Breast reduction surgery is a procedure used to remove excess fat, gland, and skin from the breast. If you have large breasts, you may choose to undergo breast reduction surgery to relieve discomfort or to achieve a proportionate breast size for your body. Breast reduction surgery could also help improve self-image and the ability to perform physical activities.
It is important to understand what breast reduction surgery involves, including the possible risks and complications, as well as to set realistic expectations.
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Breast reduction surgery is meant for women who have large breasts and want to solve problems such as:
- Chronic back, neck and shoulder pain requiring pain medication
- Chronic rash or irritation of the skin under the breast
- Neuralgia
- Limited activity
- Poor self-image regarding large breasts
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Breast reduction surgery is generally not recommended if:
- You suffer from ailments such as diabetes or heart problems
- You want to avoid scarring on the breasts
It is possible to undergo breast reduction surgery at any age, sometimes even as a teenager. But if your breasts aren't fully developed yet, you may need a second surgery later in the year.
It is suggested to postpone breast reduction surgery if there are certain future commitments, such as:
- Childbirth, if you haven't had children yet, or still want to have them- reconsider until pregnancy is no longer in your plan. Breastfeeding may be difficult after breast reduction surgery.
- Weight loss, if you are interested in losing weight by modifying your diet and starting an exercise program, you may want to reconsider if breast reduction is for you. Losing weight can often involve changes in breast size.
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Preparation
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The surgeon generally:
- Assesses your medical history and general health
- Considers your expectations for breast size and appearance after surgery
- Provides a detailed description of the procedure and its risks and benefits, including likely scarring and possible loss of sensation and other possible complications
- Examines and measures your breasts
- Takes pictures of your breasts for your medical record
- Explains the type of anesthesia used during the surgery
Before the surgery, you will be asked to:
- Complete various laboratory analysis
- Undergo a mammogram and breast ultrasound
- Stop smoking for a certain period of time before and after surgery
- Avoid taking aspirin, anti-inflammatory drugs and herbal supplements, to control bleeding during surgery
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What you can expect
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Breast reduction surgery is usually done under general anesthesia.
The specific technique used to reduce breast size can vary.
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The procedure could include:
- Surgery through incisions
- Liposuction to remove excess fat from the breast
The surgeon:
- Makes an incision around the areola and along each breast which can vary according to the technique and size of the breast
- Removes excess breast tissue, fat and skin to reduce the size of each breast
- Reshapes the breasts and reposition the nipple and areola
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After the procedure
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Immediately after surgery:
- The breasts will be covered with gauze or bandages
- A drainage tube will be placed under each arm to drain excess blood or fluid
- You will likely be taking pain medications and antibiotics to reduce the risk of infection
For the first few days or week after surgery:
- Your breasts will probably be sensitive
- It may be swollen and bruised
- Your surgeon may recommend a support bra to protect your breasts
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After:
- You will need to limit physical activity for two to four weeks while the breasts heal
- Your surgeon may suggest that you avoid underwire bras for a few months after surgery
- The scars become less visible over time but always present.
- You will need several follow-up visits with your surgeon to remove the stitches and check your healing
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Results
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Effective breast reduction surgery can relieve pain in the upper back, neck, and shoulders. It may also increase your ability to engage in physical activities and promote a more positive self-image. Even if you will see results immediately, remember that it can take months for the swelling to disappear completely and the surgical scars fade away. The end result is usually permanent, although the shape and size of the breasts can change due to factors such as aging and weight gain or loss.