Although aesthetic breast reduction surgery seems to be one of the cosmetic surgeries performed to improve the external appearance of the woman, it is actually a reconstructive surgery, not an aesthetic one.
A sagging breast due to large size can cause back and neck pain in women, and can lead to hunchback. There may be numbness due to the pressure of the bra on the arm nerves. There may be difficulty in breathing. As a result of the continuous rubbing of the breast skin and breast skin, there may be rashes and wounds in the submammary groove. Daily activity is restricted. In addition, large breasts create difficulties in choosing clothes and cause social and psychological problems such as the womans dislike of herself. A surgery to be applied for breast reduction gives the breasts a natural appearance, the problems listed above disappear, and the persons life becomes easier. Breasts can be large for a variety of reasons. As a result of genetic factors, hormonal changes or some diseases, large breasts that do not adapt to body sizes may occur. Weight changes, breastfeeding, and the effect of gravity can exacerbate the existing problem. The increase in breast tissue and the associated large breast can also be seen in young girls.
In addition to the examinations required for the preparation of the operation before the operation, mammography should be performed especially for those with a family history and for patients over 35 years of age. Conditions such as high blood pressure, smoking, drug habits, diabetes should be known. Blood transfusion is usually not required for breast reduction surgery. In cases where blood transfusion is required, your own blood (autotransfusion) taken 5-7 days before the surgery can be used. Breast reduction surgery is an operation that must be performed in the hospital, it may require hospitalization for a few days.
In aesthetic breast reduction surgery, the large breast tissue is reshaped according to the body size of the person. Excess breast tissue and the skin on it are removed. The nipple is moved to where it should be. The operation is performed in an operating room under general anesthesia in hospital conditions. The operation takes 2.5 – 4 hours. Whichever method is applied, there is definitely a scar around the nipple. In addition, according to the method applied, an inverted T-shaped scar from the middle of the lower edge of the nipple, a line downward from the nipple or a horizontal scar under the breast remains. The lower part of the T-shaped scar is adapted to the inframammary fold. However, with the recently applied surgical technique, the scar in the breast fold area has been removed. Only around the nipple and down the middle of the lower edge of the nipple 4.5-5 cm. A trace remains. However, these traces are obvious at first, but may become vague over time. The degree of postoperative scars depends on the size of the breast, the surgical method used, and finally the scarring feature of the patients skin. In very large breasts, it may not be possible to apply the above-mentioned types of surgery. In this case, techniques in which the nipple is carried freely are used, and the scars of this surgery are in the form of an inverted T.
Post-surgery is usually comfortable. In the first days, there may be pain and limitation in arm movements. A bra-like wrap is applied on the breasts. Generally, pipes called drains are placed in both breasts and removed within 1-3 days. A separate dressing is put on the nipple. The dressing is opened after 2 days and the wound is controlled. After 7 days, the dressings are opened. Stitches are removed after 7-10 days. You will stay in the hospital for 1-3 days. The patient is put on a sports bra for 6 weeks and massage is recommended. There may be swelling in the early period, numbness in the nipple and purplish discoloration on the skin. These disappear on their own in a short time. There may be problems with nipple sensation and lactation.
The patient can return to work after 1 week. It is recommended to stay away from heavy sports and physical activity for 3 months. Aesthetic breast reduction surgery is an operation that gives good and permanent results in general, improves the mental health of the person and his partner, makes them more committed to life, and especially facilitates the dressing style of the woman. The newly shaped breast is durable for a long time, but weight changes, pregnancy, breastfeeding and gravity can cause breast volume increase and sagging.
As with any surgery, breast reduction surgery has some risks. Most people who have this surgery do not have surgery-related problems. Bleeding: It is a rare condition, it can be seen during the surgery or in the postoperative period. After the surgery, the drain placed on the breasts is both to monitor whether there is bleeding and to prevent the collection of blood in the breast tissue, albeit a little. Aspirin or similar drugs are discontinued 10 days before the operation. Infection: a rare condition. Changes in nipple and skin sensitivity: A temporary decrease in the sensitivity of these areas may occur. Scars: Every surgical procedure heals by leaving scars, most of the time the quality of the scars cannot be determined beforehand. While scars are not noticeable in some cases, scars may occur in the skin and deep tissues in some patients, and some patients may even require surgical correction or other treatments.
In rare cases, scars in the skin and deep tissues of the breast can cause pain. Hardness in the breast: Stiffness due to scarring or fat necrosis in the breast can rarely be seen. This is an unpredictable situation. Delay in wound healing: Although rare, it can be seen. Some areas of the breast skin or nipple may take more time to heal completely. Frequent dressing may be required. Wound healing problems are more common in smokers. Asymmetry: Most women naturally have asymmetry between the two breasts. There may be differences in the shape, size and symmetry of the breast and nipple. Breast diseases: Breast disease or breast cancer may occur at any time in a persons life, regardless of breast reduction surgery. The person should have regular breast checks, whether or not they have surgery. Breastfeeding: Some women who have had breast reduction surgery are able to breastfeed their children, but this can often be difficult to predict. If it is desired to have a child and breastfeed, it would be appropriate to think about this situation before having breast reduction surgery. There are many factors that affect the long-term results of breast reduction surgery. If the breasts become loose or sagging, additional surgery may be required.