Young or older mothers, or sometimes even teenagers, approach a doctor with complaints like shoulder pain, upper body ache, irritation and rashes under the bosom, and some time with the inability to undertake high impact exercises like jogging or aerobics. The most common reason for all these problems is disproportionately large bosoms. There is no doubt that curves make a woman beautiful. But when the breas-t size and proportion are not correct according to the body profile, then the size becomes bothersome, and women look for a respite and best treatment options to correct this condition. In many younger girls, enlarged breas-ts often cause loss of self-confidence due to a disproportionate body profile.
There are many procedures described for the reduction of the large breas-ts. The plastic surgeon looks at one's height, weight, and proportionate breas-t size. Various physical and laboratory examinations and tests are conducted to rule out any breas-t disease like lumps or irregularities. The breas-t is then assessed to check the amount of sagging, skin quality, the amount of fat, and the breas-t tissue present.
It is essential to do sonography and mammography of the breas-ts before the operation to check that there are no tumors or lumps. If there are, the operation is planned accordingly.
Blood tests and other physical tests for fitness for surgery are done along with a formal check-up by a qualified physician.
The patient is admitted to the hospital on the morning of surgery or one night before. The amount of breas-t to be removed and a new nipple position is marked in standing position. The procedure is usually done under full anesthesia. The unwanted lower portion of the breas-ts is removed, and the nipples are repositioned up. The inner and outer portions are stitched under the newly positioned nipple. If the areola around the nipple is too big, it can also be reduced. Usually, breas-t reduction achieves breas-t lift as well. After the operation, a supporting dressing is applied. Antibiotics and painkillers are given to manage pain, and the patient is usually discharged on the next day or day after the surgery.
Breas-t reduction can be done with or without breas-t lift depending upon the patient's need. In most of the patients, both are required. There are two main types of cuts through which the reduction can be done.
Type I is where the final stitches are in the shape of an inverted T or an anchor. The horizontal part of the inverted T lies along the crease on the undersurface of the breas-t.
Type II is a lollipop or mosque dome design where final stitches are vertical. This may or may not be combined with liposuction of the breas-ts.
Quite rarely, in a very large sagging bosom, the nipples are detached and repositioned after removing extra breas-t tissue and reshaping it.
Breas-t reduction is an intricate operation. When liposuction is combined with breas-t reduction, it is performed with a power-assisted device for a smoother and quicker operation.
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