Breast Reduction (Reduction Mammaplasty)

Women with very large breasts may experience a variety of medical problems caused by the excessive weight, from back and neck pain, skin irritation, skeletal deformities and breathing problems. Bra straps may also leave indentations in their shoulders. Breast reduction, technically known as Reduction Mammaplasty, is designed for such women.
The procedure removes fat, glandular tissue, and skin from the breasts, making them smaller, lighter, and firmer. It can also reduce the size of the areola, the darker skin surrounding the nipple. The goal is to give the woman smaller, better-shaped breasts in proportion with the rest of her body.

The Best Candidates for Breast Reduction

Breast Reduction may be performed for physical relief rather than simply cosmetic improvement. Most women who have surgery are troubled by large, sagging breasts that restrict their activities and cause them physical discomfort. In most cases, Breast Reduction isn’t performed until a woman’s breasts are fully developed; however, it can be done earlier if large breasts are causing serious physical discomfort.

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Planning your Breast Reduction Surgery

In your initial consultation, it’s important to discuss your expectations with Mr Klein. Every patient has a different view of what is a desirable size and shape for their breasts. Mr Klein will examine and measure your breasts, and will photograph them for reference during surgery and afterwards. Mr. Klein will discuss the variables that may affect the procedure-such as your age, the size and shape of your breasts, and the condition of your skin. You should also discuss where the nipple and areola will be positioned; they’ll be moved higher during the procedure, and should be approximately even with the crease beneath your breasts. Don’t hesitate to ask Mr Klein any questions you may have, especially those regarding your expectations and concerns about the results. Mr Klein will explain the procedure in detail, including the risks and limitations, the type of anesthesia that will be used, the type of facility where the surgery will be preformed and the costs involved. Be sure to tell Mr Klein if you smoke, and if you’re taking any medications, vitamins, or other drugs.

Where Your Surgery will be Performed

Breast Reduction is generally performed as an inpatient procedure at a hospital.

Type of Anesthesia

Breast Reduction is usually performed under general anesthesia this means you will be asleep through the entire operation.

Surgery Risk

Breast Reduction is not a simple operation, but it’s normally safe when performed by a qualified plastic surgeon. Nevertheless, as with any surgery, there is always a possibility of complications, including bleeding, infection, or reaction to the anesthesia. Some patients develop small sores around their nipples after surgery; these can be treated with antibiotic creams. You can reduce your risks by closely following Mr Klein’s advice both before and after surgery. During your consultation the procedure will be explained in detail, including the risks and limitations.

The Breast Reduction Surgical Procedure

Techniques for Breast Reduction vary, but the most common procedure involves an anchor-shaped incision that circles the areola, extends downward, and follows the natural curve of the crease beneath the breast. Mr Klein will remove excess glandular tissue, fat, and skin, and will move the nipple and areola into their new position. He then brings the skin from both sides of the breast down and around the areola, shaping the new contour of the breast. Liposuction may be used to remove excess fat from the armpit area. In all cases, the nipples remain attached to their blood vessels and nerves. Stitches are usually located around the areola, in a vertical line extending downward, and along the lower crease of the breast. The surgery itself usually takes two to four hours.

Procedure Details

A. Heavy breasts can lead to physical discomfort, a variety of medical problems, shoulder indentations due to tight bra straps, and extreme self-consciousness.
B. Incisions outline the area of skin, breast tissue, and fat to be removed and the new position for the nipple.
C. Skin formerly located above the nipple is brought down and together to reshape the breast. Sutures close the incisions, giving the breast it’s new contour.
D. Scars around the areola, below it, and in the crease under the breast are permanent, but can be easily concealed by clothing.
E. With smaller, better proportioned breasts, you’ll feel more comfortable and your clothes will fit better.

After Your Breast Reduction Surgery

After surgery a small tube will be placed in each breast to drain off blood and fluids for the first day or two. You may feel some pain for the first couple of days, especially when you move around or cough and some discomfort for a week or more. Mr Klein will prescribe medication to lessen the pain.

Getting Back to Normal After Your Breast Reduction Surgery

Although you may be up and about in a day or two, your breasts may still ache occasionally for a couple of weeks. You should avoid lifting or pushing anything heavy for two to four weeks. Mr Klein will give you detailed instructions for resuming your normal activities. Most women can return to work (if it’s not too strenuous) and social activities in about one week.

Your New Look

Although much of the swelling and bruising will disappear in the first few weeks, it may be six months to a year before your breasts settle into their new shape. Even then, their shape may fluctuate in response to your hormonal shifts, weight changes, and pregnancy. Mr Klein will make every effort to make your scars as inconspicuous as possible. Still, it’s important to remember that Breast Reduction scars are extensive and permanent. They may remain lumpy and red for months, then gradually become less obvious, sometimes eventually fading to thin white lines. Fortunately, the scars can usually be placed so that you can wear even low-cut tops. Of all plastic surgery procedures, Breast Reduction results in the quickest body-image changes. You’ll be rid of the physical discomfort of large breasts, your body will look better proportioned, and clothes will fit you better. However, as much as you may have desired these changes, you’ll need time to adjust to your new image, as will your family and friends. Be patient with yourself and keep in mind why you had this surgery and like most women, you’ll be pleased with the results.