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Breast Reduction Surgery Recovery

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As is most cosmetic surgeries, breast reduction, also known as reduction mammaplasty, is a major undertaking. It is helpful for you to know what will happen to your body. Knowing what to expect will help through the consultation and with recovery.

Preparing for Your Surgery

Breast enhancement with a reduction requires the following preparations for surgery:

* A full medical history and physical including assorted laboratory tests and a mammogram

* Instructions to stop smoking at least 8 weeks prior to your surgery date

* Adjustments to your current medication routine

* Ensure you have enough help at home for your post-operative recovery period

* Information on the location of your surgery (accredited office-based surgical center, ambulatory surgery center, or hospital) and your expected stay in the hospital

* Instructions to follow on the day of your surgery

* Instructions for your post-operative care and follow-up requirements

The Day of Surgery

Your actual reduction mammaplasty procedure will vary. Well before the day of your surgical procedure, you and your plastic surgeon will have decided on the best breast enhancement procedure for your specific body type. Your surgery may vary from a simple liposuction procedure to more complicated surgery removing substantial amounts of excess fat, glandular tissue, and skin.

- Anesthesia

Depending on the exact surgical enhancement procedure to be performed, you will either receive intravenous sedation or general anesthesia given to you on the day of your surgery. You and your surgeon will work with an anesthesiologist to determine the best anesthesia choice for you.

- Incision

The incision options you and your plastic surgeon will have to choose from are:

* A circular incision around the areola

* A circular incision around the areola with an added vertical incision down to the breast crease

* An incision which resembles an upside-down "T."

- Tissue Removal

Once the incision is made, excess tissue and fat are removed.

- Areola Repositioning

The areola is left attached to its blood and nerve supply if at all possible, and it is then repositioned higher on the breast. However, for very large breasts the areola is sometimes removed and re-grafted higher on the breast.

- Incision Closing

Once the excess tissue has been removed, and the areola repositioned, then the incisions are closed. Closing is done by sewing surgical sutures deep within the tissue to create support. In addition, skin adhesives or surgical tape is used to close the skin.

Recovery

You will be closely monitored until your anesthesia has worn off. At this point, you will either be sent home or placed in a hospital room overnight to recover. If you will be going home you will be required to have someone at home to assist you, at least for the first few days after your surgery.

Post-Operative Care

Once you have gone home from your surgery, you can expect some swelling, pain, and discomfort. You will likely have to wear support garments and will be instructed on how much physical limitation you should have and for how long. The most important thing you can do post-surgery is to follow all of your plastic surgeon's instructions as closely as possible.

As you can see, it is very important that you work with a plastic surgeon who is certified by the American Board of Plastic Surgery, and that you follow all of their instructions from pre-operation to post-operative care, for the very best breast reduction result possible.

Breast Reduction Surgery Recovery

A small percentage of women will find themselves returning to their cosmetic surgeons after their first breast augmentation. This can occur for a variety of reasons, ranging from health to personal taste. Depending on the specific revision request, you may find yourself undergoing a fairly simple procedure or a much more complex one with a significantly longer recovery period.

Health reasons, although uncommon, often send women back to the plastic surgeon. The most typical complaint and risk associated with breast implants are leaks. Leaks can occur at any time, although they are more frequent in older implants. If you have saline breast implants, ruptures will be noticeable within a few days and fortunately pose no health risks. You will need to have a revision, however, unless you prefer the lopsided look. Saline leaks are more serious and can have damaging effects if not detected early on. Since the substance is thick, it leaks slowly. Often the only way a women discovers the problem is through a mammogram. When a rupture occurs, the implant will have to be replaced, and regardless of your initial incision placement, it is usually done though a cut around the areola. In many instances women take the opportunity to have both implants replaced to prevent the possibility of the second implant leakage.

Another common case for revision is capsular contracture. Capsular contraction can occur in one or both breasts with varying severity. The body tissue constricts tightly around the implant, creating an unappealing and sometimes painful squeezed appearance. There is no specific known cause for the condition, and the only way to treat it is through a revision or complete removal of the implants. Revision surgery can solve the issue, but in some cases it can return you without any change.

Many women will decide that they choose to change the size of their breast implants, either getting them larger or smaller. Smaller implants will require a complete revision and replacement, whereas increasing the size is a much simpler procedure. Saline implants can easily be pumped full of more solution to reach the desired size.

Recovery time will vary for each procedure. A complete revision, one that includes replacement of implants, will feel very similar to the initial breast augmentation, taking one to two weeks to return to normal activities. Increasing the size or complete removal has a much faster recovery time and period of discomfort, sometimes within a matter of days the patient is well recuperated.

You may decide to choose a different plastic surgeon than the one who previously performed your primary operation. If that is the case, it is imperative that you reveal all the details of your previous procedures with him so that he may proceed with the surgery accordingly. Remember that undergoing surgery, even if a revision carries certain risks and not all problems are guaranteed to be fixable. Discuss all possible complications with your doctor before making any decisions and be sure that your expectations of the outcome are realistic. Your positive thinking can give you satisfying results.

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