Breast reduction surgery is also known as mammaplasty. Mammaplasty is used to reduce the size of the breasts and shape them in order to proportionate to the rest of the body. This treatment will relieve the physical and emotional burden of the over large breasts.
When to Consider Breast Reduction ?
If your breast is so much large and it creates pain in the neck, back and shoulder.
If you are having the heavy breasts and your nipples and areolas are pointing toward the downward.
If one of the breasts is larger than the other.
If you are not happy with your appearance.
Breast reduction will help you the better proportion of the breast and you feel firmer.
This surgery will relieve you from the neck, back and shoulder pain.
Your clothes will fit better and you will feel more confident about your appearance.
Some of the patients feel sensation in the some of the areas. This includes the nipple and areolas.
There are some patients who complain about the breasts and nipples are uneven.
Are you a good candidate for a breast reduction?
Women who have children, overweight, disproportionate breasts, sensitive to estrogen are the candidate for the breast reduction procedure.
What are the reasons why women go with the breast reduction surgery?
If the women have the backaches, neck aches skin irritation under the breasts.
You are feeling difficulty in breathing and also noticed grooving in shoulders
You have poor posture and numbness on the part of the breasts.
This is very difficult to buy dresses for you and find tops for you.
If you are unhappy with your appearance and the breast size.
If you are having a good health and not any kind of the active and medical conditions.
If your skin has the required level of the elasticity.
How is a breast reduction procedure performed?
Breast reduction is normally taken three to five hours. This is performed in the surgical centre. This surgery involves the three incisions.
Your surgeon usually uses the surgical marker on your skin in order to indicate the incisions.
After this, most of the surgeon gives the general anesthesia. Some of the surgeons performs the breast reduction with the intravenous sedation. This is also known as the twilight sedation.
The pattern of the incision is depending upon the size of the breast. This is also dependent upon the breasts sag and complexity of the nipple and areola. In each of the technique, the areola is to make smaller of it is too large.
Patterns of the incisions:
Micro incisions: this technique is used for those breasts that are fatty and not sagging. Liposuction is basically used to reduce the breast size. Because small incisions are used to allow the liposuction cannula to enter the breast
A donut incision or periareolar incision: This is made around the border of the areolas.
A keyhole incision: This technique is known as the lollipop incision. This is also made around the border of the areolas.
An anchor incision: This is the most common technique that is used by the most of the surgeons and has the three different cuts. The one incision is made around the border of the areolas. The second is vertically extended down from the areolas and the third incision is made along the breast crease.
Then your surgeon, remove the excess breast skin and fat with the scalpel. This is dependent upon the breast size that you require. If the breasts are asymmetrical, then your surgeon will remove more tissues from one breast than the other.
Then, the drain is placed in the breasts in order to collect the excess fluid.
Then, breast incisions are closed with the help of the sutures. Then go from the deep tissue layers to the more super artificial layers.
What are my options?
Your surgeon will suggest the best technique depending on the size, shape, reduction requirement etc. This is also possible to avoid the vertical incisions.
Liposuction for breast reduction
Liposuction is suitable for you if you have the fatty breasts, minor to moderate reduction.
Results can be achieved for each and every woman.
On the top of the menopause, breast tissues are replaced with the fat. Postmenopausal women are the suitable candidate for the liposuction
Women with the fibrous tissue and minimum level of the fat are not the good candidate for liposuction.
Liposuction is used to treat the asymmetry to the one size cup.
What will my breast reduction incisions and scars be like?
This also depends upon the type of the incision. there are some incisions lines that are concealed in the natural breast contours but the rest of the scars are visible on the breast surface Incisions lines are permanent but in some cases, these re fade and also significantly improve with the passage of the time.
Your surgeon will do every effort to hide and minimize the scar. The main goal of every surgeon is to achieve the shortest possible scar.
How to select the surgeon for the breast reduction surgery?
You can select the surgeon to whom you can trust.
You can select the surgeon on the basis of the education, training and certification.
The surgeon must have the long-term experience in the breast reduction surgery.
The most important thing is that you are comfortable with your surgeon.
Your initial consultation appointment
In your initial consultation, you have the opportunity to discuss the entire cosmetic goal.
Then your surgeon will examine that you are the right candidate for the breast reduction and which types of the breast reduction surgery are suitable for you. Your surgeon normally takes the photographs of your current size and shape of your breasts.
Then your surgeon will make the medical history that includes Past and present medical conditions, Drug allergies and current medications, Medical treatments you have received, Previous surgeries, including breast biopsies, Family history of breast cancer, Current mammogram results etc.
