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| Service Information
Surgical Procedure There
are many ways to perform a breast reduction. The method must be tailored
to the patient. A common method of surgery is to mark the new nipple
position. Then with the blood supply of the nipple preserved on a
pedicle of tissue, the excess breast is removed. The nipple is then
moved into its new position and the new breast shape is reconstructed.
The incision is often around the nipple and on the under surface of
the breast, like an upside down T. The operation is done under general
anesthesia while the patient is asleep.Patients
who receive this procedure usually remain in the hospital over night.
If the breasts are not too large and the skin has good elasticity
then liposuction may be possible. This is especially useful in women
who wish to avoid long scars. It is possible that this technique may
preserve the ability to breast-feed. For many surgeons it has become
the most popular way to perform breast reduction on a patient who
is about a DD size. Very large and pendulous breasts still require
the more traditional methods that result in longer scars.Duration of Operation One
to three hours.Risks and Complications All
operations have some risk. The risks of surgery are divided into two
groups. First, those that are seen in all operations and second those
that are unique or special for a particular operation. In the first
group, the main risks are swelling, bruising, bleeding, infection,
a scar and numbness or change in sensation. The main problem which
is unique to this operation is damage to the blood supply of the nipple
and a heavy scar. Breast feeding may not be possible after surgery.
Breast reduction does NOT increase the risk of breast cancer and indeed
may slightly decrease the risk.After Care After
surgery, you will be wrapped in elastic bandage or a gauze dressings
and surgical bra. A small tube may be placed in each breast to drain
blood and fluids for the first day or two. The extent of the post-operative
swelling and bruising is dependent on whether you tend to bruise or
swell easily. The amount you can expect varies for each individual
but past surgeries or injuries should be a good indication. Applying
cold compresses, or ice packs will reduce swelling and relieve discomfort.
Many patients use a water-tight plastic sandwich bag filled with frozen
berries or peas. Regular icing is the key to relieving swelling.The
bandages will be removed a day or two after surgery, though you will
continue wearing the surgical bra around the clock for several weeks,
until the swelling and bruising subsides. In most cases, stitches
will be removed in one to three weeks. Sometimes the surgeon will
use only dissolvable sutures. If breast skin is very dry following
surgery, moisturizer can be applied several times a day, but the suture
area must be kept dry at all times. |
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