Breast reduction surgery, also known as reduction mammaplasty, is a procedure to reduce breast volume by removing excess fat, tissue and skin from the breasts. It can help to alleviate discomfort and improve quality of life.
Why do you need breast reduction surgery?
Breast reduction surgery is used to resolve certain issues that arise from having large breasts. It can help to:
Reduce nerve pain
Resolve chronic rash or skin irritation under the breasts
Improve chronic back, neck and shoulder pain that requires pain medications
Improve self-image related to large breasts
Breast reduction surgery can also make it easier to move and do daily activities and make it easier to fit into bras and clothing.
Who should not undergo breast reduction surgery?
In general, breast reduction surgery is not recommended if you:
Are a smoker
Are very obese with a BMI of over 30
Are a teenager whose breasts have not fully developed
You may also wish to postpone breast reduction surgery if you:
Wish to have children, as breastfeeding might be challenging after breast reduction surgery. Although new surgical techniques can help to preserve the ability to breastfeed.
Are still in the process of losing weight, as this can affect breast size. You might be advised to wait until your weight stabilises before undergoing breast reduction surgery.
If you are overweight with a BMI of over 30, please speak with your doctor about breast reduction weight requirements as this can impact the success of your surgery.
What are the risks and complications of breast reduction surgery?
Breast reduction surgery has similar risks to any other type of major surgery. Some general risks include:
Infection
Blood clots
Excessive bleeding
Allergic reaction to anaesthesia
Other possible risks and complications include:
Scarring
Temporary bruising
Difficulty or inability to breast-feed
Loss of sensation in the nipples and skin surrounding the nipples (areolae)
Differences in the size, shape and symmetry of the breasts, which might require further surgery
Nipple necrosis, which can disrupt the blood supply to the nipple and areolar areas
How do you prepare for breast reduction surgery?
Before the operation, your doctor will review your medical history and discuss your expectations for breast size and appearance after surgery. This will help your doctor to decide on the best technique/s to use so as to achieve the results you want.
You may also undergo the following physical examinations, scans and tests:
A physical examination and measurement of your breasts
Once your breast reduction surgery is scheduled, your doctor will advise you on how to prepare. In general, you need to fast 6 – 8 hours before the procedure.
Note: If you are taking any medication or herbal supplements, you should inform your doctor. You may need to adjust or stop taking some medication before the procedure (e.g. aspirin, blood thinners). If you smoke, you will be asked to stop for a certain period of time before and after surgery.
What can you expect in breast reduction surgery?
Breast reduction surgery is usually done under general anaesthesia.
Estimated duration
The procedure lasts about 2 – 5 hours. Depending on the extent of the surgery, it may take longer.
During the procedure
Your doctor may use the following techniques to reduce the size of your breasts:
Surgery through incisions
This procedure uses incisions to remove excess tissues. The shape of the incision will depend on:
The shape and size of your breasts
How much tissue needs to be removed
How do you want to look after surgery
There are 2 types of incisions:
Vertical or 'lollipop' incisions are used to address moderate breast reduction and visible sagging. A cut is made around the areola and down beneath the breast. Extra tissue and fat are removed and the breast is reshaped and lifted.
Inverted-T or 'anchor' incisions go around the areola down to the breast crease and along the crease underneath the breast. This type of surgery is used for large reductions and to improve more extensive sagging or unevenness.
Liposuction used in combination with surgery
This procedure uses liposuction to remove excess fat. It is best for small reductions and for people with more skin elasticity.
During the procedure, small cuts are made to insert a thin tube connected to a vacuum. This vacuum is used to remove excess fat and fluids.
After the procedure
Post-operative pain is normal and will be managed with medication. You may be given antibiotics to decrease the risk of infection.
Care and recovery after breast reduction surgery
Once your dressings and drain tubes are removed, you may be asked to wear an elastic compression bra to protect your breasts.
You will need to limit physical activity for 2 – 4 weeks for your breasts to heal. Depending on the surgery, most people recover in about 1 month.
Some scarring is expected after surgery, but usually fades over time.
Why choose Gleneagles Hospital?
At Gleneagles Hospital, we are dedicated to helping you achieve your surgical goals, including those for breast reduction surgery.
Our Singapore-based specialists work as a multidisciplinary team to provide you with comprehensive care for a better quality of life.
Our plastic surgeons
With a focus on optimal outcomes that get you back to your active and lifestyle, our skilled surgeons at Gleneagles Hospital go the extra mile to provide care for a safe procedure and a smooth recovery.
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