Breast Reduction Surgery
Large breasts may cause back and neck pains and lead to kyphosis in women due to their weight. They may feel numbness due to that the bras make pressure on arm nerves. You may feel difficulty in breathing. A rash or wounds may be developed at the inframammary line as a result of rubbing of breast skin and chest skin. Daily physical activities may be limited. Also large breasts create problems in choosing what to wear, and the fact that the women do not like themselves, causes social and psychological problems. An operation to be applied for the purpose of reducing breast size gives the breasts a natural look, the aforementioned problems are removed, the person’s life becomes convenient. Breasts can be large for different reasons. Large breasts that do not fit the body size can be developed due to genetic factors, hormonal changes or as a result of some diseases.
Pre-Operative Interview
In the interview, your complaints about your breasts and expectations after the operation are primarily evaluated.
As a result of this examination, you will be informed about the size, shape of your breasts, state of your skin, age, whether you will have children or not, the new place of the nipple, etc.
You will also be informed about the details of operation, scars, nipple sensitivity, and breastfeeding, type of anesthesia and risks of operation.
It will help you decide to see the pictures of patients who have had this operation.
When you decide to have the operation, my assistant plans the suitable day for operation.
Preparation for Operation
In addition to blood test and lung x-ray required to be performed previously, mammography and if necessary, breast ultrasonography are carried out. High blood pressure, smoking, drug addiction, diabetes, etc. are discussed. You’ll need somebody to help you on the day of the operation and the next day.
You should stop taking aspirin and its derivatives one week before the operation. (do not stop taking the medication you permanently use without consulting your doctor)
It is recommended not to smoke for a while before and after the operation.
Do not put on any makeup, do not use hair gel, wear comfortable clothes and leave your jewels at home before coming to the hospital for operation.
Do not eat or drink anything 6 hours before the operation.
Be present at the hospital about one hour before the operation.
When you come to the room reserved for you, you may be given an oral drug if you want, it will relax you.
Operative Technique
In the breast reduction surgery, the large breast tissue is reshaped according to the person’s body size. Extra breast tissue and the skin are removed. The nipple is carried to where it should be. A scar is left around the nipple no matter what method is applied. Although, these scars are apparent at the beginning, they may become invisible in time. The degree of scars after operation depends on the size of breasts, the operative method and finally, the ability of the patient’s skin to leave a scar. A group of patients say that they sunbathed topless.
A hardly visible scar on the nipple is one of the following 3 shapes.
The most frequently technique is the technique of 4.5-5 cm around the nipple and going down from the middle of the lower edge of nipple as seen in the figure in the middle.
In some special cases, for extremely large breasts, the first of the above operative techniques is applied.
Type of Anesthesia
General anesthesia is applied.
Duration of Operation
It lasts about 3-4 hours.
Recovery Period
The post-operation stage is generally easy. Pain is minimal. There may be limitation in arm movements. Breasts are covered with a bra-like bandage or the patient should wear bras just after the operation. Generally two tubes called drain are placed in the both breasts, and removed within 24-72 hours. The same dressing is put on the nipple. The dressing is opened and controlled 2 days later. Bandages are opened 7 days later. You stay in hospital for 1-3 days. The patient puts on sports bras for 6 weeks and massage is suggested. There may be swelling, numbing or pinkish color change on skin. They go away in a short time.
You can get back to your work 1 week later. You are recommended to avoid heavy sports for 3 months. Breast reduction surgery is an operation that generally gives good and permanent results, restores the person’s and her spouse’s psychological state and makes them lively more than ever and makes the woman’s way of dressing much easier. The reshaped breasts are long lasting.
Breast reduction operation is a necessary procedure for your health as well as being a plastic surgery. It is scientifically shown that the removal of extra breast tissue protects the person against breast cancer even if just a bit.
You’ll notice and enjoy the new shape of your breasts after the 3rd week of the operation.