10 - 14 days
Reduction mammoplasty (also breast reduction and reduction mammaplasty) is the plastic surgery procedure for reducing the size of large breasts. The goal of breast reduction surgery is to reduce the size of your breasts and reshape them so that they are proportionate to the rest of your body and are no longer a source of physical discomfort.
This commonly requested, predictable procedure has the dual benefits of improving your appearance while relieving the physical and emotional burden of overly large breasts.
Breast reduction surgery is meant for women who have large breasts and want to resolve issues such as:
You will usually have your breast reduction under a general anaesthetic. This means you will be asleep during the procedure. No food is allowed at least 8 hours prior to any surgery, this includes any sweet like chewing gum. If there is no fasting instructions given, you must not consume any food or drink from midnight before your scheduled surgery. Clients who do not comply with this requirement risk having their surgery delayed or risk being denied surgery.
DO NOT take any Aspirin and NSAIDS drugs for at least 2 weeks prior to surgery. (Aspirin may be re commenced after 48hrs post op.) If you take Aspirin or any other form of blood thinning medication for a medical condition, please discuss this with Dr. Thanakom.
Smoking must be stopped at least 3-4 weeks. If you cannot quit, cut back as much as possible. Smoking constrict the blood vessels, which can delay wound healing. While drinking alcohol must be stopped at least a day or two prior to surgery.
The procedure usually takes 4-5 hours and you are required to stay in hospital overnight.
Do not wear contact lenses, makeup, nail polish, jewelry, including any body piercings, hair accessories containing metal (such as barrettes or clips with metal springs, etc.) on the day of your surgery.
Dr Thanakom will provide set of medications such as pain killers, antibiotics, anti-inflammatory etc. These will be provided following breast lift with implants surgery.
A gauze dressing (bandage) will be wrapped around your breasts and chest. Or, you will wear a surgical bra. Wear the surgical bra or a soft supportive bra for as long as your surgeon tells you to. This will likely be for several weeks.
Even though you may not feel like it, Dr Thanakom will probably advise you to walk and move around as soon as you can to prevent blood clots and swelling. You will be instructed not to exercise or engage in strenuous activities for at least 6 weeks. Don’t lift anything over five pounds and try not to raise anything over your head until your surgeon releases you for activity. Take your time in healing so that you give yourself the best healing environment possible. Your full range of motion should return between six to ten weeks, depending on how well you have healed. Within six months, you should be able to do all those things you wanted to do but couldn’t because of your over-sized chest.
The stitches are taken out after 10-14 days. If you have dissolvable stitches, the amount of time they will take to disappear depends on the type of stitches. However, for this procedure, they should usually disappear in about six weeks.
Physical activity is limited for the first several weeks, with most patients able to return to work and their normal activities within two to three weeks.
Within a few weeks, the swelling and bruising around your incisions should disappear. You may have a temporary loss of sensation in your breast skin and nipples after surgery. Sensation may return over time.
Free nipple grafting is performed by temporarily removing the nipple from the breast. The nipple is then repositioned and sutured in a higher, more aesthetically pleasing position after the excess breast tissue has been removed.
Breastfeeding and Scarring
When the nipple is removed from the breast it is also separated from the milk ducts. Unfortunately, milk ducts cannot repair themselves after such separation, so a women who has had a free nipple graft will not be able to breastfeed after the operation. A scar along the circumference of the nipple will be present, but often heals nicely.
Possible Risks and Complications
Because the nipple is separated from the breast there is a slight chance of necrosis of the nipple. After breast reduction, some women will experience changes in areola pigmentation and most have a permanent loss of nipple sensation.