What to do if your too Big Breasts?

Correcting breast enlargement (Big Breasts)can be done through surgery to lift the nipple up to the proper position and remove excess skin and tissue to achieve the purpose of reducing the breast size. This surgery is called breast enlargement correction surgery, also known as breast reduction surgery , and is suitable for breast enlargement.

Big breasts to Breast reduction surgery can adjust the breasts to the appropriate size and shape, improve neck and back pain caused by enlarged breasts, and reduce the chance of skin erosion under the breasts.

Who is suitable for breast reduction surgery?

Generally speaking, patients with the following conditions can consider this surgery

• Long, loose breasts, with or without glandular hyperplasia.
• Broad, heavy, big breasts.
• After pregnancy or childbirth, or after significant weight loss, the breasts may become pendulous or pouch-like.
• The breasts are still in the shape of a young girl, but are too large.
• Unilateral breast enlargement.
• Breast sagging brings physical symptoms, such as pain in the shoulders, back, and chest, and easy erosion of the skin folds under the breasts.

The following conditions are usually not suitable for this surgery

• Those who are pregnant or breastfeeding.
• People with serious heart, brain, liver, kidney and blood system diseases.
• The patient herself is unwilling to accept surgical scars, decreased nipple sensation, loss of lactation ability, etc.
• Suffering from fibrocystic breast hyperplasia .
• Have serious psychological disorders.
• An infection, especially in the chest.

In addition, those who are menstruating must wait until the menstruation is completely over before undergoing surgery, preferably 3 days after the end.

What preparations are needed before breast reduction surgery?

Hospitalization is required, usually for 5 to 7 days.

Preoperative examination

Routine blood tests are performed before surgery, and the examination items include blood routine, coagulation function, liver and kidney function, etc. Electrocardiogram and chest X-ray are usually also performed to rule out situations where surgery cannot be performed.

In addition, blood tests also include infection indicators such as hepatitis B and syphilis. The purpose is to disinfect instruments used by infected people to protect other patients and avoid cross-infection between patients.

People with chronic diseases (hypertension, heart disease, diabetes, etc.) need to inform their doctor in advance. The doctor will conduct targeted examinations to assess whether they can tolerate surgery.

Doctors also typically perform a systematic breast examination, which includes assessing the breasts in relation to the trunk, observing the breasts for symmetry, and examining the skin over the breasts.

Preoperative preparation

Stop taking aspirin-containing drugs, contraceptives, and Chinese medicine for promoting blood circulation and removing blood stasis 2 weeks before surgery, and quit smoking for 2 weeks.

Before surgery, you can consult your doctor to discuss your requirements for your new breast.

Before the operation, the doctor will usually plan the surgical method and draw some marking lines on the breast. Be careful not to wash them off.

anaesthetization

The surgery is usually done under general anesthesia and the patient is unconscious during the operation.

How to correct Big Breasts surgically?

Generally, the skin is cut through the incision designed before the operation, and excess breast tissue, fat and skin are removed after peeling.

The areola often becomes too large due to traction, and part of the areola is usually removed.

After lifting the nipple and areola to the appropriate position, the doctor will suture the skin, usually around the areola.

A drain may be placed in place when the incision is closed.

The operation usually takes about 2 to 3 hours.

What should I pay attention to after the operation?

Postoperative complications

• Bleeding or hematoma. This surgery involves a large incision, so hematoma may occur. Patients should carefully monitor the amount and color of drainage fluid after surgery. If you notice a sudden increase in drainage fluid or bright red color, notify your doctor immediately for treatment. Also, be sure to notify your doctor if you experience severe breast tenderness or pain.
• Infection. A fever after surgery is generally normal, but persistent high fever or localized redness, swelling, heat, and pain in the breast may indicate infection. Antibiotics are generally used to prevent and treat infection after surgery. If the infection is severe, local skin and tissue incisions may be performed for drainage.
• Nipple and areola necrosis. Doctors strive to minimize nipple and areola necrosis by carefully planning the surgery and carefully manipulating the area around the areola to protect its blood supply. If necrosis becomes irreversible, other tissues can be used to reconstruct the nipple and areola after a period of time.
• Decreased sensation and impaired lactation. Because the breast glands and ducts are partially removed, some of the tiny nerves responsible for skin sensation are inevitably damaged during surgery. Postoperatively, decreased nipple sensation and impaired lactation are common, and these symptoms generally improve six months to a year after surgery.
• Delayed wound healing and scarring. If scarring is severe, local measures such as radiotherapy may be considered.

Postoperative care

Generally, the drainage tube is removed 24 to 48 hours after surgery. While the drainage tube is in place, carefully monitor the amount and color of the drainage fluid. If you notice a sudden increase in drainage fluid or a bright red color, notify your doctor immediately and have them take action.

Pay attention to the color of the nipple and areola within 24 hours after surgery. If you find any color changes such as paleness or cyanosis, you should immediately inform your doctor and ask him to take action.

Typically, three days after surgery, the doctor will loosen the dressing, inspect the wound, and remove the drainage tube depending on the drainage status. Sutures are removed intermittently four days after surgery, and completely after 7-10 days. To prevent infection, antibiotics may be used for three to five days after surgery.

Recovery process

Avoid raising your upper limbs for 2 weeks after surgery, and avoid excessive upper limb activity for 1 month. Normal upper limb movement can generally be resumed around 3 months after surgery.

The incision will often be red after surgery, which usually lasts for 3 to 6 months and then slowly recovers.

Review

After surgery, your doctor will recommend regular checkups, usually three months after surgery, to monitor breast morphology. If breast enlargement recurs two to three years after surgery, you may want to consult your doctor and consider additional surgery.