Assoc. Prof. Çiğdem Karadağ

Breast Reduction Surgery

Meme küçültme - Doç. Dr. Çiğdem Karadağ - İstanbul

It is the surgical procedure performed on disproportionately large breasts that cause back, neck and shoulder pain, posture disorders, and rash under the breast, with intended to reduce the breasts to ideal sizes while also tightening and lifting them. Breast reduction surgery involves removing the excess breast tissue, adipose tissue, and skin, making the breast size suitable for the patient’s body size, and eliminating cosmetic concerns and psychosocial problems caused by excessively big breasts.

In breast reduction surgeries, the patient is recommended to quit smoking approximately 3 weeks before the surgery, in order to avoid wound healing problems. The use of drugs and herbal teas with blood thinning properties should be discontinued, as well. In patients with a family history of cancer and in those over 40 years of age, the breast tissue should definitely be checked with breast imaging techniques (mammary ultrasonography, mammography) before surgery. In patients who intend to undergo breast reduction surgery, it is necessary to question their pregnancy status, breastfeeding status, and whether they are considering pregnancy. For patients in lactation period, breast reduction surgery should be performed at least 6 months after they stop breastfeeding. In patients considering pregnancy, on the other hand, it is recommended to plan the breast reduction operation after their pregnancy or lactation period, because deformations may occur in the breast again due to pregnancy.

Breast reduction surgery is a procedure performed under general anesthesia in an operating room, which takes 3 to 5 hours on average, depending on the breast size. Preoperative planning to be made based on the patient's breast size is of great importance in terms of achieving satisfactory aesthetic results. Before the surgery, measurements and drawings are made in accordance with the technique preferred. In breast reduction surgery, incisions are made around the nipple or they extend from the nipple to the inframammary fold; and excessively large and saggy breasts, incisions are made in the shape of inverted T that extends vertically down from the areola to the inframammary fold. Excess skin, breast tissue and adipose tissue are removed from the breast, the nipple is positioned where it should be, and the breast is reshaped. Drains are placed to control bleeding that may occur in the surgical sites, and the incisions are closed with self-dissolving sutures.  The drains are removed and the patient is discharged after 1 to 2 days. At the end of the surgery, the patient wears an athlete bra. The patient is recommended to wear this bra for 1 month. The pain is felt in the first 1 week and it can easily be relieved with painkillers.


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