Breast reduction, commonly identified as reduction mammoplasty by health professionals, is a medical procedure undertaken aimed at reducing breast sizes. People with large breasts that cause neck, shoulder, and neck pains are the beneficiaries of this surgery. Besides, large breasts affect the performance of physical exercising, cause psychological effects as some people may feel ashamed of their breast sizes. On the other hand, the doctor recommends reduction mammoplasty to males with gynecomastia. Gynecomastia is a medical condition that causes breast tissues to swell due to high estrogen levels. In other words, reduction mammoplasty primary objective is to improve the psychological and physical wellbeing of individuals. Doctors recommended those qualified for the surgery after an evaluation which includes:
- Routine breast examination
- Urine, blood and related lab tests
- Review of an individual medical history
Reduction mammoplasty takes place under general anesthesia. After the surgery, most people go home straight; however, some spend 2-3 nights in the hospital.
Breast Reduction Procedure
Before surgery, persons are advised to stop taking over the counter anti-inflammatory medications such as ibuprofen and aspirin. The medications potentially increase bleeding. Doctors recommend people to stop smoking to reduce areolar and nipple damages, tissue necrosis, and many other related complications. For that reason, people must reveal any tobacco usage, such as vaping to the doctor.
Surgeons start by drawing incision guidelines. The position of nipples, size of breasts, and individual preferences helps in determining incision patterns. The anchor or wise pattern is the most critical skin removal technique involved in breast reduction surgery. The surgeon begins making incisions around the areola. The incision continues beneath the breasts where excess skin is removed from the breast sides.
After the incisions are made, the surgeon removes excess breast tissues and reshape the remaining tissue besides repositioning areola and nipple. The remaining skin is closed using surgical tapes and sutures. When breasts are large, the nipples and areolas are removed from the body and then placed back to the breasts through free nipple graft procedure. These nipples later grow to new positions and numb permanently afterward.
After this procedure, the surgeon wraps breasts using gauze bandages. Small tubes are inserted in the breasts to help in draining excess fluids and reduce swelling after the operation. Showering is banned until the surgeon removes the drainage tubes. As noted, the procedure is simple, and it allows many people to go home after the surgery when they do not experience complications. Before leaving clinics, they are served with postoperative instructions covering topical and oral medications required to reduce pain and proper wound recovery. Enough rest is recommended to give room for the breasts to heal. Movements that may stretch the chest muscles and tear the sutures are not advised.
Most people experience problems in lifting their arms, especially on the first days/weeks. Family members are asked to give help at this time. Until the surgeon removes the sutures, it is when the lifting of heavy materials may start.
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