Breast Reduction
(Reduction Mammaplasty)
The operation of Breast Reduction can be done in many ways.
Each patient is different, as is each surgeon. It is because
of this that this can only be an outline guide to the procedure.
(For more detail about Breast Reduction please go to the links page.)
This is why the initial consultation is so important. Mr Burge
will hear from you what you find a problem and will compare
it will what he can physically find. He will then explain to
you the options available along with their pros and cons. Only
after all this will he propose a surgical plan, tailored to
you as an individual and not as part of a production line.
It is important to realise that it is this very variability
between individuals that makes this as much an art as a science.
Results can never be absolutely guaranteed (at least by honest
practitioners) and adverse results are always possible.
All surgery carries
some risks. It is Mr Burge’s responsibility
to explain, minimize and, if necessary, deal with these risks.
There are 6 main reasons for breast reduction:
| 1 |
Hyperplasia (always too large) |
| 2 |
Post partum (after children) |
| 3 |
Weight change |
| 4 |
Hormonal (e.g. menopause or HRT) |
| 5 |
Ptosis (drooping, classically after children) |
| 6 |
Asymmetry (either congenital or after surgery on the
other side, e.g. for cancer) |
The classical symptoms are physical (back/neck/shoulder pain),
difficulty with exercise, psychological (unwanted attention)
and social (clothes, swimming, social events etc.)
There are a variety of techniques available.
Mr Burge has a very wide experience
of tailoring the procedure to the individual requirement.
The amount removed typically varies from 250 – 1,000
grams per side.
The procedure is performed under general anaesthetic. It usually
involves a one night stay at the Bristol Nuffield Hospital
at the Chesterfield, Clifton, Bristol.
Various incisions are possible but the commonest is around
the nipple, a short vertical scar downwards and a longer transverse
scar in the crease under the breast. Postoperatively the patient
is put into a bra and mobilised as quickly as possible.
Dissolving stitches are used and showers
encouraged after a day or two. Most patients are advised
to avoid activities such as work and driving for 10 – 14
days. During this period Mr Burge will check that everything
is okay.
Things will settle down over the next few months. During this
period minor wound problems are common but not usually of any
great significance. These problems are more common in smokers.
Risks include bleeding, infection, tissue loss, nipple loss,
loss of sensation, poor scars and asymmetry. In the unlikely
event of any of these problems happening Mr Burge is on hand
to help manage them. Even when these problems do occur they
can be dealt with and the vast majority of breast reduction
patients are very pleased with the outcome.
Following the procedure Mr Burge will see you regularly, both
while you are in hospital and in the weeks and months afterwards.
Due to the Data Protection
Act etc. our supply of pre/post operative pictures is currently
limited.
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