||Women who undergo breast reduction
are probably the most grateful patients we have in plastic surgical
practice. They are so pleased to be rid of their burden, be it
physical, psychological or both, that their lives are often significantly
changed by this procedure.
Who should have this operation?
The indication for having this operation is self-explanatory.
Any woman whose breasts are large and heavy enough to be a burden to
her as described above or whose breasts have dropped with aging or following
childbirth is a candidate for this procedure.
How is the operation done?
What is required of the breast reduction is to decrease the size of
the breast while lifting and tightening the skin. This involves a reduction
of both the overlying skin as well as the underlying tissue, which is
a combination of breast tissue and fat. Breast tissue predominates in
the younger patient and fatty tissue in the older woman.
Patterns for the skin reduction are carefully drawn on the breasts before
the operation and after the preoperative photographs have been taken.
The skin incisions are then made along these lines and carried into
the underlying tissue to reduce the bulk of the breast in a carefully
The end result is a smaller, tighter breast with the nipple/areola complex
placed at the desired, appropriate height.
The breast lift alone involves lifting a droopy breast which is of adequate
size without removing any breast tissue.
If the breast has decreased significantly in size as well as drooping,
a breast prosthesis may be added to the lifting procedure in order to
replace lost volume.
What sort of anaesthesia is required?
This operation is performed under general anaesthesia.
How long will the operation take?
The operation takes, on average, 2 ½ -3 hours to complete.
Is the operation very painful?
Despite the fact that this is quite a lengthy operation and requires
a lot of dissection of the breast, it is not a particularly painful
operation. You will have an injection for pain after waking from the
anaesthetic but thereafter oral analgesics and anti-inflammatories will
How long will I have to remain in hospital?
While it is sometimes possible to go home on the day of the operation,
it is usually necessary for the patient's comfort to remain in hospital
For how long will I be incapacitated?
It will take a week to ten days for you to be back to a normal routine.