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Breast Reduction Surgery - Indications, Procedure, Risks, and Prognosis

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Are you feeling unhappy with the weight, shape, or droop of your breasts? Here you will find some essential information about breast reduction surgery.

Medically reviewed by

Dr. Ekansh Shekhar

Published At September 9, 2022
Reviewed AtSeptember 9, 2022

Introduction:

Breast reduction is made surgically to reduce the size of the breasts by removing excess fat, tissue, and skin from the breasts. People prefer breast reduction for various reasons, including neck or back pain, as these people with disproportionately large breasts can develop pain in their neck, back, or shoulders. This surgical procedure is otherwise known as reduction mammaplasty. Breast reduction helps to improve the self-image and gives a sense of well-being. Sometimes liposuction can be combined with breast reduction to enhance the shape of the breast and armpit areas.

What Is Breast Reduction Surgery?

Breast reduction is a surgical procedure done under general anesthesia to decrease the size of the breasts. It is to make larger breasts smaller. During the surgical procedure, the excess tissue and fat are removed in such a pattern that the nipple or areola is preserved to maintain the natural shape of the breast.

How Do I Know If Breast Reduction Surgery Is Required?

Breast reduction is suggested or helpful when having large breasts are causing the following conditions:

  • Upper and mid-back pain.

  • Restricted activities.

  • Poor self-image due to large breasts.

  • Nerve pain.

  • Hunched posture.

  • Breast pain when active.

  • If there are some uncomfortable dents on the shoulders due to the pressure from the bra strap.

  • Moisture gets trapped and causes rashes under or between breasts.

Sometimes people with large breasts may feel self-conscious about it and may have difficulty with how their clothes fit. So breast reduction is often life-changing, especially for young women.

Breast reduction is not recommended in people with the following conditions:

  • People who smoke.

  • Obesity.

  • People with other underlying medical conditions like diabetes or heart-related conditions.

  • People who do not want to have scars on their breasts.

  • And you can plan for postponement of the breast reduction if:

  • You are breastfeeding, as breastfeeding can be challenging after the surgery. Or in case you are planning to start a family.

  • If you are in your weight loss program, you can wait, as losing weight can result in some changes to the breast size.

How to Prepare Prior to Breast Reduction Surgery?

Before you decide about breast reduction surgery, consult the doctor about whether the surgery is right for you.

  • For it, mention all the details about your medical conditions and overall health.

  • Mention the expectations about the breast size and appearance after the surgery.

  • Understand the procedure and the risks associated with it.

Once all the conditions are fine, and you are planning for the surgery, then:

  • Get all the necessary lab tests done prior to the surgery.

  • In case you are taking any tablets like Aspirin or any herbal supplements, talk to your doctor about when and how it needs to be stopped prior to the surgery.

How Is Breast Reduction Procedure Done?

The technique for breast reduction varies for each individual, depending on the condition and the expectations. Generally,

  • The breasts are measured, and photographs are taken before the surgery.

  • The procedure will be carried out under general anesthesia, meaning you will be put to sleep during the procedure. Typically, a surgical incision is made around the areola and down each breast, and the extra breast tissue, fat, and skin is removed so that the size of each breast is reduced.

  • Then reshapes the breast and repositions the nipple and areola.

  • The nipple and areola generally remain attached to the breast. But sometimes, it may have to be removed and reattached at a higher position if the breasts are very large.

  • A drainage tube will be placed under each arm to drain out the excess fluid or blood. The incision will be sutured, and dressing will be given.

  • After the surgical procedure, the breasts will be covered with a gauze dressing or bandage.

The entire procedure lasts for two to five hours.

What All Precautions Have to be Followed After the Breast Reduction Procedure?

  • You may have to take at least one week off from work or school.

  • You will be given medications such as antibiotics for the prevention of infection and painkillers for pain.

  • For the first few days to weeks, you will feel tenderness on the breasts.

  • The breasts can be swollen and bruised. And the scars may fade away over time.

  • You may be recommended to limit the physical activities, lifting heavy objects for two to four weeks to reduce the tension on the incision and for the breasts to heal better.

  • You may also be recommended to wear an elastic compression bra rather than underwire bras for a few months following the surgery.

