Breast Reduction – Lifting
Weight gain, genetic predisposition, enlargement and sagging of some breasts during pregnancy are sometimes inevitable due to the effect of gravity. The negative effects of women’s social life such as the difficulty in choosing clothes and dresses, the scars left by the used bras on the shoulders, the formation of diaper rash and bad odors especially in the lower part of the breasts in summer, the tiring effect of neck and back pain make women more difficult in daily life.
Breast reduction and breast lift surgeries are very similar in basic principles. The aim is to get the tip of the sagging breast (nipple-areola) where it should be. While doing this, if no tissue is removed from the breast or if less than 350 grams of tissue is removed, breast lift is performed, and if more tissue is removed, breast reduction is achieved.
The technique to be applied according to the size of the breast and its location on the body should be decided together with the patient, and the patient should be informed about the advantages and disadvantages of the technique to be applied.
Frequently Asked Questions about Breast Reduction - Lifting
Before your surgery, your pre-operative process begins after your doctor and your doctor decide which technique will be used for your surgery.
Since your operation will be performed under general anesthesia, necessary blood tests will be performed before your operation. These analyzes are usually done when you apply on an empty stomach in the morning at the hospital where your surgery will be performed. If deemed necessary, the anesthesiologist may refer to additional analyzes. For this, it is very important whether you have a chronic disease, whether you use any medication and whether you have allergies. We will ask you these questions after the decision for surgery and additional tests and consultations may be requested depending on your situation.
It is very important for you to stop smoking before your surgery, both for your health and for post-operative recovery and good healing of scars.
Together with the surgeon who will perform your operation, you should decide which method is most suitable for you. Some techniques are not suitable at all for some patients and the result may be below your expectations. For this purpose, you should discuss with your surgeon how much your breasts should be reduced, the scars and the shape of these scars.
1. Periareolar Mastopexy (Breast Lift Around the Nipple)
In this method, the upper part of the skin around the nipple is peeled off and excess skin is removed. Then the nipple is taken up and aesthetically sewn all around the nipple. This scar becomes puffy and reddened at the first time after surgery, and then the puffiness disappears first and then the redness. This is the method also known as the method that leaves no trace. However, the use of this method is quite limited. From time to time, the patient may not be able to fulfill the expectation of lifting. Sometimes, however, the scar around the nipple widens and revision may be necessary to bring this permission better.
2. Vertical Mammoplasty (Breast Reduction with Vertical Scars)
This method is the most used method for breast reduction and lift today. After the nipples are transferred up, a sufficient amount of tissue is removed from the lower inner and outer halves of the breast. It is the method by which the blood vessels that feed the nipple, the nerves that receive the feeling of the nipple and the milk ducts are protected in the safest way. At the end of the operation, vertical scars extending downwards form on each breast with an all-around aesthetic suture around the nipple; we can define this scar as a lollipop. Sometimes, in operations performed with this method, a skin pot (puckering) may remain at the bottom of the vertical permit, and a small correction may also be required to eliminate it. Sometimes, according to the size of your breast, a short horizontal line can also be added to the scars to coincide with the lower folding section of the breast.
I usually describe breast reduction with this method to my patients as follows: Think of your breast as a round age pad; let's remove a triangular slice from it, and when we close the rest, the base diameter narrows, the taper increases. I see this method as a technique in which we shrink and erect the breast in the most respectful way to the breast tissue, where we can best protect the nerve vessels and milk ducts that feed the nipple, where the nipple is at the far end of the breast after surgery, where the breast can stand like a shelf standing on the wall.
3. Wise-Pattern Breast Reduction (Reverse-T Technique)
It is the more preferred method for reducing larger breasts and is the surgical method that starts under the nipple in each breast at the end of your surgery and ends in the shape of the inverted letter T. The horizontal scars used in this method may thicken from time to time and become difficult to remove; sometimes the sagging of the breast, which we call bottoming-out, may occur.
4. Free-Nipple Technique (Removal of the Nipple)
It is the method used to reduce much larger breasts. After the operations performed with this method, it becomes impossible to give milk. In addition, the specific erogenous sensation of the nipple disappears, and there can be no hardening and erecting of the nipple. Even if this method is not necessary, it is applied to advanced breasts, especially after menopause. In addition, a certain healing and dressing process is required in order for the nipple to hold in its new place.
You usually stay in the hospital for one night after the surgery. You do not have much pain after your surgery, and it usually responds to painkillers. If drains were used in your surgery, they are also removed within a few days. In addition, you have to use antibiotics and painkillers for a week after your surgery. In the meantime, you need to make a daily dressing for 1-2 weeks, and then generally using scar removal creams and tapes is important for good healing of the scars.
We allow you to take a bath a few days after your surgery. In addition, we recommend that you use the bra we will give you after your surgery for up to 1 month.
Our patients can usually return to their daily activities within 2-3 days, and it may take 7-10 days to return to work. We do not recommend our patients who will come from abroad or from outside the city to return to their homes during this period.
After breast reduction-lift surgeries, there are risks and complications that can be seen after almost every surgery. These include bleeding, infection, edema, opening of sutures and suture reaction. The specific complications of this surgery can be divided into early and late stages.
While early complications may be causes such as bleeding and infection, nipple necrosis is a process that can lead to the loss of the nipple as a result of decreased and interrupted blood flow to the nipple. In such cases, lactation and nipple sensation are also adversely affected. Therefore, in order to avoid these risks, it is in your best interest to comply with the technique chosen for you, and to stay away from any factors that impair wound healing, such as smoking, before and after the surgery. In addition, the nipple sensation may be temporarily affected even if the nipple is not affected, which usually returns to normal in 3-6 months.
The issue of traces from late complications may be the most annoying situation. Breast reduction surgeries are not scarless, and the scar is not the same in every patient. Here, how much tissue is removed from each breast, the patient's age, how drooping the nipple was before the surgery, the possibility of the patient's body producing excessive scars (keloid, hypertrophic scar), smoking, and infections that may occur in the postoperative period are important. Some of these scars can be suppressed with cream silicone bands given in the postoperative period; sometimes minor scar correction surgery may be required after the scars mature. In order to pass this complication process in a healthy way, it will be useful to learn about the maturation process of the scar before the surgery. Remember that no scar heals without a scar and the maturation of the scars on the breast can sometimes even exceed 1 year. In addition, sagging of the breast may occur again. Breast reduction and lift surgeries are not lasting operations like any other stretching surgery. Shrinked or erected breasts will definitely show some sagging depending on age, gravity and the volume of the remaining tissue.