1. Information about Breast
Reduction

2. S.No Title
1 Breast Reduction - Reduction Mammaplasty Surgery
2 Breast Reduction - Side Effects and Sensitivity Changes
3 Breast Reduction Surgery - Facts To Know
4 Breast Reduction - Everything to Know About It
5 Breast Reduction - Risks and Supplements
6 Breast Reduction for Males - Gynaecomastia Surgery
7 Breast Reduction - Medical and Aesthetical Calling
8 Breast Reduction - A Solution for Macromastia

3. Breast Reduction - A Solution for Macromastia
Macromastia can be medically described as the state of having overly heavy and large breasts
with average body size. Even one breast can be disproportionate and enlarged with fats and
tissues. The solution to this condition is the breast reduction surgery.
Macromastia, or over-sized breasts, can cause many complications like saggy breasts with low
nipples, disproportionate breast, back-neck-shoulder pain and scar due to strained bra straps,
breast skin thinning and irritation due to stretching, circulation or breathing problems and
restricted physical activity due to poor posture and pendulous breasts. It can also have
psychological impact like heavy emotional burden and loss of self-confidence.
Breast reduction surgery is technically known as reduction mammaplasty which includes
removal of excess skin, fat and glandular tissues to make the breast in proportion to the body.
Only those people should opt for breast reduction who are physically healthy, avoid smoking,
suffer from restricted activity due to large breasts, suffer from the mentioned complications and
those who have realistic expectations and are not trying to fit in any ideal image as this surgery is
a very individualized decision.
The risks or complications are present in any surgery. And the complications involved in a
reduction mammaplasty are infection, blood clots, breast asymmetry, persistent pain, fat necrosis,
unfavorable scarring, poor wound healing, fluid accumulation, bleeding hematoma, potential
inability to breastfeed, skin discoloration, allergies to sutures, tapes and glues, injectable agents,
blood products and topical preparations, excessive firmness of breast, anesthesia risks,
temporary or permanent damage to nerves, blood vessels, muscles or lungs, possibility of
revisional surgery, potential skin or tissue loss, temporary or permanent changes in breast or
nipple sensation, potential/partial/total loss of nipples or areolas, breast contour and shape
irregularities, deep vein thrombosis, pulmonary and cardiac complications or permanent
pigmentation change, swelling and bruises may occur.

4. With the awareness about all the mentioned risks and complications, if one does not wish to go
under the knife, the other alternative is the medical products like breast reduction pills which can
naturally reduce the size of breasts with no negative side effects. These pills target the
subcutaneous adipose tissue, simply put as the fatty cells in the mammary glands and reduce
them in size and quantity. The best part of taking a pill is that it leaves no scars unlike a surgery
and the ability to breastfeed is also retained. There are also herbal breast supplements which are
said to regulate specific female hormones affecting the breast growth.
Breast reduction surgery or mammaplasty should be taken as more of a corrective surgery for
functional purposes rather than a cosmetic surgery for aesthetic appeal.
Breast Reduction – Medical and Aesthetical Calling
Breast reduction one of the most sought after surgeries today, and one can guess obesity as a
reason of this condition. These surgeries are combined with many other cosmetic surgeries like
liposuction or botox or abdominoplasty – tummy tuck. This surgery also is a medical need in
cases where activities are hindered or there are back problems due to overly large bosoms. This
surgery gives a proportional shape to the body with improvement in the shape and size of these
assets.
Though people have whims and fancies of idolizing celebrities, not all should go for such surgical
procedures. People with large breasts in proportion to the body, suffering from bra straps
indentation, skin irritation, neck or shoulder pain, nipples and areolas pointing downwards, one
breast larger than the other or plain dissatisfaction with the shape and size, prove to be good
candidates for breast reduction procedure.
Today, teens and adolescents are very conscious about their figures and they strive to achieve
the perfect body shape and hence employ such surgeries. But breast reduction should be done
only when the breasts are fully developed. On the other hand, middle-aged women planning
pregnancy should not go for such a surgery as child-birth and breast-feeding may have random
effects on the size and shape of the breasts. One should keep in mind that the expectations from
the surgery should be realistic.
The surgery procedure initially includes the selection of a specific technique for reduction of
breast. The commonest method used for this surgery is making three incisions – one near the
areola, one from the bottom edge of the areola to the crease under the breast and the third
incision follows the natural curve of the crease. After the removal of excess tissue, skin and fat,
the drooping nipple and areola are shifted to the corrective position. The areola is reduced in size
as it is stretched when the breasts are larger. The skin above the nipples is brought down and the
breast is reshaped. Other procedures like liposuction may be minorly combined to improve the
contour under the arm.

