Large breasts can be both a blessing and a curse. Why a lady may have large breasts can be due to many reasons.
The reasons may be inherited, weight gain, and hormonal. As a consequence, the issue may arise as early as adolescence or as late as menopause. The hormonal changes during puberty and pregnancy can significantly increase the size of the breasts. For many these changes are permanent
The problems associated with large breasts of all causes, however, are similar. These include bra straps digging into shoulders, difficulty in findings bras, problems with exercise, and back pain. There are also psychological issues for patients as many are socially uncomfortable due to their size. Patients often feel self-conscious in public. Finding a dress that does not draw attention to the breasts can be difficult. For some, intimacy with their partner can also be affected
Breast reduction surgery is designed to reduce the mass of the breasts, but also restore the shape and safely reposition the nipple to its normal position.
The surgery is carried out as a general anesthetic.
Unfortunately, the restoration of shape and proportion comes at the expense of scarring. The amount of scarring depends on the size of the reduction required. The scarring can be limited to around the nipple, but more commonly in the shape of a lollipop or anchor pattern.
The operation involves removing breast tissue from the lower and lateral aspects of the breast. The nipple needs to be lifted but performed in a way so as not to lose its blood supply. Skin is removed in a pattern that will result in the breast having a rounder appearance. The surgery does not require an overnight stay.
Breast Reduction Surgery At a glance
Anaesthetic- General
Procedure time- 2-3 hours
Overnight stay- 0
Back to work- 3 days
Return to gym- 4-6 weeks
Final result- 3-6 months
Breast reduction surgery is among the most popular cosmetic surgery procedures and one with the highest patient satisfaction.
One of the main questions patients have is regarding the scarring associated with breast reduction.
So why is there less scarring in breast reduction for some patients and more for others?
This all depends on the amount of excess tissue and skin to be excised.
For many people, this seems like the ideal scar. The idea of a concealed scar at the junction of the areola and the skin is very appealing. Unfortunately, the practicalities of this are limited. The skin excision is performed as a donut of tissue around the nipple. If too much skin is removed, then the tension on the scar around the nipple can be significant. Too much tension means that the scar will become wide and unattractive
This scar goes around the nipple and descends vertically down. It is ideal for breasts with a moderate volume. This typically means 500 grams or less. Large breasts have volume in both a vertical and horizontal direction. This incision is suited to breasts that are wide and only have a horizontal excess.
This scar goes around the nipple, vertically down and across the fold. This scar pattern is the longest and is required for the biggest breast reductions. These are typically over 500 grams. The excess tissue has to be excised in a horizontal as well as vertical direction. This can only be achieved with additional scarring. The goal of breast reduction is to deliver round perky breasts. Scarring is the sacrifice made to achieve good shape.
It is advisable to have someone escort you home after the procedure. An overnight stay is not necessary. A family member or friend may help you around the house for the next 48 hours to help with cleaning or shopping. Patients are normally able to wash and care for themselves.
A breast reduction only involves surgery of the skin and fat. Pain in surgery is normally related to surgery involving muscle. Dr. Faisal will use local anesthesia during the procedure. This combined with pain medication given at discharge results in very little discomfort for patients.
Dr. Faisal does not use drains with any of his primary breast procedures. Not using drains means that the patients have very little discomfort in the recovery phase.
Dr. Faisal requires you to wear a surgical bra for 6 weeks following the procedure. This is specially designed, to support the breasts and provide no trauma to the incision lines. The bra has no underwire, which reduces trauma to the skin.
Dr. Faisal recommends avoiding strenuous activity for 6 weeks following the procedure. Dr. Faisal strongly recommends that patients avoid smoking for 2 weeks prior to the procedure and 2 weeks after the procedure
Related procedures
If you are suffering from symptoms described above then you may be a good candidate to get the boob job done
Avoiding smoking 3 weeks prior to the surgery is critical in avoiding wound healing complications
Being in good general health is crucial for a good outcome. Medical conditions such as diabetes will need to be assessed prior to any procedure
Medications such as steroids can have a negative impact on wound healing.
Please avoid smoking 2 weeks before surgery
Avoid heavy exercise 5 days before the procedure
Avoid alcohol the week before the procedure
Blood-thinning medications such as aspirin, Plavix, and warfarin can prolong bleeding and it is advised to stop this 1 week before the procedure
Arranging someone to accompany you on the day of the procedure is advisable
Similarly having relatives or friends close by in the first few days after the boob job operation to help with shopping etc is beneficial
Following the procedure, the patient will awaken with dressings on both breasts. The procedure is very superficial, so is not particularly painful. There may be some discomfort at the suture line, but this is easily controlled with pain killers
The patient will go home the same day with antibiotics and pain medication
The first post-operative check will be at 48 hours. The bra size will be measured and made available for collection the following day. The bra will have to be worn for 6 weeks
A further check will be made at 1, 2 and 4 weeks.
Patients are typically back to an office-based work environment within the first week
Exercise can resume at 6 weeks
Scar management will typically begin at 3 weeks
Scar therapy will commence at 4 weeks with silicone strips
The final result of the breasts will typically be seen at 6 months
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