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What is the difference between a breast reduction and an uplift?

Women with moderate to large natural breasts very often find that, with time, the bust will begin to sag and the skin above the nipple will stretch. This results in a low nipple and loss of projection. Women who want to reverse the effects of sagging breasts are good candidates for mastopexy, which is otherwise known as a breast uplift. However, if the breasts are very large, the weight of the breasts on the chest can result in discomfort and physical symptoms such as neck and shoulder pain. In this case, the patient might be better suited to a breast reduction procedure.

What are the similarities between breast uplift surgery and a breast reduction?

During both mastopexy and breast reduction surgery, the nipple is lifted and the breast is reshaped to appear more lifted. The scarring is also similar in the two procedures. During a mastopexy, no breast tissue is removed, but a breast reduction involves removal of breast tissue to make the breast smaller within the same pattern of scarring.

What are the differences between breast uplift surgery and a breast reduction?

As implied by the name of the procedures, the main difference between a mastopexy and a breast reduction is the size of the breasts postoperatively. During a breast reduction, excess breast tissue is removed from the breasts to create a smaller bust with a smaller cup size. For this reason, it is most suited to women who are unhappy with the large size of their breasts. During a mastopexy, no breast tissue is removed. Therefore, the cup size will remain approximately the same after your surgery.

There are some situations where a limited scarring technique can be used to uplift the breast. This can involve either a scar just around the areola (a circumareolar  mastopexy) or a vertical scar technique. Usually these limited scar techniques are much less likely to be suitable for breast reduction since large amounts of skin as well as breast tissue need to be removed.

What anaesthetic is used for surgery of this nature?

Mastopexy and breast reduction are both performed under general anaesthetic. Mr. Chana works with fully qualified and experienced anaesthetists, and your safety and comfort is paramount to the whole procedure.

What is the recovery for surgery of this nature?

For both procedures, you will be required to stay in hospital overnight, and take between 1-2 weeks off work. During this time, you should rest as much as you can, and expect some variable amount of bruising and swelling. You should wait at least 6 weeks before resuming participation in any vigorous activity like sports, and your best results will show between 3-6 months after your surgery.

What are the risks involved?

With both procedures you will be left with permanent scars which will fade over a period of time – although this process can take over a year.  Other risks include skin puckering, swelling, bruising and a chance of infection, but as a general rule these risks are easily treated. There is a risk of delayed healing of the skin which is particularly a problem in smokers and in patients who are overweight. Therefore it is important to completely stop cigarettes and reach a more ideal weight prior to surgery.

How do I proceed?

If you are interested in either breast uplift or breast reduction, you should book a consultation with Mr. Chana to discuss further. A lot of organisations offer cosmetic breast procedures, but you should seek the assistance of a breast expert like Mr. Chana to ensure that your results are as good as they can be and perfect for your body type.

During your consultation, you can explain to Mr. Chana any dissatisfaction you have with your existing body shape, and Mr Chana will discuss which procedure is most  appropriate under the circumstances. Your consultation also offers an excellent opportunity for you to build a rapport with Mr. Chana – something that often leads patients to feel more comfortable and at ease moving forward with their treatment.

Call or email Mr. Chana’s clinic directly to book a consultation.

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Breast reduction FAQ’s

Why undergo breast reduction surgery?

For many women, the idea of wanting smaller breasts is unlikely, and with breast implant surgery still the most popular cosmetic surgery of all, reducing naturally large breasts goes against the grain of typical surgery trends.

But having disproportionately large breasts can be rife with issues. Not only can it affect your posture and cause back pain, but finding underwear, swimwear and clothes to fit can be problematic, not to mention everyday tasks that people take for granted like sports. What’s more, overly large breasts can affect the whole silhouette and can make many women appear larger than they actually are.

Obviously, none of these effects are desirable, and all of them can have a large impact on day-to-day life. By undergoing a simple breast reduction surgery, many women find that they have a new lease of life – not only do they look slimmer and find clothes that will fit them more easily, but they find movement easier and experience less discomfort.

Who is best qualified to perform your breast reduction surgery?

Breast reduction surgery is a straight-forward and well-practiced procedure.  However, for a successful outcome it is important that you visit a plastic surgeon with experience in cosmetic  breast surgery procedures, like Mr. Jag Chana. Although many surgeons ,including breast cancer surgeons, may carry out breast reduction it is important to seek the opinion of a plastic surgeon who is trained purely in cosmetic surgery since you get the benefit of cosmetic and artistic experience in in order to achieve bespoke, natural looking and artistic results.

What happens during your consultation for breast reduction surgery?

