Breast reduction surgery is
oriented toward women with large, pendulous breasts, since the
weight of their breasts may cause neck, back, shoulder,
circulation, or breathing problems. The weight may also cause
discomfort as a result of brassiere straps abrading or irritating
the skin. Even if physical discomfort is not a problem, some women
feel awkward with the enormity of their breasts in proportion to
the rest of their relatively smaller bodies. Reduction mammoplasty
affords the recipient smaller, lighter, and firmer breasts. The
surgeon may also reduce the size of and change the shape of the
areola or nipples.
Except in unusual cases, this procedure is performed on
individuals with fully-developed breasts. It is not recommended for
women who desire to breastfeed, as it can impair the likelihood of
breastfeeding success and significantly decrease the volume of
breast milk produced because of the surgical disruption to the
lactiferous duct system within the breast. However, a number of
studies have demonstrated a similar ability to breast feed when
breast reduction patients are compared to control groups.
Techniques
The most common procedure, sometimes known as a "Wise-pattern"
reduction, involves an anchor-shaped incision which circles the
areola. The incision extends downward, following the natural curve
of the breast. Excess glandular tissue, fat, and skin is removed.
Next, the nipple and areola are moved into their new higher
position. Recently there has been increasing interest in limited
scar techniques which leave only a vertical scar or a vertical scar
with a shorter horizontal scar. In some extreme cases of drooping,
the areola and nipple may need to be completely removed for
relocation and replaced as a skin graft (aka "free nipple graft").
In these cases, sensation from the areola area will be lost.
The Inferior Pedicle technique is believed to preserve the
lactation potential better than other techniques. The Free Nipple
Graft technique is most likely to impair lactation, although some
women have been known to successfully produce some amounts of
milk.
Procedure
Doctors almost always perform breast reductions while the
patient is under general anesthesia. During pre-operative visits,
the doctor and patient may decide on new (usually higher) positions
for the areolas and nipples.
Patients may take a few weeks for initial recovery, however it
may take from six months to a year for the body to completely
adjust to the new breast size. Some women may experience discomfort
during their initial menstruation following the surgery due to the
breasts swelling.
Article Source: wikipedia.org
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