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Breast Reduction Surgery

Breast Reduction Surgery with Op.Dr Serkan Balta
What is Aesthetic Breast Reduction Surgery?
Breasts can be large for various reasons. As a result of genetic factors, hormonal changes or some diseases, large breasts that do not adapt to body sizes may occur. With weight changes, breastfeeding and the effect of gravity, the existing problem may increase even more. Although the increase in breast tissue and the associated large breast is more common in middle and advanced ages, it can also be seen in young girls.

A sagging breast due to large size can cause back and neck pain in women, and can lead to hunchback. There may be numbness due to the pressure of the bra on the arm nerves. There may be difficulty in breathing. As a result of the continuous rubbing of the breast skin and breast skin, there may be rashes and wounds in the submammary groove. Daily physical activity may be limited. In addition, while large breasts create difficulties in choosing clothes, the woman's disapproval also causes social and psychological problems. Breast reduction surgery not only gives the breasts an aesthetic appearance in terms of volume and shape, but also eliminates the health problems listed above and makes life easier for the person.

Before surgery

If you are considering breast reduction surgery or want to exchange information about it, you should consult a plastic surgeon. In the first examination, the size and shape of your breasts, the condition of your skin, your age, marriage and whether you will have children, the new location of the nipple, etc. situations are evaluated; Necessary information is given about the scar, nipple sensitivity, breastfeeding, type of anesthesia and the risks of the surgery. Seeing pictures of patients who have had previous surgery may make it easier for you to make a decision.

Preparation for surgery

Breast ultrasonography and, if necessary, mammography should be performed in addition to routine preparation before surgery. Conditions such as high blood pressure, smoking, drug habits, diabetes should be discussed. Blood transfusion is usually not required for breast reduction surgery. A companion will be required to assist on the day of surgery and for the next few days.


In aesthetic breast reduction surgery, the large breast tissue is reshaped according to the body size of the person. Excess breast tissue and the skin on it are removed. The nipple is moved to where it should be. The operation is performed in an operating room under general anesthesia in hospital conditions. The operation takes 2.5 – 4 hours.

Depending on the chosen surgical technique, scars can be left in 2 different ways. Either 5-7 cm around the nipple and extending down from the lower edge of the nipple. long vertical scar, or in addition to all these traces, there may be a horizontal scar (inverted T or anchor shaped) located in the sub-breast groove. Traces become vague over time.

It is possible to shrink most breast milk ducts with sparing techniques. Thus, the nipple sensation will be preserved in the future, and the function of lactation after a possible pregnancy will also be preserved. On the other hand, it may not be possible to apply surgical techniques that protect the milk ducts in extremely large and drooping breasts. In this case, the technique in which the milk ducts are sacrificed and the nipple is carried freely is used, and the scars of this surgery are in the form of an inverted T.

After Surgery

Post-surgery is usually comfortable. Pain is minimal. There may be limitation in arm movements. A bra or similar wrap is applied. Usually, pipes called drains are placed in both breasts and removed within 24-72 hours. After one or two dressings, the wound is left open. Generally, dissolving sutures are used and do not need to be removed. 10-12 if there are non-dissolving stitches. day can be taken. You will stay in the hospital for 1-3 days. He can usually take a bath after 1 week. The patient is put on a sports bra for 6 weeks. In the early period, there may be edema in the breast area, sometimes numbness in the nipple and purplish discoloration on the skin. These complaints disappear on their own in a short time.

Back to normal life

The patient can return to work after 1 week. It is recommended to stay away from heavy sports for 2 months. Aesthetic breast reduction surgery is an operation that gives good and permanent results in general, improves the mental health of the person and his partner, makes them more committed to life, and especially facilitates the dressing style of the woman. The newly shaped breast keeps its shape for a long time; however, aging, weight changes, pregnancy, breastfeeding and gravity can cause an increase in breast volume and new sagging.

Risks of breast reduction surgeries
As with any surgery, breast reduction surgery has some risks. Although most people who have this surgery do not experience problems related to the surgery, it is important to be aware of them. Bleeding: It is a rare condition, it can be seen during the surgery or in the postoperative period. After the surgery, the drain placed on the breasts is both to monitor whether there is bleeding and to prevent the collection of blood in the breast tissue, albeit a little. Do not take aspirin or similar drugs 10 days before the operation, these drugs may increase the bleeding tendency. Infection: It is an extremely unusual situation. Most surgeons use prophylactic antibiotics right at the beginning of the surgery. Changes in nipple and skin sensitivity: A temporary decrease in the sensitivity of these areas may occur. Scars: Every surgical procedure heals by leaving scars, most of the time the quality of the scars cannot be determined beforehand. While scars are not noticed in most patients, scars may occur in the skin and deep tissues in some patients, and some patients may even require surgical correction or other treatments.

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