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Breast-related issues

breast reduction surgery

Breast reduction surgery brings a new life: releasing burdens and embracing freedom.

Is your breast sagging?
Are you troubled by having overly large breasts? In fact, excessively large breasts can not only lead to sagging and appearance issues but also cause long-term shoulder, neck, and back pain, and even lead to poor posture. Choosing the appropriate breast reduction surgery based on breast sagging and other factors can not only improve your physical health but also enhance your psychological confidence and comfort!

What is breast reduction surgery?

Breast reduction surgery is a type of plastic surgery aimed at reducing the size of overly large breasts, improving macromastia, and helping patients achieve better body proportions and comfort. This surgery involves the removal of some glandular tissue, fat, and skin, followed by reshaping the breasts to achieve a smaller and aesthetically pleasing breast shape.


How is breast reduction surgery performed?

Breast reduction surgery primarily involves making incisions in the breast to remove excess glandular tissue, fat, and skin. The surgical methods include liposuction, inverted T-shaped incision, periareolar incision, and I-shaped incision, with the choice depending on the specific needs and conditions of the patient. Here, four common breast reduction surgical methods are detailed:

  • Liposuction breast reduction surgery:

    • Method: Through small incisions similar to liposuction, fat is specifically extracted from around the areola and the outer side of the breast.

    • Features: Avoid extracting fat from the inner side of the breast and the lower edge of the chest to prevent breast sagging after surgery.

    • Advantages: small incision, scars are almost invisible, short recovery period, and the ability to retain breastfeeding function.

Limitations: Only local fat extraction can be performed, suitable for patients with mild symptoms and good skin elasticity.
 
  • Inverted T-shaped incision breast reduction surgery:

    • Method: A longer incision is made along the lower edge of the breast to remove excess skin and breast tissue, and to reposition the nipple and areola.

    • Features: Suitable for severe macromastia, capable of significantly reducing breast size and sculpting shape.

    • Advantages: Provides flexible shaping space and can remove excess loose skin.

Disadvantages: The surgical wound is large, the recovery period is long, there are obvious inverted T-shaped scars after surgery, and there may be a loss of breastfeeding ability and nipple sensitivity.
 
  • Areola circumferential incision breast reduction surgery:

    • Method: The incision is made around the areola, removing part of the skin and breast tissue, and elevating the breast to fix it to the chest wall.

    • Features: Avoids the vertical scars of traditional inverted T-shaped surgery.

    • Advantages: Scars are not easily visible, while also providing a lifting effect.

Disadvantages: May affect breastfeeding, breast shape may be wide and flat, recovery period requires careful care.
 
  • I-type lollipop breast reduction surgery:

    • Method: A lollipop-shaped incision is made centered around the nipple for breast reconstruction.

    • Features: Suitable for most breast reduction and lift surgeries, with relatively fewer scars.

    • Advantages: Some scars can be hidden within the areola, and the recovery period is relatively short.

Disadvantages: The surgical difficulty is high and requires an experienced physician to perform.

Combine breast lifting and liposuction of side breasts to pursue your dream breast shape.

If your breast skin is already loose and lacks elasticity, breast lift surgery and liposuction of the axillary breast can achieve a more ideal breast contour. The Enherya medical team is composed of experienced plastic surgery experts with professional aesthetic judgment and clinical skills, focusing on tailoring the most suitable breast enhancement plan for each customer. Choose a professional team to make your beautiful transformation more reassuring and smooth!

 

Surgical methods

方法

Advantages

Disadvantages

Scar location

Suitable candidates

Liposuction breast reduction surgery

Small incision to extract fat around the areola and the outer side of the breast.

  1. Small incision

  2. Fast recovery

  3. Retain breastfeeding function

Can only perform localized liposuction.

Small incisions around the areola and on the outer side of the breast

Mildly oversized, with good skin elasticity.

Inverted T-shaped incision breast reduction surgery

Long incision along the lower edge of the breast, removing excess skin and glandular tissue, reshaping the breast.

Significantly reduce breast size

  1. The recovery period is long.

  2. Obvious scars

  3. May affect breastfeeding

Inverted T-shaped vertical scar at the lower edge of the breast.

severe breast hypertrophy

Areola circumferential incision breast reduction surgery

Areola surrounding incision, excising part of the skin and gland, elevating the breast.

  1. Scars are not obvious.

  2. Breast lift

May affect breastfeeding

The fold lines around the areola and the lower edge of the breast.

