Breast Reduction
Achieve Beautiful
Shape And Form
Breast reductions are life changing and finally gives you the body you were meant to have !
Breast reductions are life changing and finally gives you the body you were meant to have !
Have you ever hunched over to hide your breasts? No women want an unwanted attention because of the breast size. Heavy breasts can make you feel self-conscious and that can have a damaging effect on your confidence and overall happiness. Very large, heavy breasts can create a multitude of health problems. You may experience or have already experienced one or more problems among the following issues in relation to your heavy breasts, like:
- Neck and back pain
- Restriction of physical activities because of heavy breasts.
- Discomfort in daily life.
- Hygiene issues especially along the lower breast crease.
- Painful shoulders because of bra strap tightening and marks
- Heaviness or breathing problems, especially in the night
A procedure to remove excess breast fat or glandular tissue and skin in order to achieve a proportionate breast size in ratio to your body or to get free of the discomfort caused by heavy breasts is known as Breast reduction or Reduction Mammaplasty.
Having disproportionate breasts can cause physical and emotional stress to the patients. Heavy breasts also cause physical pain in the areas associated to them like shoulders, back and chest. Breast reduction surgery is usually done to relieve the patient from the physical or medical pain and trauma caused by heavy breasts. Sometimes the breasts are heavy in proportion to the body. Few women undergo this procedure just to look good and develop confidence when they feel breasts are heavy in proportion to the body.
We, here try to make the procedure less painful and even lesser traumatic for you. We provide a surgical procedure which has a shorter recovery period and is less intense.
Discussions during Breast Reduction consultation should include
- You should discuss your surgical goals and why do you want to opt for this procedure?
- Any previous surgeries and allergies.
- Current medications and herbals supplements and drug use.
- Use of tobacco and alcohol.
A candidate opting for Breast Reduction should fill up these criteria for better results
- Women who feel their breast size are disproportionately large and out of proportion with their body with symptoms of poor body image and symptoms associated with large breasts.
- You should be physically healthy, and your body growth should be complete.
- You should not have any major chronic illness or medical conditions.
- A person should not be very obese and your BMI should be less than 35.
- You should preferably a non-smoker.
- You should really know well about what surgery you are planning to undergo.
- You should be motivated enough to undergo the procedure.
- You should have realistic expectations.
Dr Amit Agarwal's focus during consultation
- Examine your breasts size in proportion to your body. Physical body size measurements, such as weight and height, in and of themselves, have nothing to do with determining whether one is a good candidate for this surgery. Evaluation for your candidature for this surgery is done in relation to the symptoms you are experiencing because of large breasts.
- Assess sagging of breast, position of nipple – areola complex. Few women actually require breast lift for breast tightening and get confused with breast reduction surgery.
- Any asymmetry of breast on both sides and any lumps
- Examine your overall health, and risk factors.
- Take photographs.
- Discuss the choice of incision for breast reduction
- Discuss about combining mastopexy or breast lift with reduction if you want fuller and tighter breasts
- Tell you about the procedure and related outcomes.
- Any risks or complications involved.
- Any family history of breast cancer
Questions to be asked with your surgeon about your surgery
- Am I a good candidate for the procedure?
- How long do I have to stay at the centre?
- What is the procedure?
- Will there be scarring post-surgery?
- How long is the recovery period?
- When can I return to work and daily routines?
- What is expected of me to change in my lifestyle to get better results?
Preparations to be done for the surgery
- You should be physically healthy.
- You should stop smoking if you are a smoker before at least two weeks prior to the surgery.
- Get the tests done prescribed by Dr Amit Agarwal.
- Avoid taking anti-inflammatory drugs and herbal supplements as they aggravate bleeding.
- Admission will be done on the same day at the center.
- Written consent form will be signed explaining the procedure after the admission.
