Is this right for me?
This procedure is usually done to relieve physical
discomfort as well as cosmetic improvement. In the majority of cases, this
operation isn't performed until the breasts are fully developed. The best
candidates are those who are mature enough to fully understand the procedure and
are realistic about the results that can be achieved.
Breast Reduction
(Mammaplasty) is a procedure that removes fat, glandular tissue, and skin from
the breasts, making them smaller, lighter, and firmer. It can also reduce the
size of the areola (nipple). The aim of this operation is to give a woman
smaller and better shaped breasts that will be in proportion to the rest of her
body.
Large breasts can dominate a womans appearance, make her look out
of proportion and generally make life difficult. Medical problems can arise from
the extra weight, such as; back and neck pain, skin irritation. Bra straps can
leave deep marks on the shoulders. Unusually large breasts can make a woman feel
extremely self-conscious, affect personal relationships, make exercise and
participating in sports difficult and uncomfortable.
It can have
psychological implications as well as physical, such as being subjected to
unwelcome stares and rude comments which can result in low self-esteem. Anyone
planning future pregnancies will probably be advised to wait to have surgery due
to potential weight gain and the further possibility of the breasts changing
shape. It is assumed that the patient would not want to breast feed after the
operation.
Risks
A Breast Reduction is
not a simple operation. However, as with any surgery; there is always a
possibility of complications or a reaction to the anaesthetic. Bleeding and
infection after this type of surgery is uncommon. There is a higher risk of
infection in the first two weeks following surgery. Any risk can be reduced by
following our surgeons advice before and after surgery.
This procedure can
also leave you with unevenly positioned nipples, or a permanent loss of feeling
in your nipples or breasts or very rarely partial or total nipple loss.
Poor
healing and wider scars are more common in smokers. Future breast feeding may
not be possible, as this procedure removes some of the milk ducts leading to the
nipples. Previous breast surgery may preclude Breast Reduction.
Our surgeon
will make every effort to make your scars as inconspicuous as possible. However
it is important that you are aware these 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. The reduced breasts may end up
not being perfectly symmetrical to each other. However, most breasts are not
symmetrical in the first instance.
The majority of women do not
experience these complications; you should discuss each of them with the surgeon
to make sure you understand the risks and consequences of Breast Reduction.
There are certain medical conditions that can increase the likelihood of
any complications which is why it is important that you complete the health
questionnaire which will be given to you on your arrival at nu-age medical spa.
What is involved?
At your
consultation, the surgeon will evaluate your health and discuss your
expectations in detail. The surgeon will examine your breasts and take
measurements. He / she will discuss the issues that may have an effect on the
surgery; this will include your age, the size and shape of your breasts and
condition of your skin. You should discuss where the areola / nipple will be
positioned; they are positioned higher on the breast during the surgery. The
type of Breast Reduction will determine the final scar pattern. Pre-operative
skin marking will outline the area that the breast skin will be removed from.
Once the excess fat, glandular tissue and skin have been removed, the nipple and
areola are moved to a higher position. The skin is then brought together to
reshape the breast. Stitches are normally around the areola, going down in a
vertical line from the nipple area, and along the lower crease of the breast.
This type of surgery is done under general anaesthetic and can require one to
two nights in hospital. Please tell our surgeon if you smoke, take any
medication, vitamins, or other drugs. Our surgeon will also explain what
anaesthetic will be used and where the surgery is to be performed. It is very
important that you tell the surgeon what your expectations are and he / she will
inform you of alternatives and any risks and limitations. Once you have been
fully informed you can decide with the surgeon the best possible options for
you. Preparing for surgery Our surgeon or nurse will give you advice on how to
prepare yourself for surgery, this will include guidelines on eating and
drinking, smoking, taking or avoiding certain vitamins and medications. The
surgeon may recommend a mammogram before your procedure to make sure that your
breasts are healthy and this will serve as a baseline for future comparison. You
will be asked to sign consent forms to make sure that you understand the
procedure, and any risks and potential complications of your surgery. There will
be a waiting period of at least two weeks from the time of your consultation to
the day of your surgery. It is important that you arrange for someone to drive
you home after your operation and to help you out for a few days, if needed.
After your surgery 4Initially you will be likely to have some pain and
discomfort which can be controlled with analgesia; you will need to wear a
sports bra as directed by the surgeon. Bruising and swelling can take a few
weeks to subside. You may also experience a discomfort in your nipples for about
two weeks, but this will become less intense. Sutures are usually dissolvable.
Follow our surgeon's advice on when to begin exercising again and return to
normal activities. You may find your breasts will be sensitive to direct
stimulation for a number of weeks so it is better to avoid physical contact
until your breasts are no longer sore, usually four to six weeks after surgery.
Return to work will depend on the level of activity required for your job. Your
scars will be firm and pink for at least six weeks. Then they may remain the
same size for several months, or even appear to widen. After several months,
your scars will begin to fade, lighten and soften although they will never
disappear completely.
How long will the results
last?
This is difficult to predict, breast size and shape can change
if there is weight gain / loss and pregnancy. The ageing process doesnt stop
and gravity will still occur so the breasts can still sag in the future. You are
more likely to be happy with your surgery if you are fully informed, understand
the procedure thoroughly and your expectations are realistic.