Breast Reduction

What Is Breast Reduction?

Breast reduction surgery, also known as reduction Mammaplasty, is a procedure used to remove excess fat, tissue and skin from the breasts and is considered as one of the most preferred methods in breast aesthetics.

Breast reduction surgery is best suited for women who have breast size out of proportion to their body, pain due to breast size, skin irritation, restrictions in activity, asymmetrical breast size. Large breast problems that occur especially at a young age can cause psychological problems along with aesthetic and health concerns in women. Large breast tissue also negatively affects the skeletal system. In addition, the body is forced forward due to the weight and other diseases such as neck hernia, hump on the back, loss of strength due to nerve compression in the arms may occur. According to scientific studies in the literature, about half of the women with a bra cup size of D or larger have complaints of pain in the the entire upper back, shoulder, neck and lower back.

Breast reduction surgery is one of the most preferred methods in breast aesthetics, not only for women, but also for men. Breast reduction surgery in men is known as Gynecomastia surgery.  Male breast reduction is performed as the surgical correction of over-developed or enlarged breasts. In breast reduction surgery performed in women, basically the skin-mammary gland tissue that causes weight and sagging from the breast is removed and the remaining breast tissue is shaped to appear lifted and aesthetic.

Is Breast Imaging a Must Before Surgery?

With mammography before breast reduction surgery, it is possible to see the condition of the breast and whether there is any cystic or carcinogenic pathology. The breast should be evaluated by breast examination, breast ultrasound or mammography before surgery. Seeing the first condition of the breast gives a great advantage in making the correct diagnosis for the radiologist who will interpret mammograms that will be performed after reduction surgery.

In addition, another reason for mammography is to obtain a reference image for future mammograms as the anatomy will change after surgery. Seeing the first condition of the breast gives a great advantage in making the correct diagnosis for the radiologist who will interpret mammograms that will be performed after reduction surgery.

How Is Breast Reduction Surgery Performed?

During surgery, it is aimed to move the nipple downward to a higher point, reduce it if necessary, remove the excess skin-breast tissue and re-shape the remaining tissue.

The operation takes about 2 to 3 hours depending on the size of the breasts and the surgical technique and is performed under general anesthesia. The average length of stay in hospital is 1 day.

It is better to decide with your doctor which breast reduction method is best suitable for you, because the breast reduction technique to be applied will also vary depending on any factors such as age, breastfeeding expectation and breast size.

During breast reduction operation, the nipple (Aerola) is brought to the required position and the breast is shaped. Excess breast, fat and skin tissue are removed. According to the method applied, the surgical scar will be in the brown part around the aerola and in the form of a line (vertical mammoplasty) that descends at a right angle to it. In addition to this, in some cases, there may be a scar in the shape of an “inverted T”, including the fold under the breast. After surgery, the scar will be I or J-shaped in the “vertical technique”, while in other methods it will be in the shape of an inverted T. The scar will be located in the breast groove under the breast, so it is not upfront.

Post-Operative Considerations and Recovery

About 4 hours following the operation, the patient can start oral food intake and take walks. After a few days, the patient can take a shower. For good recovery after the operation, it’s necessary to use special bra for 1 month, special creams and materials for up to 3 months. About a week following the surgery, you can return to work that does not require a heavy physical effort. By the end of the fourth week following breast reduction, you can go back to your normal routine.

Breast-Feeding and Cancer Risk After Breast Reduction Surgery

The operation technique to be determined is very important for women who expect to breastfeed after breast reduction surgery. Breastfeeding can be protected after breast reduction surgery by choosing techniques that protect the connection of lactiferous ducts and nipples more. However, no technique or surgeon can guarantee breastfeeding. Breast reduction surgery does not cause cancer. In fact, the breast tissue removed during surgery is also sent for pathological examination. In this way, a cancer focus that cannot be detected in mammography but is present in parts, can also be detected.

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