A woman's displeasure with her breast size is not always about aesthetics. Some women not only feel their breasts are too large but have discomfort and physical complications because of their overly large breasts. Breast reduction surgery transforms heavy pendulous breasts into smaller and lighter versions. This transformation can also mean the end to chest, shoulder and neck pain, skin irritations, deep bra strap indentations and extreme self-consciousness that afflict overly large breasted women and girls.
How is the Breast Reduction Procedure Performed?
A breast reduction or reduction mammaplasty procedure consists of several incisions being made so the surgeon can remove excess fatty tissue and skin, reposition the nipple to a higher position, and reshape the breast. Sometimes liposuction is used in addition to remove excess fat from the underarm area. Although there are some variations in the incision methods, the most commonly used is the anchor-shaped. Three incisions are made: one around the areola (circular pigmented area around the nipple), another vertically from underneath the areola to the crease under the breast, and the third horizontally along the natural contour of that crease. This method allow the diameter of the areola to be reduced; the nipple remains attached but moved to a higher position, and adequate amounts of excess tissue and skin are removed. It is rare with these modern surgical techniques to have to remove the nipple to elevate its position. The surgery can take anywhere from two to four hours.
What Can I Expect In The Final Result?
Although it will take many months for the final result to take shape, you will immediately notice the difference in your body image. Some will comment that you look like you've lost weight! As you adjust to your new look, self-confidence will amplify and enhance your clothing options. You will be better proportioned and no longer suffer the pain inflicted by larger breasts. Most scars reduce to obscurity over time.
What Will I Look and Feel Like Afterward?
Because every individual patient varies in degree of swelling, bruising, pain tolerance and healing, there is no exact answer. However, we can offer a general outline of expectations:
Immediately after surgery you will notice some soreness, swelling and bruising. You will be up and around the next day, but taking it very easy. Your surgeon will be able to prescribe medication to control any discomfort.
During the first 5 -10 days, the bruising and swelling will reach the highest point and begin to fade. Bandages will be changed regularly and stitches will begin to dissolve. You can probably resume light activity but no raising the arms overhead and no lifting. Most likely stitches will be removed in stages during the second and third week.
After a couple of weeks, swelling and bruising will be greatly reduced. Incision areas will still be red to pink but will continue to fade with time. Puffiness or swelling may still be present; you might experience numbness around the nipple area and itching as the nerves and tissue heal. You will continue to wear a specifically recommended bra round the clock.
After four weeks you may be able to discontinue use of the special bra and begin very light lifting. You must avoid sun exposure on your breasts for many months and take special care of the incision sites. Be sure to clear all activity with your surgeon.
After a few weeks you may resume vigorous exercise and full range arm movements. You will experience a significant reduction of swelling and the final results will begin to take shape.
Will I Have To Be In The Hospital?
The breast reduction surgery is considered an outpatient procedure. You will most likely return to the comfort of your own home the same day. However, it is not uncommon for a surgeon to recommend an overnight stay. You will need someone to take you home and stay with you for at least 24 hours. The procedure may be done in a hospital, outpatient surgery center, or in your surgeon's office-based surgical suite. Most commonly, general anesthesia is used so you will "sleep" through the procedure. After the surgery you will be closely monitored and cared for in a recovery room until you are released to go home. You will have bandages covering the incisions and will be dressed in a surgical or approved sports bra.
When Can I Go Back To Work?
To monitor your progress and to insure you are taking care of yourself properly, you will return to your surgeon's office for a postoperative follow-up visit almost immediately and then periodically. Your surgeon will need to instruct you on proper showering methods and sleeping positions as well as specific care for the skin and incision areas. The postoperative time is crucial for the long-term effectiveness of your procedure.
What Kind Of Risks Are Involved?
Breast reduction is a safe procedure performed on thousands of women each year with no major complications. As with any surgical procedure, there are some risks. Your surgeon can detail these for you in a personal consultation. Remember that you can do your part in minimizing complications by asking questions during the consultation and following the before and after surgery instructions of the physician and staff.
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