5. If the nipples and areolas are left attached to the underlying tissues, the sensation is preserved
and the ability to breast feed may also be preserved, though, it cannot be guaranteed. A detailed
surgery can be seen and read about on websites with explanations, and queries can be resolved
by asking questions to doctors online.
The other techniques for incision vary on the basis of the expected size and shape of the breasts
and the surgeon’s recommendation. Some techniques may avoid the incision from the areola to
the crease vertically. In case of extremely large breasts, one may have to sacrifice the possibility
of breast-feeding to achieve the desired shape and size.
Breast Reduction for Males - Gynaecomastia Surgery
Male breast reduction is not unheard of, but rarely spoken about. The breast reduction surgery
for males is known as gynaecomastia. Medical news around the world talks about how modern
man does not shy away from grooming and taking care of his physique and body as ‘look good-
feels good’ factor. There is a definite increase in the percentage of men who have undergone the
knife and one of the reasons is the gynaecomastia surgery.
Gynaecomastia is a medical condition of over-developed or enlarged breasts due to hormonal
changes, disease, negative side effects or a drug reaction. It may also be a natural condition and
the surgery may be a cosmetic surgery for aesthetic appeal or a medical condition requiring
corrective surgery. The main characteristics of this condition may be excess development of
glandular tissue or fat or both and gynaecomastia may be present unilaterally (one breast) or
bilaterally (both breasts).
These surgeries are highly individualized surgeries and one should go for it only with realistic
expectations and not to fit in any ideal image. Good candidates for this surgery are men with
healthy physique and normal weight, who are bothered by their enlarged breasts and their breast
development has stabilized. Surgical correction of gynecomastia is best performed on men who
avoid smoking and drugs and healthy individuals with no life-threatening disease or conditions
which slower or impair healing process.
A candid consultation session is necessary for the patient and the doctor before the operation.
There may be enquiries about the lifestyle, health and expectations of the patient. He may be
asked about his previous surgeries, allergies, current medication and supplement intake.
Potential risks, outcomes and other consequences may also be discussed with him and
recommendations may be given. The preparation of the surgery may include diagnostic testing,
adjusting current medications and avoiding smoking, aspirin and anti-inflammatory drugs as they
can increase bleeding.
As gynaecomastia is a highly personal decision, one should take the decision whether the
potential risks and complications are acceptable. A consent form may be asked to be signed to

6. ensure proper understanding of the risks. Breast reduction surgeries are generally done on
outpatient basis under general or local anesthesia with sedation. Experience of shortness of
breath and rapid heart beats should call for immediate medical attention. The practice of medicine
and surgery is not an exact science and hence there may be cases where best result is not
achieved in the first attempt itself.
Breast Reduction – Risks and Supplements
Breast reduction has become one of the most common plastic or cosmetic surgeries today and is
mostly done so that women can be confident and comfortable with their bodies and assets.
There are many things one should be aware of before taking a decision to go for breast
reduction surgery. One of the biggest problems is to know the breast size in proportion to the
body. A small reduction is known as a cosmetic surgery and one should know how many grams
per side should be reduced. Talking about medical claims and insurance, they need to know the
exact amount and size to qualify it for insurance.
Though complications may be rare, they may still occur and hence, one should watch out for
infection, loss of breast, asymmetrical breast or loss of felling or sensitivity. There have been also
cases where negligence and malpractices of the physician results in heavy damage for the
patient. The doctors sometimes remove more tissues than the pre-determined grams from each
breast and mismatch the breast size. There have also been cases of careless work where the
sutures got separated after the surgery and became infected causing green discharge from the
surgery site. Though the doctor may suggest that the patient’s body is allergic to stitches and
refuses to heal, it also includes the doctor’s mistake. The patient may have to get treatment for
staph infection which may develop after the surgery. Fat necrosis is a rare complication while the
worst can be death. One should be aware and alert of all such risks before taking the breast
reduction decision.
One should also be mentally and physically prepared before the surgery. One may experience
anxiety or stress and but remembering the basic reasons for undergoing the surgery helps to
reinforce the purpose of the surgery. One can be physically prepared by being fit and doing
cardio and increase the ability to heal faster.

