The size of a woman’s breast is determined by genetical factors, body weight and hormonal influence. Some women have overtly large breasts that cause both physical and psychological symptoms. They can present at either end of the age spectrum from adolescence to middle age or even after the menopause. They often complain of backache, neck pain, breast pain and quite often an inability to participate actively in sports. They also have difficulty in finding the correct fit for their clothes and brassiere. Large breasts can also attract unwanted attention, comments and sexual innuendos from the opposite sex with some women experiencing some psychological distress.
Breast reduction surgery aims to decrease the fatty, glandular and skin component of the female breast to a more proportional size to the patient’s overall appearance. The nipple areolar complex (NAC) are also reduced during the surgery and repositioned to a higher level. It is of the utmost important to protect the viability of the NAC during breast reduction surgery to preserve its sensation. Usually women who undergo breast reduction surgery will not be able to breast feed in the future. This is because the nipple areolar complex is separated from the underlying glandular tissue during the surgery. Breast reduction surgery entails surgical scars around the NAC and down the middle of the breasts to the breast crease. In some larger breasts the scars could also go along the breasts crease. The scars will be red and firm initially but will become pale and softer with time.
During the initial consultation, patients will have the opportunity to discuss their goals and desirable results with the plastic surgeon. Every patient is different, therefore a specific treatment regimen is planned to suit an individual’s need.