Breast Reduction & uplift
Technically known as reduction Mammoplasty, Breast Reduction surgery removes fat, glandular tissue, and skin from the breasts, leaving them smaller, lighter, lifted, and firmer.
About breast reduction
Many women feel physically and psychologically uncomfortable if their breasts are large and heavy. Excess weight from large breasts can cause back and neck pain, skin irritation, skeletal deformities, and even difficulty breathing. Many teenage girls and women also feel very insecure about their breast size.
For women with these problems, breast reduction surgery in Chennai can bring significant relief. In fact, it is one of the most successful and instantly satisfying cosmetic procedures, as it allows patients to lead a more active life and increase their self-esteem. Breast reduction involves removing fat, glandular tissue, and skin to create smaller, shapelier, and lifted breasts. It can also reduce the size of the areola, and the dark skin around the nipple. The goal is to have attractive breasts that are in proportion to the rest of your body.
YOUR CONSULTATION
During your consultation, your surgeon will take your medical history and ask for details about any breast surgery you had before. He will examine you and show you what will happen after the surgery by defining the breast area to be removed and the new position of the nipple.
The surgeon will also explain the surgery itself and ask about the desired outcome. If neck or shoulder pain is the main preoperative complaint, then a woman may want to make her breasts as small as possible. Most young women prefer their breasts to remain small but slightly larger than average after surgery. Additionally, the surgeon will discuss several factors to consider-
Your doctor will explain that it is normal for your breasts to be asymmetrical. They will try to make them as symmetrical as possible and it will never be completely identical. He discusses the fact that scarring occurs and that eventually returns to skin color, but it remains visible.He will alert you to the fact that, after breast reduction surgery, breast-feeding is unpredictable. If this is of concern, you may wish to delay your procedure.
YOUR OPERATION
Breast reduction surgery is carried out under general anesthesia and requires three or four nights’ stay in the hospital. The procedure takes approximately two hours.
After marking the incision site before surgery, the surgeon removes excess skin and glandular tissue from the breast, leaving the nipple on the stalk.The nipples then return to their elevated position. The suture line is anchored and in its new position runs around the nipple, down to the crease under the breast, and extends outward towards the armpit area. In some cases, a single vertical scar may be left depending on the amount of tissue removed.
We use dissolvable sutures that do not need to be removed. You will then be bandaged and placed on an IV drip (intravenous fluids) for several hours.Drainage tubes, which are inserted at the end of surgery to remove fluid and blood after surgery, are removed when the fluid stops exuding.This relatively painless procedure is usually performed on the first day after surgery. You can then go home with a new bandage.
Because blood clotting can sometimes be a problem with this procedure you will usually be asked to wear anti-embolism stockings (TEDs) as a precautionary measure. These should not be removed until you are advised to do so. You will also be expected to get out of bed and move around as soon as possible.
AFTER YOUR SURGERY
You will see your new breast size immediately after surgery, but keep in mind that it will take approximately 6 months for your breasts to reach their final shape. There are several things to expect during your recovery period.
After surgery, you may experience some discomfort and possibly pain in your breasts. This can be easily alleviated by taking first with an injection and then, if necessary, a mild pain-relieving tablet such as paracetamol or codydramol. Aspirin should be avoided as it can increase bleeding.
The dressing should be kept clean and dry for 1 to 2 weeks after surgery until healing occurs. For the first six weeks, she also needs a comfortable, well-fitting bra. The skin of the new breast may bruise and the breast tissue may swell, making the breast appear larger than expected. However, this will improve significantly in 2-3 weeks and subside in 2-3 months. To reduce swelling and bruising, it is recommended to take arnica one week before and two weeks after surgery.
You can expect to feel tired for up to two weeks after surgery. Although she can drive a car after the first week, the earliest she can resume intensive exercise is after 3 to 4 weeks. It’s best not to plan any trips for a month or so, as you may still need a bandage if healing is delayed. Smoking or drinking too much alcohol after surgery is more likely to delay healing. The former depletes the skin’s blood supply, while the latter increases the risk of bruising and bleeding.
Scars initially appear hard, red, raised, and lumpy, but may take up to 18 months to whiten and flatten. This depends on your personal healing abilities. If this is a problem, applying firm pressure to the scar with a well-fitting bra may help. Numbness of the nipple and surrounding skin is not uncommon in the early stages, but sensation returns quickly in many patients. During the procedure, the nipple remains on the pedicle of the breast tissue and in most cases remains in a natural state with normal contraction and relatively good sensitivity.
Very rarely the stalk of breast tissue will have inadequate blood vessels and part or even all of the nipple may die. This complication means that dressings over the nipple area may be required until natural healing occurs. After that it is possible to reconstruct the nipple in a secondary procedure should that be required.
During your surgery, your surgeon will take meticulous care to stop any bleeding points. Occasionally, however, a blood vessel will leak after the operation. If a significant collection of blood (haematoma) occurs it may be necessary to return to theatre. If a hematoma is minor, natural reabsorption will occur.
As in any surgery, there is a possibility of infection, but this is readily treated with antibiotics and/or dressings as required.In some patients, there is some minor loss of wound adhesion. This temporary complication results in a small scab which separates after a few weeks.