  • Have a general follow-up visit with your surgeon for the removal of stitches and to determine the recovery process.

What Are the General Risks Associated with Breast Reduction Surgery?

Even though there are innumerable benefits from breast reduction surgery, there are a number of risks associated with the surgery. Here are some of them:

  • Uneven size of the breasts or nipples.

  • Numbness in one or both the nipples.

  • Changes in the nipple shape.

  • Lumps in the breast tissue from internal scars.

  • Not being able to breastfeed following the surgery.

  • Noticeable scars.

  • Opening along the incision lines.

  • Stitches coming out rather than dissolving.

How Is the Prognosis of Breast Reduction Surgery?

In most cases, the individual is likely to recover better from the surgery. They feel better about their appearance and will have a sense of well-being. Scars are usually permanent, but they fade away over time.

Conclusion:

Breast reduction surgery can be both physically and mentally stressful. Hence, communicate with the doctor regarding the concerns and risks associated with the surgery. Ensure that you set up a recovery area at home that will help manage all your needs following the surgery. Immediately visit the doctor if you experience fever, unusual discharge, or when the sutures get detached.

Frequently Asked Questions

1.

When Is Breast Reduction Indicated?

Breast reduction is considered if the individual is over 18 and has stopped breast development. For example, suppose the individual is experiencing back pain due to large breasts. The weight of the breasts may cause neck, shoulder, and back pain. Then the individual may opt for breast reduction.

2.

Does Breast Reduction Have Risks?

All surgeries have the risk of complications. However, breast reduction surgery is typically very safe.

3.

What Is the Survival Rate of Breast Reduction Surgery?

Literature has reported a very rare death after breast reduction surgery. Mortality from breast reduction is almost never reported.

4.

Do We Face Breathing Difficulties After Breast Reduction?

When an individual undergoes breast reduction, the excess weight of the breast tissue is removed, and the effort required by the chest muscles and diaphragm to draw the breath in and out from the lungs is reduced. Hence the surgery eases the breathing difficulties.

5.

Will the Breasts Grow Back After Reduction?

Although it is not common, there is a possibility that the breast may return to its previous size even after the reduction surgery

6.

Is Breast Reduction Painful?

The surgery is performed under anesthesia, but there may be soreness for two to three days after surgery. The doctor will prescribe pain medications and advise placing ice packs over the sore areas.

7.

Is Breast Reduction a Major Surgery?

Breast reduction surgery is a major procedure with significant risks and potential complications.

8.

Is It Normal to Have a Headache Post-breast Reduction Surgery?

As per a study conducted in 2003, 69 % of women experienced chronic headaches before their surgery, and 53 % of women had a reduction in headaches after their surgery.

9.

What Are the Pre-operative Instructions Before Breast Reduction Surgery?

It is recommended not to consume any food or liquid after midnight the day prior to the surgery to minimize the risk of aspiration or anesthetic-related problems. It includes coffee, water, gum, etc.

10.

What Duration Are the Drains Left After Breast Reduction?

Usually, the drains are left in place for two to three weeks, but a few of them may be removed before the individual leaves the hospital, and in a few cases, they may be left in place for more than three weeks.

11.

Is It Possible for Someone to Lift Their Arms After Undergoing a Breast Reduction Procedure?

It is recommended for two weeks after the breast reduction surgery; the individual should avoid lifting anything that would cause strain.

12.

How Does Someone Get Out of Bed After Undergoing a Breast Reduction Procedure?

It is advised to sleep on the back post-surgery, particularly in the first few weeks after surgery. In addition, individuals undergoing breast reduction surgery should wear a surgical bra that allows breasts to heal in a desirable position.

13.

How Long Is Bed Rest Required After Breast Reduction?

Post-breast reduction surgery, bed rest is advised for four to six weeks.

14.

Is Weight Loss Recommended Before Breast Reduction?

The doctor will help choose the right size for the breasts to proportionate to the frame size. However, if the individual is planning to lose 25 pounds to 30 pounds, then it is advised to postpone the surgery.
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Dr. Ekansh Shekhar

Cosmetology

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breast reduction surgerybreast examination
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