7. Vitamins and herbs and online healthcare products can aid as supplements but one should
consult the physician before any such intake. Though vitamin E helps in rebuilding the blood
vessels and helps in healing, it also acts as an anti-coagulant which may run the risk of excessive
bleeding. Though there are some vitamins which can be taken after discussing with the physician,
like Vitamin C, Vitamin E 400 IU for reducing breast tenderness, Magnesium 400mg to reduce
water retention, negative moods and pain, Vitamin B6 100mg to reduce irritability, fatigue and
depression and Calcium 1000mg to reduce body aches and bloating.
One should take into consideration all the pros and cons before taking a decision for breast
reduction surgery.
Breast Reduction - Everything to Know About It
Breast reduction is a very individual decision. It’s highly personal and one should not take such
decisions just to imitate somebody or because any celebrity goes for it or it is thought to be ideal.
One should always consult their doctors before taking such an invasive and a body-altering
decision. The doctor may be able to suggest some alternatives rather than a breast reduction
surgery. There have been many alternative considerations but one should check with the doctor if
one is eligible for it.
The breast reduction surgery mainly includes reducing some grams of tissues from both the
breasts equally. The important part is the post-operative care to be taken. There may be breast
pain for some time but it is said to reduce with the intake of mix of vitamin B1 and B6. But one
should be careful, as usage of vitamin B6 for more than 50 mg can cause possible nerve damage
and make the extremities numb. Even vitamin E can help to reduce pains but one should not
exceed 200 mg per day. A fatty acid called Primrose oil, helping to prevent arthritis and maintain
brain functions can also help but one should always consult the doctor before its usage.
Such an important decision like breast reduction, surely calls for support from friends and family.
It’s the emotional support that counts and these people, with whom such experiences are shared
about how the surgery affects, would be a lifeline. There should be some support as it helps the
patient overcome the little glitches on the road to recovery. Not everybody would understand the
decision to have smaller breasts and hence it is the support of family that counts and supports
this decision.

8. Before going for this surgery, one should also consult about the cost of this surgery. The cost
basically depends on the size of reduction and the insurance cover. Breast reduction can also
include nipple reduction and its attachment to blood supply. Estimates should be taken from the
doctor for every procedure to be done. One should also remember that this surgery should not
take place near the menstrual periods. One should choose that doctor whom one felt comfortable
with, during the consultation as it is his hands to alter the rest of life and if the doctor is such who
does not pay attention to concerns and worries, he is not the best choice.
One should keep all these things in mind before taking this important decision of a breast
reduction surgery.
Breast Reduction Surgery – Facts To Know
Breast reduction surgery is a highly individual decision and one should be aware about all the
facts associated to it. One of the important points to consider is the pre-operation appointment
before the surgery takes place.
In most of the cases, one has to wait for the approval of the payment by the insurance company
before getting the pre-appointment. At that appointment, the things to expect are, the doctor will
have your shirt off you to make some markings. Some may not go for this pre-appointment and
the work is done on the day of final surgery itself. One will also have to sign the consent form on
this day and is made to read the list of all the possible complications like uneven breast nipples
and death. A list of do’s and don’ts is also given. One may have to stop their medications for
sometime like blood thinning medications and other vitamin tablets and aspirin. However, one
may continue the intake of vitamin C. One should know that getting cold can delay the surgery
and a sleep-aid can also be asked from the doctor. Bleeder test may be done earlier on the day
of the surgery to know hoe fast the blood clots in respective cases.
The after-math of breast reduction surgery is important to know if one chooses to undergo the
surgery. Though this surgery can ease the pain and discomfort of women with heavy and

