Such problems can be eliminated with breast reduction surgery, and the person can continue his normal healthy life more easily.
It is possible to use many techniques in breast reduction surgery. Some criteria are taken into consideration in the selection of the technique.
These factors are the criteria that affect the success of breast reduction surgeries.
Breast reduction surgery differs with one aspect from other breast reacontruction surgeries: it is a plastic surgery performed not only for aesthetic reasons but mostly for physiological reasons. Because women with large breasts have some or all of the problems such as neck, back, low back pain, posture disorders, rashes under the breasts due to sweating, and pressure marks on the shoulders due to bra straps. Genetic features also play a major role in breast growth. In some families, genetically, breasts are always large. Women who previously had normal-sized breasts may also experience breast growth when they gain weight. Childbirth and breastfeeding can lead to enlargement and sagging of the breasts. Hormonal disorders or drugs used can cause breast enlargement.
Breast reduction as a plastic surgery can be performed on any woman who has completed breast development and does not have an obstacle to surgery. The surgery should be performed as early as possible because large breasts cause postural disorders, rashes and sores under the breast in the long term, as well as serious psychological problems in adolescence. At the age of 18, when body development is completed, is the earliest period when surgery can be performed, the upper age limit determines the person's suitability for surgery.
Patients planning to have breast reduction surgery should consult a plastic surgeon for detailed information. During the first examination, expectations should be explained in detail and possible risks should be discussed. During the examination, information such as the size and shape of the breasts, skin condition, age, marriage and whether to have children, the new location of the nipple, etc. will be shared with the patient.Before the operation, the surgeon should be informed about conditions such as high blood pressure, smoking, drug habits, and diabetes. Depending on the age of the patient, ultrasonography or mammography can be performed before surgery if necessary.
The necessary tests for the surgery can be done in the hospital on the same day before the surgery. 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 surgery to be completed quickly.
There are different surgical techniques depending on the size and the severity of the sagging of the breasts. The surgeon will decide which of the techniques is most suitable for the patient with some measurements made during the examinations.
Breast reduction surgery is a procedure that takes an average of 2 hours under sterile hospital environment.
The first technique is a technique used for very large breasts by removing the nipple and making the breast smaller and then creating a new nipple.
With this technique, a lot of breast tissue can be removed and the breast can be reduced as much as desired, but the patient may experience loss of sensation in the nipple and cannot breastfeed. It is not a highly preferred method.
The technique is performed by preserving the the nipple and breast tissue alive and the nipple is moved up after the excess tissue is removed.
Since breast tissue is mostly preserved by the technique, patients can breastfeed after the operation and there is little or no loss of sensation in the nipple.
The operation is performed under general anesthesia for an average of 2-3 hours. One day after the operation, the patient is discharged from the hospital and return to normal life 7-10 days later. Breast reduction surgery is not a very painful operation, the pain that will be experienced can easily be controlled with painkillers.
Drainage devices are placed in order to prevent minor bleeding after surgery. The drainage devices are usually removed by the surgeon 1-2 days after the surgery.After breast reduction surgeries, scars are definitely left and these scars can be at different rates depending on the amount of tissue removed and the genetic characteristics of the person.
Over time, the scars become smaller or even unnoticiable.It is normal to have edema and swelling after breast reduction. The side effects will subside within 3-4 weeks on average, depending on the patient's recovery time.
Although almost all of the techniques applied today are aimed to preserve the ability to breastfeed, the success rate is 80-90%. There is a slight possibility that the patient will not be able to breastfeed after the operation.
This situation is related to two issues: The amount of tissue to be removed; Secondly, adhesion and obstruction in the channels we call fibrosis is due to adhesion and obstruction.As a result, it is more preferable not to plan a new pregnancy after breast reduction surgery.
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.
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.
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.
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.
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 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.
Every surgical operation carries a risk. These risks vary according to the technique, patient health, disease size, size of intervention and many other reasons.
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.
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.
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.
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.
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.
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.
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.
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.
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.
Breast reduction surgery takes 2-4 hours depending on the breast tissue will be removed.
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.
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.
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.
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.
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.
© Prof. Dr. Bekir Atik, MD. All Rights Reserved.
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