if they make you feel ashamed, then this is the right
surgery for you.
• It lifts hanging breasts due to factors such as age, breastfeeding
and gravity.
• It improves your shape in the same way that a breast lift
does but, in this case, reduction is the priority.
• It reduces the size of the areola, if it is too large. It
is advisable that you ask your surgeon whatever questions you may
have so as to do away with all those doubts and fears so common
for those who are about to undergo surgery. we will gladly answer
all the questions you may want to ask before your trip and during
the personal interview before the surgery. It is advisable that
you write down all the questions you may have prior to the interview,
so that you will be able to read them to the physician and get answers
for all of them.
• Remember that smoking reduces the body's oxygenation, and
insufficient oxygenation may result in complications after the surgery,
such as, slower healing of wounds, thicker and more visible scars,
and even skin necrosis in the area around the wounds. Therefore,
if you are a smoker, we strongly recommend you not to smoke during
a few weeks prior to the surgery.
• If you know that you are prone to developing keloids or hypertrophic
scars (excessive scar tissue), you should tell your surgeon in advance,
since the application of gel or silicone strips may prevent this
from happening.
• You should carry with you loose-fitting and comfortable clothes.
Remember that there should be enough space for the bandages between
your skin and your clothes.
• It is advisable that you get the medication indicated by
the physician in advance (antibiotics, anti-inflammatories, analgesics),
so that you will not have to take care of that right after the surgery.
• Try to get wet towels like those used for babies, they are
very useful when we cannot take a bath.
What does Breast Reduction surgery NOT do?
Even though it will make your body look more beautiful and harmonious,
and it will probably also improve your self-esteem, it will not
be enough to make you look perfect. We must be realistic and accept
that that kind of perfection does not exist.
How is a Breast Reduction surgery performed?
Anesthesia
Local anesthesia and complementary sedation, or general anesthesia.
Surgery length
Two to four hours, according to the complexity of the case.
What does breast reduction surgery consist of?
The surgeon draws on the skin the future location of the nipples.
Then he performs a circular incision around each one of the areolas.
If the areola is too large, the incision may be done inside its
outline, so as to remove the part of it that is nearest to the edge.
All the time, the areola and the nipple are kept joined to the breast
by means of a pedicle. This is very important for preserving the
blood supply and sensibility, and to avoid necrosis.
The surgeon performs a series of incisions under the areolas that
allow him to separate the rest of the skin. He then cuts and folds
the glandular tissue so as to fit the areolas in the places he previously
cut and marked. After that, he cuts and removes the excess glandular
tissue and skin until the breast reaches the desired volume and
shape. Finally, the surgeon sutures all the incisions.
Hospitalization
You will have to stay hospitalized for one night.
The results
The results of breast reduction surgery are permanent. The reduced
breasts will not grow again. Your breasts will look better for a
long time and you will feel more comfortable and relieved. In spite
of the
Post operation
o The day after your, you will be encouraged to get out of bed for
short periods of time. After several days, you will be able to move
about more comfortably
o Straining, bending and lifting must be avoided, however, since
these activities might cause increased swelling or even bleeding
o You may be instructed to sleep on your back to avoid pressure
on your breasts
o You will be instructed to wear a support bra for a few weeks,
until the swelling and discoloration of your breasts diminishes
o Generally, stitches will be removed in stages over a period of
approximately two weeks, beginning about one week after surgery
o You may notice that you feel less sensation in the nipple and
areola areas. This usually is temporary. It may, however, take weeks,
months or even more than a year before sensation returns to normal
o Your breasts may also require some time to assume a more natural
shape after a breast reduction in Argentina
o Incisions will initially be red or pink in color. They will remain
this way for many months following surgery.
What is the time to recovery for a breast reduction?
o After your breast reduction, it is often possible to return to
work within just a couple of weeks, depending on your job.
o In many instances, you can resume most of your normal activities,
including some form of mild exercise, after several weeks.
o You may continue to experience some mild, periodic discomfort
during this time, but such feelings are normal.
.
Bandages
In order to heal properly, you will have to wear a special bandage
on the treated area during approximately one week. It is uncomfortable
and tight but, unfortunately, it is necessary. You will also have
some flexible and thin drainage tubes applied, they will drain off
excess fluids from the wounds to an airtight plastic bottle. These
drainages help reduce the incidence of bruises.
Removal of the stitches
7 to 10 days after the surgery.
Scars
The resulting scars will have a circular shape around the areola
and an inverted T right below (also called anchor). The cross section
of the T will coincide with the lower fold of the breast.
The circular scar will be the most discreet one, since it will be disguised by the outline of the areola.
The entire healing process may take between 6 and 9 months, during which the scars will turn from reddish to pink, and then to an almost imperceptible white.
Recovery
You will have to rest at the hotel during 48 hours. You will probably
feel a burning sensation during the first days and discomfort when
lifting your arms. From the fourth day onwards you may be able to
return to your social life and job, only if does not require that
you lift heavy objects. The surgeon will indicate you what kind
of bra will you be able to use. You will be able to do physical
exercise again 30 days after the surgery.
Some people may experience depression during the recovery period. This is very usual after any kind of surgery, regardless of its triviality. You may even feel that you made a terrible mistake in deciding to have a surgery. But you shouldn't worry. Most of the people who today are happy and satisfied with the results of a surgery have also gone through that phase.
Possible risks and complications
It is very unlikely for this procedure to present any complications
when performed by a qualified surgeon. However, every surgical procedure,
regardless of its triviality, has some risks and we should always
think of them as a possibility.
Adverse reactions to anesthesia.
Infections, although they very unusual if you take the antibiotics
your physician will prescribe.
Asymmetry. Even though the surgeon marks very carefully the areas he is going to treat, there may be asymmetries in 1% of the cases, the most common one being the location of the nipples. In approximately 3% of the cases, keloids or hypertrophic scars (excessive scar tissue) may develop.
Dehiscence (the edges of the wound separate for some few millimeters long, before the healing process is fully completed) Usually, it tends to heal by itself. It is necessary to keep the wound clean and disinfected until it heals completely.
Permanent or temporary loss of sensibility in the nipple.
Pulmonary thrombosis. It happens very rarely, but if a blood clot travels through the bloodstream and reaches the lungs, it may cause a cardiopulmonary arrest. In order to prevent this from happening you should try to move your legs and leave the bed as soon as you can. The areola and nipple may suffer necrosis due to a poor blood flow. Even though the surgeon takes all the necessary precautions to prevent this from happening, it may happen anyway.
If you get pregnant after the surgery, your breasts will suffer
the same changes that every women's breasts suffer during pregnancy.
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