- Jumeirah 1, Street 10C Villa 41, P.O. Box 333423, Dubai, United Arab Emirates
- (+971) 4 349 8800
Women with very large breasts may experience a variety of medical problems caused by the excessive weight – from back and neck pain and skin irritation to skeletal deformities and breathing problems. Bra straps may leave indentations in their shoulders. And unusually large breasts can make a woman or teenage girl feel extremely self-conscious. Breast reduction is designed for such women.
The procedure removes fat, glandular tissue and skin from the breasts, making them smaller, lighter, and firmer. It can also reduce the size of the areola, the darker skin surrounding the nipple. The goal is to give the woman smaller, better-shaped breasts in proportion with the rest of her body. However, breast reduction is usually performed for physical relief rather than simply cosmetic improvement. Most women who have the surgery are troubled by breasts that restrict their activities and cause them physical discomfort.
Before The Procedure
In your initial consultation, it’s important to discuss your expectations frankly with our surgeon. Every patient and every physician has a different view of what is a desirable size and shape for breasts. Your surgeon will examine and measure your breasts, and will probably photograph them for reference during surgery and afterwards. He or she will discuss the variables that may affect the procedure, such as your age, the size and shape of your breasts, and the condition of your skin.
You should also discuss where the nipple and areola will be positioned – they’ll be moved higher during the procedure, and should be approximately leved with the crease beneath your breasts. The surgeon may require you to have a mammogram (breast X-ray) before surgery. Breast reduction doesn’t usually require a blood transfusion. However, if a large amount of breast tissue will be removed, Dr. Guy may advise you to have a unit of blood drawn in advance. That way, if a transfusion should be needed, your own blood can be used. Breast reduction is nearly always performed under general anesthesia. You’ll be asleep through the entire operation.
During The Procedure
Techniques for breast reduction vary, but the most common procedure involves an anchor-shaped incision that circles the areola, extends downward, and follows the natural curve of the crease beneath the breast. Your surgeon will remove excess glandular tissue, fat, and skin, and move the nipple and areola into their new position. He or she will then bring the skin from both sides of the breast down and around the areola, shaping the new contour of the breast. Liposuction may be used to remove excess fat from the armpit area.
In most cases, the nipples remain attached to their blood vessels and nerves. However, if the breasts are very large or pendulous, the nipples and areolas may have to be completely removed and grafted back into a higher position. (This will result in a loss of sensation in the nipple and areolar tissue.) Stitches are usually located around the areola, in a vertical line extending downward, and along the lower crease of the breast. In some cases, techniques that eliminate the vertical part of the scar can be used. And occasionally, when only fat needs to be removed, liposuction alone can be used to reduce breast size, leaving minimal scars.
After The Procedure
• After surgery, you’ll be wrapped in an elastic bandage or a surgical bra over gauze dressings.
• For the first couple of days: A small tube may be placed in each breast to drain off blood. You may feel some pain, especially when you move around or cough. Your surgeon will prescribe medication to lessen the pain. The bandages will be removed a day or two after surgery. If your breast skin is very dry following surgery, you can apply a moisturizer several times a day, but be sure to keep the suture area dry. A small amount of fluid draining from your surgical wound, or some crusting, is normal. Your first menstruation following surgery may cause your breasts to swell and hurt.
• For a week or more: you may be instructed to avoid intercourse, since arousal can cause your incisions to swell, and to avoid anything but gentle contact with your breasts for about six weeks.
• One to three weeks: Your stitches will be removed
• For about two weeks: Although you may be up and about in a day or two, your breasts may still ache occasionally. You should avoid lifting or pushing anything heavy for three or four weeks and limit your exercises to stretching, bending, and swimming until your energy levels return. You’ll also need a good athletic bra for support
• Several weeks: you’ll continue wearing the surgical bra around the clock until the swelling and bruising subside
• Up to six weeks: You can expect some loss of feeling and numbness in your nipples and breast skin, caused by the swelling after surgery, to start to return over the next six weeks or so. In some patients, however, it may last a year or more, and occasionally it may be permanent. If you have any unusual symptoms, don’t hesitate to call us.
• For a few months after surgery: you may experience random, shooting pains.
• Several months to a year: scars will fade. Though scars are part of the procedure, they can usually be placed so that you can wear most of the tops you normally would, even low-cut ones. Although much of the swelling and bruising will disappear in the first few weeks, it may be six months to a year before your breasts settle into their new shape.
Our Medical Center is a unique practice of highly trained professionals offering expert solutions for any type of dermatological or aesthetic concern, delivered with kindness and respect. The experience and knowledge of our board-certified plastic surgeons, general surgeons, vascular surgeons and dermatologists combine to form a unique family of specialists dedicated to the care and rejuvenation of the skin, body and hair. Our practitioners have chosen to be based in our Medical Center, which is formally recognised with full JCAHO accreditation – a mark of quality that only a handful of UAE’s clinics can boast.
We are also accredited by the Joint Commission International based on an extensive evaluation of our performance regarding the following criteria:
• International patient safety goals
• Access to care and continuity of care
• Patient and family rights
• Assessment of patients
• Care of patient
• Anesthesia and surgical care
• Medication management and use
• Quality improvement and patient safety
• Prevention and control of infections
• Governance, leadership, and direction
• Facility management and safety
• Staff qualifications and education
• Management of information
SHAMMA Medical Center
Jumeirah 1, Street 10C Villa 41, P.O. Box 333423, Dubai, United Arab Emirates
(+971) 4 349 8800
Weekdays from 9:00am to 9:00pm