Breast Reduction Surgery

Breast Reduction Surgery

Breast Reduction Surgery

Breast Reduction Surgery

Breast is an organ which is the symbol of “fertility, femininity, and motherhood have and has an important place in the social identity of women. Apart from its appearance, breasts which are also important in function such as breastfeeding can vary in size and shape in every woman. Nowadays, breast reduction surgery is of great importance as it has a negative impact on health among the aesthetic operations performed under the name of breast aesthetics. Compared to other breast surgeries, breast reduction operations which are not only performed for aesthetic purposes have recently become the most common aesthetic surgeries performed by plastic surgeons.

Causes of Breast Growth

Breast reduction surgery differs from other breast surgeries in one aspect. It is a surgery performed not only for psychological reasons but also for physiological reasons. Because in women with large breasts, neck, back, low back pain, posture disorders, sweating, skin problems under the breast, bra straps, pressure marks on the shoulders due to some or all of the findings are found. Genetic features also play a major role in breast growth. In some families, breasts are genetically large. Women who previously had normal-sized breasts can also grow breasts when they gain weight. Childbirth and breastfeeding can cause breast growth and sag. Hormonal disorders or drugs used may cause breast growth.

What is Breast Reduction Surgery?

If there is a proportional size in the breast, this is it leads to both aesthetic and functional problems. Large breasts may lose as relative aesthetic appearance.

Big breasts cause neck, shoulder and back pain. In fact, this condition may create posture disorders and these disorders may become permanent. Failure to wear the desired clothes and visible disproportion may adversely affect the psychology of women.

Such problems can be eliminated by breast reduction surgery, and the person can continue their normal, healthy life more easily.

When should breast reduction be performed?

Breast reduction aesthetic surgery can be done to any woman who has completed breast development and does not have any condition to prevent the operation to be performed. This surgery should be performed as soon as possible because large breasts cause long-term posture disorder, nappy rashes, and wounds, but also serious psychological problems during adolescence. Body development is completed at the earliest stage of surgery around the age of 18, while the upper age limit determines the suitability of the person for surgery.

Breastfeeding Function After Surgery

Although almost all techniques applied today are aimed at maintaining the ability to give milk, this possibility is usually 80-90%. Therefore, it is more preferable that a new pregnancy is not planned after breast reduction surgery.

Preparation before surgery

People planning to undergo breast reduction surgery should contact a plastic surgeon for information. In the first examination, the results of the operation should be explained in detail and the possible risks should be discussed. During this examination, breast size, shape, condition of the skin, age, marriage and whether or not to have children, the new location of the nipple and so on. situations will be shared with the person. Before the operation, the physician should be informed about the conditions such as high blood pressure, smoking, drug habit, diabetes. Depending on the age of the patient, ultrasonography and mammography can be performed before surgery if necessary.

The necessary examinations for the surgery can be done in the hospital on the same day before the operation. Before the operation, drawing and planning should be done on the breast according to the technique chosen according to the patient. These drawings are very important for the quick completion of the operation.

Breast Reduction Techniques

Surgical techniques vary depending on breast size and sagging. The physician will decide which of these techniques is most suitable for the person by some measurements during the examinations.

  1. Nipple graft technique:

The first of these is a technique performed by taking the nipple applied in very large breasts, shrinking the breast and then forming a new nipple.

With this technique, too much breast tissue can be taken and the breast is reduced to the desired size, but there is a loss of sensation at the nipple and cannot give milk.

  1. Flap technique:

In this technique, the nipple and nipple tissue is kept alive and the nipple is moved up after the excess tissue is removed. Breast tissue can be designed either from the top-fed, midline or from the bottom. In most of these techniques, breast tissue is preserved, so people can give milk and there is little or no loss of sensation at the nipple.

Period After Breast Reduction Surgery

The operation is performed under general anesthesia for an average of 2 hours. One day after the operation, the patient may leave the hospital and return to normal life after 7-10 days. Breast reduction surgery is not a very painful operation, the pain that can occur can be easily controlled with given pain medication.

A drain is used to prevent bleeding problems during surgery. These drains are usually taken 2 days after surgery by the physician.

