Mammoplasty – breast reduction surgery
Usually, breast reduction is performed for physical relief rather than simply cosmetic improvement. Very large breasts that restrict their activities and cause them physical discomfort trouble most patients who have the surgery. Breast reduction surgery is sought by many patients to relieve the physical and painful strain on the neck, shoulder, and back caused by excessively heavy breasts. A strain that can be so severe that it leads to chronic headaches, Back aches and deformities, shoulder indentations breathing problems and a variety of other medical problems. Breast reduction (reduction Gynecomastia) removes fat, glandular tissue, and excessive skin, resulting in smaller, lighter and firmer breasts that are better shaped in proportion to the rest of the body.
Surgical procedure for breast reduction surgery
Reduction Gynecomastia typically is performed to reduce disproportionately large, sagging breasts. It also can reduce the size of the areola (the dark or pink skin around the nipples )
The most common technique, called brassiere pattern skin reduction, involves both horizontal and vertical incisions that follow the contour of the breast. The vertical incision creates a key hole-shaped pattern above the areola.
Working through the incisions, the surgeon excises excess tissue, fat, and skin on the sides of the breast. Skin is removed from the area within the vertical incision and around the areola. The nipple, areola, and underlying tissue are moved through this space to a new higher location. Another technique involves completely detaching the nipple from the breast before relocating it. Since a transplanted nipple loses all sensitivity, this approach is performed only when deemed necessary for patients with extremely large breasts.
After the nipples are repositioned, skin on both sides of the breast is moved down and around the areola and then brought together to re-contour the breast.
Sutures close the wounds under the breast and around the nipple area. Following surgery, a gauze dressing may be applied to the breasts or the patient may be placed in a surgical brassiere.
Depending on the extent of the surgery, the procedure usually lasts two hours or longer.
Your plastic surgeon will make every effort to make your scars as inconspicuous as possible. Still, it’s important to remember that Gynecomastia this operation can leave scars that are permanent. They are often red for a few months, then gradually become less obvious, eventually fading to thin white lines. Fortunately, the scars can usually be placed so that you can wear even low-cut tops.
Duration of Operation
One to three hours
Men who feel self-conscious about their appearance are helped with breast-reduction surgery. The procedure removes fat and/or glandular tissue from the breasts, and in extreme cases it removes excess skin, resulting in a contoured chest that is flatter and firmer.
After surgery, you will be wrapped in an elastic bandage or gauze dressing and surgical bra. A small tube may be placed in each breast to drain blood and fluids for the first day or two. The extent of the post-operative swelling and bruising is dependent on whether you tend to bruise or swell easily.
The recovery takes one to two weeks. Most people are back to work within a week or two. Swelling and skin discoloration around the incisions generally will subside in a few days. After surgery, there may be a temporary loss of sensation in the nipples and breast skin. If it occurs, this condition will improve with time. Sutures will be removed within two weeks of surgery.
Although the surgeon makes every effort to keep scars as inconspicuous as possible, reduction Gynecomastia scars are extensive and permanent. The patient must be willing to accept the change from largely uncomfortable breasts without scars to small comfortable breasts with scars. Scars remain highly visible for a year following surgery then fades to some degree.
Since incisions were made around and below the nipples, scars should not be noticeable even in low-cut-clothing. To permit proper healing, you should avoid excessive exercise and refrain from overhead lifting for three to four weeks. The decision on when to return to work and normal activities depends on how fast you heal and how you feel.
It is important to follow a careful plan on return to strenuous activity, in order to avoid tension on the wound (which could lead to worse scarring).
You are able to fly back home after seven days.
Keep your bandage clean and dry. Sponge bathe only. You will remain in bandages for about one week. Light activities can be resumed within a few days, although your incisions might swell. Routine physical activity and exercising (specially lifting, pulling) should be avoided for at least 6 weeks.
NO SMOKING for 2 weeks before and 4 weeks after surgery.
Preparation before the breast reduction operation
The surgeon will conduct a routine breast examination and depending on your age and family history, may determine that mammograms or breast x-rays are required. After examining you, the surgeon will discuss other variables that influence the decision involved in reduction Gynecomastiasuch as the size, shape and skin tone of your breasts. Since the ability to breast-feed following reduction Gynecomastia is unpredictable, you should discuss the matter with your plastic surgeon at this time.
Purchase a “post-op” bra support prior to surgery, the bra may or may not have been applied.
Inform us about any allergies, any serious medical conditions, and all medications you are taking (both prescription and non-prescription).
Avoid aspirin, ibuprofen (Advil, etc), and vitamin E for 2 weeks prior to the operation
Refrain from smoking 2 weeks before and 4 weeks after surgery – Plan to be in Bangkok for at least 10 days.
Male Breast Reduction (Gynecomastia) Bangkok
Although rarely discussed, enlarged male breasts are a common condition. About 40 to 60 percent of men are affected with enlarged breasts. There is no known cause for gynecomastia this, although there has been some correlation with various drugs or medical conditions.
Men who feel self-conscious about their appearance are helped with breast-reduction surgery.
The procedure removes fat and/or glandular tissue from the breasts, and in extreme cases it removes excess skin, resulting in a contoured chest that is flatter and firmer.
In order to pre evaluate if you are a good candidate for breast reduction surgery, please send us your photographs front and side view for physician evaluation.
We will get back to you about breast surgery soonest.