- Compression garment measurement should be given for post-surgical use
- Meeting with the anaesthetist for Pre-Anaesthesia Check-up (PAC) before the surgery. All pre surgical work up investigations should be shown to the operating surgeon and the anaesthetist, and we will evaluate your fitness for the surgery. You will be given date for the surgery only after you are declared fit for the procedure.
- Nil per oral for minimum of 5-6 hours before the planned procedure.
- Breast reduction is a surgical procedure so you should always have an attendant who can accompany you after the surgery for at least 24 hours and drive or take you home after the procedure
Breast Reduction or Reduction Mammaplasty procedure includes
The best and appropriate technique of breast reduction will be determined on the basis of following factors by Dr Amit Agarwal and you:
- Breast size and shape
- Amount of reduction required.
- Elasticity as well as the amount of extra skin to be removed.
- Degree of breast sagging.
- Size and position of your areolas.
- Combining additional procedure of breast lift if required.
Your condition, amount of reduction desired and your breast Composition and the surgeon's advice will decide which technique will used for the surgery.
In the first step, general anaesthesia is given by our very competent anaesthetist and intensivist.
In the second step, Breast Reduction Surgery is performed through incisions on your breast for the removal of fat, glandular tissues and skin. Incision option include:
- A racquet shaped pattern or a keyhole incision is made around the are ola and moving vertically down to the breast crease.
- An inverted T or Anchor shaped incision pattern. This incision starts around the areola, moving down vertically to breast crease and then horizontally along the breast crease.
Scars will be very faintly visiblealong the incision linebut are well hidden under the swimsuit or bra.
Third step includes removal of the extra hypertrophied breast tissues with repositioning of the nipple- areola complexon both the sides. The size of the areola is reduced by excising skin at the perimeter. The underlying tissues of the breast are reduced, lifted and shaped accordingly and nipple is positioned to a new natural height. Liposuction of the lateral chest wall area is combined usually to give better definition to the area.
In the fourth step, the incisions are closed to reshape the smaller breasts. Suturing is layered deep to support the newly shaped breasts. After re-draping and removal of the excess tissues, the remaining skin is tightened, and the incisions are closed with the help of skin adhesives over drains. Drains are placed under the skin to remove excess blood or fluid from the surgery. Incision lines fade and improve over time but are permanent.
The results of Breast reduction surgery are visible immediately. Over the time, swelling and bruising reducesand desired results are achieved.
Scarless Breast Reduction with liposuction
Scarless breast reduction adopts liposuction technique for breast reduction. Since breast is composed of fat and gland elements, liposuction can suck the fat out and reduce the size of the breasts.
This unique technique of liposuction offers several advantages compared to conventional technique which requires long skin incisions on the breast region. These include less trauma to the breast, faster recovery, very few visible scars as the incisions are very small (with two on each breast, each about 3 mm in length), almost invisible to the eye once healed and fewer postoperative complications, improvement in shoulder and neck pain, and more natural appearing results with very less downtime.
Conventional procedure is still definitely the gold standard method for breast reduction for women with large sagging breasts but there are more scars, the surgery takes longer and there are sutures and drains involved. Also, more complications are possible with this type of breast reduction. Liposuction assisted scarless breast reduction will produce a smaller version of the breasts that a woman had before the procedure but liposuction cannot decrease the breast size markedly when compared to conventional technique. The shape of the breasts will be quite similar before the surgery but will be smaller in size and is ideal for women who want smaller, proportionate and youthful breasts, and do not desire or require significant reduction. Women with good skin tone, limited sagging, and an excess of fatty breast tissue, rather than glandular tissue, may be good candidates for scarless breast reduction. Women with moderate to severe sagging and with excess glandular tissues and less fat are not good candidates for this procedure.
The suitability of the procedure and which technique would be best for you can only be assessed after examination by Dr Amit Agarwal in person. He will guide and help you in making the right choice. After consultation, we are sure you will take the best decision for yourself.
