What constitutes the ideal or perfect female breast is a question with no single correct answer, since it has always depended upon époque, nationality, culture and fashion trends. Whilst the modern western trend leans toward increasing the breast size, often by means of implant surgery, there is today an increasingly prevalent counter-trend of women who believe their breasts to be too large for one reason or another, and who consequently seek to reduce the size of their breasts through Breast Reduction Surgery.
Breast Reduction or reduction mammoplasty, involves the surgical removal and reshaping of breast tissue and skin in order to decrease the overall size of the breast in order to produce a more comfortable, youthful breast contour.
Very large and heavy breasts often cause considerable physical and/or psychological distress. It can be the first thing that people notice about you and the one thing they don’t forget. They can become the source of unwanted attention and advances, they can make you stick out in any social situation and weigh just as heavily on your mind as they do on your chest. By getting a breast reduction, you’re freeing yourself up, to feel more balanced and whole again. You’ll be able to go to places like the beach and engage in activities and sports that would have been hard or embarrassing to participate in with larger breasts. You can feel confident and in control of your body, instead of feeling dominated and defined by large and heavy breasts. Many times, the physical pain is what ultimately leads women to choose surgery. Pain is typically felt in the lower back, neck, and shoulders, and sometimes as headaches and this type of discomfort can have a ripple effect into other areas of a woman’s life.
Why do women seek breast reduction?
Most women find large pendulous breasts embarrassingand have difficulty in wearing clothes of their choice. In addition to the aesthetic effects, large breasts often interfere with social or sporting activities. In some patients, they also cause back or/and neck ache and may predispose the patient to arthritis in these areas. Further, many women suffer with repeated skin infections in the crease below the breast.
Before & After Photos
To see a larger number of before and after photos of some of Mr Rezai’s work, please refer to the gallery page: Breast Reduction Before and After
What to consider at this stage
It is important that before you see the surgeon, you consider what you are trying to achieve from your surgery. In particular, consider what size you would like to be.
While most patients are happy with their choice of breast reduction surgery, it is important to understand that every woman has a different anatomy and the “perfect” breasts you are imagining may not be realistic on your frame. There are limitations as to how much breast tissue can be removed without increasing the risk of complications. After the surgery, your breasts will not only be smaller, they may also be a different shape, and in a different position on your chest.
And there is also the scarring to consider, although in most cases, scars heal and fade into fine lines, sometimes, this is not the case and you may develop keloid (raised) or hypertrophic (wide) scarring. If your body has a tendency to develop such scarring, then it is inevitable regardless of the skill of your surgeon or what aftercare measures are in place to reduce the risk of scarring. Some skin types are more prone to developing this type of scarring than others, and this can be assessed during your consultation, especially if you have had any previous surgery.
Before you decide on getting breast reduction, it is really important to consider what is it that you want to achieve, the pros and cons, and discuss your expectations with your surgeon to get a clear picture of how your breasts will change.
Unrealistic expectations will lead to disappointment, even if a surgery is extremely successful.
Breast Reduction – Options & Procedure
When it comes to breast reduction surgery, there are various options, in terms of technique and incision patterns.
The choice of incision pattern and technique mainly depend on the extent of the reduction. Sometimes with small breast reductions in patients with mainly fatty breast tissue, minimal excess skin and good skin elasticity, liposuction may be employed. Clearly, this avoids any of the significant scarring associated with breast reduction. Your suitability for this highly specialised new technique can only be fully assessed at your consultation.However, if you need to remove loose skin and glandular tissue, then a lollipop incision is required, which leaves a scar around areola and a vertical scar from the areola to the inframammary fold (breast crease).
For more extensive reductions, the inverted T pattern also known as the anchor or Wise pattern, is used. This has same two incisions as in the lollipop and an additional scar that runs along the inframammary fold.
However, there is an alternative suitable for some younger women, only requiring a moderate reduction in breast size. That is to remove the fatty tissue of the breasts via a modification of the liposculpture technique.
At your consultation, Mr Rezai will discuss your options you.
- The operation is performed under general anaesthetic
- It takes between 2-3 hours depending on the extent of the reduction
- Patients stay in hospital for one night
- If your work is not physical, expect to return to work after 10 – 14 Days.
- Expect to be back to normal physical activity, including exercise and sports, within 6-8 weeks post-op
Following the operation
As with all surgery, you must expect to feel bruised and sore. Your breasts are likely to be swollen. You may be asked to sleep on your back. You will also have to wear a post-surgery bra continuously for 4-6 weeks, day and night with exception of removing it 1 hour per day. Any sutures are removed after ten to fourteen days.
Recovery after Breast Reduction is very individual and depends on the extent of the reduction. Many can return to work and resume their normal daily routine within 10-14 days post-op. However, strenuous activities, exercising, and heavy lifting should not be resumed until 6-8 weeks post-op, after you have the all clear from your surgeon.
As with all scars, the scars will fade over a period of time. In many women, they heal to form faint lines. However, it is important to remember that no surgical scar ever totally disappears.
Most women consider the scarring of breast reduction to be a more than acceptable trade-off for the significant advantages of not having their large heavy breasts.
Risks & Complications
Cosmetic surgery is amongst the very safest of medical procedures. However, all patients must understand and accept that no surgical procedure is absolutely free from risk. In particular, it is important for women requesting breast reduction to understand that very few women are able to breast feed following the surgery, as the milk ducts are separated from the breast tissue during the operation. In addition, there is a risk that the blood supply to the nipple may be compromised during the surgery. This means that the nipple may not survive. In any event, nipple sensation is frequently reduced post-operatively.
For further information concerning the risks and complications associated with Breast Reduction, please refer to Risks and Complications of Breast Reduction.
At Consultation, Mr Rezai will discuss these risks with you.
How long will the results of your breast reduction last?
In terms of outcome, it takes time for the breasts to settle into their final shape and position. The tissue needs time to recover and settle after surgery, your body needs time to heal but week by week you’ll start noticing positive changes, and the final result will become obvious in six to twelve months. If you do not have any problems with scarring, your incisions should fade into fine lines after one year.
Depending on what stage in your life you have the breast reduction surgery, further surgery may be needed at some point in the future, especially if you have breast reduction in your 20s or before completing your family. Breast size and shape can and most likely will change with pregnancy, breastfeeding or significant weight fluctuations. And sometimes even hormonal changes can cause significantly increase the breast size.