Breast Reduction

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Candidates

Ideal candidates for breast reduction women who are: dissatisfied with their self-image because of large breasts, have difficulty finding clothes that fit around the chest, who have one breast that is much larger than the other or who have difficulty exercising due to their breast size and weight.

Incisions and technique:

Breast reductions vary according to three different techniques, just as with a breast lift; the “inverted T” technique has three incisions; one around the nipple, one below the breast along the fold and a vertical incision connecting the two, the “vertical” incision is an incision along the mammary fold meeting an incision around the nipple, and the “periareolar” incision is only around the nipple. The appropriate incision technique is chosen according to the breast and the desired new size and shape and is discussed during consultation.

Recovery Time

Temporary pain is treated with analgesics. Swelling, tenderness, numbness of abdominal skin, bruising, and tiredness, some, or all of these can last up to several weeks. Small drains, removed after a few days, are used to help avoid the accumulation of fluids in the abdominal wall. Dressings are applied and will be changed every other day for the first two weeks. You may be required to wear a girdle for 20 to 30 days. Stitches will be removed in stages over a period of one or two weeks.

Recovery Time

Patient can return to work in 1 to 2 weeks.

Strenuous activities can usually be resumed after 1 month, and the fading of scars can take from several months to a year.

There will be temporary soreness and sensitivity, swelling, a change in nipple sensation and possibly bruising for two to three weeks.

Dressings are applied and will be changed every other day for the first two weeks. Stitches will be removed in stages over a period of one or two weeks. Temporary pain will be treated with analgesics. Small drains are used immediately post-op to help avoid accumulation of fluids but are removed after a few days. You may be required to wear a support bra for 20 to 30 days.

Possible complications:

Serious risks with breast reductions are uncommon. Possible complications may include:

Unevenly placed nipples, the need for a second operation, temporary or permanent loss of feeling in nipples or breasts. Delays in healing can be caused by collections of fluid (seroma) that would require draining, infection or bleeding under the skin flap. Poor healing can result in visible scarring or skin loss. Wide scars (keloids) are also possible in patients with an existing tendency to scar that way. In rare cases capsular contracture can provoke breast hardness, in which case surgical removal and replacement of the implants may be required.

Details

During the computer imaging consultation the desired breast shape and size will be agreed on with the surgeon. Digital imaging will illustrate the repositioning of the nipples and areolas and the patient will be informed of the incisions needed for each case. Once breast development has stopped there is no age limit to perform a breast lift.

Duration of the Results

Pregnancy and breast-feeding may affect and change the size and shape of the breast, so if a patient undergoes a breast reduction before having children, further changes in breast shape may occur after bearing children. Breast reduction surgery does not interfere with the ability to breast-feed as the milk ducts are left intact. Gravity, aging, and weight changes may also cause the breast to change shape.

Objective

To raise, reshape and reduce the size of big breasts by removing excess tissue and skin and repositioning the nipples.

Anesthesia

Brest reduction surgery can be conducted under local anesthesia with sedation, or general.

Operating Time

1 to 2 and half hours

In/Outpatient:

Usually performed on an inpatient basis.

PROCEDURES

Other Treatments

Dr. Luiz Toledo