Reduction Mammoplasty

Reduction mammoplasty, also known as breast reduction surgery, is a surgical procedure designed to reduce the size of breasts that are disproportionately large. The goal of the procedure is to alleviate physical discomfort and improve the overall appearance of the breasts.

Purpose

The primary purpose of reduction mammoplasty is to:

• Reduce the size of the breasts to a more proportionate size
• Alleviate physical symptoms such as back, neck, and shoulder pain caused by large breasts
• Improve posture and reduce strain on the muscles
• Enhance self-esteem and confidence

Candidates for Reduction Mammoplasty

Women who are considered good candidates for reduction mammoplasty typically:

• Have large, heavy breasts that cause physical discomfort or pain
• Experience skin irritation or rashes under the breast fold
• Have difficulty finding clothes that fit properly due to their breast size
• Are self-conscious about the size of their breasts
• Are in good physical and emotional health

Surgical Techniques

There are several surgical techniques used for reduction mammoplasty, including:

• Wise pattern (anchor-shaped) incision: This is the most common technique, which involves an incision around the areola and a vertical incision down to the breast crease.
• Vertical scar (lollipop) reduction: This technique involves an incision around the areola and a vertical incision, but does not extend into the breast crease.
• Periareolar (donut) reduction: This technique involves an incision around the areola only.
• Free nipple graft: This technique involves removing the nipple and areola and reattaching them as a graft to the new breast position.

Surgical Procedure

The surgical procedure for reduction mammoplasty typically involves:

• Administration of general anesthesia or sedation
• Making the necessary incisions
• Removing excess breast tissue, fat, and skin
• Repositioning the nipple and areola
• Closing the incisions with sutures or staples

Risks and Complications

As with any surgical procedure, reduction mammoplasty carries risks and potential complications, including:

• Bleeding or hematoma
• Infection
• Scarring
• Numbness or loss of sensation in the nipples or breasts
• Asymmetry or uneven breast size
• Reaction to anesthesia

Recovery and Aftercare

After reduction mammoplasty, patients typically:

• Experience swelling, bruising, and discomfort, which can be managed with pain medication
• Need to wear a supportive bra or compression garment for several weeks
• Should avoid heavy lifting, bending, or strenuous activities for several weeks
• May need to take time off work or school for recovery
• Will have follow-up appointments with their surgeon to monitor healing and remove sutures or staples

Results

The results of reduction mammoplasty can be:

• Smaller, more proportionate breasts
• Relief from physical discomfort and pain
• Improved posture and reduced strain on the muscles
• Enhanced self-esteem and confidence
• Long-lasting results, but may require additional surgery in the future if breast size increases again