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Breast reduction in Kenya

Patients who undergo breast reduction surgery frequently are seeking relief from physical symptoms caused by the excessive weight of large breasts. Breast reduction usually can solve these problems as well as improve the size and shape of your breasts. Following breast reduction, your breasts will be more proportional to the rest of your body, and clothes will fit you better.

Summary

  • Local anesthesia with general anaesthetic
  • Operating time about 2-3 hours
  • Hospital stay 2-3 days
  • Back to work within 2 weeks
  • Compression support bra for 12 weeks
  • Full exercise after 6 weeks

Am I a good candidate for breast reduction?

You may be a good candidate for breast reduction if you have one or more of the following conditions:

  • Your breasts that are too large in proportion to your body frame
  • Large hanging breasts with nipples and areolas pointing downward
  • Breast asymmetry: one breast is much larger than the other
  • Backpain, neck or shoulder discomfort due to the weight of your breasts
  • Skin irritation underneath your breasts
  • Tight bra straps that cause indentations in your shoulders
  • Restriction of physical activity and exercise due to the size and weight of your breasts
  • Dissatisfaction or self-consciousness about the largeness of your breasts

Breast reduction can be performed at any age. Commonly you will have experienced a lifelong struggle with all the problems associated with oversized breasts, and now you feel it is time to do something about it. Ideally, you should have stabilized your weight.

Sometime large breasts cause problems from an early age, but we usually recommend waiting with surgery until breast development has been completed. Pregnancy and breastfeeding may have significant and unpredictable effects on the size and shape of your breasts, which might decrease in size again over time. Sometimes the size stays too large to be comfortable, at which stage breast reduction surgery can be performed. Nevertheless, many women decide to undergo breast reduction before having children.

During the consultation, you will be asked about the results you would like to achieve from your breast reduction surgery. This will help us to understand your expectations and determine whether they realistically can be achieved.

Breast reduction – the operation

There are a number of different techniques used to perform a breast reduction, depending on the size, amount of ptosis and your expectations of the results. In almost all cases of breast reduction, a method is be used to reduce the amount of scarring.

The incision for breast reduction; vertical scar reduction

Using the safest and aesthetically most pleasing method of the vertical reduction with superomedial pedicle, the incisions and subsequent scars will run around your areola, and from there downwards, curving slightly outwards towards the under-breast fold. Using this type of incision, complications such as wound breakdown are reduced greatly. In very larger breasts, it is sometimes necessary to extend the incision into the fold underneath your breast (anchor- or inverted T- incision).

breast-reduction

The superomedial pedicle in breast reduction; elevation of the areola

In all reductions, the nipple-areola complex (NAC) is repositioned upwards to the original position and the breast skin is drawn around the areola to define your new breast contour. By excision of the excess breast tissue, the breast is not only reduced in size, but also tightened and moulded into a natural shape. The areola, which in large breasts usually has been stretched, is also reduced in size. The amount of fat, tissue and skin removed will depend on the final breast size that you have agreed with us. We usually recommend a size that will fit the proportions of your body.

Sometimes it might be necessary to shape the lateral sides of you chest using liposuction, in order to improve the contour. Usually, the nipples and areolas remain attached to underlying mounds of tissue, and this allows for the preservation of sensation. The ability to breast-feed may also be preserved by this method, although this cannot be guaranteed.

breast-reduction1

Circumareolar reduction for smaller reductions

If you only need a mild or modest breast reduction, or there is an asymmetry between the breasts, the incision needed might just be around the areola, which is sutured again after excision of the excess skin and tissue. This technique is suitable when only a small amount of tissue needs to be removed.

After the breast reduction – Your recovery

  • You will be admitted on the day of surgery, and your length of stay depends on your recovery. Usually, you will stay in the hospital for 2 – 3 nights.
  • You will have tape dressings applied to stabilize your breasts. A small drain (plastic tube attached to a suction bottle) will have been placed to drain excess wound fluid and blood from each side. The drains will usually be removed after 2-3 days. Most people do not find breast reduction surgery to be that painful.
  • On the day following surgery, we will encourage you to mobilise gently. You will also be fitted with a special support bra to gently support your breasts. You will be encouraged to wear this for 12 weeks following the operation.
  • You will be mobile from day one and should be back to full exercise within six weeks. Stitches will need to be removed after 2 weeks, the circumareolar sutures after 3 weeks. Most people have approximately 2 weeks off work following a breast reduction procedure, depending on the type of work you do. It is important in the first 4 weeks to avoid any strenuous activities which can cause stretching to the incisions and disturbance of the new shape.

We will keep a close eye on you after your surgery and would normally see you for your follow-up appointments at regular dressing clinics every 2-3 days and then 6 weeks following surgery, at which point your post-operative photographs will be taken.

Results after breast reduction

Breast reduction often makes a dramatic change in your appearance. Most women feel very pleased with the results of surgery, they often start to exercise again and enjoy new hobbies. Of all plastic surgical procedures, the level of patient satisfaction resulting from breast reduction is among the highest. However, your breasts may require some time to assume a more natural shape – this might take as long as 3 months for the final result to become apparent.

A breast reduction operation is considered a permanent solution to reduce large heavy breasts. Unless you gain or lose a significant amount of weight or become pregnant, your breast size should remain fairly constant. However, gravity and the effects of aging will eventually alter the size and shape of virtually every woman’s breasts over the years. You may choose to undergo a breast “lifting” procedure to restore their more youthful contour at that stage.

The incisions from your breast reduction surgery will heal and fade over time. It is important to realize, however, that the incision lines will be permanently visible, more so in some individuals than others. Ideally, the scars will heal well over time and will then be well concealed. Any scar goes through a maturation process, which takes a year to complete.

What complications can occur?

Whilst these operations are generally safe in the hands of a qualified and experienced plastic surgeon and regarded to be highly successful, there are, as with any operation, risks involved and the possibility of complications that patients need to consider.

Postoperative pain will vary from person to person, but this is generally not considered as a painful procedure.

Most patients are delighted with the physical and cosmetic improvements that breast reduction brings. It is impossible to guarantee that a particular cup size will result. There will be minor asymmetries between your breasts and the scars. Occasionally patients will bleed immediately after the operation and need to go back to the operating room for this to be dealt with. Wound healing problems can occur, particularly in the anchor scar procedure where the horizontal and vertical scars meet. All breast reductions result in some scarring although the nature of the scars will depend on the technique that has been used. Most patients will form good quality scars over time, but occasionally and unpredictably some patients will get lumpy scars that do not improve unless treated. Especially in black skin, hypertrophic or keloid scarring can occur, in which case appropriate treatment will be initiated.

Most wound problems are minor and can be managed with simple dressings. However, more major wound problems can arise such as nfections, skin loss, wound separation and delayed healing. Wound problems, if they occur, can delay your recovery and result in worse scarring. You may notice that you feel less sensation in the nipple and areola areas. This usually is temporary. It may, however, take weeks, months or even more than a year before sensation returns to normal. After many breast reduction techniques it will still be possible to breast-feed, but this ability might be lost.

For further information about what is involved in this type of procedure, please contact Valentis Clinic on 0725 045 705   or contact Dr Tilman Stasch at info@valentisclinic.com if you have any questions regarding your forthcoming surgery.