Reduction Mammoplasty is the name given to the surgical treatment designed to overcome a number of problem caused by excessively large and pendulous breasts. The breasts are naturally too large through the development of excessive breast tissue. This may have stretching and relaxation of the supporting ligaments that result in sagging and loss of the desired feminine outline. This condition can be as psychologically disturbing . However, there are physical problems associated with excessively large breasts – breast discomfort, shoulder and neck pain and backache are prevalent.

Participation in various athletic activities is limited. If the condition is left unchecked into later maturity it may affect the posture through strain and a possible curvature of the spine. Lesser problems, relate to the need for special supportive undergarments, and difficulty in finding suitable clothing to fit in readily available sizes.

Successful treatment of this condition is not new, and has been practiced for more than fifty years. The operation involves the reduction of breast volume, removal of the breast tissue and the restoration of a normal contour consistent with the patient’s skeletal proportions to give a natural appearance. It also involves the repositioning of the nipple to a level consistent with the new breast shape. Results are very good. With this operation the ability to breast-feed is not affected. Nipple sensitivity may be partially or completely lost depending on the treatment selected. Sometimes numbness occurs related to the scar areas. It is unlikely but there may be some asymmetry of the breasts, but it should be noted that no two breasts are identical, even in the normal state . It is rare but scars can sometimes widen, and may need revision at a later date.

The first very important step, is the consultation with the surgeon when patients are very carefully assessed. Developing a patient’s personal understanding of what can be achieved is vital in achieving effective results. Surgeon and patient must aim to develop a mutual understanding.

The operation is performed under general anesthetic and takes about two to three hours. It necessitates a one or two nights stay in the clinic. As far as possible incisions are made in the fold under the breast or around the pigmented nipple area (the areola) in order to minimize scarring. However, there will be scars, even if they are hidden in natural contours but most will fade and improve with time. After the operation there may be some discomfort, but pain relief medication can be administered as required. A dressing is worn post operatively and sutures will be removed at your post op visit. It is most important to follow the post operative instructions carefully. Physical activities must be restricted for at least six weeks, and supportive garments worn as instructed. It takes about a year for scars to fade and for the breasts to settle fully into the new shape.

Finally, results of this operation are extremely successful and rewarding for patients. A typical comment afterward is “If had know how easy it was, I would have had if done earlier”.

Here is a sample of Mammoplasty, before and after. For more pictures please visit website gallery

mammoplasty, before
mammoplasty, after



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