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Breast Reduction or reduction mammoplasty is done to reduce the size of the breast.
Method: There are many ways to perform a breast reduction. The method must be tailored to the patient. A common method of surgery is to mark the new nipple position. Then with the blood supply of the nipple preserved on a pedicle of tissue the excess breast is removed. The nipple is then moved into its new position and the new breast shape reconstructed. The incision is often around the nipple and on the under surface of the breast, like an upside down T. The operation is done under a general anesthetic (the patient is asleep). Most of the time this is an outpatient operation and a stay in the hospital is not needed.
If the breasts are not too large and the skin has good elasticity then liposuction of the breast may be possible. This is especially useful in women who wish to avoid long scars. It is possible that this technique may preserve feeling and the ability to breast feed. For many surgeons it has become the most popular way to perform breast reduction in the patient who is about a DD size. Very large and pendulous breast still require the more traditonal methods with the longer scars. As with much in medicine the decision may rest on what method provides the most benefit with the least complications.
Problems: All operations have some risk. The risks of surgery are divided into two groups. First those that are seen in all operations and second those that are unique or special for a particular operation. In the first group, the main risks are swelling, bruising, bleeding, infection, a scar and numbness or change in feeling. The main problem which is special for this operation is damage to the blood supply of the nipple and a heavy scar. Breast feeding may not be possible after surgery. Breast reduction does NOT increase the risk of breast cancer but may slightly decrease the risk.
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It is important to remember that no surgeon can give a guarantee about the final outcome, including appearance, shape, size and so on. You should have a realistic attitude about the outcome, and remember that all surgery has good and bad aspects. That there is no such thing as ‘perfect surgery’.
The satisfaction rate for cosmetic surgery is around 90% and although a satisfactory outcome is anticipated this means that 10% of people do not achieve the result that either the patient or the surgeon would like.
If things do not go well you may need revision or secondary surgery. Although many surgeons do not charge for this, there is often a charge for anesthesia and operating room costs.
Postoperative care: The recovery takes one to two weeks. Most people are back to work within a week or two. Following surgery most patients are more comfortable in a well fitted bra.
The presence of excessively large breasts in teenagers is often given the name juvenile breast hypertrophy. The cause is not known but it appears that the breast tissue is more sensitive to circulating hormones. This is called end-organ hypersensitivity. It is not thought to be due to an increase in hormones
For more information see the most frequently asked questions (FAQs) or check with your doctor.
Alternative names: Breast Reduction, Reduction mammoplasty, Reduction mammaplasty, decrease in breast size