During your consultation, you’ll be able to learn all about the procedure, so that you can make a fully informed decision about whether it’s the right thing for you.  Mr. Chana will be able to make a full assessment  and examine your breasts to determine the type of breast reduction procedure which is best suited.  During the examination the level of your nipple will be measured and this determines how far the nipple has to be lifted during the surgery. Based on these measurements  the majority of patients undergo a procedure where the nipple remains attached to a pedicle of tissue and is moved upwards. A variable amount of breast tissue is removed. If the nipple is very low indeed then the nipple may have to be removed and replaced as a skin graft.

How can you prepare for the surgery?

Prior to the treatment, there are some steps you can take to ensure that your procedure and recovery runs smoothly. For example, smokers are advised to quit for at least a few weeks before their treatment, because smoking affects the way in which wounds heal and can cause skin loss and even loss of the nipple. Mr. Chana advises at least a few weeks in advance of your treatment, but the longer you can leave the time between smoking and your surgery, the better.

If you are overweight it is advisable to lose weight before the surgery .  Being overweight also increases the risks of delayed healing but also there is an increased risk of clots in the legs.

What is the anaesthetic  required for breast reduction surgery?

The surgery itself is performed under general anaesthetic and you will be required to stay overnight in hospital. Mr. Chana works with highly trained and experienced consultant anesthetists to ensure your surgery is undertaken under maximum safety.

How is the surgery performed?

Breast reduction surgery takes around two and a half hours to perform. During the procedure, excess breast tissue is taken from above, below and around the nipples, as well as any excess skin. The nipples are then lifted so that the breasts sit higher on the chest. For the majority of patients the nipple is moved upwards whilst being attached to a pedicle of breast tissue. However, in a small proportion of women who have huge breasts the nipple may have to be removed and replaced as a skin graft.  Incisions are closed with sutures, and a supportive dressing is applied to the wound to assist the healing process.

How is the size of the new breast decided?

The level to which the breasts are to be resized is something that will be discussed mutually between you and Mr . Chana prior to surgery. Mr. Chana will be able to advise what size will be appropriate for your proportions while at the same time meeting your expectations.  However, it is important to realise that it is not possible to guarantee an exact cup size.

What are the scars like following surgery?

With breast reduction surgery, there will always be a degree of scarring, and this is an unavoidable side effect from removing the breast tissue. This scarring will extend circumferentially around the nipple and extend in a vertical line down to the crease under the breast. In most cases there will in addition be a scar running  horizontally in the crease under the breast. This is the so called ‘anchor’ shaped scar. In a small proportion of women undergoing a small breast reduction the horizontal scar can sometimes be avoided. This is the ‘vertical scar’ technique .

What is the recovery?

After your surgery, you should sleep upright for the first few nights to reduce excess swelling or bruising, and you should take around 1-2 weeks off work to aid your recovery. Any discomfort you might experience can easily be managed with a short course of painkillers that will be prescribed to you by Mr. Chana – you should avoid aspirin after your surgery though, as again, these thin the blood and can affect the way in which your wounds heal. Heavy exercise should be avoided for 6 weeks following surgery.

For more information on breast reduction surgery, contact Mr. Chana’s clinic to arrange a consultation.

Testimonial: breast reduction

Patient A, who underwent a Bilateral Breast Reduction, said the following about her procedure:

“I had an amazing experience from start to finish with both Dr Chana and The Spire Bushey. I had never had any kind of surgery before this procedure and was extremely nervous but everyone around me made me feel very comfortable and relaxed.

I went to see several surgeons and Dr Chana was by far the best, he was very attentive and understanding and made me feel very at ease.

My results are amazing, much better than I could have ever imagined and I will certainly recommend Dr Chana to anyone.

Thank you again, I am very grateful for you excellent work.”

Breast Surgery

There are six different types of breast surgery which all help to improve many different issues.

The most popular breast procedure is Breast Augmentation – widely known as the ‘boob job’.

The aim of this procedure is to enhance the breasts by inserting silicone implants, making them bigger and altering the shape if required.

Breast reduction surgery can be performed on those who have an overly large breast that is disproportioned to the rest of their body, or are experiencing pains from the weight of the breast tissue they are carrying.

As we age and after pregnancy, the breasts can sag, droop or lose its shape. Mastopexy is a form of breast surgery which addresses this issue and lifts up the breast whilst also re-shaping it into its new position.

You may be surprised to hear that breast surgery is not only for women. Men also have breast tissue – some have more than others.

In fact, breast surgery for men is becoming increasingly popular as more men are targeting their chest issues which they may become embarrassed of. The most common issue is the so-called ‘moobs’ (man boobs).

