Breast Reduction Surgery involves removing skin and breast tissue to reduce the size of the breasts and reshape them to produce optimal aesthetic results.
The following information sheet has been created by Mr White as a general guide to assist his patients and is intended to provide a broad overview of the important considerations related to the decision to have breast reduction surgery.
Breast Reduction Surgery - Patient Information Sheet
The specific nature of the surgery will vary between individuals and is dependent on the unique circumstances of each person. Patients are encouraged to further discuss this information along with any specific questions or concerns with Mr White during their consultation.
The traditional breast reduction technique involves an “anchor” type scar pattern. There is a circular scar around the areolar (coloured area around the nipple), a vertical component and a long horizontal scar based in the fold beneath the breast.
The minimal scar technique that Mr White uses for most breast reductions eliminates the long horizontal scar beneath the breast.
In Mr White’s opinion, the advantages of this, are:
The disadvantages are:
These appearances start to resolve quite quickly in the first few weeks post surgery. It is usually at about 6 weeks after surgery that a true idea about the end result will be possible. In the vast majority of cases these issues settle - in a small group some minor revision may be necessary at about 12 months.
Post operative visits with Mr White
ALTERNATIVES TO SURGERY
RISKS TO CONSIDER
Anaesthetic - In otherwise well people, general anaesthesia is very safe with modern techniques. Mr White’s rooms will give you the details of your anaesthetist prior to surgery to discuss any specific concerns.
Bleeding/Haematoma – This may need a return to the operating theatre to evacuate blood clot. Infection in the wound – If this does occur it can usually be cleared up with antibiotic tablets.
DVT/PE (Deep venous thrombosis/pulmonary embolus) - These are blood clots that are potentially very serious and even life threatening which can form in the legs and travel to the lungs. Multiple strategies are employed to minimise the risk of these occurring.
Scars - Typically the resulting scars are at their thickest and reddest at 6-10 weeks after surgery. Scars continue to mature and improve for up to 18 months after surgery. Scar management advice will be discussed in your follow up visit with Mr White to assist in achieving the goal of a thin, barely noticeable scar. Wound separation/delayed healing - This is much more common in smokers or if there is an infection.
Sensation - This is very commonly altered with surgery. The nipple area is often numb or may even become more sensitive. This may effect both normal sensation and erotic sensation. Generally this settles down over weeks to months.
Nipple/Skin necrosis (death) - A rare complication that occurs most often in smokers. It may affect all or part of the nipple or part of the skin. It usually needs ongoing dressings but rarely may need further surgery.
Breast Symmetry - The final result will take several months to achieve. The majority of women have different sized or shaped breasts before surgery. These differences are taken into account for your operation but small differences may continue to exist or even new ones created. The scars may be slightly different on your right compared to left side.
Breast Feeding - Ability to breast feed after this surgery may be affected.
Breast Cancer - The risk of breast cancer is no higher or lower with this type of surgery. It is prudent to address any concerns in this area prior to breast surgery.
[In the interests of clarity not all possibilities are listed here but just the most common and the most serious.]
All surgery is a balance between realistic surgical goals and knowledge of possible risks and complications. Risks are minimised by careful patient selection and planning, high standards of surgical training, meticulous surgical technique and vigilant post operative care. Small, less serious issues are common and every effort is made to resolve them quickly. These very rarely have any long term effect on an excellent final result.
Suite 61, Level 6 Epworth Eastern Private Hospital 1 Arnold Street Box Hill VIC 3128
Tel: 03 9895 7631 Fax: 03 9895 7519Paging Service: 9387 1000Email: firstname.lastname@example.org
© 2010-2012 Melbourne Plastic Surgery Group - Mr Dean White, Plastic & Reconstructive Surgeon.
This is the Popup Module feature. Assign any module to the popup module position, and ensure that the Popup Feature is enabled in the Gantry Administrator.
You can configure its height and width from the Gantry Administrator.