Extremely large breasts are generally structural, but they can also occur after excessive weight gain. Besides causing aesthetic problems, it can also cause many health problems. Patients usually have neck and shoulder pains, neck hernias, nerve compressions due to hernias, numbness in the hand, back pains, as well as enlargement of their breasts. , posture disorders, diaper rash under the breasts, and bra marks. Surgical reduction of the breasts provides a serious reduction in both aesthetic and health problems of the patient and a serious increase in the quality of life.
Before the operation, mammography and breast USG examinations should be performed in patients younger than 35 years of age. Mammography is recommended at an earlier age in patients at high risk. In some cases, further examination methods may be required.
The aim of breast reduction surgery is to move the nipple up to where it should be, to reduce the size of the breast and shape the breast, and remove the excess skin. Drawings are made after pre-operative photography and measurements. The operation takes 3-4 hours on average, depending on the condition of the breast. After the surgery, special tapes are attached to the incisions and a corset bra is worn. This corset or sports bra is required to be worn for 3-4 weeks. The patient has drains and the drains are removed after 12-24 hours. Early mobilization after surgery is very important to prevent clots and accelerate healing. The average hospital stay is 1 day. After the patient is discharged, he can take a shower thanks to special bands.
In breast reduction surgery, inverted t-shaped incision scars remain around the nipple. Although the amount of these scars varies from person to person, they can be reduced with proper care.
Studies on breastfeeding after surgery show that surgery does not have a negative effect on breastfeeding.
In addition to the complications in every surgery, some complications may occur in this surgery. Loss of nipple sensation and nipple rot are among them. These complications are seen relatively more frequently in the elderly, heavy smokers, and patients with co-morbidities. In this case, choosing the appropriate surgical technique becomes important.
It takes an average of 10 days for the patient to return to normal life.
It is recommended to continue annual USG/mammography scans after surgery.