The surgery performed to reduce the breast volume and shape the breasts is a breast reduction operation (Reduction Mammoplasty). The mismatch between breast size and shoulders, waist and hip areas causes many problems. The disproportionality of the clothes, due to the excessive breast size of the breasts, creates problems in terms of aesthetics. Due to the excessive weight of the breasts, the bra exerts excessive pressure on the shoulder area and creates collapses in the areas where the bra touches the shoulder, disrupts the walking and posture positions of the person, and may even lead to neck hernias in the future.
Breast reduction surgery can be performed on patients over the age of 18 who are uncomfortable with breast size and shape. The amount to be reduced and the breast size to be obtained are determined after the patient's examination, after the measurements that determine the ratio of breasts to the body. In breast reduction operations, the breast volume is reduced, the nipple is moved according to the shoulder and arm proportions, and it is aimed to tighten and lift the breasts.
Breast reduction operation is performed under general anesthesia and takes approximately 3-4 hours. Preoperative drawings are the most important part of the surgery. Thanks to these measurements, the place where the nipple will be moved and the amount of breast tissue to be removed are determined. Silicone pipes (Drains) are placed in the surgical area to prevent blood and fluid accumulation in the early postoperative period. It is appropriate for the patient to spend at least 1 day in the hospital after the operation. After about 6-8 hours, after the effect of anesthetic drugs wears off, the patient can stand up.
Exercises that over-work the chest muscle should be avoided for 2 months after the operation. The patient can return to his daily work within 3-5 days. The use of a special bra that covers the breasts for the first 2 months contributes to the shaping of the breasts. The bra also reduces the movement of the breast and provides comfort to the patient in the movements made by using the chest muscle.
The most important structure to be preserved in breast reduction surgery is the nipples. It is aimed to carry the nipples by protecting their blood-nerve connections so that they do not lose their sensory and color properties. Smoking, circulatory diseases, diabetes and long-term use of some medications that adversely affect blood circulation can cause circulatory problems in the nipple and suture areas, which may negatively affect the outcome of the surgery.
After breast reduction surgery, the scar is in the form of an inverted T or lollipop. The clarity of the scars is determined by the response of the patient to wound healing together with sewing techniques.
In breast reduction surgery, some of the milk glands and milk ducts remain intact, and the patient does not have any trouble in giving milk in the following periods.
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