Project Description

Breast Reduction surgery is life changing surgery.  For many women the effort and pain they experience from carrying around large, pendulous breast is debilitating in every way.  The procedure to reduce or reshape the breast involves the removal of excessive tissue and elevation of the nipples, resulting in a pleasing, well proportioned contour.

In some women a breast lift, or mastopexy, may be all that is required. There are several different techniques currently practiced for reduction mammaplasty; all aim to locate these scars in as inconspicuous areas as possible.

I do not believe anyone can produce a good, long term result from liposuction  of the breast material and do not recommend this to anyone considering a reduction.

 

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Breast Reduction Surgery is literally a weight being lifted from your shoulders, it improves comfort, confidence, self esteem and posture.

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Reasons

Women with large breasts often experience neck and back pain, headaches, shoulder grooving, and rashes under the breasts.  Larger breasted women may also have difficulty participating in sports or finding clothes that fit well.  Breast reduction surgery can alleviate these problems as well as improving the appearance of the breasts.
Following breast feeding the breast can ‘hollow out’ or fall, woment may still retain a reasonable amount of breast tissue however, the distribution of this tissue is not flattering.  Performing a breast lift or mastopexy removes excess skin, and remodels the breast to create a firmer and more ‘perky’ breast shape. 
Women who have enjoyed their breast implants in their early years are often happy to have them removed in their twilight years.  It may be their implants have hardened or ruptured or their breasts have enlarged through menopause, whatever the reason the removal of the implants often leads to the need to reshape the breasts.   Removing the implants creates an excess of skin which will need to be excised and the remaining breast material to be reshaped into a more youthful looking breast.
Male breast reductions are called Gynaecomastia.  Some men produce natural breast tissue which can be a difficult condition to hide and can become quite embarrassing for them. Gynacomastia surgery involves a surgical incision around the nipple and remove of this tissue.

For most older women with DD or larger breasts I perform the inferior pedicle breast reduction.
This operation leaves a scar around the nipple, from the nipple to the lower fold of the breast and along the lower fold of the breast from near the midline to the front of the armpit line laterally (an anchor shaped scar).
This operation is used for large reductions and very pendulous breasts as it removes a lot of skin as well as breast material.  Liposuction is used on any under arm bulges to reduce the length of the incision.  This method produces a reduction to a large B or small C size.

For a smaller reduction or for young patients, I use the vertical pedicle reduction with a variable  scar under the breast. This operation doesn’t remove as much skin as the inferior pedicle, nor does it reduce the breast as much but it does produce a more projecting shape.

A vertical pedicle also takes longer to ‘settle down’ after the operation with skin folding and irregularity under the breast for some weeks afterwards. Younger patients have better skin for ‘take up’ than older and also tend to scar more prominently, so a shorter scar operation is a better option.

Some surgeons prefer to perform this surgery as a day case, at CAPS we believe in providing an overnight stay.  We want our patients to take their time to rest and recover.  It also provides us an opportunity to ensure their pain relief and post op nausea (if present) is well controlled before being discharged to the care of their family or friends. 

Considerations

Dr Taylor uses drains postoperatively.  The use of the drains provides a number of benefits to the patient.

Following surgery, fluid builds up around the surgical site, drains remove this fluid and therefore the swelling and stretching is reduced as is the pain associated with this.  This fluid can also collect and form seromas or possible infections.   Finally the drains provide Dr Taylor with a clear picture of what is happening inside – if there is a problem it can be seen in the drain and acted on immediately rather than when you are at home and not sure what to do.

Breast Reduction Surgery take upto 4 hours in theatre, Dr Taylor recommends an overnight stay in hospital, two weeks off work and six weeks of light duties. ie no physical activity or contact sport.   Our ladies are provided with a support bra which we recommend is worn 24 hours a day for the first two weeks and then only during the day for another 4 weeks.  We strongly encorage patients are discharged into the care of family or friends for at least 24 hours following surgery.

Although the external wound of a breast reduction is not large the internal wound is.  To reduce the risk of wound break down patients need to REST and let the body heal.

A discreet medical certificate is provided to ensure patient recovery is not compromised.

In the excitement of the surgery patients often overlook the importance of preparing for it.  What  patients do in the lead up to surgery and knowing how to plan appropriately for your recovery can make the difference between an anxious process or a more relaxed one.

Because we were frequently approached by patients who wanted to know what they could do in preparation for the surgery we put together a “pre-surgery program”.  Now seven years later we know the value of this program and offer it to our patients as part of the service we provide.

If your surgeons doesn’t offer this then you can do it yourself.  We use a multivitamin to ‘detox’ the body which aids recovery getting patients back on their feet faster.  We also use a herbal medication to reduce the bruising and swelling associated with the surgery, again we have found this to be highly effective.

Knowing what to expect is vital to the planning of your recovery.  Understanding what you can and cannot do will ensure you are not put in a position where you put yourself or the success of your surgery at risk.  All this will depend on your personal situation.  How much time do you need off work? Do you need to drive?  Do you live alone?  Do you have a family that relies on you? Do you have small children? Do you have to lift children or heavy objects in your day to day life? Do you play sport? What is going on in your life for the first six weeks after surgery?

Again answering these questions will ensure you have planned appropriately for your surgery and your recovery.

Up to you! But if you are suffering from large, pendulous breast now – why wait?  Breast feeding is not guaranteed and you may be in this situation for years for nothing!  I have performed this procedure on all kinds of patients – those that have waited, those that haven’t and I can honestly say it makes no difference.  In some cases women who have had children who couldn’t breast feed before their surgery were able to successfully feed babies post surgery and likewise women who had the surgery weren’t able to.  Recognising the importance of breast feeding I think it is also vital we consider the mother – how does a ‘G’, ‘H’ or even ‘HH’ cope with pregnancy let alone the constant engorgements of breast feeding.

Young girls with large breasts often become withdrawn and self-conscience and find it difficult to feel comfortable in relationships.  A breast reduction can change their lives and give them the self confidence and strength to do whatever they want.

Yes, it is a risk but weight up the options and make the decision that is right for you.

My advice – life is short – live every moment of it and do what you need to do to make it enjoyable!

With the operation behind you, you may be feeling sore and anxious about how you will cope over the next few weeks. The best thing you can do is REST. The body cannot heal and function at the same time – that is why you need to SLEEP.

Taking regular pain medication will ensure you remain comfortable – follow the instructions given to you at discharge – DON’T BE HERO – there are no prizes for not taking it.

Results may be compromised by complications, always contact us if you;

  • are unable to cease or slow bleeding of the wound after applying pressure to the area.
  • feel any heat or increasing pain developing in your wound.
  • notice excessive swelling and bruising accompanying pain and tenderness.

Rapid intervention will reduce the chance of a complication becoming a real issue.  Ensuring you have planned appropriately for your recovery will make an enormous difference.

Most importantly – Relax and ENJOY IT.  When else are you going to get the opportunity to catch up on the lastest DVD series or read that book getting dusty in the corner?

 

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Any surgical or invasive procedure carries risks. Before proceeding, you should seek a second opinion from an appropriately qualified health practitioner (eg. your GP).