A Breast Reduction, which is also known as a reduction mammaplasty, is a procedure to make the breasts smaller by removing excess fat, tissue, and skin from them.
Breast reduction procedure reshapes the breasts, and lifts them to a more upright and youthful position. During this procedure, uneven breasts can be made more even. Reduction techniques vary depending on breast size and shape, the amount of tissue to remove, and other factors such as scarring or the need for future breast-feeding.
Before the reduction mammaplasty procedure, patient will have an initial consultation session with the surgeon. During the consultation, the surgeon will measure the size and shape of the breasts and evaluate surgical options, determine patient’s desired nipple placement, and preplan the procedure.
The surgeon will also let the patient know how much breast tissue will need to be removed and which technique is the best to achieve the goal.
Other general recommendations before the procedure are:
Depending on the patient's situation, breast reduction surgery is done either with general anesthesia or local anesthesia with IV sedation.The surgeon makes incisions along the pre-marked lines. Common procedures include an anchor incision, a vertical incision, a free nipple graft, and liposuction.
After incisions, the surgeon removes the portion of underlying fat and excess skin and repositions the nipple and areolae to their new position. Next, the skin beneath the areolae is brought together and closed with dissolvable internal sutures to reshape the new smaller breasts.
The breasts are wrapped with bandages and a surgical drain may be placed in each breast to allow fluids to escape. Drains will be removed in a couple of days. External sutures are removed after one to two weeks. Scarring along the lower centers and creases of the breasts is normal, but scars will fade considerably over time.
Four steps of breast reduction procedure.
Swelling and discoloration after the procedure are normal and will subside over time. If surgical drains are present, they, along with any bandages will likely be removed after a day or two.