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breast reduction

change and modify the size, contour, and elevation of the sagging breasts.

What can be done?

The size of women's breasts may be determined by several factors, such as inherited genes, body weight and hormonal influences. They can, therefore, be a problem to some women early in adolescence or may not become uncomfortable until middle age following the menopause or the use of hormone replacement therapy.

What are the problems with enlarged breasts?

Large breasts can cause

  • Backache
  • Neck pain
  • Grooves in the shoulders from bra straps
  • Rashes under the breasts and the feeling of self consciousness
  • Unwanted attention from the opposite sex, comments and sexual innuendoes. These can cause psychological distress to many women.
  • Very difficult to wear fashionable clothes and indulge in active sports

What can be done?

Reduction mammaplasty is an operation which removes the excess fat and skin from the breasts, which are reshaped and the nipples repositioned to form newer smaller breasts. This should result in more attractive breasts and reduce many of the problems outlined above. Surgery will involve a scar around the areola of the breast. Each method will use different scars and will have advantages and disadvantages and your surgeon may select with your approval the best technique in your particular case. Reduction mammaplasty may be used to correct asymmetry of the breast, where one breast is very much larger than the other and where it is considered to be the least normal of the two.

What are the consequences?

Apart from the change of shape and reduction in size the most obvious consequences are the scars. These are minimal and aesthetically put and will fade with time.

Very few women are able to breast feed following breast reduction. The nipples are likely to be very much less sensitive following surgery

Will the improvement last?

Results shall be long lasting unless you put on weight or become pregnant. Breasts shall droop over a period of time like all natural breasts.

What are the limitations?

It might not be possible to get a size which is desirable by the patient in extreme breast enlargement. There might be a degree of asymmetry. There may be loss of nipple function and sensitivity. There will always be scarring around the breast skin.

What are the risks?

Apart from the risks for anesthesia in any surgery the risks include bleeding, infection, delayed wound healing, fat necrosis, and opening up of the wound. This shall be discussed with you by your doctor.

What you should do before your operation?

Your doctor is likely to recommend that you reduce weight if you are overweight and to make alternative arrangements if you are on the contraceptive pill. Smoking does seriously effect the healing of the breast wounds and should be discouraged and attempts to give it up made.

What can you expect at the time of the operation?

This procedure is carried out under a general anaesthetic and when you wake at the end of the operation there will be some discomfort which will last for two or three days. You will be given suitable pain killing injections or tablets. Drainage tubes are frequently used and will be removed within a short period of time. You may need to remain in hospital for two to four days. The stitches will normally be removed between ten to fourteen days. A well-fitting bra will need to be worn following surger. There is likely to be some tenderness and lumpiness of the breasts for several weeks or even months following surgery.

Your new look.

Breast reduction scars are extensive and permanent. They often remain lumpy and red for months, then gradually become less obvious, eventually fading to thin white lines.

You should also keep in mind that a breast reduction won't keep you firm forever--the effects of gravity, pregnancy, aging, and weight fluctuations will eventually take their toll again.

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