If you are interested to lose your weight, then tell the surgeon beforehand.
If you want to become pregnant in the future, You can tell beforehand.
Your treatment plan
After this, your surgeon will make the treatment plan based on the goals, physical characteristics, surgeon training, and experience. This plan includes the following:
The approach of your surgery that includes the type of the procedure and combination of procedures, outcome that anticipate, financial investment, associated risks and complications, various options for the general anesthesia , what you need to prepare for the surgery, what do you experience after the surgery.
How do I prepare for a breast reduction procedure?
Your surgeon will give you the post-operative instructions.
You may also ask to do the mammogram, electrocardiogram, X-ray etc.
Your surgeon will also recommend the various benchmarks or change of the lifestyle, this is essential to ensure the best results in order to minimize the chances of the complications
You have to avoid taking aspirin, anti-inflammatory drugs and some of the herbal medications that can increase bleeding.
You have to stop smoking at least 6 weeks before in order to promote better healing.
Hydration is essential for the safe recovery and outcomes.
You have to reduce the alcohol consumption.
You have to stock your refrigerator with the food that contains the high protein, low sodium foods, fresh fruits, vegetables etc
Try to avoid hot showers, hot tubs and saunas.
What can I expect on the day of my procedure?
Your breast reduction surgery is performed in the hospital
Your surgeon will give the estimate, how long your surgery will take.
You have to wash your body with the anti-bacterial soap prior to the surgery.
You don’t have to wear the cosmetics such as the nil polish, perfumes and lotions etc.
You have to bring the soft and comfortable clothes that you will wear after the surgery.
Bring your essential like ID, Insurance card etc.
Medications are administered for your comfort.
General anesthesia is used during the breast reduction procedure.
Various monitors are used in order to check the heart, blood pressure and amount of the oxygen in your blood.
Then your surgeon will follow the surgical plan.
After the surgery, you will be transferred to the recovery area.
Aftercare and Recovery
In this phase, your surgeon will give the post operative instructions regarding reach to the normal level of activity and work. He will provide the following instructions like:
Drains if there is need to place.
Normal symptoms that you need to experience.
Various potential sign of the complications.
You have been given the general anesthesia; you may feel some amount of discomfort.
You may have the surgical dressing on the upper chest area and some times, the drains are coming from the each of the breast.
You have to wear the compression sleeves on your legs in order to give the proper circulation.
Sometimes, you feel discomfort and medication will help you to free from the medication.
Our office staff will observe you for the few hours. After the few hours, you are allowed to go home. Then you need someone for the next few days.
After the discharge from the hospital, you need to take care of your incisions and change the bandages and also empty the drainage tubes.
Immediately you will notice the change in the breast size. You may also feel the significant amount of the swelling. In most of the cases, the swelling will last for weeks or even months.
Recovery time frame after breast reduction
This is very important to follow the patient care instructions that are provided by the surgeon. You have to wear the compression garments, care of the drains, antibiotics and required level of the activity . The recovery time differ from the person to persons. So, it is very difficult to say about the exact recovery time.
How Long Will the Results Last?
If you lose or gain the significant amount of the weight, your breast will remain of the consistent size. The gravity and effect of the aging will cause the breast to lose and sag with the passage of the time.
Maintain a relationship with your aesthetic plastic surgeon if you notice any type of the complication.
Breast reduction surgery cost in India is varying from doctor to doctor. Breast reduction surgery involves the fees of the surgeon, cost of the surgical facility, anesthesia , medical tests, prescriptions, surgical garments and other petty expenses related to the breast reduction.
Some of the health insurance covers the cost of the breast reduction surgery. Your plastic surgeon needs to fill the necessary documentation. Each and every insurance company has their own criteria and this is based on the specific plan. All of the insurance companies calculate the cost on the basis of the height, weight, body surface area and BMI. Always choose your surgeon on the basis of the quality, training and experience, not on the basis of the cost.
Limitations and Risks
Serious risks related to the breast reduction surgery are so much rare but the satisfaction rate with this procedure is so much high. If the surgery is under gone by the experienced surgeon, then there is less need for the complications.
All of the procedures has the some level of the risks, some of the potential risk are:
Adverse reaction to anesthesia
Hematoma or seroma
Infection and bleeding
Changes in skin sensation
Damage to underlying structures
Unsatisfactory results that may necessitate additional procedures
Blood clots in the legs or lungs
In order to minimize the certain risks, you have to advice board certified plastic surgeon that provides the best breast reduction surgery in India.