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Dr Jagdish M jyoti - Cosmetic Surgeon,Apollo Hospitals, Hyderabad, India.

Breast - Reduction


Presence of well developed breasts with shape enhances woman's self esteem. But on the contrary same breasts sometimes grow disproportionately large and cause embarrassment in the society. Breast reduction surgery can bring large breasts to the normal size. It is performed to reduce the weight and volume of the breasts and also to reshape the breasts.


Indications (Individuals for whom it is done)
  • Physical (neck pain, back pain and maceration in the infra-memory region)
  • Psychological (focus of embarassment)
  • Heavy, pendulous breasts with nipples and areolas that point downward.

Before

After

Before

After



Anaesthesia General
Duration of operation 3 - 4 hrs
Hospital Stay 2- 3 days
Stitches removed after 1 week
Recovery 7-10 days
Surgical procedure

Patient factors and surgeon's preferences will determine the specific technique selected to reduce the size of the breasts. Dr JJ uses short vertical scar technique. In this operation, the size of the breast is reduced by removing excess fat, breast tissue and skin from the breast. The nipple is relocated higher and the breast is reshaped and contoured and given proper shape and a younger look. Large breasts lose shape and firmness, the upper pole becomes empty and the nipples point dowmwards. Breast reduction surgery restores the firm feel and round contour of the breast, brings backfullness in the upper pole, and re-positions the nipples to point forwards and outwards.

Usually, the nipples and areolas remain attached to remaining breast tissue, and this allows for the preservation of sensation. The ability to breast-feed may also be preserved by this method, although this cannot be guaranteed. Rarely, if your breasts are extremely large, the nipples and areolas may need to be completely detached before they are shifted to a higher level. In such a case, you will need to have made the decision to sacrifice sensation and the possibility of breast-feeding in order to achieve your desired breast size.

Complications Hematomas, seromas, infection delayed healing and hypertrophic scar.