Breast reduction

Table of content


A breast reduction procedure, also called reduction mammaplasty, is a process to remove excess breast fat, glandular tissue, and skin to achieve a breast size more appropriate with body form and to alleviate the discomfort associated with excessively large breasts known as macromastia.

Disproportionately large breasts cause both types of problems physical and emotional distress for patients. Patients with large breasts can experience physical discomfort resulting from the weight of their breasts. The resulting pain might make it challenging for most patients to perform normal physical activities. Along with the physical ailments of macromastia, many patients suffer from emotional distress or more significant mental health problems as a result of their large breasts. It may cause a lack of self-confidence in many patients who are involved with this situation.

However breast reduction procedure is mostly performed to address medical problems, patients who do not have the serious symptoms of macromastia but are uncomfortable with the size of their breasts may still pursue breast reduction as an aesthetic process. Patients choosing to undergo breast reduction operation for aesthetic results may cite any number of factors, including social stigmas and wardrobe concerns.

The breast reduction process is mostly done for female patients who have extremely large breasts and want to resolve the problem including:

1. Chronic back, neck, and shoulder pain that requires pain medications

2. Chronic rash or skin irritation under the breasts

3. Nerve pain

4. Restricted activity

5. Poor self-image related to large breasts

6. Difficulty fitting into bras and clothing

Breast reduction opery mostly is not suggested if you have any of these conditions including:

1. Smoke

2. Have certain conditions such as diabetes or heart problems

3. Are very obese

4. Want to avoid scars on your breasts

You have to postpone your breast reduction process if you have certain future plans, like:

1. Childbirth. If you still have not started a family or your family is not yet complete, you may wait until the pregnancy is not a problem. Breast-feeding may be challenging following breast reduction surgery — although certain surgical techniques can help preserve your ability to breastfeed.

2. Weight loss. If you are interested in losing weight by changing your diet and starting an exercise program, you may wait to decide if reduction mammoplasty is suitable for you. Losing weight might mostly result in changes to your breast size.

Risks of the breast reduction process

Breast reduction operation has the same risks as any other type of major operation — bleeding, infection, and an adverse reaction to the anesthetics materials. Other possible risks include:

1. Bruising, which is usually temporary


2. Removal of or loss of sensation in the nipples and skin surrounding the nipples (areolae)

3. Difficulty or inability to breast-feed

4. Differences in the size, shape, and symmetry of the surgically altered left and right breasts, might lead to further surgery to improve your appearance

The surgeon mostly:

1. Makes a small incision around the areola and down each breast

2. Removes excessive breast tissue, fat, and skin to decrease the size of each breast

3. Reshapes the breast and repositions the nipple and areola

The nipple and areola:

1. Mostly remain attached to the breast in the same position

2. Might need to be removed and then reattached at a higher position as a skin graft if your breasts are very large

Hemorrhagic shock Hemorrhage Infections Scaring
If your breasts do reduce in size, they can become droopy or ptotic. I generally recommend to my patients that if they are planning on losing more than 25-30lbs, they have to try to do this prior to having a breast reduction operation.
The plastic surgeon will likely: 1. Evaluate your past medical history and general health 2. Discuss your expectations for breast size and appearance following the surgery, your expectations should be realistic 3. Provide a detailed description of the procedure and its risks and benefits, including likely scarring and possible loss of sensation 4. Examine and measure your breasts 5. Take photographs of your breasts for your medical record 6. Explain the type of anesthesia used during surgery
Most insurance companies may want to know the weight of breast tissue the plastic surgeon believes he or she can remove during a breast reduction. This number may be 450 grams, 500 grams, or 600 grams depending on the case.
In the few days after your operation, it is normal to experience some pain and discomfort sense. Your breasts and areas around your breasts may be bruised and swell up. This is because the breast tissues and muscles have been stretched. Most female patients experience the most pain during the first few days post-procedure.


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