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Breast Reduction

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What happens during a Breast Reduction surgery?

Your surgeon will make an incision around the nipple then downwards on the breast, forming a ‘keyhole’ shape. Excess skin, tissue and fat will be removed, thereby reducing the overall size of the breast, following which your nipple will be re-positioned. Your botonics surgeon may then use drainage tubes before stitching up the incisions and applying dressings. It’s likely that you will be given a special surgical support bra to wear.

What is the duration of a Breast Reduction surgery?

A breast reduction procedure, performed under general anaesthetic, usually takes around two to three hours or so. Depending on the time and duration of your procedure, it could be a day case or you may have an overnight stay in the hospital.

How do I plan my Breast Reduction surgery?

Initially your botonics surgeon will evaluate your health, conduct a physical examination, and assess your suitability for the procedure. Tell your surgeon about your lifestyle, ie: how much you drink, if you smoke, are on any medications, vitamins, or other drugs.
Be open about your expectations and he, in turn, will describe your options as well as the risks and limitations of each.
Once you book your procedure, rest assured knowing that all the associated costs will be included in the price quoted (anaesthesia, the location for your surgery, the recovery schedule and aftercare).
You will be given specific instructions on preparing for surgery, including guidelines on eating and drinking, smoking, and taking or avoiding certain vitamins, and medications. If you develop a cold or infection of any kind, your surgery will probably be postponed. Whether your surgery is done on an outpatient or inpatient basis, arrange for someone to drive you home afterwards, and be available to help you out for a day or two if needed.
Our surgeons perform breast reduction procedures in an operating theatre in one of London’s prestigious private hospitals. Most patients remain in the hospital overnight but some are able to go home on the day of the surgery.

Am I a good candidate for Breast Reduction surgery?

Having realistic expectations is key and understanding the ins and outs of the procedure before you commit is crucial. Aside from this, if you are in relatively good health, over 18 years old and not currently pregnant or breast-feeding you could be suitable for the procedure. A breast reduction can enhance your appearance and increase your self-confidence, but it won’t necessarily achieve your ideal. So, before you decide on surgery, discuss everything frankly with your botonics surgeon to make sure you are being realistic.

I live outside of the UK. Is it possible for me to be assessed before I travel to London?

Yes, we often treat patients who are from overseas and so we have a well refined process to assess your medical suitability and prepare you for a breast reduction procedure prior to your travel.

Will my results look natural?

Our aim is to produce as natural looking a result as is possible. Ask your botonics surgeon for before and after pictures to get a better idea of what to expect.

What kind of scarring should I expect following a Breast Reduction?

There will be scarring at the incision points, and whilst these will fade over time, they will never disappear completely. Many people feel this is small price to pay versus the difference in their lives, and how they feel, following the procedure. Bear in mind that the scarring can be made worse if you do not follow the aftercare advice closely such as refrain from any heavy lifting and physical activity. Check with your botonics surgeon if you are unsure.

I am from abroad, how long before I can fly home?

When it’s appropriate. It will generally be after 1-2 weeks, but since the advice for this is on a case by case basis, it would be best to check with your botonics Surgeon.

How quickly can I return to work?

We advise patients to take at least a week off work, assuming the work is office/desk based. For physical jobs this advice may differ and your botonics surgeon will discuss this with you during your consultation.

When can I go back to the gym?

Generally this is 4 weeks, but could be up to 6 weeks in the case of weight training on the chest area etc.

What are the main risks and complications of a Breast Reduction?

Every year thousands of Breast Reductions are performed successfully. When carried out by a qualified and experienced plastic surgeon, the operation normally works well. Nevertheless, there are always risks with surgery and there are specific complications associated with this procedure.
In the unlikely case of an infection, antibiotics can be prescribed and, if necessary, drainage – both of which may prolong your hospital stay.
There is also a risk of asymmetry and scarring, and revision surgery may be required in this case. Skin grafting may, in rare cases, be considered if complications occur in the healing of the scar around the nipple. Swelling is a likely side effect but this should subside within a few weeks, same goes for any bruising post op.

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