large breast|How to get a beautiful breast

Breast Reductions

Women who undergo breast reductions re among the happiest

with the results of their surgery.  Imagine how removing 2 to 3 pounds or more from the chest improves the posture and appearance and creates a better self-image.

Most cases of oversized breasts (80%, in fact) develop during puberty.  The other 20% occur after pregnancy, menopause, or following substantial weight gain.

large breast and a breast reduction can reduce the breast volume, raise the nipples to the correct height, reshape the breast to produce an esthetically pleasing breast posture, and correct gross asymmetry in Large breast surgery.

What is involved in breast reduction?

A variety of techniques are available to reduce breast size.  The specific technique varies from surgeon to surgeon and depends on breast size and shape, the patient’s age and associated medical problems, and the results desired.  The essential steps are as follows:

The planned incisions are drawn on the breasts while the patient is in a sitting position.  A general anesthetic is then administered.A keyhole incision is made around the nipple and down to the inframammary fold.  With most techniques the incision extends along the inframammary fold to leave an inverted “T” shaped scar pattern.  The nipple-aerolar complex and its underlying breast tissue with the accompanying blood supply and nerves are preserved in order to maintain sensation and circulation to the nipple.

A more recent technique developed by Dr.M.Lejour avoids the scar under the breast.  The incision extends from around the nipple-areolar complex down to the inframammary fold but not along the fold.  This procedure is best used for reduction of smaller breasts.Excess breast tissue and skin within the incisions is then removed and in some cases fat is sucked out using a liposuction technique.  The nipple-areolar complex is raised to the planned height, and the incisions are closed.

Approximately 50% of women can still breast-feed when this technique is used.  For women with very large breasts, or for those who are older and have medical problems, the nipple and aerolar complex is often totally removed and reapplied using a grafting technique.  In this case, there is little or no residual sensation in the nipple and breast-feeding is not possible in Large breast surgery. Drainage tubes are usually inserted into both breasts.  This enables any accumulated fluid or blood to drain into the dressing.  The drainage tubes are removed and the dressings changed 48 hours after surgery.  Normally, the incisions heal within two weeks, and no further dressings are necessary. 

Women who smoke, however, tend to heal more slowly, particularly at the juncture of the inverted “T”.  This is due to the constriction of the small blood vessels within the skin caused by the nicotine, as well as a reduced blood supply caused by the incision and the tension exerted upon the breast skin at the point of closure.  Women are cautioned not to smoke for ideally 5 months but minimally 2 days prior to surgery and a week or 2 following surgery in Large breast surgery.

In most cases swelling and bruising from the surgery is resolved by the tenth to fourteenth day, at which time the sutures are removed.  If the sutures are absorbable, this is not necessary.  The patient is advised not to shop for a new bra for approximately 3 to 4 weeks following surgery to allow swelling to completely subside.  Occasionally, some leakage is noted along the incision from the previous drainage tube sites.  This subsides as the bruising and swelling disappear.

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