Recovery after the surgery
After the surgery, dressings are applied to the surgical area, and you are made to wear a compression garment to reduce swelling and to support your Breasts. You will be discharged next day of the surgery after the drains are removed followed by the weekly visits or as suggested by Dr Amit Agarwal.We may send you home with drain if there is excess fluid in the body. It might be preferable to remove the drain at a follow up visit. The complete result of Breast reduction Surgery will be seen after the swelling and bruising subsides. You should give your body 3 - 6 months' time for evaluation of best results.
- There can be substantial swelling and bruising of the breast area which usually subsides in 1 to 2 weeks
- The sutures will be mostly within the breast crease, around nipple-areola complex which will be dissolvable and do not require to be taken off.
- In the days following surgery, there will be pain which can be subsided by the pain killers given by Dr Amit Agarwal.
- Soreness might last for few weeks.
- You will be made to walk 6 hours post-surgery or the very following day, depending on your will and wish.
- You can start exercising after three to four weeks post-surgery.
- Pressure garment is a must wear for the next 3 months without gap or fail for almost 24 hours a day.
- You can return to work depending on your will power and the type of work required between 6-10 days.
- You can return to your normal life style after two weeks of surgery. After two weeks you will be confident with your new up lifted profile.
You should always follow a healthy lifestyle to maintain your profile and confidence.
Surgeon will give you specific instructions for
- How to take care of the surgical site
- About the medications and how to maintain the general health.
- About your follow ups.
Risk and complications post-surgery
The complications and aftermaths of the surgery vary from person to person and her physical well-being. The factors which affect are poor circulation, a history of blood clots, diabetes or heart, lung or liver infection.
Like every surgery, Breast reduction Surgery also involves some risks and complications which will be discussed during consultation with Dr Amit Agarwal which include
- Rare problems related to General anaesthesia.General Anaesthesia is relatively very safe in this era and time zone and the chances are very rare to land up in any complication. But no one can predict who will land up in complication. Team at Kayakriti Plastic Surgery and Dental Centre has two very competent Anaesthetists and world class workstation and equipments to make your surgical journey as safe as possible.
- Risks related to higher BMI (Body Mass Index).Higher the BMI, higher are the risks of wound healing problems
- Seroma formation or fluid accumulation below the breast tissue can occur which subsides with time.
- Rare chances of infection and wound dehiscence are there which may require prolonged antibiotic therapy and re-suturing respectively.
- Bleeding or haematomaformation under breast skin flaps which might mere require observation or surgical drainage.
- Poor wound healing due to poor blood supply, seen more in smokers, people with medical conditions like diabetes, hypothyroidism or multiple diseases. Poor blood supply can lead to skin discoloration to skin/nipple-areola necrosis (rare).
- Numbness or altered skin or Nipple sensation.
- Inability to breast feed.
- There will be faintly visible scars present along the incision which might hypertrophy only if you are prone for it.
- Persistent pain which subsides with time and mild to moderate medications.
- Deep vein thrombosis, pulmonary or cardiac complications (very rare) can occur or precipitate in patients with multiple pre-existing diseases diagnosed or undiagnosed by routinely available standard tests or if multiple procedure (in other parts of the body like abdomen/thigh/buttocks) are combined in one sitting. Kindly do not force your surgeon for combining multiple procedures in different areas of the body in one sitting which is never recommended by Dr Amit Agarwal and might turn a very safe procedure to an unsafe one.
- Possibility of revision surgery if the results do not meet your expectations.
These are the risks and possible complication which should be discussed by you with your surgeon before the procedure.
The total benefits of Breast Reduction or Reduction Mammaplasty will be seen after the swelling subsides.
You should always follow a healthy lifestyle to maintain your profile and confidence.
Do's and don'ts
- You should always discuss any previous surgery or medical conditions without hesitation.
- You should always wear pressure garment as it reduces swelling and gives proper shape.
