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Breast Reduction Surgery

BREAST REDUCTION

Breast Reduction Surgery (Reduction Mammaplasty) is basically a surgery that is very close to breast lift surgeries among aesthetic breast surgeries. The only difference of breast reduction surgery (reduction mammaplasty) is that while the breast is lifted, some of the glands and fat in the chest and a measure of skin are taken. In this way, the breast is both reduced and corrected.

BREAST AESTHETICS AND BREAST REDUCTION SURGERY

I will repeat what I said about breast lift surgery while describing reduction mammaplasty. Look at your breasts in the mirror. If your nipples are above your chest crease, everything is fine. If it goes down to the level of this line, it can be said that you have mild sagging, and if it is below this line, you have severe sagging of the chest. In particular, nipples that point straight down indicate the burden of the situation.

There are also some health problems caused by excessively large breasts. For example, these people quickly all experience significant back pain and spinal problems. Hang a weight of 4-5 kg ​​around your neck and stand with this load for a few minutes and you will understand why.
Rashes often occur under large breasts. In fact, these rashes can sometimes turn into open wounds. Mental distress caused by very large breasts is always overlooked.

Especially in adolescence, breasts that grow a lot (gigantomastia) can cause harmony problems in patients.

WHY DO BREASTS droop?

There could be many reasons for this. There is a decrease in breast tissue due to hormonal reasons due to aging. This causes the inside of the chest to empty and sag. Breastfeeding mothers are also more prone to sagging. Breasts enlarge when full of milk and are discharged by breastfeeding. When this is repeated over and over, the breasts naturally sag. In addition, gravity pulls the breasts down, causing them to sag. In some cases, sagging begins at a very early age and is entirely due to the congenital weakness of the ligaments that carry the breast.

CAN I HAVE NON-SURGERY ASSESSMENTS?

Unfortunately. There is now no known procedure to recover sagging breasts. Do not think that the breasts are sagging due to weak pectoral muscles and that they will become erect with sports. Anatomically, the chest muscle and chest sagging are unrelated. You can achieve a lot of smoothing in your body with sports, but breast lift is not one of them.

SURGERY: CUTS AND TRACES:

Breast lift surgery is actually an operation that gives very good results if done adequately. It is possible to give shape to the breast again, to remove the drooping completely, and to enlarge or reduce the breast at the same time.

But the price of all this is the scars left on the chest. Currently, there is no known surgical technique that can lift the breast without leaving a scar.

The techniques used leave a real scar that extends all around the nipple where it meets the skin and under the breast. This trace continues under the chest in classical techniques and continues on the lower fold line. In newer techniques, this under-trace is not done.
Generally, we can accept that the more sagging the chest, the longer the scars left.

WHAT IS THE DIFFERENCE BETWEEN BREAST LIFT AND BREAST ENLARGEMENT SURGERIES?

Basically, the only difference is that in one, the breast tissue is taken and the breast is reduced, in the other, only the sagging is removed. Technically, both surgeries are very close to each other.

WHO SHOULD HAVE THIS SURGERY:

In fact, the surgery can be seen as transforming one aesthetic problem (sagging) into another (trace). Therefore, this surgery may not be suitable for everyone. If the sagging of your breasts is moderate, if you think that you will be seriously disturbed by the scars, do not have this surgery. However, if you have significantly sagging breasts and you say nothing can be worse than this, this surgery is suitable for you. At the end of the surgery, you will have erect and well-formed breasts of the desired length.

How much you will be disturbed by traces is also a very personal matter. My observations are that my patients with really saggy breasts do not worry about these scars as much as I expected. I have never had a patient who said that I was very unhappy with my scars because I did this surgery very selectively. However, it should not be forgotten that this surgery leaves more scars than other surgeries, and the extent to which these scars will be evident will be related to the smoothing factors of the patient.

TRUE KNOWN FAULTS:

Big breasts give more milk. It is not wrong to establish such a relationship. Milk production is dependent on hormonal effects and while an A cup mother can breastfeed her twins easily, a D cup mother may not have any milk.
In large breasts, the probability of cancer increases as the mammary gland is more. This is not true either. Anyone with a breast can get breast cancer. The probability depends on factors such as family history, pregnancies, and drug use.

FREQUENTLY ASKED QUESTIONS:

Can I breastfeed after this surgery?

It is difficult to say yes to this question, but if techniques are used, you can probably breastfeed normally. What is valuable for breastfeeding is that the nipple, milk ducts and milk glands are never touched during the surgery. In other words, if you lift the nipple from the base and carry it above (there are such techniques, for example), you will be more likely to not be able to breastfeed. However, if the technique known as “central pedicule” is used, the nipple, ducts and glands are kept as a single module and you will not have a problem with breastfeeding.

Is it possible to reduce breast without scars?

Mostly no. In very rare cases, if the problem is only in size and the breasts have not sagged at all, the breasts can be reduced a little with liposuction. However, this shrinkage is both very finite and causes the breasts to sag to some extent.

How much do scars bother me?

If you have breasts that are big enough to complain about back pain, you are likely to find these scars acceptable and even be very happy with the result. However, just because you like small breasts, do not have this surgery on your breasts whose shape and size do not bother you.

COMPLICATIONS AND ISSUES THAT MAY OCCUR:

The problems you may encounter after this surgery are very close to those of breast lift surgery and the risks are relatively higher. Chief among these is bleeding and infection, as in any surgery.

There is almost no possibility of significant bleeding in this type of surgery. Bleeding may be in the form of blood accumulation on one side of the chest, that is, “hematoma”. Your doctor may want to take you back to the operating room to clean this build-up and stop the bleeding, if it continues.

In the same case, a unilateral swelling around the fifth day after the operation may be a sign of infection. Retesting will be clear of infection and usual antibiotic therapy.
Skin loss is in the middle of complications that can be seen, although it is again less. It is mostly seen in patients who smoke after surgery. Especially in surgeries where very large breasts are reduced, this risk increases. The skin takes a hard form of black color and may need to be dressed for a long time. One way to shorten this period is to clean the dead skin with a small intervention. One-to-one skin problems can also be seen on the nipple. As a result of dressing for a while, these kinds of problems usually improve beyond predictions. Don’t start smoking just because nothing will happen. Remember that the first two weeks after surgery are critical.

Wound healing problems are mostly caused by thick sutures used in surgery. They usually get better after a few days of dressing.

Aesthetic problems: Asymmetry is in the middle of the problems that may be encountered after this surgery. Significant asymmetries may require retouching surgery. Of course, there is always the possibility that you will not like your breast form as a result of this surgery. In this case, you have the chance to have a second surgery. It is often easy to correct asymmetries. The most troublesome deformities are the cases where the nipple is lifted too high. While it is easy to lift the breasts surgically, it is much more difficult to make them sag.

TIPS:

  • Have and keep a control mammogram strictly before surgery.
  • Stand in front of the mirror and decide how sagging your breasts are. If your nipple is below the fold line under your breast, you are a good candidate for surgery.
  • With this surgery, the breasts can be made close to wonder, but it is inevitable that there will be scars on the chest.
  • The more drooping the breasts are, the more surgical scars will remain.

WHAT TO EXPECT YOU BEFORE AND AFTER THE SURGERY:

This is an operation of medium order in size and difficulty. It is not a painful surgery. Generally, patients can be discharged on the same day and can return to work after 3-4 days.

The first night can be relatively problematic. Often, an easy oral pain reliever will suffice. This surgery is an attempt where significant bruising and swelling are not expected.

If you are working, it would be best to set aside a week for this surgery. By the end of a week you will be almost back to normal.

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