Breast Reduction Questions and Answers
Carmel and Indianapolis, Indiana
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1. Is the nipple removed in breast reduction surgery?
Most breast reductions do no require nipple removal. This is done only in very larger reductions and is called a free nipple graft technique. In the more commonly performed methods, the nipple remains attached to the breast tissue and is transposed to a new location. This tends to produce a better cosmetic result and retains more sensation.
2. Will I lose sensation after breast reduction surgery?
Every attempt is made to preserve sensation after breast reduction surgery. It has been shown that large breasted women tend to have decreased nipple and breast sensation preoperatively. There may be some sensory loss after breast reduction surgery. Breast reduction surgery is a trade off of correcting problems associated with large breast size for breast breasts with scars. Scars do improve with time but they are permanent.
3. Will I have drains with breast reduction surgery?
Most patients will have drains following breast reduction. They are usually removed the day after surgery.
4. Will I have pain with breast reduction surgery?
Most patients do not have significant pain with breast reduction surgery. As there is no surgery to the underlying muscles, pain is decreased and easily controlled with oral medications. Patients undergoing breast augmentation usually have more pain than breast reduction patients.
5. Smoking and Breast Reduction Surgery
Smoking has been shown to have an adverse effect on wound healing. Smoking must be discontinued for two weeks before and after surgery. This includes all nicotine containing products.
6. What are the risks of Breast Reduction?
Recognized risks include infection, bleeding, wound healing problems, asymmetry and nipple. Life threatening but rare problems include blood clots, severe infection and anesthetic complications. Bleeding is usually minimal and transfusion rarely indicated. Infection is uncommon. Minor wound healing problems can occur but are usually self-limiting.
7. How long will I be off work following breast reduction?
Recovery from breast reduction is usually quick and most patients may return to desk jobs within one week. More stressful occupations may require 2-3 weeks recovery.
8. When will my sutures be removed after Breast Reduction Surgery?
Almost all of the sutures are of the dissolving type and do not require removal. Patients may shower 48 hours after surgery and wear a support bra with minimal dressings.
9. Can I nurse following breast reduction surgery?
It is possible to breast feed following breast reduction as in most cases the nipple ducts are not cut unless a free nipple graft procedure is performed. Not all women will be able to breast feed and the amount of residual breast tissue may have an effect.
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