Breast reduction is usually performed to relieve a physical symptoms, rather than purely aesthetic reasons. Many women who undergo this procedure are concerned about the excessive volume of their breasts and interferes with many activities causing discomfort. In most cases is better to wait until the breasts are fully developed, although it can be done earlier if significant physical problems occur. This procedure is not recommended for women who intend to breastfeed after pregnancy.
The most frequent symptoms of excess chest volume are:
Pain in the upper back, neck or shoulders
Recurrent rashes under the breasts.
Chronic nervous breakdowns caused by poor posture, causing numbness or tingling in arms or hands.
Stretch marks on breasts.
Recurrent infections of breast cysts.
Although women mainly request this surgery, it is also performed in male patients suffering from overdeveloped breast tissue or asymmetry chest.
Before the surgery, the doctor will discuss the variables that may affect breast reduction: age, size and shape of breasts and the skin condition of the patient’s. The doctor will also ask about personal and family medical history including past illnesses, use of medication, smoking habits, drugs or food allergies, previous surgeries, family history of breast cancer, etc. In addition, the doctor may order mammography, ultrasound, x-ray of the spine or other specific test that can help clarify the diagnosis.
The most frequent recommendations before surgery are:
Do not take anticoagulant medications such as aspirin, prolonged use of corticosteroids or weight reduction medication two weeks before breast reduction.
No smoking at least one month before the operation, as the tobacco removes oxygen from the blood and this impairs healing of wounds.
Do not use creams or body milks.
Fasting ten hours before surgery.
Inform the doctor of any recent abnormality: the recent use of medications, allergies to food or medications, etc.
Drink plenty of water in the days before breast reduction, which helps to prevent post nausea due to anesthesia.
Although different techniques are used, it is usually necessary to make incisions around the areola, as well as vertical and horizontal incisions in the submammary fold (anchor shaped) The procedure is performed under general anesthesia, and the surgeon removes the skin, the gland and excessive fat, puts the nipple in its proper location and then reshapes the remaining breast. Postoperatively a bra-dressing placed is changed after 24-48 hours period in which the patient remains in the hospital. Often there are bruises and some swelling in the postoperative period. In some cases there may be a reduction or loss of sensation in one or both areolas, which usually recovers over time.