Those who need to lift and reduce their breasts.

I-type lollipop breast reduction surgery

Lollipop incision for breast reconstruction, raising the nipple position.

  1. less scarring

  2. shorter recovery period

The surgery is complex and must be performed by an experienced physician.

Around the areola to the vertical line of the breast

Most breast reduction and lift demanders


Breast reduction surgery frequently asked questions

Q: What is breast reduction surgery?

A: Breast reduction surgery is a type of plastic surgery aimed at reducing the size of overly large breasts, improving the physiological and psychological effects of macromastia on women. The procedure involves the removal of a portion of glandular tissue, fat, and skin, and reshaping as necessary to achieve a smaller and aesthetically pleasing breast appearance. Through this surgery, patients can attain better body proportions and comfort, alleviating issues such as back pain, shoulder, and neck discomfort caused by overly large breasts. This surgery is particularly suitable for women who experience physical and mental distress due to breast size.

Q: What is the process of breast reduction surgery?

A: The process of breast reduction surgery generally includes several key steps. First, the patient needs to schedule a consultation with the physician. After the physician's assessment, a preoperative examination is required to confirm suitability for surgery. Next, the surgery is performed under anesthesia and typically takes about 120 minutes. After the procedure, the physician will provide care instructions and arrange regular follow-up visits to monitor recovery progress. The overall recovery period usually takes about 1 to 2 months, with specific duration varying from person to person, depending on individual constitution and recovery status. Throughout this process, the doctor will choose the appropriate surgical method based on the patient's personal condition to ensure safety and effectiveness.

Q: What is the difference between breast reduction surgery and chest flattening surgery?

A: The main difference between breast reduction surgery and chest flattening surgery lies in their purposes and methods. Breast reduction surgery aims to address the physical and psychological discomfort caused by overly large breasts by removing unnecessary glandular tissue and skin to achieve an aesthetically pleasing and healthy breast shape. In contrast, chest flattening surgery is primarily designed for individuals seeking gender affirmation or a gender-neutral appearance, with the goal of completely flattening the chest by removing glandular tissue, which not only alters the shape but also eliminates the ability to breastfeed. In summary, breast reduction surgery focuses on improving size and shape, while chest flattening surgery involves the complete removal of breast characteristics, being decisive and irreversible, and is suited for different individuals.

Q: Will breast reduction surgery affect breastfeeding?

A: Whether breastfeeding is possible after breast reduction surgery depends on the surgical method chosen. If liposuction breast reduction is performed, the glandular structure is usually preserved, allowing for the maintenance of breastfeeding capability. However, if glandular tissue is removed due to severe symptoms, it may affect breastfeeding function. Therefore, it is recommended to have a detailed discussion with the physician before considering breast reduction surgery to understand the impact of different procedures on function and recovery, in order to make the best decision for oneself.

Q: What should be noted after breast reduction surgery?

A: After breast reduction surgery, it is important to follow several precautions to ensure a smooth recovery. First, maintain a regular schedule, get plenty of rest, and avoid lifting heavy objects or engaging in vigorous exercise to reduce the risk of bleeding. Post-surgery, it is necessary to wear a compression garment as instructed by the doctor to support the breasts and minimize swelling. Additionally, a drainage tube will be placed at the surgical site, and care should be taken according to the doctor's instructions. Attention to scar care at the wound site, massaging to minimize scar formation, and avoiding smoking, alcohol, and certain foods and medications that may affect blood clotting are crucial steps after surgery. These details can contribute to the best surgical outcomes and recovery.

Q: What types of individuals are suitable for breast reduction surgery?

A: Breast reduction surgery is suitable for various groups, particularly women who experience breast sagging or symptoms of macromastia. These patients may suffer from physical discomfort such as back pain and neck strain caused by overly large breasts, or they may experience psychological burdens related to breast size and appearance. Additionally, individuals with post-pregnancy breast sagging, skin issues (such as dermatitis caused by moisture and friction), restricted physical activity, and body proportion imbalances can benefit from this surgery. Anyone considering breast reduction surgery should have a detailed consultation with a physician to receive tailored advice and options.


Breast reduction surgery process steps

Step 1: Schedule an appointment - Make an appointment for a consultation with the doctor via phone or online platform.

Step 2: Physician Consultation - In the outpatient clinic, the physician will assess the most suitable breast reduction surgery method based on your personal condition and needs.

