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Breast Reduction

The size of women’s breasts maybe influenced by simply their genetic make-up, body size or by hormonal factors. Some women develop breasts that are larger and disproportionate to their body size and habitus. Some women learn to live with these but for others the clinical and psychological burdens maybe just too much to put up with.
The over-sized breasts may be too heavy and therefore produce unnecessary stress to these patients. In some patients the weight of the breasts maybe so much that it leaves marks on the shoulders under the bra straps. Patients may also complain of back, neck and shoulder pains.
The oversize breast may also lead to rashes under the breasts. Some patients may complain of the breasts getting in the way during their routine daily activities.
The over-size breasts may also cause psychological problems to patients. This may lead come women to lose self-confidence around their work place, at home and amongst friends. In addition to this, some women become over-conscious of their breasts and may develop a perception of other people staring at them in an inappropriate manner.
A common complaint from women is that they cannot get the fashionable clothing to fit or may refuse to participate in sporting events.
Some women suffer in silence and never seek help. But this is treatable!
Breast reduction is a surgical procedure which can be done to reduce the size, volume and shape of the breasts. This achieved by excising skin and breast tissues in a controlled manner so as to preserve the blood supply to the breasts. There are several techniques which have described and used to achieve this. No one technique is suitable for every patient. The choice of technique depends on the size, volume and shape of the breasts and individually considered factors. The technique which is likely to produce the best result for you will be chosen.
The breasts are reduced in proportion to the size of your chest. The final result will be a size that is proportional to your chest size with optimal breast projection. There is room to make them smaller or larger if you so desire.
Generally, you will be left with a scar which extends around the areolar (the colored skin around the nipple) with an inverted T-shaped scar below.

WHO WOULD BENEFIT FROM BREAST REDUCTION
Women who have

  • Large pendulous breasts disproportionate to their body size
  • Large breasts which get in the way of work or physical activities
  • Back, neck or shoulder pains caused by the weight of the large breasts
  • Indentations of the skin of the shoulders from the bra straps
  • Skin rash at the inferior folds of the breasts

YOUR SURGICAL JOURNEY
BEFORE THE OPERATION

  • You will have at least 2 consultations before your surgery.
  • During your first consultation the reasons for, feasibility and expectations of the operation will be discussed. A series of breast and chest measurements will be made and noted.
  • Standard photographs will be taken with your consent.
  • If you take aspirin or NSAIDS (e.g. Ibuprofen) then you should stop these at least 1 week prior to your surgery. These drugs thin the blood and predispose you to a higher risk of bleeding during and after the operation.
  • If you are a smoker, you should stop at least 4 weeks prior to your surgery.

THE OPERATION

  • This will be performed under a general anesthetic (that is, you will put to sleep by an experienced consultant anesthetists). Most patients are able to go home on the following day.
  • Oudit will visit you in the morning of your surgery. If you have any further questions you would like to ask him prior to the operation, he would be most delighted to answer these for you.

He will then place some marks on your chest. This is an integral part of the process. About 30-45 minutes prior to your operation you will picked up by friendly staff members and brought to the operating theatre suite.

  • Your operation will be done in a safe and caring manner respecting your dignity.
  • Your operation will involve removing the excess skin and breast tissues in a controlled manner with the elevation and re-positioning of the nipple. At the end of the operation, a rubber tube maybe or may not be left in each breast. This is usually removed the next day prior to discharge.

AFTER THE OPERATION

  • You will be recovered in a safe environment by caring staff members before you are transferred to the ward where you will be nursed overnight. The following day, if you have drains, these will be removed, and you will be discharged after Mr. Oudit has seen you.
  • You will be seen in the Outpatient’s clinic one week after your surgery. The dressings will be removed, and wounds inspected. You will then be seen the following week to ensure the wounds are healed and all is well. You will then be reviewed 3 months and then at 6 months later for the final time before discharge.

FREQUENTLY ASKED QUESTIONS

  • Where will my scars be?

Generally, you will be left with a scar which extends around the areolar with an inverted T-shaped scar below.

  • Will I be able to breast feed after this operation?

Generally, yes! Most patients are able to breast feed following breast reduction surgery, but some patients may not because of scarring around the tissues within the breast.

KEY INFORMATION

  • Operating Time: 120-150 mins
  • Anaesthetic: General Anesthesia (GA)
  • Hospital Stay: 1 night
  • Time off work: 2 weeks
  • Exercise: After 6 weeks
  • Driving: 3 – 4 weeks
  • Special Advice: Sports bra to be worn for 6 weeks post surgery and then a wired bra maybe used.