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  BREAST REDUCTATION / MAMMAPLASTY REDUCTION   
   

Operation Duration              

Anaesthetic                       

Number of Treatments

Results                              

2 – 4 Hours (Some Cases Longer)
General
One
Permanent

   
     
         
     
   

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.

   
     
         
  Reasons for having Breast  Augmentation  Surgery include  
   

• 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

   
     
         
  Planning  
   

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.

   
     
         
 

The Procedure

 
   

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.

   
     
         
  After Surgery and Recovery  
   

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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