Larger breast size does not always equate to attractive breasts. What matters are form and proportion. Women who have macromastia or oversized breasts who wish to have breasts that are proportionate to the size of their bodies may undergo a breast reduction procedure.

Reduction mammoplasty, often known as breast reduction surgery, involves removing extra skin, fat, and tissue from the breast. It firms up the breasts, makes them less bulky, reduces their size, enhances the symmetry, prevents drooping, and increases their aesthetic appeal.

If one wants breast reduction surgery or contemplating whether it is the right choice. The best breast surgeon in Mumbai, Dr. Parag Telang, has shared some important aspects about breast reduction surgery.

Problems Caused by Enlarged Breasts:

A rash and chronic discomfort beneath the breast fold
The pressure of the breast is creating upper back, neck, and shoulder pain that must be treated with medications
Excess breast tissue restricts exercise
Achy nerves
Lack of confidence, low self-esteem, self-consciousness, mental or physical distress
Trouble fitting into clothes and bras. Shoulder indentation due to bra strap
Societal stigma and discontent due to high bust size
Sagging breasts.

Technique Performed During the Surgery:

Liposuction- Only the extra breast fat tissue is removed during this operation. It causes no visible scars and is less intrusive. The effects persist for a long time. However, liposuction only delivers the best outcomes in people who want a minor to medium reduction in breast size, have little to no drooping, and have elastic skin. In other words, only ladies whose enormous breast size is caused by extra fat tissue can benefit from this treatment.
Excision- In this procedure, extra glandular tissue, fat, and skin are removed by creating an incision on the breast.

Note: Depending on the patient's condition, the extent of the reduction, the ideal result, the surgeon's advice, and personal preferences, a certain treatment will be utilized to reduce breast size.


Who are the right candidates for this surgery?

Female non-smokers
Individuals in excellent health and free of diabetes or heart conditions
Women who don't have obesity
Having completely formed breasts (18 years and above)
Females who aren't pregnant or lactating
Women who do not participate in a program to lose weight
A client who has reasonable expectations.


Precautions to be taken before the surgery-

The surgeon will investigate the medical background and assess one's current state of health. Additionally, a baseline mammogram and full lab tests are performed.
Give up smoking, 6 weeks before the procedure
It is preferable to talk with the surgeon about one's expectations and ideal breast appearance before the procedure.
Avoid using herbal supplements and anti-inflammatory drugs because they raise the chance of bleeding.
Plan for somebody to bring one back from the surgery and stay with them the first night if it is an outpatient procedure.
Eat nothing for eight hours before surgery.
Dress comfortably the day of surgery.


Procedure-

Depending on the degree of breast reduction, the entire surgery might take anywhere from one to three hours. Anesthesia is given intravenously or generally to make patients more comfortable throughout the breast reduction procedure.

Incision- One of the below patterns may be used to make an incision in the breast:
Circular pattern surrounding the areola- In this pattern, the incision scars are more obvious. Scars last a lifetime.
Two cuts are made in the racquet or keyhole design. One is created in a circle around the areola, while the second descends vertically to the breast crease, for moderate reduction.
Anchor-shaped or upside-down. Three cuts are made in this area. The maximum amount of tissue can be removed and shaped using this incision method. this incision method. Patients who have large breasts, asymmetry, or considerable sagging should use this technique.

Tissue removal and repositioning: While the areola is still connected to the blood supply, it is relocated to its new location. The breast tissue is raised, taken out, and reconfigured.
Closing the wounds: The incisions are merged to shape the smaller breast. Sutures are layered deeply within the breast tissue to produce and sustain the newer breast. Skin adhesives and surgical tapes are used to seal skin.


What to expect after the surgery?

The breast is bandaged or dressed in gauze following surgery. The length of time the dressing must be worn depends on how quickly patients recover. A small tube is inserted beneath the arms to drain any excess blood or fluid. Wearing an elastic compression bra may be advised in order to support the breasts while one is recovering. Depending on the type of suture used, stitches will dissolve after 1-2 weeks.

Dr. Parag Telang is a leading plastic surgeon with vast experience in performing various plastic and cosmetic surgical procedures and is also the Director of Designer Bodyz, a centre for advanced cosmetic surgery. Visit the clinic to get expert consultation and to learn about breast reduction surgery in Mumbai.