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Breast Reduction


Breast reduction, also called reduction mammaplasty, is a procedure that removes excess breast tissue and skin, making your breasts more proportional to the rest of your body. The areola (the pigmented skin surrounding the nipple) may be reduced and repositioned as well.

The Best Candidates For Breast Reduction

Breast reduction can be performed at any age, but we usually recommends waiting until breast development has stopped. Childbirth and breast-feeding may affect the size and shape of your breasts. If you plan to breast-feed in the future, you should discuss this with your plastic surgeon.

You may be a good candidate for breast reduction if you have any of the following conditions:
      • back, neck, or shoulder pain caused by the weight of breasts
      • heavy, sagging breasts with very low nipples and areolas
      • breasts that are too large in proportion to your body frame
      • skin irritation beneath the breasts
      • indentations in your shoulders caused by tight bra straps
      • restriction of physical activity due to the size and weight of your breasts
      • feelings of self-consciousness about the large size of your breasts
      • one breast that is much larger than the other

The Breast Reduction Procedure
The specific method chosen for your breast reduction will be determined by your anatomy, your plastic surgeon preferences and your desired results. The most common method uses a three-part incision. One part of the incision is made around the areola (nipple area). Another runs vertically from the bottom edge of the areola to the crease underneath the breast. The third part is a horizontal incision beneath the breast, which follows the natural curve of the breast crease.

We Have been using a new technique called the No Vertical Scar Breast Reduction to get rid of the vertical scar (which is the only scar that become apparent post-operatively as the other scars are placed in hidden areas), but this technique requires proper selection of patient.

After your surgeon has removed the excess breast tissue, fat and skin, the nipple and areola are shifted to a higher position. The areola, which is usually larger than ideal, is reduced in size. Skin that was formerly located above the nipple is brought down and together to reshape the breast.

The nipples and areolas usually remain attach to their underlying tissue as they are moved to their higher position-much like a button being moved to a higher buttonhole- and this may allow for the preservation of sensation. This method may also preserve the ability to breast-feed, although it is not guaranteed.


After Your Breast Reduction
When the surgery is complete, gauze dressings will be placed on your breasts and covered with an elastic bandage and/or surgical bra.

On the day of surgery, you'll be encouraged to get out of bed for short periods of time. Most of the discomfort you feel in the days following the procedure can be controlled with medication prescribed by your treating team.

Although everyone heals at a different rate, you can expect that your recovery will follow this general time line:

You will begin to move about more comfortably and perhaps even return to (non-strenuous) work within two weeks.

After several week bruising, swelling and normal periodic discomfort will diminish, sensation within the nipple and areola area will gradually improve and you may return to most of your normal activities, including mild exercise.

After a few months your breasts will start settling into a more natural shape, the incision lines will begin to fade and you will notice relief from neck, back and shoulder pain.