Breast Reduction

Breast Reduction

 

Breasts that are too large and heavy can make the patient uncomfortable, self-conscious, and suffers from physical disabilities such as backache, neck, and shoulder pain. Moisture and sweat may be trapped under the breasts causing skin irritation and infection. This condition also affects the patient’s daily activity and exercise.

 

Breast reduction is a surgery performed to reduce the breast’s size while maintaining the breast’s aesthetics and functions. Breast reduction restores the breast to normal size and shape and lifts the large and saggy breast to a more upright position. Breast reduction restores physical comfort, freedom, and self-esteem from the burden of excessively large breasts.

 

 

 

Preparation

  1. Inform the doctor of any pre-existing medical conditions and drug allergy. All medical conditions must be treated and stabilized before surgery.
  2. Stop smoking at least one week before surgery. Smoking is harmful to wound healing and increases the risks of other post-operation complications.
  3. Stop the following medications and supplements from one week before surgery until one week after surgery.
    1. All supplements containing vitamin E, ginseng, ginkgo, garlic, fish oil, and other ingredients that increase bleeding during the procedure. Other supplements, traditional medicine, and herbs, in which ingredients are unknown, have to stop as well.
    2. Medicine that increases bleeding during the procedure such as aspirin, NSAIDs, and warfarin. However, you may need to consult your physician who prescribed the medication before you stop them.
  4. On the day of surgery, wear simple and comfortable clothing. Do not wear any makeup. Do not wear any jewelry and metal objects on the face and body.

 

 

 

Surgery

Duration: 3-4 hours

Anaesthesia: General Anaesthesia

Hospitalization: One day

Recovery*: Back to work in 7 days, light exercise after one week, heavy exercise after 4 weeks. * The actual speed of recovery may vary from person to person.

 

 

 

Surgery Technique:

The surgeon reduces the breast volume by removing excess breast tissues and then reshapes the breast’s skin envelope by removing excess skin.

There are two main surgical approaches:

  1. Vertical short scar technique: an incision is made around the areola, with another vertical incision from the areola down to the breast’s lower edge.
  2. Inverted T technique: an incision is made around the areola, with another vertical incision from the areola down to the breast’s lower edge, plus a horizontal incision along the lower border of the breast.
 

 

 

Post-operative Care**

  1. What to expect: Swelling usually peaks on the second to third day after surgery and will gradually subside after that.
  2. Wear a supportive bra for at least one month.
 
  1. General care:
    1. Wear a special supportive bra for at least one month.
    2. Avoid smoking for at least one month. Smoking increases the risk of wound complications.
    3. Sleep on the back. Avoid sleeping on one side to prevent pressure on the breast.
    4. Adequate rest and sleep are helpful for a speedy recovery.
    5. Be relaxed and calm. Contact the clinic if there are any queries.
  2. Medicine: Finish the oral antibiotics as prescribed. Take the painkiller when necessary.
  3. Wound care: Leave the wound dressing on until coming back for review. Change the dressing if it gets dirty or soaked. After removing the wound dressing later, clean the wound with a clean cotton tip soaked with sterile water/saline. Apply antibiotic ointment.
  4. Physical activity: Avoid heavy physical activity and exercise for at least one month.
  5. Follow-up: Come back one week after surgery for review.
  6. Emergency: If there is heavy bleeding, a rapid increase in swelling or severe pain, contact the clinic/doctor for advice immediately.

 

** The instructions in this list are only for general guidance. If you have any specific queries or concerns during the post-operative recovery, please contact the clinic for further advice.

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