Breast reduction - Cesmedic Plastic

Breast reduction, technically known as reduction mammaplasty, is designed for women with very large, pendulous breasts who may experience a variety of medical problems caused by the excessive weight, from back and neck pain and skin irritation to skeletal deformities and breathing problems. Bra straps may leave indentations in their shoulders. And unusually large breasts can make a woman breast feeding feel extremely self-conscious.
The surgical procedure removes fat, glandular tissue, and skin from the breasts, making them smaller, lighter, and firmer. It can also reduce the size of the areola, the darker skin surrounding the nipple. The goal is to give the woman smaller, better shaped breasts in proportion with the rest of her body.

Types of anesthesia
Breast augmentation can be performed with a general anesthesia or with local anesthesia and sedation, so you'll sleep through the entire operation.

The surgery
Breast reduction usually takes 2 to 4 hours to perform, although in certain cases may take more time
Techniques for breast reduction vary, but the most common procedure involves an anchor shaped incision that circles the areola, extends downward, and follows the natural curve of the crease beneath the breast.
The surgeon removes excess glandular tissue, fat, and skin, and moves the nipple and areola into their new position. He or she then brings the skin from both sides of the breast down and around the areola, shaping the new contour of the breast. Liposuction may be used to remove excess fat from the armpit area.
In most cases, the nipples remain attached to their blood vessels and nerves. However, if the breasts are very large or pendulous, the nipples and areolas may have to be completely removed and grafted into a higher position. (This will result in a loss of sensation in the nipple and areolar tissue.)
Stitches are usually located around the areola, in a vertical line extending downward, and along the lower crease of the breast. In some cases, techniques can he used that eliminate the vertical part of the scar. And occasionally, when only fat needs to be removed, liposuction alone can be used to reduce breast size, leaving minimal scars.

Post-operative
Stitches will be removed following a sequence between 7 and 14 days. Analgesic, anti-inflammatory and antibiotics will be prescribed to you. You should avoid physical effort with the arms during 3 weeks. Some bruising will remain but will improve with the time according to each patient’s scaring.

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