Results After A Complex Breast Reduction Introduction In a time when most women are dreaming and making plans to get bigger breasts by resorting to implants, there is a special category of women confronted with serious health conditions due to having excessively large breasts. Among the daily struggles of women with huge breasts are back, neck and shoulder pain, muscular pain, the deformation of the spine due to an incorrect body posture, dermatological conditions on the inframammary fold due to constant perspiration, the impossibility to sleep on the front side of the body, and an unsightly physical appearance, especially as the breasts get affected by different factors such as gravity and the natural aging process. Breast reduction is the only effective and safe solution to get permanent relief from the discomforts associated with overly large breasts. When the procedure is performed, the plastic surgeon will reduce the size of the breasts by eliminating a part of the mammary gland that is in excess. Fat and skin tissue will also be removed to allow the plastic surgeon to create beautifully contoured breasts that are proportionate to the rest of the woman’s anatomy. Breast reduction can be performed on women of different ages, starting with 16 years old and up to 60 years old. The procedure can even be financed by health insurance if the weight of the breasts is considerable and triggers health conditions that couldn’t be otherwise treated by other means. In this article, we will talk about breast reduction and what results can be expected after the procedure. Is breast reduction the optimal treatment plan for you? Reduction mammoplasty, commonly known as breast reduction, is for women who have voluminous, hypertrophic breasts and who are confronted with health and aesthetic issues. Overly large breasts are often affected by mammary ptosis much earlier than breasts of a normal size. Breast hypertrophy can occur during puberty due to hormonal changes as the mammary gland develops more than it should. The condition could also occur during pregnancy, resulting in the loss of breast contour and sagginess. Breast reduction can be performed on both breasts or just one when the mammary hypertrophy is unilateral. Most times, this procedure is chosen by women who are unhappy with the changes that occurred on their breasts after pregnancy or weight fluctuations. During the pre-operative consultation for breast reduction, you must explain in detail what are your current dissatisfactions with the appearance of your breasts and also what are your desires and expectations from the surgery. The plastic surgeon will perform a medical examination on your breasts and also some exact measurements and tell you what you can expect in terms of the results. The plastic surgeon can also make computer simulations with the estimated results. The consultation for breast reduction allows the surgeon not only to understand the motivations and the desires of the patient but also to collect clinical data to give a proper recommendation for the optimal treatment to be followed in each particular case. The plastic surgeon will explain the details and the indications and contraindications of the surgery, the risks and potential complications, the tests that are required before the procedure, as well as the post-operative behavior that is advised. At the end of the consultation, the patient should have all the necessary data and a clear image regarding all the aspects of the procedure. Just like any other plastic surgery procedure, there are two things that should be considered: the results that can be achieved and minimizing the risks of developing a complication. It is important for the patient to know exactly what results can be achieved after a complex breast reduction surgery. How are the breasts going to look after breast reduction? Breast reduction is performed under general anesthesia and takes at least two hours or more. The procedure entails the removal of a part of the mammary gland, along with the underlying fat and skin tissue. The plastic surgeon will choose the optimal surgical method to reduce the amplitude of scars and also to balance the volume and the shape of the breasts and make them proportionate to the rest of the body to look harmonious. The first thing you should know is that there will be permanent scars left behind after the procedure. The scars are around the areola, on a vertical line from the areola to the inframammary fold and in the inframammary fold. The scars are not overly visible and well-hidden in the folds of the body when the procedure is performed by a talented, board-certified plastic surgeon and the patient has a smooth and uneventful cicatrization process. After a short hospitalization period that often less than 24 hours, the patient can return home. The pain is minimal and easily alleviated with the help of medication prescribed by the plastic surgeon. After a few weeks, most of the swelling and bruising will disappear and the initial results will start to transpire. However, keep in mind that the final results should be evaluated only after a minimum of six months from the procedure, preferably a year as this is how long it takes for the scars to heal and completely mature. The results after a complex breast reduction can be shocking for the patient. Of course, the patient will become aware of the considerable changes even immediately after waking up. Even with the compression bandages on, the patient will notice that there is no pressure or burden felt on the chest and that there is no more difficulty in breathing or other signs associated with having overly large breasts. However, seeing your breasts in the mirror for the first time after a breast reduction can have a strong emotional impact on the patient. The first image will be swollen and bruised breasts with visible incisions, but the final results will be beautifully contoured breasts with a nice shape and a volume that complements your overall anatomy. When the patient suffers from gigantomastia, which is a severe case of mammary hypertrophy, the plastic surgeon will need to remove a considerable part of the mammary gland. In this case, the tissue that is excised can be much bigger than the tissue that is left behind. In this case, the patient might be confronted with a slight asymmetry after the procedure. To get satisfactory results after a complex breast reduction, make sure to choose an experienced, board-certified plastic surgeon and follow his recommendation to the letter. It is not unusual to have an additional corrective surgery after undergoing surgery to reduce the volume of gigantic breasts. The results that can be achieved after a complex breast reduction are breasts that are harmonious, with the nipple and areola complex of a good size and facing forward, breasts that are high on the chest wall and look round and perky. To sustain the results, it is preferable to avoid an ulterior pregnancy, as well as considerable weight fluctuations that could alter the aesthetic results. Conclusion The aim of breast reduction is a reduction in the volume of the breasts and also the lifting of the breasts. The results to be expected are breasts with a nice contour and shape, elevated on the chest wall, and with a size that is proportionate to the rest of the body. The optimal volume varies depending on the desires and anatomy of the patient. Whatever the surgical plan might be, the patient will be left with three permanent scars. The scars are positioned on the areolas, vertically on the breasts, and in the inframammary fold. Scars are inevitable; however, their appearance is not a turn-off for most patients. Keep in mind that slight asymmetries can occur after breast reduction, especially if the patient has a severe case of mammary hypertrophy or gigantomastia.