Breast Reduction

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Breast Reduction

Breast Reduction; A breast that has reached sizes greater than normal, and has consequently sagged due to various reasons (makromastia, gigantomastia, breast hypertrophy), may adversely affect the body perception and self-confidence, and lead to serious psychological problems. Such a breast also causes some physical discomforts such as the back pain, neck pain, bra grooves on the shoulders, intertrigo under the breasts etc.

Objective of Breast Reduction Surgery;

To reduce the breast size to normal, bring the nipple to its ideal position, and give an aesthetic shape to the breast, in such a way as to enable it to maintain its form for a long time.
When reducing the breast, one of the goals of plastic surgeons is to leave on the breast the shortest and the least noticeable scar possible.
Before surgery, the patient should be examined by a general surgeon for any possible breast diseases, and her condition should also be assessed based on ultrasonography and mammography images, if deemed necessary.
Before surgery, many factors such as the size of the breast, the distance between the nipple and the collar bone, the distance between the nipple and the inframammary fold, the quality of the breast skin, the mammary gland and fat content of the breast tissue, the general body structure, and the shoulder and hip sizes are assessed and the appropriate method is determined accordingly.

As the breast size changes in parallel to the weight, it would be more appropriate if the patient gets the breast reduction operation at the end of the weight-loss process.

At least 6 months should pass after breastfeeding process.

The excess parts of the breast skin and breast tissue can be removed in different ways. The most commonly used methods may leave the following scars:

  • Only a circular scar around the nipple,
  • A scar extending downward, in addition to the scar around the nipple,
  • A L-shaped scar extending downward, in addition to the scar around the nipple,
  • An inverted T-shaped scar extending downward, in addition to the scar around the nipple,
  • A horizontal scar around the nipple and inframammary fold.
  • In very big breasts, the nipple can be removed and then is placed as a patch on the newly formed breast.
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Breast Reduction

In cases where the adipose tissues are dominant and there are fat accumulations toward the armpits, the liposuction (fat suction by means of cannulae) procedure is carried out as well, and a more effective reduction can be achieved by removing less amount of breast tissue.

The surgery is performed under general anesthesia in operating room. The average time of surgery is 3 hours. The patient stays in the hospital overnight. At the end of the surgery, drains can be installed to prevent collection of blood inside, and they are removed after 1-2 days. The patient gets up and begins to take nourishment orally 4-6 hours after the surgery. The sutures are removed 5 days after the surgery, and then the patient can take shower and begin to work. It would be useful to wear a strap free bra in the new size.

The surgical scars will gain their final appearance and turn into skin color within a year on average.

Breast Reduction with Vertical-Scar Technique

There are two reasons for why it has been very popular in recent years:

  • It leaves less noticeable scar, compared to the inverted-T technique (around the nipple, and a line extending down).
  • Tissues are removed from the lower pole of the breast, and the breast is shaped better. More importantly, this technique, unlike the others, enables the breast to maintain its shape for many years.
  • In the first days after surgery, breasts operated with this technique do not look nice because their lower parts are flatter and the suture lines and not shapely; so, the patient should be psychologically prepared for such an appearance. However, as the breast tissue gets loose and gains its form with the influence of gravity of gravity 2-3 months after surgery, the breast gains its ideal appearance and maintains it for years.
  • Sometimes, a small pucker may remain under the breast, but it is corrected under local anesthesia 3 months later.

Breastfeeding after Breast Reduction

  • The integrity of the mammary glands with the nipple varies depending on the surgical technique used. In some techniques, all the milk ducts are cut, and consequently, breastfeeding becomes impossible; whereas in some techniques an certain amount of mammary glands and milk ducts under the nipple are preserved.
  • In suitable cases, a less amount of mammary gland is removed, and a reduction is achieved by removing the adipose tissue from these glands by the liposuction procedure. By this way, the chance of protecting the breastfeeding ability is increased.
  • It is observed that breastfeeding sometimes cannot be done even with normal or large breasts that have never been operated. Therefore, breastfeeding ability cannot be guaranteed no matter what technique is used.

Relationship between Breast Reduction and Breast Cancer

  • Breast reduction surgery does not lead to breast cancer. On the contrary, it leads to a decreased risk of breast cancer, since it reduces the mass of the breast tissue.
  • The excess tissue removed from the breast is sent to the laboratory for the routine pathological examination intended for ascertaining if there is any overlooked cancer tissue in this tissue. By this way, in 3-4 of every 1000 breast reduction surgery, cancers at a very early stage are diagnosed and appropriate treatments are started.

To get information about Breast Reduction, please fill out the contact form.

Prof. Dr. Cengiz Açıkel, Aesthetic Plastic Surgery Specialist, Breast, Reduction, Mammoplasty

Frequently Asked Questions About Mammoplasty

Should Breast Reduction Surgery be Gotten Before or After Weight-Loss?
Does Breast Reduction Surgery Leave a Scar?
Why do Breasts Sag?
Breast Reduction with Vertical-Scar Technique
Breastfeeding after Breast Reduction
Relationship Between Breast Reduction and Breast Cancer
Lipoplasty and Short Scar in Breast Reduction