• Breast Reduction

Introduction

Women of all ages can suffer from problems that are linked to abnormally large breasts.  Typically, a woman who has enormous breasts will become too conscious about this part of their body. Breast reduction surgery can help a woman achieve a proportionate figure so that she can feel good about herself. She will also be able to fit into her clothes properly and will bid good riddance to the physical complications that accompany huge breasts. The impact of surgery on a woman who has large breasts can be far reaching making the degree of satisfaction high for this procedure.

Candidates of Breast Reduction

 This procedure is appropriate for women who have a pragmatic view of what can be achieved with the procedure. Women choose to go through mastopexy because after pregnancy and nursing, they are left with skins that are stretched resulting in volume in their breasts. Anyone woman that intends to have children is probably not a good candidate for mastopexy and should probably give the procedure a rain check. No particular risks are involved that can be adverse to future pregnancies. Mastopexy will not hinder a woman from breastfeeding but there is the possibility that pregnancy might stretch the woman’s breasts again thus negating the outcome of the operation.

Operation Techniques

 There are a number of techniques used for this procedure that are enumerated below.

1.Inverted-T Breast Technique

 The outcome of most conventional breast reduction methods is usually an inverted T or a scar that is anchor shaped. This is an approach that is extraordinarily dependable and effective. It is applied in modest to noticeably large breasts and in particular, those that have plenty of skin. When the scar is on the lower breast fold, it heals properly and does not cause any trouble to patients. This is particularly because the scar is concealed and is generally not visible. The outcome of the breast shape is mostly superlative and attractive.

Operation Procedure

The operation involves the use of anesthesia and takes 1-3 hours. The central and lower breast tissues are retained around the areola. The inner, outer and upper sections of the breast tissues are extracted and internal breast shaping does not occur with this procedure. After this, the skin is stitched together in layers. Unseen and succulent sutures are used for this purpose.

2. Liposuction Method

The liposuction of the female breast by local anesthesia brings about considerable breast reduction and reasonable pleasant results. The use of microcannulas allows breast reduction with the slightest of postoperative pain, fast post recovery, and little downtime. There is no scaring and patients can get back to normal routine quite fast. Liposuction can diminish the female breasts by more than 50% in size and lifts them to a considerable level. The breast lift is the outcome of a decrease in the weight of the breasts. This enables the natural and malleable properties to reduce and bring about elevation. The shapes of the breasts are not altered after tumescent liposuction. However, they naturally turn out to be smaller and are lifted considerably. Subsequently, the shape of the breasts is just a lesser adaptation of what it was before liposuction.

Operation Procedure

The procedure is a considerably simple. The volume of each breast is then measured with indelible ink to delineate outlines on the breasts that will assist the surgeon during the process of intrusion and surgery. A very small needle is used to painlessly introduce a little amount of local anesthetic into the skin right where the adits will be positioned. With the help of a biopsy punch, one millimeter adits are created in the skin and the process of infiltration of the infiltration is then completed.

Liposuction is then carried out to remove the necessary amount and when satisfactory amount of fat has been removed, the dissections are closed and the patient is woken up. After the liposuction procedure, pads are placed on the breast for purposes of absorbing the blood stained tumescent fluids from the adits.

A bandage is also required to ensure that the pads are held in place. Extra adjustable elastic bandages are required to enhance the level of compression to ensure that drainage of the blood stained tumescent fluid is complete. It is essential for the patient to shower on a daily basis and change the pads twice daily for about three to 6 days after which, the elastic bandages can be done away with.

Advantages of Liposuction

This procedure has very speedy recovery because typically a patient will be able to get back to work and can resume social activities inside three days after surgery. It also leaves virtually no visible scars and breast volume is decreased by between 20 to 50 percent. Another advantage is the fact that the risks of postoperative complications are quite minimal.

Disadvantages

Liposuction is only relevant for some women. The lift that is brought about by normal breast reduction cannot be derived through liposuction alone because excess skin is not eliminated. Nonetheless, for the right candidates, the outcome of a tumescent liposuction can be highly satisfying. The ideal candidates for the breast minimization procedure are women with breasts that have an immense bulk of fat. Good examples are women that have experienced menopause because they generally have breasts with large deposits of fat as compared to teenagers. The ideal candidate should also have expectations that are sensible and realistic.