Step 3: Preoperative Examination - Complete the necessary preoperative examinations, including blood tests, electrocardiogram, chest X-ray, and breast ultrasound, to confirm that the physical condition is suitable for surgery.

Step 4: Perform the surgery - After the anesthetic is administered by the specialist, the breast reduction surgery begins, with a duration of approximately 120 minutes.

Step 5: Postoperative Education and Follow-up - After the surgery is completed, the doctor will provide postoperative care instructions and knowledge, and arrange for subsequent follow-up appointments.

Recovery period: The wounds gradually heal within 1 to 2 weeks after surgery, and the entire recovery period takes about 1 to 2 months, depending on individual constitution and recovery status.


What is the difference between breast reduction and breast flat surgery?

Many people are unclear about the differences between breast reduction surgery and breast augmentation surgery. The biggest difference is "whether the breast tissue is completely removed." Here is a summary to help everyone understand:

Breast reduction surgery:

  • Purpose: Suitable for individuals who experience physical or psychological burdens due to excessively large breasts, such as back pain, chest tightness, or issues with appearance-related inferiority.

  • Method: Remove a certain amount of glandular tissue and skin according to needs, and reshape to achieve a smaller yet natural breast shape. This includes pure liposuction, incisions around the areola or under the breast, and lollipop-style surgery, among others.

  • Effect: The main purpose is to reduce breast size, improve health and psychological state, while maintaining a certain level of breast aesthetics.

Breast reduction surgery:

  • Purpose: Mainly designed for those with gender identity needs or pursuing a gender-neutral appearance, the surgery aims to achieve a flat chest to align with psychological recognition.

  • Methods: including the removal of breast fat and glandular tissue to achieve a completely flat chest. Common surgeries include areola minimally invasive surgery and horizontal flat chest surgery, the latter being suitable for individuals with more relaxed breasts and skin.

  • Effect: Due to the complete removal of glandular tissue, breastfeeding will not be possible after the surgery, making it an irreversible choice.

 

If you want to completely change the characteristics of women's breasts, then breast reduction is suitable.

If you are seeking a body shape that aligns more with your gender identity, or if you desire a neutral appearance due to professional requirements or personal preference, breast reduction surgery may be the right choice for you.

If you want to improve the social and physical discomfort caused by large breasts, then choose breast reduction.

Breast reduction surgery is suitable for those troubled by overly large breasts, especially those who experience back pain, neck pain, skin issues (such as eczema), breathing difficulties, or social embarrassment due to their large breast size.

 

Anyone considering breast reduction surgery should have a detailed consultation with a physician before undergoing the procedure to ensure they understand the potential effects and risks of the surgery.


Suitable groups for breast reduction

    • After pregnancy and breastfeeding, women's breasts may become loose and sag due to weight changes and the effects of breastfeeding.

    • Suffering from physical discomfort caused by overly large breasts, such as back pain, neck pain, or other musculoskeletal issues.

    • Skin problems such as eczema and dermatitis caused by friction or moisture on the skin beneath the breasts.

    • Breast hypertrophy affects daily activities and exercise, making it inconvenient during activities like running or jumping.

    • Breast size is disproportionate to other body parts, leading to difficulties in dressing or self-image issues.

    • Breast enlargement causes difficulty in breathing, especially when lying down or engaging in physical activities.

    • Such as fibrocystic changes in the breast, where breast tissue enlarges due to pathological changes.


Post-operative care instructions for breast reduction surgery

    • After the surgery, a drainage tube will be placed at the wound and removed in about 3 to 7 days.

    • For the first 2 to 3 days after the surgery, cold towels or ice packs can be used to apply cold compresses to the surgical area.

    • Maintain a normal daily routine and ensure sufficient rest.

    • Do not lift heavy objects or engage in intense exercise to reduce the risk of bleeding.

    • After the surgery, wear a shapewear as instructed by the doctor to reduce swelling and support the breasts, preventing the formation of hematomas.

    • Wound healing may take 1 to 2 weeks, and scar care after suture removal is very important.

    • After removing the stitches, it is necessary to continue massaging the breast tissue to reduce scarring and tightness.

    • Scar care can be combined with scar gel or silicone sheets, which can fade in about 6 to 12 months.

    • Smoking and drinking are prohibited after surgery.

    • Avoid consuming foods such as ginseng and reishi that may affect blood coagulation function.

    • Avoid using medications such as aspirin that may cause bleeding or affect wound healing.

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