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Breast reduction, also known as reduction mammaplasty, is a procedure to remove excess breast fat, glandular tissue and skin to achieve a breast size more in proportion with your body and to alleviate the discomfort associated with excessively large breasts (macromastia).

Disproportionately large breasts can cause both physical and emotional distress for patients. Patients with macromastia may experience physical discomfort resulting from the weight of their breasts. The resulting pain can make it challenging for some patients to perform common physical activities. Along with the physical ailments of macromastia, some patients may suffer from emotional distress or more significant mental health problems as a result of their large breasts.
Although breast reduction is often performed to address medical issues, patients who do not have the symptoms of macromastia but are unhappy with the size of their breasts can still pursue breast reduction as an aesthetic procedure. Patients choosing to undergo breast reduction surgery for cosmetic reasons may cite any number of factors, including social stigmas and wardrobe concerns.

Good candidates for Breast reduction-
• Physically healthy
• Have realistic expectations
• Nonsmoker
• Breasts are too large and limit your physical activity
• Experience back, neck and shoulder pain caused by the weight of your breasts
• Have skin irritation beneath the breast crease

Anaesthesia- General anaesthesia is preferred

Incisions- Depending upon the amount of sagging, loose skin, patient’s preference etc
Three types of incisions/scars are selected.
4. Inverted T shaped scar- for severe breast ptosis
5. Vertical scar- for moderate ptosis
6. Circumferential /Doughnut- mild ptosis


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The excess skin along with fatty and breast tissue is removed, the breast mount is created,nipple areola is shifted upward in a normal and aesthetically pleasing location.

Recovery and results-
It’s a day care surgery and patients can go home same day. Occasionally patient may have to stay admitted for one day. Stitches are dissolvable. Patients can resume work in few days. Some swelling, Bruising and pain is normal and resolves in few days. Patients are advised to wear pressure garment for 2-3 months. Final results are seen after 3-6 months.

Complications can occur but rare-
• Anaesthesia risks
• Bleeding or hematoma formation
• Infection
• Poor healing of incisions
• Changes in nipple or breast sensation, which may be temporary or permanent
• Breast contour and shape irregularities
• Breast asymmetry
• Fatty tissue found deep in the skin might die (fat necrosis)
• Fluid accumulation
• Potential partial or total loss of nipple and areola
• Deep vein thrombosis, cardiac and pulmonary complications
• Possibility of revision surgery

These risks and others will be fully discussed prior to your consent. It is important that you address all of your questions directly with our plastic surgeon.

You should know that:
• Breast reduction surgery can interfere with certain diagnostic procedures
• Breast and nipple piercing can cause an infection
• Your ability to breastfeed following reduction mammoplasty may be limited; talk to our doctor if you are planning to nurse a baby
• The breast reduction procedure can be performed at any age, but is best done when your breasts are fully developed
• Changes in the breasts during pregnancy can alter the outcomes of previous breast reduction surgery, as can significant weight fluctuations

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