Breast Reduction - Dr. Yavuz Özsular

Breast Reduction

Anesthesia
General
Operation Period
2-3 Hours
Pain
2/5
Recovery
12 Days
Hospital Stay
1 Night
Dressing Period
8 Days
Corset
4 Weeks

Breast Reduction

Breast reduction surgery corrects saggy breasts that are also larger than they should be. We see even breasts that can even droop as far down as the belly button without wearing a bra. Not only is this rather unpleasant to look at, it can also affect your quality of life. Their weight and size can pose a burden on your shoulders and back.

During this procedure, we remove much of breast tissue and skin around the area as well as move your nipple upwards. This both rounds your breasts off and shrinks them down. You will end up with a better quality of life after the breast reduction surgery.

Why Might I Need Breast Reduction Surgery?

You may need breast reduction surgery if you’ve gained and lost weight, you’ve been had a baby and breastfed, you’re of an advanced age, or have experienced hormonal changes. That said, younger women (who have never given a birth) may also have the surgery done as well due to genetic reasons.

Abnormally large, sagging breasts can impair greatly a woman’s quality of life. We most frequently encounter breasts weighing between 1 and 4 kg in each, and hanging as far down as navel.

They can in turn cause back pain, low back pain, fungus, hunchback, diaper rash, sweat, odor, and even spinal curvature. If you have esthetic worries, they can also cause you to suffer from a lack of self-confidence, and thus push you into withdrawing from your social life. You may have trouble or no longer enjoy swimming, you have struggle finding the right bra, and you may be restricted to only wearing loose-fitting clothes.

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Ask The Doctor...

    A Good Plastic Surgeon Is All It Takes To Make You Say “I’m Glad I Had The Surgery Done…”

    Surgeon YAVUZ OZSULAR

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    If you undergo a breast reduction, you will:

    • Lose 2 to 8 kg around your breasts alone – thus taking immense weight off your shoulders, neck, back, waist and abdomen
    • Look more esthetically pleasing
    • Enjoy a happier social life and feel freer
    • Won’t suffer from sweating, odor, wounds, or diaper rash under your breasts anymore
    • Enjoy a more upright posture – with the help of back exercises. Say goodbye to kyphosis (caused by the large breasts)!

    First, Dr. Ozsular will examine you and measure the distance between your shoulder and breasts, alongside your height, weight, age, shoulder width, waist circumference, and physique – all to decide which surgery will best suit you.  Next, he’ll use photographs and simulation to show you what you’re new breasts may look like.

    Patients generally expect very small breasts from this procedure because they are tired of how heavy their current ones are. Here, your breasts’ initial size is important. We can reduce the size of your breasts without disrupting the circulation to your nipples or other breast tissues.

    Before undergoing the surgery, you need to be in full agreement as well as in full communication with your doctor. You need to be ready yourself both physically and psychologically, and feel as ready as possible.

    Before the surgery, an ultrasonography or mammography should be taken according to your age and your blood values should be controlled.

    If you smoke, you should quit before the surgery. Also, Dr. Ozsular may tell you to temporarily stop using certain medications – in which case you should do so. If you take aspirin or any form of anticoagulant, tell Dr. Ozsular and continue only if he tells you to do so.

    Try to reduce how much salt you consume as well a few days before the surgery. This will reduce your risk of developing edema.

    You are allowed to eat as well as drink water until 00:00 (12 AM) the night before your surgery. Since the surgery will be conducted under general anesthesia, you will need to fast for at least six hours prior to the procedure. (If you forget to do so, your surgery may be postponed or canceled.)

    Take a shower before going to bed the night before the operation (you will not be able to take a shower for about 3-4 days).

    Don’t wear make-up.

    Don’t wear nail polish or enamel.

    Don’t wear wigs. Don’t wear any jewelry (including piercings) – your body should be free of metal.

    Also, don’t forget to put together an overnight bag – including loose clothes (preferably with zippers/buttons)– before you come in for the surgery. You also should wear comfortable sneakers and hairpins.

    On the morning of the surgery, you will be taken to your room to rest. Your final preparations for the surgery will be conducted. Dr. Ozsular and his assistant will come and visit you.

    After the administration of general anesthesia for your operation, the doctor begins to shape your breasts as planned.

    Photographs are taken at the end of the operation, nerve blockade is applied via local anesthesia, and your dressing is done. Then, your special protective bra is worn and you are slowly awakened. Local anesthesia applications allow you to wake up comfortably, without any pain.

    You may feel dizzy for the first few hours after the surgery upon return to your room – this is caused by the effect of anesthesia. You’ll be able to eat a light soup 3-4 hours after the surgery.

