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Breast Reduction (Mammoplasty)

Breast Reduction (Mammoplasty)

Breast Reduction (Mammoplasty)

Breast Reduction or mammoplasty is a procedure that decreases the size and weight of your breasts. A breast reduction can also correct asymmetry and nipple alignment. A breast reduction can have many benefits: It can reduce back pain, free you from tight fitting underwear, skin irritation and soreness. It will also give you a wider range of clothing choices. Patients with large breasts can be self- conscious and find that they receive unwanted attention. A breast reduction can improve self-confidence and achieve a more positive body image.

The size of women’s breasts may be determined by several factors, such as inherited genes, body weight and hormonal influences. Despite the age, women with large breast often face many health problems besides feeling uncomfortable; they might also suffer from health issues like backache, neck pain due to the heaviness of the breasts. Often, it has been observed that women with large breasts suffer from psychological distress.They have difficulty in wearing fashionable clothes, develop grooves in the shoulders from bra straps and rashes under their breasts. Some women miss out on enjoying swimming or feeling comfortable when running due to the large size of their breasts.

Breast reduction surgery takes between two to three hours. It is usually done under general anaesthetic. The procedure can be done as a day case but usually you will stay in hospital for one night. Breast reduction involves moving the nipple, to its new position, usually while still attached to the blood supply. If you have very large breasts, the nipples may be removed before being re-positioned. Excess skin and breast tissue are then removed. The remaining breast tissue is reshaped to create smaller and more elevated breasts. The incisions will then be closed with dissolvable stitches which are covered with tape, visible scars are inevitable but typically fade over time.

After the procedure:
A supportive (non-wired) bra should be worn day and night for the first 2 weeks. Light physical exercise may be resumed after two weeks but strenuous exercise should be avoided for a further four to six weeks.
Before leaving our hospital, you will be given some specific postoperative instructions and a follow-up appointment. You will receive pain-killers and a course of antibiotics.

Recovery from breast reduction surgery varies from patient to patient. How your body responds to surgery, your natural healing abilities, and other factors unique to you will determine your recovery.

Dr Jeanne Botha

Plastic and Reconstructive Surgeon

Elize Bezuidenhout

Practice Manager