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Breast Reduction- FAQ

Breast reduction surgery, also called reduction mammaplasty, is a cosmetic surgery procedure in which excess breast tissue is removed to resize and reshape the breasts. In most cases, breast reductions are performed to provide relief from the pain and physical restrictions endured by women with oversized, heavy breasts and also for dissatisfaction or self-consciousness about the largeness of the breasts.
Women with large, disproportionate breasts who are afflicted by pain, discomfort, and embarrassment due to their breast size may be good candidates for breast reduction surgery. A surgeon should take into account your hip size when determining your new breast size. Ideal candidates for breast reductions are women who are also not currently pregnant or breastfeeding and do not plan to breastfeed in the future.
Incisions are usually made within the natural folds under the breasts, sometimes around the areolae, and in a line from the crease to the areolae. Some procedures require only a keyhole incision (LeJour lift). The surgery is not a minor one and breast reduction scars should be expected. Unnecessary scarring is generally avoided. Discuss with your doctor his or her incision placement of choice, and why, and remember to get several opinions.
Breast reduction surgery recovery will require the constant use of a surgical bra for several weeks. During the first few weeks following breast reductions, breasts may be swollen and bruised. The swelling may cause a temporary loss of sensation in nipples and breast skin. Your breasts may also require some time to assume a more natural shape.

Although your chest may be sore, you can resume light activities within a few days following breast reduction surgery. In order to help the healing process, routine physical activity and exercise should be avoided for at least 6 weeks after breast reductions. It is very important to avoid lifting and pushing or pulling motions, you should not bend over, lift your arms over your head during this period.

Because sexual arousal could cause incisions to swell, creating the possibility of delayed healing; sexual activity should be avoided for at least one or two week after breast reduction surgery.

Since there are various surgical techniques used in breast reductions and individual circumstances vary, it is important to get specific instructions from your breast reduction surgeon regarding returning to work and physical activity after breast reduction surgery.

Breast reduction complications may include issues that are common potential problems for all surgery: bleeding, infection, hematoma, adverse reactions to anesthesia, and scarring. Specific potential breast reduction surgery risks are asymmetrical breasts, uneven nipples, altered or loss of breast sensation, and the inability to breastfeed.
Once breast reduction surgery is performed; breasts will remain smaller than they would be if the procedure had never been performed. However, patients who gain weight, become pregnant, or take hormones after breast reductions may notice an increase in breast size due to a natural increase in breast tissue. Also, the effects of aging and gravity may cause breasts to sag over time.
You cannot undergo general anesthesia, or take any medications, while you are breast feeding. Also, it takes about six weeks for your breasts to reach their stable size and weight after you stop breast feeding. After this, you may undergo Breast Reduction. However, make sure that you are not planning further pregnancies in the near future.
It is recommended that you don't have breast surgery until you have reached adulthood and until after your breasts have stopped growing. Exceptions may be made for girls who have a rare and extreme kind of breast overgrowth known as "virginal hypertrophy". These girls develop gigantic breasts during adolescence that become a physical and psychological problem for them. After having undergone reduction mammoplasty during adolescence, these girls often have further Breast Reduction surgery at a later age when their breast size stabilizes.

As a rule, Breast Reduction will reduce your ability to breast feed. However, this can depend on the type of Breast Reduction that is performed. This will definitely be the case where the areola and nipple have been detached, and grafted back onto the breast.

With the "nipple pedicle" technique, the nipple-areolar complex is kept attached to its roots, therefore lessening the chance of damage to the milk ducts. But even with this technique you can lose your ability to breast feed because a considerable amount of glandular breast tissue has been removed.

Yes. Your cosmetic surgeon may recommend a "screening" mammogram prior to your surgery, depending upon your age, or family history of breast cancer. This will help detect questionable breast areas that can possibly be evaluated or biopsied at the time of your Breast Reduction surgery.

You will also be asked to have another mammogram several months following your surgery as a "baseline" for future mammograms. Additionally, breast exams and mammography may be easier to perform following Breast Reduction. Smaller lumps may be harder to detect in women with very small lesions, but will appear more readily once the breast size has been reduced.

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