9. oversized breasts, there may be some side-effects or discomfort which may be experienced while
recovering and the expectations regarding the surgery results.
After the surgery, the patients are needed to keep a surgical bra for a few weeks and their
stitches are taken out within 1-3 weeks. On an average, it takes up a fortnight for recuperating
before they carry on with their normal life.
The pain after the surgery takes place can be dealt with as they are not severe. The pain is
experienced in the first few weeks and also when sneezing, coughing or any other quick muscle
contractions will aggravate the pain. The primary menstrual period while recovering from this
surgery will make the breasts enlarge and become more sensitive. The discomfort can be eased
during the healing process by OTC pain killers or doctor’s prescribed medicines. One should
understand that the brief pain related to this surgery is minor when compared to the ongoing pain
associated by having rather large and heavy breasts.
These are some of the many important facts to consider while undergoing breast reduction
surgery for pre-operative and post-operative surgery care.
Breast Reduction – Side Effects and Sensitivity Changes
Breast reduction surgery is a very invasive and body-altering decision and one should it a serious
thought and consideration before imitating somebody. Every surgery has its pros and cons and
one should be aware of the side effects and changes they will experience after this surgery.
Post breast reduction surgeries, most of the patients feel some discomfort and a change in
sensitivity of their breast and nipples. It is usual that the breast nipples are numb in the first few
weeks after the surgery and some women have also experienced the areola area to become
overly sensitive. These are normal after-effects of the surgery and they usually correct back from
half a year to full one year after the breast reduction surgery.
There are many cases in which these sensitivity changes in the breasts last forever. Women with
overly large and heavy breasts may require their nipples to be fully taken off to allow moving it to

10. another area. This whole procedure of removing and moving it is called ‘free nipple graft’ and it
may result in loss of sensation, as the attached nerves are fully cut off during the procedure. But
the nerves will heal as the time passes and there is a possibility of return of a little sensation.
The side effects of a breast reduction surgery may be some discoloration and swelling but they
usually diminish over 3 weeks. Some may experience itching and dry skin in the incision area and
a moisturizer can be administered to ease itching and dry skin conditions, but the incision area
should be omitted. Learning the post-operative rules and following it religiously can help in
decreasing these side effects and help in faster healing recovery process.
Breast Reduction – Reduction Mammaplasty Surgery
The confidence of a woman is dependent on her good looks and her body assets. A woman will
always feel good if her body is in shape. So overly large breasts or small breasts may lead to the
loss of self-confidence and hence breast augmentation or breast reduction may be employed.
Breast reduction surgery procedure involves making an incision on the breast skin and
removing the excess fat, skin and glandular tissues. Sometimes, liposuction is also combined
with the breast reduction surgery for the excision of excess fatty tissue and excess skin. The
other excision techniques are available but it is chosen on the basis of individual’s breast shape
and size, health condition, surgeon’s recommendations, personal preference and amount of
reduction desired.
The breast reduction recovery period depends on each individual. After the surgery, the incisions
are bandaged and a support bra may be worn to minimize the swelling. A thin, small tube is
temporarily attached under the breast skin to drain excess fluid or blood that is collected.

11. One should follow the instructions of the surgeon to take care post the breast reduction surgery.
Taking care of the breasts post surgery, medications to be applied or pills to assist in healing,
avoiding infection and specific instructions regarding the concerns for the surgical site are
discussed and they should be followed religiously.

12. Reference:
Breast Reduction: - http://docturs.com/dd/pg/groups/11293/breast-reduction/
Online healthcare products: - http://doctors.com/dd/

13. Thank you