    You may develop slight ecchymosis or edema depending on how your body reacts to the trauma – this, too, is normal and temporary

    You’ll be given strong analgesics so that you don’t feel stiff or any discomfort for first one/two days in hospital. It is normal to feel pain for the first 2 – 3 days after the discharge and using analgesics will help you to be comfortable.

    If you want to heal faster, be sure to eat a balanced diet heavy in animal- and vegetable-based protein. Also, try not to smoke.

    Make sure to protect your breasts from strikes/being hit at all costs. You may also experience light bleeding around your incision sites for the first three days – this is normal. However, if you experience excessive bleeding, then please notify your doctor or go to your doctor or a clinic/hospital immediately.

    You’ll need to rest for the first five days. You may have trouble sitting, standing, and walking. You are not allowed to run or to lift anything heavy, and you must protect your new breasts from any impact. Although this is an interesting and exciting process, you shouldn’t remove your special bra either unless to take a shower.

    You’ll be able to take short warm showers three to four days after the surgery.

    Your first control will take place five to seven days after surgery, during which we will change your bandages.

    Don’t forget to take your medications as they’ve been prescribed to you.

    You’ll be able to go for slow walks, return to work, and return back to your normal life a week later – provide you avoid doing any heavy labor.

    You’ll need to wear an uplift bra for minimum 2- 3 weeks after the surgery to make new shape of your breasts permanent.

    You’ll be able to exercise and do light stretching fifteen to twenty days after the surgery.

    You’ll be able to return to your normal life two months later.

    Yes, this surgery will cause scarring.

    Most patients are only left with faint scarring depending on their skin structure and how they heal after surgery. In some patients, the scars are more prominent. Although rare, wound site will heal by swelling in the patients with poor wound healing.

    However, it doesn’t matter how they heal, they won’t be visible as they’ll be hidden beneath your bra/bikini.

    Dr. Ozsular will give you anti-scarring moisturizing creams to use on a regular basis (with certain dates and amounts). If you follow his instructions, your scars will become indiscernible.

    The correct surgical technique, meticulous suturing, and your surgeon’s experience also all play an important role.

    Quitting smoking will help your wounds heal faster, too.

    The above said, no matter what you do (extra procedures, creams, lasers…), this surgery WILL ABSOLUTELY LEAVE A SCAR.  However, your skin’s structure, your quality of life, and whether you eat healthy or not will all affect its severity – positively or negatively.

    Two to six kg of fat and breast tissue will be removed from both of your breasts. The exact amount depends on how big your breasts already are, how old you are, and how the surgery itself progress.

    Of course, both you and your shoulders feel lighter when the added weight goes away. If you want added benefit, then you should strengthen your muscles via pilates (in a controlled manner, over time)

    Women don’t have equally sized or equally full breasts in general. However, this difference is often indistinguishable to the naked eye, and thus not troublesome in any way.

    Some patients come into the surgery with one breast looking more saggy and larger than the other – even though the differences are small in some patients with large breasts. We will try and correct that to both breasts as symmetrical – and thus as balanced as possible.

    After the surgery, you should maintain your weight and wear uplift bras. If you don’t do so, your breasts will sag as you age – as with other people.

    If you gain or lose large amount of weight after the surgery, then this will affect the size of your breasts somewhat.

    In case of weight gain after the surgery, the fat tissues in your breasts will grow. We cannot prevent that, unfortunately.

    Your breasts may or may not sag in spite of this surgery – and regardless of whether you’ve had or haven’t had children (and breastfed). So long as you don’t gain too much weight during pregnancy, then your breasts won’t sag like they used to.

    Yes, the most frequently encountered patient group is those who have either given birth multiple times, are advanced in age, or are genetically predisposed (to sagging breasts).

    We also encounter nulliparous young women between 18 and 20 who have large sagged breasts.

    No, the surgery won’t affect your mammary glands or lactiferous ducts. However it may cause you to lactate less because your breast tissue has been taken slightly. Depending on the technique used, 50-60% of our patients state that they don’t have any problem in breastfeeding.

    In fact, large breasts can put pressure and deform your lactiferous ducts, in turn also affecting how much milk you’re capable of lactating (if you become a mother).

    If you plan on becoming a mother in the future, surgery is performed by depending on preserving the mammary glands and lactiferous ducts by considering the possibility of breastfeeding in the future

    If you’re of an advanced age and don’t plan on getting pregnant/becoming a mother, then we can remove larger tissues via more radical surgeries.

    Nipple necrosis is a rare complication of breast reduction surgery.

    Experience of your surgeon is important for removal of tissues in such a way not to blood circulation to your nipple.

    You should also quit smoke after the surgery. Smoking adversely affects tissue and wound healing, as it deteriorates blood, cell, and tissue circulation, thus causing nipple necrosis.

    Any impact to your breast after the surgery can also harm your circulation and cause nipple necrosis.

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