Breast Reduction

Breast reduction, also known as reduction mammaplasty, is a surgical procedure intended to reduce the size, weight, and volume of excessively large breasts in individuals experiencing physical discomfort, emotional distress, or health issues associated with breast size. This procedure involves the removal of breast tissue, fat, and excess skin to achieve a more proportionate, comfortable, and aesthetically pleasing breast size and shape.

Indications for breast reduction:

Breast reduction is most commonly pursued by individuals who experience physical and psychological symptoms resulting from having disproportionately large breasts. These symptoms may include:

1. Chronic pain and discomfort: Large, heavy breasts can cause neck and shoulder pain, backache, and discomfort during physical activity.
2. Skin irritation: The weight of large breasts can lead to skin irritation, rashes, and infections in the fold beneath the breast.
3. Poor posture: The constant strain of heavy breasts on the neck, shoulders, and back can lead to a hunched posture and subsequent spinal issues.
4. Emotional distress: Having large breasts can lead to self-consciousness, body image issues, and avoid social situations.
5. Clothing limitations: Finding appropriate and comfortable clothing can be challenging for individuals with large breasts.
6. Physical activity limitations: Engaging in physical activities, such as sports or exercise, can be painful or uncomfortable for those with large breasts.

Breast reduction procedure:

Breast reduction surgery is typically performed under general anesthesia and can take between 2 to 5 hours, depending on the extent of tissue removal and reshaping needed. There are several surgical techniques for breast reduction, and the choice of technique will depend on the individual’s breast size, shape, and the desired outcome.

1. Inverted-T or anchor incision: This technique involves an incision around the areola, a vertical incision from the areola to the breast crease, and a horizontal incision along the breast crease. This method allows for the removal of a significant amount of breast tissue and results in the most noticeable scarring.
2. Vertical or lollipop incision: This technique involves an incision around the areola and a vertical incision from the areola to the breast crease but omits the horizontal incision. It is suitable for moderate breast reduction and results in less scarring than the inverted-T method.
3. Periareolar or donut incision: This technique involves a circular incision around the areola, and it is suitable for mild breast reduction with minimal scarring.
4. Liposuction-assisted breast reduction: This approach involves using liposuction to remove fatty tissue from the breast, and it may be combined with other techniques. It is best suited for mild to moderate breast reduction with minimal sagging, and it results in minimal scarring.

Recovery and potential complications:

Recovery from breast reduction surgery typically takes several weeks, with most patients returning to work and daily activities within two weeks. Strenuous activities and heavy lifting should be avoided for at least four to six weeks.

Following surgery, patients can expect to experience some pain, swelling, and bruising, which can be managed with pain medications and the use of a supportive surgical bra or compression garment.

As with any surgery, breast reduction carries some risks, including bleeding, infection, poor wound healing, changes in nipple or breast sensation, difficulty breastfeeding, irregularities in breast shape or size, scarring, and the need for additional surgery.

Importance of a board-certified plastic surgeon:

Choosing an experienced, board-certified plastic surgeon is crucial to minimize risks, ensure a satisfactory outcome, and provide the necessary care during the recovery period. Potential breast reduction candidates should consult with a certified plastic surgeon to discuss the appropriateness of the procedure, surgical options, and anticipated results.