Too big breasts often make women or girls feel embarrassed. The purpose of breast reduction is often not entirely for beauty, but to reduce the physiological burden, but the beauty of breast appearance is also one of the incidental purposes.
Breast reduction surgery is usually suitable for adult women with fully developed breasts. Adolescent women are not recommended to have surgery at this time, unless their breasts are big enough to cause physical discomfort, and women who want to breastfeed are not recommended to undergo this operation.
Breast reduction surgery is not a very simple operation. General anesthesia is generally required, and the operation takes four to six hours. There are many methods of breast reduction surgery. Either way, you will leave a scar on your breast, but the scar can be covered with a bra or swimsuit.
Three purposes of breast reduction surgery:
Reduce the weight of the breast, but also keep the proper size.
Reduce breast skin and tighten sagging skin.
Change the position of the nipple and raise the nipple to a suitable position.
In order to achieve these three goals, doctors should mark the patient's breast before operation, decide the new nipple position and how much breast tissue and skin should be removed. The formal operation is carried out according to the preoperative plan, and it is sometimes modified according to the situation during the operation.
Although breast reduction surgery is not a minor operation, the risk of surgery is generally not high, but like all operations, there may be some complications or sequelae. Such as the risk of general anesthesia, postoperative bleeding, infection and so on, some patients will have some ulcers next to their nipples, which can usually be treated with antibiotic ointment. Patients who smoke are more likely to get ulcers.
After the operation, there may be some differences in the size of the breast or the position of the nipples on both sides, which is inevitable. If the difference is not big, it can be ignored. If the difference is too obvious, you can make some minor repairs and adjustments.
Breast reduction surgery usually does not require blood transfusion, unless an accident causes a lot of blood loss. Traditionally, the cut breast tissue should be examined by pathological section to prevent pathological changes. It has been reported in foreign literature that breast cancer cells are found accidentally in breast tissue after breast reduction, but the probability is very low. Before breast reduction surgery, mammography or breast ultrasound should be done as preoperative screening.
In addition to the above risks, the most common reason why patients are dissatisfied with breast reduction surgery is that it is not small enough! This is sometimes not entirely a doctor's negligence, but a technical limitation. Because if the original breast is very big or drooping, it is necessary to remove a lot of breast tissue and skin when shrinking the breast, and at the same time, it is necessary to keep the nipple and areola intact and move the nipple and areola up a considerable distance. If you do this, the nipple may be necrotic, so in order to protect the nipple areola, the reduction should not be too great. Some patients must gradually reduce it in stages until it reaches her satisfactory size.
1. Inverted T-shaped incision:
This is the safest and most reliable breast reduction method, suitable for large breasts to medium-sized breasts. The disadvantage is that the scar on the lower edge of the breast is sometimes more obvious.
1) mark before operation.
2) After excision of part of breast tissue, the wound before suturing has not been completed.
3) After the suture is completed, it becomes an inverted T-shaped wound.
2. Vertical incision:
This operation method is only suitable for breasts that are not very big. The scar after the operation is shorter than the inverted T-shaped incision, but the chest shape just after the operation will be very bulging, and it will take some time to look good.
1) to remove the skin epithelium on the diagonal.
2) Skin after epithelial removal
3) The future position of the lower breast fold.
4) Just after the breast is finished, it will push up, and it will be natural after a while.
3. Incision around areola:
The method of breast reduction around the areola has the least obvious scar, which is most easily accepted by patients, but unless the amount to be reduced is not very large, it is best not to choose this method, because the shape of the breast made by this method is not very beautiful, the breast will sag in the middle, like a dish, the areola may become very large, and the scar next to the areola is not very beautiful. In the long run, patients' satisfaction with this method is not high.
4. Liposuction: The biggest advantage of liposuction and breast reduction is that it does not leave scars, but there is no way to extract breast tissue by liposuction. Because breast tissue is very solid, only subcutaneous adipose tissue can be extracted. Therefore, it is conceivable that this method can only be used to reduce fat in a small range, and it is only suitable for people with more chest fat. If the breasts are firm, this method is very ineffective.
Breast reduction surgery is not common in eastern society, and every plastic surgeon has limited experience. However, in western countries, breast reduction surgery is one of the most common plastic surgery. Dr. Hong was fortunate to have received a one-year training in breast surgery in the United States. During his training in the United States, he had breast reduction surgery almost every day. During this year, he has accumulated quite a lot of experience in breast reduction, which can be said to be very familiar with this operation.
Before considering breast reduction surgery, we must first understand the possible scars and possible sequelae, and choose an experienced plastic surgeon to have satisfactory results.