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Breast Reduction Surgery Explained


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Reduction mammoplasty or mastopexy is a surgical procedure used to remove excess breast fat, glandular tissue and skin to reduce breast size. It is onlyrecommended for ladies with fully developed breasts, usually age eighteen and above. There are many reasons for breast reduction surgery.

Appearance and improved self esteem are certainly good reasons for reducing breast size. There are further considerations for women with extra large breasts that create unwanted upper back, neck and shoulder pain and pressure, discomfort, problems with finding bras and clothes that fit, limited activities, poor posture and chronic rash under the breast on the creased skin.

The procedure is performed under anesthesia. Cuts are made to remove excess fat, tissue and skin. If excess skin does not have to be removed, excess fat can be removed by liposuction. There are several incision options and one may be better for your breast size and composition. An incision is made in a circular pattern round the areola. Another type of incision is a keyhole or racquet pattern incision round the areola and down to the breast crease. The third option is an anchor-shaped incision with the areola targeted at the top of the anchor.

After the incision is formed, tissue is removed and the nipple is repositioned. The areola's size may be reduced. The areola and nipple may need to be removed fully and transplanted for very big breasts. Tissue is lifted and shaped to provide the desired end result.

Incisions are closed with sutures, skin adhesives or surgical tape. Medicine might be prescribed for the discomfort and swelling. A small tube might be put under the breast skin to drain excess blood or fluid. Incision lines will fade over time but scars may still be identifiable. They won't be visible thru a bra or other clothing.

While the results of reduction mammoplasty are long lasting, breast form and size can change due to ageing, pregnancy, weight loss or gain and hormone-triggered changes. Like with any medical technique, there are many risks connected with reduction mammoplasty operations and you need to review these with your cosmetic surgeon.

Risks and complications include scarring, infection, permanent or transient changes in nipple or breast sensation, potential inability to breastfeed, poor wound healing, breast shape irregularities and asymmetry, discoloration of the skin and swelling, fluid accumulation, nipple and areola partial or total loss, discomfort, death of deep fat tissue and others. In some cases, a second procedure might be necessary to achieve the most satisfactory results.

It is important to discuss with your cosmetic surgeon whether or not you are a good candidate for breast reduction surgery and what your options are. Benefits and risks must be weighed carefully to make a sensible choice. Surgery costs must be discussed as well and whether medical care insurance will cover the treatment.
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