PROCEDURES

BREAST REDUCTION
Large breasts can be responsible for a number of problems,
especially if they are disproportionate compared to the rest of your body. They can
cause breast pain, shoulder and neck pain and soreness under the breasts. They can
also lead to a loss of self esteem and many sufferers experience difficulties finding bras
and clothes that fit correctly.
The aim
A breast reduction (reduction mammaplasty) reduces the
size of your breasts, while keeping their shape. The operation also elevates the
breast on the chest wall and can help reduce any discrepancy in size.
The operation
The operation takes between two and three hours and is
carried out under general anaesthetic. During the procedure, excess skin and breast
tissue will be removed. Then the nipple and the pigmented areola around it will be
elevated to a natural position on the front of the breast.
Before
If you are overweight, you may be asked to lose weight
before surgery. This helps to minimise the risks of poor wound healing after the
operation. You should also stop taking the contraceptive pill for six weeks before
surgery to reduce the risk of blood clots and give up or cut down on smoking, to reduce
the risk of chest infection and speed up wound healing.
Afterwards
There will be a scar around the areola, a vertical scar
from the areola down to the fold under the breast and in some cases a further scar in the
fold under the breast.
The operation will require one to two nights in hospital
and you will need to take two to four weeks off work to recover.
You should not lift any heavy weights or exercise
vigorously for one month after the operation.
Sutures will be trimmed after about a week and you will
need to wear a firm supportive bra continuously for about four weeks to reduce swelling
after the operation.
Common risks
Minor wound infections are quite common after this
procedure, but in most cases they settle with a course of antibiotics. Occasionally
a bleeding blood vessel or a more serious infection may require a return to the operating
theatre. The blood supply to the nipple and areola are preserved during the
operation, but after the procedure the level of sensation to the nipple may be reduced.
If you were to become pregnant after a breast reduction
your breasts will increase in size in a normal fashion. However, it may not be
possible to breast feed a child, as the level of milk production may be reduced.
Other risks include poor wound healing, damage to the
blood supply of the nipple and areola and reduced sensation more widely over the breast. |