Breast reduction

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Breast anatomy normal scheme
Patient No. 16836-Dr. Placik-Breast Reduction, Chicago Illinois-Arlington Heights-two-plate photograph
Breastreduction
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Breast reduction, also known as reduction mammaplasty, is a surgical procedure aimed at reducing the size and weight of large breasts to alleviate symptoms such as back pain, neck pain, skin irritation, and posture problems. This procedure is not only sought for physical relief but also for psychological benefits, including improved self-esteem and comfort in social situations.

Overview

Breast reduction surgery involves the removal of excess breast tissue, fat, and skin, resulting in smaller, lighter, and firer breasts. The surgery is typically performed under general anesthesia and can take between 3 to 5 hours depending on the complexity of the procedure. Techniques vary, but the most common method involves making an incision around the areola, down the breast, and along the breast crease, forming an anchor shape.

Indications

Candidates for breast reduction surgery often experience physical discomfort due to the weight of their breasts, which can interfere with daily activities and exercise. Conditions such as gigantomastia, where breasts grow excessively large, can significantly impact quality of life. Psychological distress, including body image issues and social embarrassment, is also a common reason for seeking surgery.

Procedure

The specific technique used during breast reduction surgery depends on the individual's condition and desired outcome. The surgeon will remove excess tissue and skin, and the nipple and areola may be repositioned to a higher, more natural-looking location. In some cases, liposuction may be used in conjunction with excision techniques to remove breast fat.

Recovery

Post-surgery, patients typically wear a support bra to minimize swelling and support the breasts as they heal. Recovery time varies, but most people can return to work and light activities within 2 weeks. Strenuous activities and heavy lifting should be avoided for at least a month after surgery.

Risks and Complications

As with any surgery, breast reduction carries risks such as infection, bleeding, and adverse reactions to anesthesia. Specific to breast reduction, there is a risk of loss of sensation in the nipples or breasts, difficulty breastfeeding, and asymmetry in the size and shape of the breasts. Choosing a qualified and experienced surgeon can minimize these risks.

Conclusion

Breast reduction surgery can significantly improve the quality of life for individuals suffering from the physical and psychological burdens of overly large breasts. It offers not only relief from physical discomfort but also enhances body image and self-confidence.


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Contributors: Prab R. Tumpati, MD