Breast Reduction

The size of women’s breasts depends on inherited genes, body weight and hormonal influences. Therefore some women early in teenage years might be uncomfortable with their breasts until the middle age following menopause or the use of HRT. Large breasts might cause difficulties at all ages and these are primarily backache, neck pain, grooves in the shoulders from bra straps, rashes under the breasts and the feeling of self-consciousness. Due to the sexual nature of breasts, the excessive prominence may take annoying attention from the opposite sex, comments and sexual innuendoes. These might create psychological distress to most of the women who suffer from large breasts. One of the most received complaints of women with large breasts is that it is very hard to dress fashionable clothes and be active in sports, especially during the summer months.

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Patient Testimonials

I had been searching for clinics for some time until I heard of Longevita. All my e-mails were swiftly replied and my calls were kindly answered. I strongly recommend Longevita because it is a customer-oriented company for whom patient satisfaction is of utmost importance.

A.S. Breast Reduction Patient

After I decided to reduce my breast size, I consulted many clinics but all they did was just to reply to my e-mails with generic responses. Longevita, however, arranged a free video consultation with the surgeon so I was able to talk to him thoroughly what I exactly wanted. This really put my mind at ease.

S.A. Breast Reduction Patient

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• Breast Reduction at a Glance

  PROCEDURE:	Breast Augmentation, Breast Reduction, Breast Lift (Mastopexy)
  LENGTH:	1 to several hours
  ANESTHESIA:	Usually general
  IN/OUTPATIENT:	Usually inpatient
  SIDE EFFECTS:	Temporary bruising, swelling, discomfort, soreness, change in nipple sensation, numbness, permanent scar
  RISK:	Bleeding, infection, skin loss, asymmetry, loss of nipple sensation. For implants, replacement, rupture, capsular contracture
  RECOVERY:	Back to work: 1 to 2 weeks More strenuous activity: 1 month Fading of scars: several months to 1 year or more
  RESULT LASTS:	Variable, gravity, pregnancy, weight changes or age may cause sagging

• What is Breast Reduction?

  Large breasts can cause some women to have both medical and psychological problems. In addition to self-image issues, some may feel physical pain and discomfort. The weight of excess breast tissue may create a difficulty for having an active life. The emotional discomfort and self-consciousness usually related with having large hanging breasts are significant to many women. Also known as reduction mammoplasty, breast reduction surgery removes excess breast fat, glandular tissue and skin in order to reach a proportional breast size with patient’s body and minimize the discomfort related with overly large breasts. Breast reduction surgery or reduction mammoplasty improves the size and shape of breasts. Following breast reduction surgery, clothes will fit the person much better.

• How it is Performed

  Breast reduction surgery is often performed through cuts on breasts with the removal of the excess fat, glandular tissue and skin. In some cases, liposuction is also used as an excision technique for removing the fat. If fatty tissue is the main factor for overly large breasts then liposuction technique alone might be used for breast reduction surgery. The most suitable technique that will be used on surgery depends on the patient’s personal condition, breast composition, amount of reduction desired, personal preferences and the surgeon’s advice.

  Patients are applied either intravenous sedation or general anaesthesia before surgery. Longevita partner plastic surgeon give the patient detailed information and discuss the most appropriate type of anaesthesia for her prior to surgery. There are three types of incisions possible in breast reduction surgery. The first one is a circular pattern around the areola. The second one is a keyhole or racquet-shaped form with a cut around the areola and vertically down to the breast crease. The third one is an inverted T or anchor-shaped incision. The incision lines are visible and permanent however they are hidden underneath a swimsuit or bra. After the cut is made, the nipple that remains tied to its original blood and nerve supply is repositioned. If necessary, the areola is reduced by excising skin. Reducing lifting reshapes underlying breast tissue. For extremely large pendulous breasts, the nipple and areola may need to be moved and transplanted to an upper position on the breast (free nipple graft). The incisions are brought together to reform the smaller breast. Stitches are layered deep within the breast tissue to create and support the reshaped breasts. Stitches, skin adhesives and/or surgical tape are used to close the skin. Incision lines are permanent, yet in most cases will disappear and significantly improve over time.

• Results

  One can see the results of the breast reduction surgery immediately. Gradually, post-surgical inflammation will subside and incision lines will dissolve. As the patient recovers, she will be satisfied from her new image. The results of reduction mammoplasty are long-lasting. The new breast size should relief the patient from the pain and physical limitations experienced prior to breast reduction. The new image will enhance self image and boost self-confidence. Breast reduction plastic surgery will make breasts smaller and firmer. The patients will have greater pleasure in playing sports and engaging in physical activity. Most women feel very satisfied with the results of surgery. In fact, the level of patient satisfaction resulting from breast reduction surgery is one of the highest of any plastic surgery procedures in Turkey and abroad.

  The day after the operation, the patient will be encouraged to walk a little bit. After a couple of days, the patient will be able to move around in confidence. Activities such as straining, bending and lifting must not be done since these activities may cause more swelling or even bleeding. The patient will be recommended to wear a support bra for a few weeks. Usually, sutures will fade in stages over a period of nearly three weeks, beginning about one week after reduction mammoplasty. The patient may feel less sensitivity in the nipple and areola areas that is usual but temporary. After breast reduction procedures, it is usually possible to return to work in just a couple of weeks.

• Limitations

  If one do not gain or lose a substantial amount of weight or become pregnant, breast size will remain fairly constant. Yet, gravity and the effects of aging will sooner or later change the size and shape of virtually every woman’s breasts. One may choose to undergo a breast lifting surgery to reshape breasts into more youthful form.

• Risks

  The risks of breast reduction surgery are:

  • Unfavourable scarring
  • Infection
  • Anaesthesia risks
  • Bleeding (hematoma)
  • Blood clots
  • Poor wound healing
  • Skin discoloration, permanent pigmentation changes, swelling and bruising
  • Damage to deeper structures either temporary or permanent
  • Fluid accumulation
  • Excessive firmness of the breasts
  • Potential inability to breast-feed
  • Potential loss of skin/tissue of breasts where incisions meet
  • Potential, partial or total loss of nipple and areola
  • Deep vein thrombosis, cardiac and pulmonary complications
  • Pain which may be persistent
  • Fat necrosis

• Contraindications

  Women with a history of irregular mammograms, undiagnosed lumps or other types of masses, severe obesity, diabetes, wound healing disorders, who are breastfeeding (or have recently ceased) or smokers, clotting disorders, heart or circulatory disorders are not good candidates for reduction mammoplasty. Longevita partner aesthetic surgeons will examine the patient to determine if breast reduction plastic surgery is suitable.

Why Choose Longevita?

Disclaimer: This page is designed to supply useful information but is not to be regarded as advice specific to any particular case. It does not replace the need for a thorough consultation and all prospective patients should seek the advice of a suitably qualified medical practitioner.