In breast reduction operations, there is always a scar and these scars may vary depending on the amount of tissue removed and the genetic characteristics of the person. Over time, the scars on the body become smaller and even vague.

It is normal for edema and swelling to occur after breast reduction. These will spontaneously decrease in 3 to 4 weeks depending on the patient's recovery time.

Frequently Asked Questions

What are the problems associated with large breasts?

Low back pain and hernias· Neck pains· Braces for shoulder cuts· Rash and nipple formation under the breast· And another important thing is psychological problems.

Does the breast reduction surgery damage the milk glands?

A part of the milk glands will be removed in breast reduction operations. In patients with the potential to give milk, milk is usually given when appropriate techniques are selected. 

What is the age limits in breast reduction surgery ?

The person may have surgery around the age of 18 when the body has completed its development and breast growth has stopped. There is no upper age limit for this operation. Any patient who has no obstacle to surgery in the health condition can be operated.

Will there be permanent scars on breast reduction?

As in every surgical operation, there is a certain amount of trace remains in breast reduction. These marks vary depending on the size of the person's breasts. However, the remaining traces will decrease significantly within a period of 6 months to 1 year. In this process, you can minimize these scars by using the creams recommended by your doctor.

Can breast be gathered and steepened in breast reduction surgeries?

The main aim of the surgery is to shrink the breast and relieve the person. In this operation, the breast tissue is removed and the breast is gathered.

How much reduction in breasts can be achieved?

How much reduction in breasts can be achieved is different for each patient. After the general body measurements, shoulder width and the size of the chest circumference are calculated, the breasts are reduced in proportion to the patient's body dimensions. In patients who are considering giving birth and breastfeeding after surgery, the breasts may be reduced to a certain extent because of the need to protect the milk glands. The examination of the size of the breasts in accordance with the patient's wishes and expectations in accordance with the doctor's advice is decided.

What are the risks in breast reduction surgery?

Every surgical operation carries a risk. These risks vary according to the technique, patient health, disease size, size of intervention and many other reasons.

Breast Reduction Risks are listed below:

Bleeding: It is normal to have an incision in the surgical areas during and after the breast reduction surgery and to have bleeding because the tissue will be removed. Therefore, a detailed blood test should be performed to the patient before the operation and blood may need to be given according to the amount of blood loss. 

Infection: After breast reduction operations, the entire breast area may have redness, swelling, discharge, and edema, and antibiotics are generally sufficient to prevent or eliminate an infection. In some infections, the duration of hospital stay can be prolonged with the decision of the physician and infection treatment is carried out.

Fat necrosis: Fat necrosis, which may cause yellowing in the breast area and may continue for a while, maybe seen after the operation.

Hematoma: After breast reduction surgery, there may be hematoma under the breast tissue. This may sometimes require surgical intervention.

Asymmetry: When breast reduction operations are not performed carefully and carefully, a difference in size and ratio may occur between two breasts. Asymmetry or unexpected results are obtained after breast reduction surgery, revision surgery may require correction of the breasts.

Scar: In the first postoperative period, the patient has normal scar formation. The color of the scars will change over time and become almost invisible. The genetic characteristics of the person and the amount of traces that will remain depending on the healing process vary.

Sensitivity: A decrease in the sensation of the nipple or complete loss of sensation may be observed after breast reduction surgery. Sensory losses usually return 3 to 12 months.

Late recovery: the healing process is different in each person. In some patients, wounds may heal late after breast reduction surgery. The wound healing of patients who are recovering late is performed.

When can I return to my daily activities?

Of course, the most important point to be aware of is to avoid heavy exercise and sports activities. Contrary to popular belief, there is a rapid and controllable process of healing with mild pain. The length of hospital stay after breast reduction surgery is 1 or 2 days. After surgery 3-4. A shower can be taken per day is enough to rest for a week.

Are there any permanent scars or cuts after the surgery?

The shape and placement of the traces varies with the technique used in breast reduction; There may be 3 kinds of scars after surgery;

In and around the nozzle

A vertical track in the nipple-down region

A horizontal trace may appear vertically or vertically down from the head to the breast.

Between 6 months and 1 year postoperatively, the signs become obscure, and the discomforting appearance disappears.

When can I return to my daily activities after breast reduction surgery?

