Breast Reduction Mammaplasty Information:
For those people who are thinking of getting a breast reduction:
The main problem with over sized pendulous breasts is that they can cause a series of medical problems from the extra weight that the body's frame has to support. These problems can even include skin irritations as well as the well known neck and back problems. The most severe cases can have skeletal deformities from back and neck pain and skin irritation to skeletal deformities.
Skin indentations can also be cause by the bra straps having too much pressure applied and can be very uncomfortable on a daily basis which can be called chronic pain.
And unusually large breasts can make a woman-or a teenage girl-feel extremely self-conscious.
Reduction Mammaplasty is the technical term for having a breast reduction. This is one of the only known treatments for this male and female issue.
The procedure removes the fat, glandular tissue, and skin from the breasts, making them smaller, lighter, and easier to manage. It can also reduce the size of the areola which is the darker skin surrounding the nipple. The goal of a breast reduction is make a person's chest more inline with rest of the body.
If you're considering the possibility of getting a breast reduction the following information will give you a basic understanding of the procedure involved. It will also tell you when it can help, how it's performed, and what results you should be able to expect. It won't answer all of your questions, since it depends on your specific individual circumstances. It is always best to contact your doctor when there is something you don't understand.
THE BEST CANDIDATES FOR BREAST REDUCTION
Breast reduction Mammaplasty is something that is usually performed only for physical relief rather than cosmetic reasons. Most of the people that have a reduction are suffering from quite overly large breasts that will keep them from enjoying any kind of physical sports or activities. The size of their breasts are also causing physical pain due to stress from extra weight.
For most of the operations, a breast reduction will not be performed until the patient's breasts have fully developed. In some instances a reduction can be performed on teens if the size of the breasts are already causing pain issues.
The majority of candidates are of the age that they can fully understand what's going on in the procedure. Most young patients will not fully grasp what must be done or comprehend the idea that the breasts may not look as perfect as they expect. Mammaplasty is not something that someone who is expecting to breast feed should go through with.
ALL SURGERY CARRIES SOME UNCERTAINTY AND RISK
Mammaplasty is not a simple operation, but is normally safe when performed by a qualified plastic surgeon. Like any surgery, there can be complications such as a reaction to the anesthesia, bleeding, swelling and pain during healing. Some patients can develop small sores around their nipples after surgery. These can be treated with antibiotic creams and will go away quickly. Make sure to follow your doctor's advice as closely as possible to avoid and complications.
This procedure will leave noticeable and permanent scars although they'll be covered by your bra or bathing suit. Poor healing and wider scars are more common in smokers. The procedure can also leave you with unevenly positioned nipples or unequally positioned breasts. The surgery removes many of the milk ducts leading to the nipples and may not allow you to breast feed afterwards, it is recommended that you finish breast feeding before undergoing this type of surgery.
Another issue that can arise is a permanent loss of feeling in the nipples or breasts. A very rare condition is when the nipple or areola lose their blood supply and the tissue will die. The nipple and areola can usually be rebuilt using skin grafts from elsewhere on the body.
PLANNING YOUR SURGERY
Being as straight forward with your doctor In your initial consultation is very important. Make sure that he or she gets all the information that they ask for as truthful. Try not to be embarrassed about anything as the doctor has seen and heard all of this information from many other people. Listen to his or her opinion. Every patient-and every physician, as well has a different view of what is a desirable size and shape for breasts.
You need to know that the surgeon will be examining and measuring your breasts. He or she will most likely photograph them for reference during surgery and afterwards. These photographs will also be used in the processing of your insurance if you are going through that path. He or she will discuss the variables that may affect the procedure-such as your age, the size and shape of your breasts, eating habits as well as your overall health. Make sure to tell the doctor where you want your nipples to be placed. They'll be moved higher during the procedure, and should be approximately even with the crease beneath your breasts.
Other information that will be discussed in detail is:
The whole procedure, explaining its risks and limitations and making sure you understand the scarring that will result. The surgeon should also explain the anesthesia he or she will use, the facility where the surgery will be performed, and the costs. Some insurance companies will pay for breast reductions if it's medically necessary. They will require that a certain amount of breast tissue be removed in order to qualify. Check your policy, and have your surgeon write a predetermination letter if required.
