Take the Load Off!
Breast Reduction Surgery - Making Huge
Impact With Less
Reduction Mammoplasty or breast reduction involves removing excess
breast tissue, skin and reshaping the breast mound. Contrary to
popular presumption, breast reduction is not only a cosmetic procedure
but also a healthy transformation. Most women who undergo this
surgery have been suffering from problems due to disproportionately
large breasts or Gigantomastia.
Symptoms which prompt surgical attention includes:
• Neck, shoulder, and back pain due to heavy breasts
• Indentations on the shoulder due to brassiere straps
• Rash or ulceration under or between the breasts
• Social embarrassment due to size or asymmetry
Gigantomastia can occur at any age, usually at puberty or after
pregnancy and during lactation but can be idiopathic. The procedure can
be performed at any age but is best done when breasts are fully developed.
It is important to document the chief symptoms and physical signs
such as rash or ulceration and understand the patient’s expectations.
Proper examination and measurements should be done in front of a
mirror or on a computer. Any asymmetries need to be shown to and
discussed with the patient. Smokers are advised to quit or stop at least
4 weeks before the surgery.
The surgery basically entails the reduction of the skin envelope and
the breast parenchyma. Techniques (periareolar, lollipop or anchor
shaped) vary according to the skin excess, and parenchymal shaping
can be done using various pedicles (superior, superomedial, inferior,
bipedicled) to maintain blood supply. The incisions are usually well
concealed but leave behind permanent scars. The nipple and areola
move with the pedicle or may be removed completely and reattached
as a free graft, depending on the blood supply.
Typically the wound heals in 10-14 days. It is advisable to avoid lifting heavy
things and stretching the arms until the incision heals. A support brassiere is
worn right after surgery, and scar treatment is started after the wound heals.
As with any surgery, there are ambient risks like infection, hematoma,
altered sensation and pigmentation, unfavourable scarring and potential
inability to breastfeed. It is best to choose a well-trained Plastic Surgeon
to perform the procedure and have all the questions answered.
Dr. Devayani Barve-Venkat
Plastic, Aesthetic &
Nanavati Super Speciality