Breast Reduction
From Dr. Federico Macaya


THE SURGERY
AFTER YOUR SURGERY
WHEN CAN I RESUME MY NORMAL ACTIVITIES
RESULTS OF BREAST REDUCTION
HOW LONG WILL THE RESULTS LAST?
COMPLICATIONS

Breast reduction, also called reduction mammaplasty, is designed to relieve the physical discomfort often associated with very large breasts and enhance the overall appearance of your breasts. The procedure removes excess breast tissue and skin, making your breasts smaller and firmer the areola (the pigmented skin surrounding the nipple) may be reduced and repositioned.

THE SURGERY

The procedure of reducing the breasts involves three incisions. One incision is made around the areola. Another runs vertically from the bottom edge of the areola to the crease underneath the breast. The third incision is horizontal beneath the breast and follows the natural curve of the breast crease.

After the surgeon has removed excess breast tissue, fat and skin, the nipple and areola are shifted to a higher position. The areola, which in large breasts usually has been stretched, also is reduced in size. Skin that was formerly located above the nipple is brought down and together to reshape the breast. The nipples and areola remain attached to underlying mounds of tissue, and this allows for the preservation of sensation. The ability to breast-feed may also be preserved by this method, although this cannot be guaranteed.

A general anesthetic is administered, so that you will be asleep throughout the procedure.  

  ( Back to Top ) 

AFTER YOUR SURGERY 

You may notice that you feel less sensation in the nipple and areola areas. This usually is temporary. It may, however, take weeks, months or even more than a year before sensation returns to normal. Your breasts may also require some time to assume a more natural shape. Incisions will initially be red or pink in color. They will remain this way for many months following surgery.

Following reduction, sometimes the breasts may not be perfectly symmetrical or the nipple height may vary slightly. If desired, minor adjustments can be made at a later time. Permanent loss of sensation in the nipples or breasts may occur rarely. Revisionary surgery is sometimes helpful in certain instances where incisions may have healed poorly.

Please stay in Costa Rica at least 10 days after surgery. I recommend the Las Cumbres Inn where you will receive personal attention, required medication and transportation to and from surgery. I visit my patients at Las Cumbres frequently following surgery to check on your recovery.

  ( Back to Top ) 

WHEN CAN I RESUME MY NORMAL ACTIVITIES

After breast reduction surgery, it is often possible to return to work within just a couple of weeks, depending on your job. In many instances, you can resume most of your normal activities, including some form of mild exercise, after four weeks. Driving after three weeks. You may continue to experience some mild, periodic discomfort during this time, but such feelings are normal. Any sexual activity should be avoided for a minimum of one week. After that, care must be taken to be extremely gentle with your breasts for at least the next six weeks.

  ( Back to Top ) 
 

RESULTS OF BREAST REDUCTION

Breast reduction surgery will make your breasts smaller and firmer. Without the excessive weight of large breasts, you may find greater enjoyment in playing sports and engaging in other physical activity.

The incisions from your breast reduction surgery will heal and fade over time. It is important to realize, however, that the incision lines will be permanently visible, more so in some individuals than others. Fortunately, the incisions for breast reduction are in locations easily concealed by clothing.

Breast reduction often makes a dramatic change in your appearance. For this reason, it may take some time to adjust to your new body image. Most women, however, eventually become comfortable with their smaller breasts and feel very pleased with the results of surgery. In fact, the level of patient satisfaction resulting from breast reduction is among the highest of any plastic surgery procedure.

  ( Back to Top ) 

HOW LONG WILL THE RESULT LAST? 

Unless you gain or lose a significant amount of weight or become pregnant, your breast size should remain fairly constant. However, gravity and the effects of aging will eventually alter the size and shape of virtually every woman's breasts. If, after a period of years, you become dissatisfied with the appearance of your breasts, you may choose to undergo a breast "lifting' procedure to restore their more youthful contour.  

COMPLICATIONS

Complications are not common and include bleeding, infections, skin necrosis, permanent loss of sensation in the nipples.

  ( Back to Top ) 
 

 



All material on this site is copyrighted material.
Any use of any part of this material without written permission is strictly prohibited.
2004 ArrivaCostaRica.com. All rights reserved.