PREPARING FOR YOUR SURGERY
Your surgeon may require you to have a mammogram (breast x-ray) before surgery. You'll also get specific instructions on how to prepare for surgery, including guidelines on eating and drinking, smoking, and taking or avoiding certain vitamins and medications. Some surgeons suggest that their patients diet before the operation.
A breast reduction doesn't usually require a blood transfusion. However, if a large amount of breast tissue will be removed, your physician may advise you to have a unit of blood drawn ahead of time. That way, if a transfusion should be needed, your own blood will be available.
While you're making preparations, be sure to arrange for someone to drive you home after your surgery. You'll also be requiring someone to help you around the house for a few days afterwards.
WHERE YOUR SURGERY WILL BE PERFORMED
Breast reduction surgery may be performed in a hospital, an out patient surgery center or an office-based surgical suite. If you are admitted to the hospital, your stay will be a short one. The surgery itself usually takes two to four hours, but may take longer in some cases.
TYPE OF ANESTHESIA
Breast reduction is nearly always performed under general anesthesia. You will not be conscious during the entire operation..
Techniques for a 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, 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. As mentioned before, this can result in a loss of feeling.
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 be 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.
AFTER YOUR SURGERY
After surgery, you'll be wrapped in an elastic bandage or a surgical bra over gauze dressings. A small tube may be placed in each breast to drain off blood and fluids for the first day or two.
You may feel some pain for the first couple of days-especially when you move around or cough-and some discomfort for a week or more. Your surgeon will prescribe medication to lessen the pain.
The bandages will be removed a day or two after surgery, though you'll continue wearing the surgical bra around the clock for several weeks, until the swelling and bruising subside. Your stitches will be removed in one to three weeks.
If your breast skin is very dry following surgery, you can apply a moisturizer several times a day, but be sure to keep the suture area dry.
Your first menstruation following surgery may cause your breasts to swell and hurt. You may also experience random, shooting pains for a few months. You can expect some loss of feeling in your nipples and breast skin, caused by the swelling after surgery. This usually fades over the next six weeks or so. In some patients, however, it may last a year or more, and occasionally it may be permanent.
GETTING BACK TO NORMAL
Although you may be up and about in a day or two, your breasts may still ache occasionally for a couple of weeks. You should avoid lifting or pushing anything heavy for three or four weeks.
Your surgeon will give you detailed instructions for resuming your normal activities. Most women can return to work (if it's not too strenuous) and social activities in about two weeks. But you'll have much less stamina for several weeks, and should limit your exercises to stretching, bending, and swimming until your energy level returns. You'll also need a good athletic bra for support.
You may be instructed to avoid sex for a week or more, since sexual arousal can cause your incisions to swell, and to avoid anything but gentle contact with your breasts for about six weeks.
A small amount of fluid draining from your surgical wound, or some crusting, is normal. If you have any unusual symptoms, such as bleeding or severe pain, don't hesitate to call your doctor.
YOUR NEW LOOK
Although much of the swelling and bruising will disappear in the first few weeks, it may be six months to a year before your breasts settle into their new shape. Even then, their shape may fluctuate in response to your hormonal shifts, weight changes, and pregnancy.
Your surgeon will make every effort to make your scars as inconspicuous as possible. Still, it's important to remember that breast reduction scars are extensive and permanent. They often remain lumpy and red for months, and then gradually become less obvious, sometimes eventually fading to thin white lines. Fortunately, the scars can usually be placed so that you can wear even low-cut tops.
Of all plastic surgery procedures, breast reduction results in the quickest body-image changes. You'll be rid of the physical discomfort of large breasts, your body will look better proportioned, and clothes will fit you better.
However, as much as you may have desired these changes, you'll need time to adjust to your new image-as will your family and friends. Be patient with yourself, and with them. Keep in mind why you had this surgery, and chances are that, like most women, you'll be pleased with the results.