- You should immediately consult your doctor if you have any complication.
- You should always maintain a healthy lifestyle for best and prolonged results.
- You should not get into surgery if you are having any major chronic illness and should not hide it with your doctor.
Frequently Asked Questions
If you have heavy breasts and you are facing physical and medical problems, or your breasts are not in proportion with your body then you are a suitable candidate for the surgery.
The visibility of scars will fade with time but they will be permanent. The scars will be along the incision line but the incisions are made in such a manner that they are less visible or can be hidden finely under the bra.
You can get discharged on second day after the surgery after your drain is removed and with doctor's consent.
The results of this procedure visible immediately as it's a reduction surgery but are more prominently visible after the swelling and bruising subsides.
Breast feeding may be still possible, but it cannot be guaranteed because this surgery removes many milk ducts that lead to nipple. It is suggested that you should undergo the surgery after your family is complete. Pregnancy can loosen your breasts to some extent and breast reduction also involves breast lift of some degree, so it will be better to undergo the procedure after pregnancy.
Quitting smoking is a perfect solution even without surgery as it involves many health risks, but it's totally up to your wish that you want to quit or not. But you should surely stop smoking at least 2 weeks before the surgery.
You can resume work just after a week of the surgery, but you surely have to wear pressure garment for best results and proper healing and follow your doctor's instructions.
Breast Reduction Images
Indivisual results may vary from person to person.
These pictures are shown for the purpose of education only.
Shaping dreams through
Know your surgeon better
Best plastic surgeon, Dr. Amit Agarwal is an American Board Certified, extensively trained, and best Plastic & Aesthetic surgeon in Lucknow. He is the Chief Plastic Surgeon heading the Department of Plastic, Microvascular, and Craniofacial surgery at Vivekananda Polyclinic and Institute of Medical Sciences, Lucknow, U.P, India. He maintains a busy practice at Avadh and Nishat Hospital and his own center - Kayakriti Plastic Surgery & Dental Center. He was formerly a Consultant in the Department of Plastic Surgery and Burns at the prestigious SGPGI, Lucknow.
MS, DNB (General Surgery) MCh, DNB (Plastic Surgery),
MNAMS, FACS, FICS, FRCS (Edinburgh, UK)
His Credentials
Three pillars of kayakriti
Privacy
We believe your experience with us should be comfortable and hassle-free to make it one of your best lifetime experiences for yours. We, here at the clinic, take full precautions to maintain your privacy in any manner. We also provide a staff who will receive you from the gate and take you to the chamber directly if you demand.
Trust
Our Surgeon is highly qualified and internationally certified with a team of skilled staff to perform any surgical or non-surgical treatment on your body.
Safety
When you plan to undergo any surgery you should always keep in mind that it's your body and it's a surgery. We, here always keep your safety a priority and will never recommend you to undergo any such procedure which is not safe for you. We also provide you with a detailed description of the complications which may occur after the surgery during the consultation as it's a surgical procedure so there may be some complications depending on the way your body reacts.
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Frequently Asked Questions
If you have flat or small breast and you want to improve your breast and hip contour ratio then you are a good candidate for it. The answer will be best provided after the first consultation with Dr Amit Agarwal.
Acute pain will be there for almost a week which gradually reduces and there will be soreness and swelling which may take up to 3 weeks to subside.
You can join your work and daily routines after a week of the procedure and can start exercising after 3 weeks of it.
Yes, you have to wear it round the clock unless we suggest you to remove it.
This surgery does not affect the ducts or the areas of the breast involved in milk production. Thus, it does not affect the breast feeding.
This surgery does not affect the ducts or the areas of the breast involved in milk production. Thus, it does not affect the breast feeding.
Kayakriti Plastic Surgery & Dental Center
D-43, Near Punjab National Bank, Rajajipuram, Lucknow, Uttar Pradesh - 226017, India
Phone No. +919695940009, +919695940006
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