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BREAST REDUCTATION
/ MAMMAPLASTY REDUCTION |
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Operation
Duration
Anaesthetic
Number of
Treatments
Results |
2 – 4 Hours (Some Cases Longer)
General
One
Permanent |
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The breast is one of the most important
attributes of female beauty – a symbol of attractiveness and desire. Many
women are not completely happy with the size and shape of their breast and
today women who are unhappy with their breasts have many options which
include Breast Reduction. |
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Reasons for having Breast
Augmentation Surgery include |
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• To increase self confidence and enhance
self image
• To give a more youthful appearance in a natural way
• To reduce physical discomfort
• To reduce the volume of the bust
• To reduce the weight of the bust
• To reduce the areola (the nipple)
• To balance an difference in breast size
• To give relief to back/shoulder/neck ache
• To lift a saggy breast due to child birth
• Age or any other natural cause
The best candidates are those who are in good physical health, are mentally
and psychologically stable, preferably do not smoke, those who want to
improve their appearance and those who have realistic expectations about the
procedure and the results. Extra reasons may include;
• To seek relief from physical symptoms caused by the excessive weight of
large breasts
• To want to improve the size and shape of their breasts |
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Planning |
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Pre-visit and during consultations the
surgeon will try to evaluate your physical-mental health and any medical
conditions. In order to obtain the best results it is important that you are
honest with the surgeon, that you advise any previous surgeries, if you are
taking any medications, herbal supplements, vitamins or other drugs and if
you smoke. Be sure to discuss your expectations and goals. The surgeon is
here to guide, advise and explain to you how the surgery will be performed,
possible alternatives that may offer better results, the risks and
limitations of each as well as details of follow up and after care. |
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The Procedure
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The Surgeon will make an anchor shaped
incision circling the areola extending downward underneath the breast. The
Surgeon removes excess glandular tissue, fat and skin and moves the nipple
and areola into their new place. He will then bring down the excess skin
round the areola from both sides of the breast.
In most cases the nipples remain attached to their blood vessels and nerves
unless the breasts are very large then the nipple and areola may have to be
completely removed and put into a higher position.
Stitches are usually around the areola into a straight line extending down
and underneath the breast in the natural crease. The scars should be as
inconspicuous as possible but will remain red and lumpy for months but will
gradually fade to thin white lines.
The Surgeon may require the patient to have a mammogram and may need to take
some blood in case of a transfusion (which is not normally needed). If a
large amount of tissue is removed the patients own blood can be used. |
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After Surgery and Recovery |
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After surgery, for the first day or two, the
patient may have a small tube inserted in each breast to drain off blood and
fluids. There may be some pain when coughing or moving for 2 or 3 days and
then some discomfort for a week or so, pain relief medication may be
required. The patient will be wrapped in support bandage after the operation
for 1 to 2 days and then this can be removed. The stitches are removed in 1
– 3 weeks. The patient will continue to wear a surgical bra every day and
night for a few weeks until the swelling and bruising subsides.
The patient’s first menstruation after the operation may cause her breasts
to hurt and swell and she may also experience random shooting pains for a
few months. If you have had the nipples/areola removed, moved to a higher
position thus detaching them from the blood vessels and nerves there may be,
in the future, a loss of sensation in the areas and a patient may find she
has some loss of feeling in nipples and breast skin which is caused by the
swelling from the surgery. This sensation usually fades after a few weeks
although it can last up to a year or more. Although the patient may be up
and about in a day or two her breasts may ache occasionally for a couple of
weeks. Avoid lifting or pushing anything heavy for approximately one month.
Most women can return to work (not strenuous) in 2 weeks and she should
limit her exercise to stretching bending and swimming as her energy levels
will be low for several weeks. A good sports support bra will also be needed.
She should avoid anything other than gentle contact with her breasts for 6
weeks and may be told to avoid sex for a week or more since sexual arousal
can cause incisions to swell.
A small amount of fluid draining or crusting is normal. It may be up to a
year for her new breasts to settle to their new shape but even then hormonal
shifts, weight changes and pregnancy may make them fluctuate slightly in
shape.
The results are long lasting however the size and shape will change with age,
weight changes, hormonal shifts, future pregnancies and going braless too
often.
If you are looking for a procedure to give you a smaller, better shaped
breast in proportion with the size of the rest of your body then Breast
Reduction is the answer. Most patients are more than happy with the end
results and often repeat the process. |
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to learn more about any risks
and complication . |
>>>Read More | |
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Risks and complications of
Breast Reduction
Surgery is a serious business and not a decision to be taken lightly. There
is always the possibility that something may go wrong. No absolute
guarantees can be given. The surgeon will explain to you procedure, the
risks; alternatives and potential complications in detail so that you
understand what could go wrong.
It is very important that you follow the surgeons aftercare advice as this
is given to your for your benefit and will give you every chance of a speedy
and problem free recovery
All surgery involves an element of risk from developing complications.
However, cosmetic surgery is usually undertaken voluntarily and only when a
patient is in good health. Therefore the probability of complications with
this kind of surgery are substantially lower than those who undergo surgery
for ill health reasons.
Fat Necrosis
This risk is much more common in larger reductions of around 1000 grams and
shows a risk factor of about 15%. For individuals having less than 800 grams
per breast will only show up about 1% of the time. Fat Necrosis is described
as the death of fat cells that may cause a lump or visible bump in the skin.
Permanent Numbness
This is a very rare problem but can be one of the most difficult to deal
with. During surgery is is possible to sever nerves which will cause the
loss of sensation in the breast or single breast. This can also possibly
occur in a small area of the breast without the patient noticing the loss of
sensation.
Nipple Loss
In some rare cases the nipples can lose their supply of blood causing the
cells to die. It is possible for some patients to have to have the nipple
completely removed although it is rare. This is one of the major risk
factors of why doctors recommend that you wait until after you have fully
completed breast feeding.
Anaesthesia Reaction
Very few people have a reaction to the anaesthesia. Ask your doctor if they
can perform a test that will allow you to see if you are allergic.
Wound Separation
It is possible for the incisions to pull apart. This normally only happens
if a patient tries to return to work too quickly or undergoes strenuous
activity.
Asymmetry
It is possible for the breasts of a patient to be different sizes post
surgery. It is also possible to undergo further surgery to help alleviate
this problem
Other less serious conditions are:
Change in nipple colour
Dissatisfaction with breast size (too small or too large)
Irregularities in position of nipples and areola
Keloid (heavy scar)
Pain
Slow healing
Swelling
Visible scars
Breast reduction surgery is not recommended for women with:
Breast cancer, uncontrolled diabetes, cellulitis (infection of the soft
tissue of the breast), hardened breast skin and dry or broken breast skin.
Depression
Depression can often occur following cosmetic surgery. There are several
factors that contribute to post operative depression, including:
• The anticipation and stress of preparing for surgery can have a rebound
effect
• The medications, anaesthesia and trauma of the surgery have physical
effects that will affect your emotional well-being
• Stress and fear regarding complications and disfigurement
• Refraining from exercise can make you feel tired, blue, and out of sorts
• Adjusting to your new look
• Dealing with family and friends reactions to your surgery
• Financial stress
• Feeling guilty
Expecting to feel a bit down and accepting it as normal will help you get
back to normal sooner. Take time to relax, meditate and care for yourself.
It is also important to have support from others. Be sure to ask for help
from others. You can also find support online with other people who have had
the same procedure and may have similar experiences.
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