Women that have breasts that have more glandular tissue as compared to fat tissue are not the best candidates for this operation.

3. The Periareolar Technique

This approach that is also referred to as the circumareolar technique points to top surgery that is undertaken by eliminating skin in a donut shape throughout the nipple, scrapping the breast tissues, and drawing the skin together around the nipple the same way you would pull strings on a purse.

Operation Procedure

In this procedure, the incision is undertaken around the areola in donut structure and the cut is made deep into the breast tissue. Once the incision has been made, the surgery goes through the fat and the breast tissue covering and then to the lower exterior outline of the pectoralis major muscle. The breast tissues are then extracted and the surgeon trims the outer sphere by pulling it in to meet the internal circle, thus leaving a pleat dissection around the nipple. For that matter, this procedure is very suitable for women who have small breasts.

Operation for Breast Reduction at clinic in Bangkok, Thailand

Advantages of the Periareolar Technique

The texture and the dusky color of the areola outline ensures that the scar is perfectly concealed, sometimes to the extent that it’s unnoticeable. Because the point of incision is near the location of the implant, it’s easy for surgeons to control bleeding during the procedure and to be expressly definite in their placement of the implants. Other advantages with the procedure are the fact that the size of the areola can be shrunk and the idea that scarring and the incision only happen around the areola. This procedure is also ideal for handling intermediate chunks of surplus skin.

Disadvantages of the Technique

The unpredictability of this technique means that there is a possibility of excess skin or tissue overhang.

Another disadvantage is the likelihood of pleating effect. With this procedure, the risk of infection is higher and the possibility of obstacles when a woman wants to breastfeed.

Pre-Operation

  • It is essential to stay away from aspirin or anything that has aspirin and some vitamins and herbal supplements that might enhance the likelihood of severe bleeding.
  • Arrange to stay away from work for 1-2 days.
  • You should not smoke or use any form of tobacco way before the surgery since nicotine prolongs the time it takes to heal. If you are a smoker, most doctors will tell you that it’s advisable to stop smoking 2 weeks prior to the breast reduction procedure.
  • You should also shun lotions, creams and powders on the actual day of the surgery. It is advisable to dress in loose fitting attire.
  • Make arrangements for a close family member or friend to take you home once the surgery has been performed and to remain with you on the first night after the operation.
  • You will not be able to drive yourself and certain activities may be demanding after the procedure.
  • For patients with hypertension exceeding140/190 mmHg, there is a need to control the hypertension so that it gets back to the normal dimensions before the procedure is performed.

Procedure

 

Prior to the procedure, you need to visit your surgeon for consultation and deliberations about your objectives. You will then be placed under general aestheticia so that you are totally asleep when the procedure is done.

This procedure is generally regarded as an outpatient operation although there are patients that might have to stay overnight. The surgeon will undertake the dissection.

He will then extract fat, tissue, and any surplus skin from the lower part of the breast. Women who generally have fat tissue in their breasts might require a simple liposuction procedure in order to trim the breast to a smaller size. This is advantageous because there will be less scarring and, limited breast tissues trauma, and less likelihood of developing health problems.

The nipple will then be positioned relocated at a higher level on the breast.

It might or might not be necessary for the surgeon to remove the nipple from the breast so that he or she can implant it in the right position. The surgeon will then let the patient know if the nipple sensation will or will not be lost as a result of the surgery. He will then close the incisions. Drainage tube will be hooked up for about 2 days.

 

Post Operation

 

  • Your breasts will then be swathed with bandage for seven days.
  • Once you have removed the bandage, it is necessary that you put on a sport bra that will aid in supporting your breast for 1-4 weeks.
  • You should not get engaged in difficult tasks or lift heavy objects for one month.
  • Follow up the signs and the symptoms and the stitch can be taken off in one or two weeks.
  • The incisions will also become invisible in a week or two.
  • Strictly follow the doctor’s prescription.