Procedure Large, pendulous breasts can cause pain in back, neck and shoulders, soreness under the breasts (=intertrigo) and embarrassment. Breast reduction surgery (=reduction mammaplasty or mammoplasty) removes excess breast tissue, lifts the breast and repositions the nipple. It can be combined with liposuction.
Women over 50 or women with a strong family history of breast cancer should have a breast cancer screen prior to cosmetic surgery.
I don’t use drains routinely. The wounds are repaired with sutures under the skin which don’t require removal and dissolve within four months. A support garment following surgery is recommended.
It is advisable to test the excised breast tissue for cancer.
Scars Anchor shaped: Around & below areola & in breast fold
Operation time 3 hours
Anaesthesia General
Hospital Stay Day Surgery > (Overnight)
Benefits Cosmetic, Psychological, Functional, Symptomatic
Risks Bleeding, Infection, Scar problems (stretched, thick, abnormal pigmentation, red, retracted etc.), Skin discoloration, Wound separation, Slough, Necrosis of nipple, skin or fat, Pain, Nerve injury (Numbness, weakness), Pneumothorax, Loss of breastfeeding, Bruising, Swelling, Overcorrection, Undercorrection, Asymmetry, Droopiness, Cosmetic imperfections (higher risk after subsequent pregnancies / weight changes), Unfavourable nipple position or shape, Seroma, Shoulder problems, Skin penetration, Need for further surgery, Skin cones, Allergic reaction
General anaesthetic procedures: Chest infection, Heart attack, Stroke, Blood clots in legs & lungs
N.B. Most complications are unlikely and serious risks are rare
Risk factors Smoking / contraception / flights within 6 weeks of surgery, overweight, high blood pressure, bleeding tendency, diabetes
Optimising factors Diet rich in Vitamin C and protein, plenty of fluids, fresh air, scar massage, sun protection, support garments
Discomfort 1 – 2 weeks
Bruising 2 – 3 weeks
Recovery Light activities 2 weeks, Driving 3 weeks, Physical work / sports / sex 6 weeks, Unrestricted 3 months
Acceptable appearance 2 – 4 weeks for most patients (This is subjective)
Final result 6 – 18 months
Alternatives No Surgery, Custom measured bras, Weight loss, Physiotherapy

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