Breast Reduction (Reduction Mammaplasty)
General Anesthesia
What is Breast Aesthetics and Breast Reduction Surgery?
Breast Reduction Surgery (Reduction Mammaplasty) is basically a surgery that is very close to breast lift operations within aesthetic breast surgeries. The only difference of breast reduction surgery (reduction mammaplasty) is that it is performed by removing some of the glands and fats in the breast and some skin while the breast is being lifted. Thus, the breast both shrinks and its shape is corrected.
Look at your breasts in the mirror. If your nipples are above your breast fold line, then everything is fine. If it is below this line, it can be said that you have a slight breast sagging. Especially the full-down nipples show the gravity of the situation.
There are also some health problems caused by extremely large breasts. For example, almost all of these people experience severe back pain and spine problems. Hang a weight of 4-5 kg on your neck and stand with this load for a few minutes, you will understand why.
Rashes usually occur under large breasts. Even these rashes can sometimes turn into open wounds. Psychological problems caused by excessively large breasts are always overlooked. Especially in adolescence, excessively growing breasts (gigantomastia) may cause adjustment problems in patients.
Why Do Breasts Sag?
There could be many reasons for breast sagging.
- There is a decrease in breast tissue due to hormonal reasons related to aging. This causes the inside of the breast to empty and sag.
- Breastfeeding mothers are also more prone to sagging. When breasts are full of milk, they grow and ejaculate by breastfeeding. When this is repeated over and over, the breasts naturally sag.
- Gravity pulls the nozzles down, causing them to sag. In some cases, sagging starts at a very early age and is caused by the congenital weakness of the ligaments carrying the breast.
Can There Be Solutions to Breast Reduction Without Surgery?
Unfortunately not. There is no known method yet to recover sagging breasts. Do not think that the breasts sag due to the weakness of the chest muscles and they will become erect with sports. Anatomically, the pectoral muscle and breast sag are not related. You can improve your body with sports, but breast lift is not one of them.
Is there any scars after Breast Reduction Surgery?
Breast reduction surgery is actually a very good operation if it is done well. It is possible to reshape the breast, completely remove the sagging, and reduce the breast at the same time.
There is no surgical technique that can lift the breast without leaving a scar.
The techniques used leave a scar that extends along the entire circumference of the nipple where it meets the skin and towards the bottom of the breast. This scar continues under the breast in classical techniques and continues on the bottom fold line. This bottom trace is not made in newer techniques.
Generally, we can accept that the more drooping the breast, the longer the scars left.
Who are the right candidates for Breast Reduction Surgery?
In fact, the surgery performed can be seen as the transformation of one aesthetic problem (sagging) into another (scar). Therefore, this surgery may not be suitable for everyone. If the sagging of your breasts is moderate, if you think you will be seriously uncomfortable with the scars, do not have this surgery.
But if you have seriously sagging breasts and you say nothing can be worse than this, this surgery is suitable for you. At the end of the surgery, you will have upright and shaped breasts of the desired size.
How much to be disturbed by the scars is also a very personal matter. Patients with sagging breasts mostly do not worry about these scars. However, it should not be forgotten that this surgery leaves more scars than other surgeries and the extent to which these scars will be prominent will be related to the healing factors of the patient.
Can I Breastfeed After This Surgery?
It is difficult to say yes to this question, but if certain techniques are used, you can probably breastfeed normally. The important thing for breastfeeding is that the nipple, milk ducts and milk glands are not touched during the surgery. In other words, if you lift the nipple from the floor and move it up (there are such techniques, for example), you will be more likely not to breastfeed. However, if the technique known as “central pedicule” is used, the nipple, ducts and glands are kept as a single piece and there will be no problem in breastfeeding.
What are the Complications and Problems for Breast Aesthetics Surgery?
Bleeding and infection are the main problems you may encounter after this surgery, as in any surgery.
There is almost no possibility of serious bleeding in such surgeries. Bleeding may be in the form of blood accumulation on one side of the breast, in other words “hematoma”. Your doctor may want to take you back to the operating room to clear this buildup and stop the bleeding, if it continues.
Likewise, an unilateral swelling around the fifth day after surgery may indicate an infection. Again, the solution will be cleaning the infection and natural antibiotic treatment.
Although rare, skin loss is among the complications that can be seen. It usually appears in patients who smoke after surgery. The skin takes a hard black color and dressing may be required for a long time. One way to shorten this time is to remove dead skin with a little intervention. The same skin problem can be seen on the nipple.
As a result of dressing for a while, such problems usually heal well beyond expectations.
Do not start smoking just because nothing will happen. Remember that the first two weeks after surgery are critical.
Wound healing problems are usually caused by thick stitches used in surgery. They recover after a few days of dressing.
Aesthetic problems:
Asymmetry is among the problems that can be encountered after this surgery. In severe asymmetries, a retouching surgery may be required. As a result of this surgery, there is always the possibility that you may not like your breast shape at all. In this case, you have a second surgery chance.
Usually the asymmetries are easy to correct. The most difficult to heal deformities are situations in which the nipple is raised more than necessary. While it is easy to surgically remove the breasts, it is much more difficult to make them sag.
That is why you should be very much carefull in terms of choosing experienced, right surgeon for your operation.
Tips:
Before the operation, be sure to have a control mammogram and keep it.
Go in front of the mirror and decide how much your breasts sag. If your nipple is under the fold line under your breast, you are a good candidate for surgery.
With this surgery, the breasts can be shaped almost perfectly, but it is inevitable that there will be scars on the breast.
The larger and sagging the breasts, the more surgical scar will be.