Breast Reduction

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What is breast reduction surgery?

Breast reduction surgery, also known as reduction mammaplasty, is a procedure used to remove excess fat, tissue, and skin from the breasts. A person having large abnormal breast is required to have breast reduction surgery to ease discomfort or to achieve a breast size proportionate to their body.

Women who have large breasts generally face following problems:

  • Chronic back, neck and shoulder pain
  • Chronic rash or skin irritation under the breasts
  • Deep grooves in the shoulders from bra strap pressure
  • Restricted activity
  • Poor self-image related to large breasts
  • Difficulty fitting into bras and clothing
  • Difficulty sleeping

Procedure : 

The specific technique used to reduce the size of your breasts may vary. Generally, the surgeon makes an incision around the areola and down the breast. Excess breast tissue, fat, and skin are then removed to reduce the size of each breast.

In most cases, the nipple and areola remain attached to the breast. If your breasts are very large and drooping, however, your nipple and areola might need to be removed and then reattached at a higher position on your breast as a skin graft.

After the procedure :

Your breasts will be covered with a gauze dressing or bandage. A tube might be placed under each arm to drain any excess blood or fluid. Your surgeon will likely prescribe medication for pain as well as antibiotics to decrease your risk of infection.

In the first days or week, your breasts will probably feel tender and sensitive. They might also be swollen and bruised. Your surgeon might recommend an elastic compression bra initially to protect the breasts.

You’ll need to limit physical activity for two to four weeks while the breasts heal. Your surgeon also may recommend avoiding underwire bras for a month after surgery. You will need a follow-up visit with your surgeon to remove stitches and check your recovery.

When should you opt for Breast Surgery?

Breast reduction surgery can be done at any age – even as a teenager in some cases. However, it’s usually best to wait until your breasts are fully developed.

If you haven’t started a family or your family isn’t yet complete, you might postpone breast reduction surgery until pregnancy isn’t an issue. Changes to breast tissue during pregnancy could affect your surgical results.

Also, breastfeeding might be challenging after breast reduction surgery — although some research suggests that breastfeeding difficulty after breast reduction surgery is related to a lack of support or coaching rather than the surgery itself.

Risks :

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

  • Scarring
  • Loss of sensation in the nipples and skin surrounding the nipples (areolae)
  • Difficulty or inability to breastfeed

The risk of poor wound healing seems to increase with the amount of breast tissue removed. However, it isn’t clear that women with a higher body mass index are at greater risk of complications from breast reduction surgery.

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