Breast Reduction

Many women opt for breast reduction surgery because of oversized breasts, a condition that is medically known as breast hypertrophy. Breast hypertrophy typically occurs in both breasts and happens at puberty or soon afterward.

Sometimes the over-enlargement of breasts occurs during pregnancy, and then the enlargement persists.
Breast reduction Plastic surgery can treat these conditions.

Breast reduction plastic surgery is usually performed under general anesthesia. The breast comprises glandular tissues, fatty tissues, and skin: all three areas are surgically reduced as needed.

Before entering the operating room, the surgeon will ask you to sit upright. While sitting, surgical markings will be drawn on your breasts. The markings outline the "sitting-up" position of the breasts, to make the correct incisions later during surgery when you are lying down.

The incision is made along the surgical markings. Flaps are created on both sides of the breast and the excess skin, fat, and glandular tissues are extracted. In most cases the nipples are moved to a higher position on the breast, but remain attached to the nerves and blood vessels. For very large breasts, however, the nipples may need to be moved and grafted to a completely new location. In these cases, the nipples are removed from the underlying connecting tissues and you will lose sensation in the nipple and areola.

The nipple and areola are usually moved to a new position. The position of the nipple is usually vertically level with the crease on the underside of the breast. After surgery, the flaps of skin (that were once above the nipple) are refolded around and beneath the breast, pulled to the front of the breast around the nipple, and sutured in place. The reduction of breast tissue and skin reduces the weight of the breast and reshapes it into proportion.

Upon completion of the procedure, stitches remain in a vertical line beneath the nipple area and horizontally under the breast. If the breasts were not too overly large, then some surgical techniques can avoid the horizontal scar altogether.

The incisions and tissue movement will cause your breasts to be sore, swollen, and bruised. Pain can be treated by a prescription from your plastic surgeon. You can expect to wear bandages for about two days after surgery. Activity should be kept to a minimum for a week or two. There should be no heavy lifting or pushing for three or four weeks. Caring for young children immediately after surgery is not recommended. For extra support, a special soft surgical bra or athletic bra may be recommended by your doctor. Stitches are removed in two to three weeks.

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