Breast Reduction / Mammoplasty

The breast reduction procedure removes fat, glandular tissue and skin from the breasts, making the breasts smaller, lighter and firmer. Breast reduction can also reduce the size of the areola – the darker skin surrounding the nipple. The goal of this procedure is to give patient smaller breasts that are in proportion with the rest of her body. Breast reduction is usually performed for physical relief as also for cosmetic improvement.
THE SURGERY
Although techniques vary, the most common breast reduction procedure involves an anchor-shaped incision that circles the areola, which extends downward, and follows the natural curve of the crease beneath the breast. Dr. Viral Desai will remove the excess glandular tissue, fat and skin, moving the nipple and areola to their new positions. He will then bring skin from both sides of the breast down and around the areola, shaping the new contour of the breast. The surgery lasts for about 2 to 4 hours. This procedure may be used in conjunction with liposuction to remove excess fat from the armpit area.

WHAT TO EXPECT AFTER THE SURGERY
It may take about 2-6 weeks for breasts to settle into their new shape; however, the swelling and bruising will disappear in the first few weeks. The operated area may ache for a couple of weeks. The patient should avoid lifting or pushing anything heavy for three to four weeks. The patient may return to work (if not too strenuous) and social activities in about 2 weeks.

RISKS, COMPLICATIONS AND SIDE EFFECTS
As in case of any surgery, risks include bleeding, infection and problems with anaesthesia. Some patients may develop small sores around the nipples after the procedure, but this can be treated with antibiotic creams.

Side effects include noticeable scars (poor healing and wider scars are more common among smokers), slightly mismatched breasts, unevenly positioned nipples and possible loss of feeling in nipples or breasts. Since breast reduction surgery removes most of the milk ducts leading to the nipples, future breast-feeding may not be possible.