Breast Reduction Surgery


Developmental abnormalities in breasts or overgrown breasts later (due to fatness or pregnancy) bring not only aesthetic, but also some medical problems. This case called breast hypertrophy or macromastia is solved with breast reduction surgeries.

Depending on the severity and weight of the oversized breasts, the body can lean forward, and back pain and spine aches can be felt, bone deformations, intertrigo or scars in the mammary folds can be experienced. It may be so severe that one cannot find clothes fit for her weight and height.

The procedure is applied with certain techniques and in view of planning. With the operation glandular tissue, fat tissue, skin and nipple area (when desired) can be reduced. During the operation, not only glandular tissue, but also the sagging due to excess tissues is reduced. Therefore, a smaller, upright and tighter breast is created. In breast reduction, pictures are taken, planning is made before the operation, and the surgical plan is marked on the breasts accordingly. Operation is made based on this plan completely. Thanks to the planning, the fittest sized breast is created for the person. Every body has a certain ideal breast size. Because they meet the patient’s functional needs, breast reduction surgeries are not considered as an aesthetic surgery.

Operation is generally performed under general anesthesia. Depending on the breast volume, the operation lasts 3-5 hours. Patient stays at the hospital for 1-2 days. Then, outpatient visits and dressing continues. Small drain tubes within the breast (the tube discharging the built up blood) are taken out on the 1st or 2nd day after the operation. If the normal course sustains, dressing for 5-6 times is enough. On the days following the operation special carrier bras facilitate the dressing and reduce swelling. Bruises disappear within 7-10 days and the swelling within 6-8 weeks. Breasts gain a completely natural look within 5-6 months. One can have shower 5-7 days after the operation and swim in the pool or sea 8-10 days later.

Depending on the breast size and patient’s age, only a limited scar around the nipple, a vertical scar from the nipple (vertical technique) or a reverse T shaped scar may be seen after the operation. These scars are pink at first, and get back to their normal skin color in time. No matter the shape of the scars, they always remain under the bra. Often an incision extending vertically from the nipple to the lower breast fold with a short horizontal line at the bottom is used (vertical-short T technique).

Possible problems to be seen after the operation can be divided into two as early and late period problems. In the early period problems such as bleeding, infection or problems in recovery are rarely observed. Late period problems, on the other hand, are due to the scar or form. Prominent scars with rubor, itchiness may be frequently observed in some dark-skinned patients and may require medication. Formal problems are associated more with the size. Therefore, the desired breast size must be discussed clearly by considering the other characteristics of the body. A young patient considering this operation must tell her doctor if she wants to breastfeed in the future. Operations are generally performed with the technique called central pedicle that does not spoil the nipple-mammary gland relationship. This technique does not harm mammary duct and the patient will be able to breastfeed, unless other factors prevents her from doing so.

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