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Surgical Procedures

Breast Reduction

Many women seek breast reduction surgery because of oversized breasts, a condition that is medically known as breast hypertrophy. Breast hypertrophy typically occurs in both breasts and happens at puberty or soon afterward. Sometimes the over-enlargement of breasts occurs during pregnancy, and then the enlargement persists. Although rare, the sudden onset of breast enlargement does occur. Plastic surgery can treat these conditions. The cause of over-enlarged breasts is unknown. These articles provide information about the procedure and what makes a good candidate for breast reduction surgery.

The oversized-breast condition (breast hypertrophy) typically occurs in both breasts at puberty or soon afterward. Sometimes pregnancy-related breast enlargement persists indefinitely. Although rare, sudden onset of breast enlargement may also occur. No medical therapy exists for breast reduction. Specially designed bras can help relieve some of the discomfort, but they may also cause irritation to the shoulder area.

Breast reduction surgery is typically performed to create a more proportional chest curvature with your overall body shape, and to alleviate problems with activities, health, and clothing. The procedure can also help achieve symmetry where breasts are not equal in size. The plastic surgeon can change the shape and firmness of the breasts to create a more aesthetic appeal. Nipple surgery may also be performed to reduce areola size. In fact, the breastreduction candidate may require a breast lift to achieve a fully satisfactory outcome.

Breast Reduction Information

Breast reduction plastic surgery is usually performed under general anesthesia, so you will sleep through the procedure. The breast comprises glandular tissues, fatty tissues, and skin: all three areas are surgically reduced as needed. Before entering the operating room, the surgeon will ask you to sit upright. While sitting, surgical markings will be drawn on your breasts. The markings outline the "sitting-up" position of your breasts, to make the correct incisions later during surgery when you are lying down. The drawings will typically take the form of an anchor — encircling the areola and extending above the areola to the new location of the nipple. The markings also extend down vertically below the nipple and horizontally following the natural curve of the crease beneath your breast.

The incision is made along the surgical markings. Flaps are created on both sides of the breast and the excess skin, fat, and glandular tissues are extracted. In most cases the nipples are moved to a higher position on the breast, but remain attached to the nerves and blood vessels. For very large breasts, however, the nipples may need to be moved and grafted to a completely new location. In these cases, the nipples are removed from the underlying connecting tissues and you will lose sensation in the nipple and areola.

The nipple and areola are usually moved to a new position. The position of the nipple is usually vertically level with the crease on the underside of the breast. After surgery, the flaps of skin (that were once above the nipple) are refolded around and beneath the breast, pulled to the front of the breast around the nipple, and sutured in place. The reduction of breast tissue and skin reduces the weight of the breast and reshapes it into proportion. Upon completion of the procedure, stitches remain around the areola and nipple area, in a vertical line beneath the nipple and horizontally under the breast. If the breasts were not too overly large, then some surgical techniques can avoid the horizontal scar altogether..

Procedures Plastic Surgery...


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