Gyneacomastia is the name for the surgery which reduces the amount of breast tissue on a man’s chest that diet and exercise can’t seem to shift.

Pectoral implants can also be inserted to enhance the muscular appearance of the male chest. These are much firmer than female breast implants and are shaped to increase the size of the pectoral muscle as natural looking as possible.

All of the above procedures aim to solve your issues, improve your confidence and alter your breast/chest shape.

 

Am I suitable?

If any of the issues described above are familiar to you or if you are considering any of the above procedures and want to find out more, then booking a consultation with Mr. Jag Chana will address your issues and provide you with the information you need.

Mr. Chana will answer all your questions and provide you with the right care to ensure that your surgery is as comfortable as possible.

 

What is the treatment like?

The treatment is different for each type of surgery and again this is something you will need to discuss with Mr. Chana in your consultation, to make sure that the procedure is right for you.

 

Breast Augmentation works by the surgeon making an incision into the crease underneath the breasts and the implant is inserted and placed either in front of, or behind the muscle depending on what is advised to you.

 

Breast Reduction surgery involves a cut around the nipple, down to the bottom of the breast and then along the crease underneath. Excess tissue is removed (the amount depends on the bra size you wish to go down to which will be discussed in your consultation) and the nipples are sewn back into their new position.

 

There are various ways of performing Mastopexy surgery and this depends on what grade of sagging your surgeon has assessed you as, but generally the surgery involves cuts into the breast, the breast is lifted, excess skin is removed and the tissues are tightened before closing the incisions with stitches.

 

How long does the procedure take?

This all depends on the type of breast surgery you have but usually breast surgery takes, on average, between two and three hours.

 

How long do results last?

The results are long-term – with implants lasting ten years before being replaced with new ones and other types of breast surgery results last forever.

However, you can always go back to your surgeon to discuss any problems (should you have any) and alter anything if need be, although this is very rare as most patients are extremely satisfied with their results.

 

Does it leave a scar?

Breast surgery will scar as it involves incisions into the breast tissue but these are usually well hidden and fade over time.

 

How much does it cost?

Again, this all depends on the type of surgery you choose, but on average breast surgery starts at around £4,500.

beachboobsThe different types of breast reconstruction, or breast injury for that matter, can affect a woman’s ability to produce milk. The main concern is not whether a foreign element is placed inside the breast. Only surgeries that damage or cut the milk duct and nerves will affect someone’s breast feeding abilities. The waiting period between the surgery and the feeding period is also a factor in the equation. The longer the wait is, the more successful you will be.

Before undergoing any type of breast surgery, make sure to consult the doctor who will be performing the operation. You may specifically ask your doctor to leave your milk ducts untouched or unaffected.

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The American Society for Aesthetic Plastic Surgery (ASAPS) has reported that the most common cosmetic plastic surgical procedures for teens were rhinoplasty or nose reshaping, followed by breast reduction, correction of breast asymmetry, gynecomastia, in which breast development occurs in boys, and chin augmentation – often performed with rhinoplasty to achieve a balanced look in the face.

The most common nonsurgical cosmetic procedures among teens were laser hair removal and chemical peels.

For teens, cosmetic surgery, both surgical and nonsurgical, may provide a positive effect on physical and emotional development, says the ASAPS. However, all patients, and teens especially, must undergo a careful screening and evaluation.

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Romanian tennis player, Simona Halep, junior champion at the French Open in 2008, has had her 34DD breasts reduced to help her back problems.

The extra weight on her chest was uncomfortable and caused severe back pain, which affected her performance on the court. To improve her chances at becoming a Grand Slam winner, she spent last summer recovering from an op that reduced her breasts to a more modest – and manageable – 34C.

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The International Society of Aesthetic Plastic Surgery (ISAPS) conducted a survey during the spring of 2009 on “World Financial Trends in Plastic Surgery Practices” and found the price tags for many of these elective operations to range from $5,000-10,000.

In the US and Western Europe breast reductions, “nose-jobs,” tummy tucks, facelifts, hip and thigh contouring go for $5,000-10,000.

In Brazil, a tummy tuck, facelift and hip and thigh body contouring were in the $5,000- $10,000 range while most other procedures in Brazil fell under $5,000.

In all other South American countries (excluding Brazil) and all other Asian countries (excluding China, Japan and Korea), nearly all procedures cost under $5,000.

Almost everywhere in the world, one breast implant will cost under $5,000 and Botox treatments, including other fillers and dermabrasion, would be well under $5,000.


© Jag Chana 2014