M L AESTHETICS
BREAST REDUCTION SURGERY , WHAT YOU SHOULD KNOW
By Mr Ali Juma
It is important to explain that the practice of surgery is not an exact science and no results can be guaranteed ; however , it just as important to emphasise that patient care and safety in addition to achieving excellent outcomes are of utmost importance to any plastic surgeon .
Hence , as a part of your surgical journey , an integral part of your care is the process of informed consent . The informed consent is not just a piece of paper you sign ; however , it is a process , which commences from the first time you attend clinic until discharge .
Information about breast reduction surgery during your pre-surgery consultations should include discussion about the scars - extent and locations , benefits of the surgery , in addition to potential risks and complications associated with the surgery . Expected outcomes of the surgery are also discussed .
Surgical Incisions :
The incisions are around the nipple areolae and vertically downward , including a transverse scar at the level of the fold in the region where the bra wire sits , known medically as the inframammary fold . This scar pattern is traditionally called Wise pattern , named after its innovator . In some cases and techniques the transverse scar is disposed off and the remaining scars may be given the name “ lollypop ”, as it looks like one .
It is important to say that the visible scars , when sitting or standing without a bra , are the scars around the areolae , and the upper aspect of the vertical scar .
The benefits of the surgery :
Breasts reduction surgery to reduce the breasts size helps improve a patient ’ s quality of life , and has a high satisfaction rate . It reduces symptoms relating to poor posture , and chaffing under the breasts . Further improvements include smaller and easier purchasing bras .
The breasts volume and weight reduction means that the shoulder straps dig into the skin less . Patients following breasts reduction experience improved ability to exercise with more freedom . Patients following this surgery also report improved self-confidence . The surgery help achieve better body form harmony and proportions .
Potential risks and complications :
Any surgery has associated risks and potential complications . Such potential adverse effects may include bleeding in a small percentage of patients leading to a collection of blood known as haematoma warranting a return to the operating theatre . Infection , which may occur in 1-2 % of patients and some cases antibiotics are prescribed . Keloid / hypertrophic scarring , which are thick lumpy itchy scars . These types of scars may occur in 3-5 % of patients . Seroma , ( a collection of fluid under the skin ) can occur so can visible asymmetry , the latter is more common in asymmetrical breasts .
Deep vein thrombosis ( clots in the leg ), pulmonary complications , on occasions life threatening complication , allergic reactions and anaesthesia related complications may occur , however , these are very rare ; nonetheless , they should be discussed during the presurgical consultations .
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