The most important thing to be considered after Breast reduction surgery is to avoid heavy movements and exercises. Contrary to popular belief, the recovery period after Breast reduction is short and the pains after surgery are slight and controllable. The duration of stay in the hospital after breast reduction surgery is 1 or 2 days. The patient can take shower after 3-4 of surgery so resting for one week after surgery would be enough.

What are the methods of breast reduction?

Women with large breasts experience both aesthetic and health problems. Problems such as the inability to wear the desired clothes, back and shoulder pain affect the women with large breasts both psychologically and physically. So women with big breasts start looking for ways to reduce their breasts, Women who avoid surgical procedures resort to alternative ways to reduce their Breast. unfortunately, there are many useless products and services are promoted through advertisements and unfounded reviews on the internet and social media in regard to Breast reduction. But the permanent and definitive solution for it is surgery.

However, if the breasts are large due to excess weight, some reduction can be achieved with weight loss.

The most important thing to do for breast reduction is to consult a specialist doctor. During the examination, the patient shares her expectations and desires with the doctor and the doctor presents the treatments that can be applied to the patient after that the patient and the doctor make a joint decision.

Do breasts sag again after a breast reduction surgery?

During breast reduction surgery, excess tissues are removed and the remaining breast tissue is repaired and recovered. but, depending on the weight gained later a laxity may occur in the breast’s connective tissues that hold the Breast tissues, due to this laxity breasts might sag again.

Should I wait to finish my weight loss or to give birth to undergo a breast reduction?

Weight gain and birth-giving after Breast reduction surgery can cause breast tissue to grow and shrink again which leads to sagging.  That's why, if a rapid and large amount of weight loss is planned in the near future, the surgery should be postponed.

Will be there loss of sensation in the nipples after breast reduction surgery?

In the first few days, a loss of sensation may occur in the nipples and incision line. But this is a normal and temporary situation.

What should be considered after breast reduction surgery?

The patient is discharged from hospital after staying for one night in the hospital, the patient should rest for the first day after being discharged, besides that she should use the painkillers and antibiotics given to her regularly. The patient should also avoid heavy movements and exercises that force the arms and pay attention to the wound dressing.

How long does the breast reduction surgery take?

Breast reduction surgery takes 2-4 hours depending on the breast tissue will be removed.

How many times should i be checked up after breast reduction surgery?

The patient is checked up in detail with performing wound dressings on the 2nd and 8th days after surgery. After that, a patient can start to go for short walks and to take a warm shower. The frequency of the remaining check-ups may increase or decrease depending on the patient’s situation and her healing process.

Will the breasts grow again after reduction surgery?

It is difficult to say how many years the shape given to breasts will be preserved at the end of breast reduction surgery. This depends on the patient's age, hereditary characteristics and skin structure. Excess weight gain or loss after surgery can cause loosening of connective tissues that hold breast tissue.

Is it possible to perform other aesthetic surgeries combined with breast reduction?

As the breasts sag after giving birth and excess weight gain or loss, sagging may occur in different parts of the body. As we can reduce the Breast in a single surgery we can also make other interventions on different parts of the body. Abdominoplasty, arms, and legs aesthetics can be performed with Breast reduction surgery.

Do health problems prevent from undergoing aesthetic surgeries?

Detailed anesthesia examinations are performed before all surgical operations, these examinations decide whether the patient can get anesthesia or not. examinations and analysis also determine if the health problems prevent the patient from undergoing surgery.

What can be done to reduce postoperative scars?

A certain scar remains due to incisions made after each surgical operation. However, these scars gradually fade and lose their visibility significantly. Wound dressing and moisturizing creams used can accelerate the healing process of these scars.

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Prof. Dr. Bekir Atik graduated from Uludağ University Faculty of Medicine in 1993. In 2002, he completed his specialty training in Plastic, Reconstructive and Aesthetic Surgery. He received the title of Associate Professor in 2007. In 2011, he started to work as a founding lecturer in the Department of Plastic, Reconstructive and Aesthetic Surgery at Istanbul Medeniyet University. He received the title of professor in 2013. In the same year, he established the Medeniyet University Micro Surgery education and research laboratory. He gave microsurgery training to over 100 local and foreign surgeons.


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