Breast reduction plasty

Breast Reduction Plasty, also known as reduction mammoplasty, is a surgical procedure aimed at reducing the size and weight of large breasts. This procedure is often sought by individuals for both physical and psychological reasons, including relief from discomfort associated with overly large breasts, such as back and neck pain, skin irritation, and posture problems, as well as for aesthetic or personal reasons.

Indications

Breast reduction surgery is typically recommended for individuals who experience:

• Chronic back, neck, and shoulder pain that requires pain medications
• Skin irritation beneath the breast crease
• Nerve pain
• Restricted activity due to the weight and size of the breasts
• Poor self-image related to large breasts

Patients seeking breast reduction surgery are usually advised to wait until their breasts have fully developed, although the procedure can be performed earlier if serious physical discomfort is present. It is also recommended for patients to be at a stable weight, as significant weight fluctuations can affect the surgery results.

Procedure

Breast reduction surgery is performed under general anesthesia. The specific technique used can vary depending on the individual's condition, the desired outcome, and the surgeon's preference. Common techniques include:

• The Inverted-T or Anchor Incision, which is one of the most common methods. This technique involves three incisions: one around the areola, another vertically from the bottom edge of the areola to the crease under the breast, and a third along the natural curve of the breast crease.
• The Vertical or “Lollipop” Incision, which involves two incisions: one around the areola and another running vertically from the bottom of the areola to the breast crease.
• The Scarless Breast Reduction, which uses liposuction to remove breast fat but is not suitable for removing excess skin or reshaping the breast.

During the procedure, the surgeon removes excess breast tissue, fat, and skin to achieve a breast size in proportion with the patient's body. The nipples and areolas may be repositioned or resized to complement the new breast shape.

Recovery

Post-surgery, patients are typically required to wear a special surgical bra or a compression garment to minimize swelling and support the breasts as they heal. Recovery time varies among individuals, but many can return to work and light activities within a couple of weeks. Strenuous activities and heavy lifting should be avoided for at least a month.

Risks and Complications

As with any surgery, breast reduction surgery carries risks, including:

• Reaction to anesthesia
• Bleeding
• Infection
• Changes in nipple or breast sensation, which may be temporary or permanent
• Scarring
• Difficulty breastfeeding

Conclusion

Breast reduction surgery can significantly improve the quality of life for individuals with large breasts by alleviating physical discomfort and enhancing self-image. However, it is important for those considering this procedure to discuss their expectations and any potential risks with a qualified plastic surgeon.