Women's breast tissue has a structure that is significantly sensitive to hormone levels in the blood. Similarly, body weight and fat ratio and dietary habits can affect the structure and size of the breast tissue. In the light of all these factors, breast tissue can reach large sizes in some women and can seriously affect the quality of life both in terms of cosmetic and in terms of causing various health problems. In this direction, breast reduction surgery, in which large breast tissue is surgically removed from the body, has come to the fore.
What is Breast Reduction Surgery?
Breast reduction surgery, breast reduction surgery or reduction mammoplasty; It is the process of reducing the large breast tissue in women by surgery and removing the excess breast tissue from the body. While the breast size is reduced after the procedure, excess fat and skin in the breast tissue are removed, and the nipple is moved to the higher region. is the organ. Again, within the breast tissue, there are ligaments and ligaments that support other tissues by keeping the breast taut and upright. Nipple (areola); It is the area where the glands and milk ducts in the breast are opened, with a darker color and a different structure of skin tissue. During breast reduction surgery, the functional structures of the breast such as glands, milk ducts, nipple area and ligament structures are preserved.
Breast reduction surgery; It is a method used in order to obtain a more beautiful appearance in breasts with large and structurally bad cosmetic appearance or to eliminate various health problems caused by large breasts. While people get more positive impressions of their bodies after the surgery, it becomes easier to participate in physical activities and psychological relief is provided.
Why Is Breast Reduction Surgery Performed?
Large breasts cause various health problems besides bad cosmetic appearance. may cause. The following problems can be observed frequently in women with large breast tissue:
Chronic shoulder, back and lumbar painsChronic spine pain Posture disorders, hunchback, curvature of the spine due to the inclined position of the spine · Shortness of breath, lung problems in proportion to the bent position of the spine · Irritation, redness, rash and tenderness of the skin under the breast tissue due to sweating · Restriction in physical activity · Body due to bad cosmetic appearance Deterioration of perception, psychological stress · Tingling, electric shock-like pain due to compression of nerve tissues · Difficulty in bra or top dressing
What Should Be Considered Before Breast Reduction Surgery?
Breast reduction surgery Since it is an invasive procedure performed under general anesthesia, it has various risks and some issues need to be considered before surgery. Since breast reduction attempts may be inconvenient, especially in patients with the following conditions, a decision should be made after consultation with the physician: Since the fat and skin tissues in the breast are removed with breast reduction surgery, they do not have any problems with pregnancy and breastfeeding when the postoperative recovery is completed.
· Obesity: The decision of surgery may not be correct in obese people with very high body weights or in individuals who plan to lose weight. Obesity increases the risks of surgery and may prevent adequate success after surgery. Since losing weight will contribute to reducing the breast size and the surgery plan is subject to change; After reaching the planned weight, it is more appropriate to re-evaluate breast reduction in terms of breast reduction.
· Chronic diseases: People with chronic diseases such as diabetes and cardiovascular diseases must obtain physician approval before elective surgeries such as breast reduction.
· Smoking and alcohol consumption : Since harmful habits such as smoking and alcohol affect wound healing negatively, they increase the risks after surgery.
What are the Risks of Breast Reduction Surgery?
Various complications or side effects may occur in patients after breast reduction surgery. Undesirable effects correct technique It is very rare in operations performed with preparation and preparation and can be eliminated with appropriate treatments after its development. In this respect, the following conditions are among the risks of breast reduction surgery:
Bleeding: It is a rare condition, it can be observed during the operation or in the postoperative period. After the surgery, the drain placed on the breasts is to monitor whether there is bleeding and to prevent the collection of blood in the breast tissue, even if it is a little.
Infection: Although it is rare, it is possible. Most surgeons use prophylactic antibiotics right at the beginning of the operation.
Changes in nipple and skin sensitivity: A decrease in the sensitivity of these areas may occur. However, this situation is temporary. It resolves spontaneously afterwards.
Scars: It is inevitable to leave scars at the end of every surgical procedure. In some cases, the scars may not be noticed, but they may be more prominent in some patients.
Pain: Your neck, back and shoulder pain may continue after breast reduction surgery. In rare cases, scars in the skin and deep tissues of the breast may cause pain. This is an unpredictable situation.
Delay in wound healing: It can be observed, albeit rarely. Some areas of the breast skin or nipple may take more time to heal completely. Frequent dressing may be required. Wound healing problems are more common in smokers. If you want to have a child and breastfeed, you should discuss this situation with your surgeon before undergoing breast reduction surgery.
Allergic reactions: It is known that local allergies may develop, albeit rarely, to the plaster, suture materials or pomades used. Second surgery requirement: There are many factors that affect the long-term results of breast reduction surgery. If a situation such as looseness or sagging of the breasts occurs, additional surgery may be required.
How is Breast Reduction Performed?
The patient is evaluated in detail by the physician before the decision of breast reduction surgery, a detailed anamnesis in terms of additional health problems questioning is made and possible findings are examined with physical examination. Again, various blood tests may be requested routinely before surgery. Ultrasonographic or mammographic examinations can be used to examine the breast tissue.
The operation may take approximately 2 to 4 hours under general anesthesia. Surgery is usually performed through incisions made around the nipple and from the nipple to the underside of the breast tissue. In larger breast tissues, inverted T-shaped incisions can be made from the nipple to the bottom of the breast.
Excess breast fat and skin tissues are removed from the body with the help of various equipments or liposuction devices over the surgical incision area. Then, the breast is rearranged by the surgeon, and the incisions are closed in accordance with the cosmetic appearance and the operation is terminated. During the operation, the nipple area is protected; however, in case of large breasts, the nipple may need to be moved to higher regions as a skin graft. However, since full symmetry in breast sizes or shapes may not be achieved during the postoperative recovery period, additional surgical procedures may be required. Again, since there may be intense fluid accumulation in the surgical area, it may be necessary to insert a short-term drain into both breast tissues. While the amount of drain is followed in the post-operative period, the patient is followed up with necessary anti-inflammatory, analgesic and antibiotic drug treatments.
After the procedure, tenderness and pain may be felt in the breast area. Again, bruising, redness or swelling may be observed in the surgical area. During follow-up, patients may be asked to wear a compression bra. During the healing process, activities that will cause excessive load on the muscles in the chest area should be avoided, and weight bearing of more than a few kilograms should be avoided.
After tissue healing is achieved, problems such as pain, tenderness and swelling disappear. Although these effects heal in about 1 week after the surgery, it may take several months for the breast tissue to completely recover. For this reason, patients are often advised to avoid intense physical activity for 3 months after surgery.
What are the Advantages of Breast Reduction Surgery?
With breast reduction surgery, the negative consequences of large breast tissue in patients can be eliminated. In this respect, the advantages of breast reduction interventions can be listed as follows:
· A cosmetically pleasing appearance is obtained. · Chronic pain problems such as back and waist pain and problems such as hunchback are eliminated. · Physical activities become easier. · The patient's body perception is improved and psychological You can consult the expert team of Grup Florence Nightingale Hospitals for your questions about breast reduction surgery. You can reach our expert team by using the contact form or by calling 444 0436.
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