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Breast Reduction
(Reduction Mammaplasty)
 At Brisbane Aesthetic & Plastic Surgery Centre, breast reduction is performed by Dr Cheng, a qualified plastic surgeon with a special interest in both cosmetic and reconstructive breast surgery. He performs cosmetic surgery such as breast augmentation, breast reduction and breast lift for patients desiring to enhance their breast appearance. He also provides breast reconstructive surgery for woman undergoing breast cancer treatment.
Large breasts can cause pain, improper posture, rashes, breathing problems, skeletal deformities, and low self-esteem. Breast reduction surgery is usually done to provide relief from these symptoms. Performed under general anesthesia, the 2-3 hour procedure removes fat and glandular tissue and tightens skin to produce smaller, lighter breasts that are in a healthier proportion to the rest of the body.
During the procedure, an anchor-shaped incision is made from the new location of the nipple down to and around the crease beneath the breast. Dr. Cheng removes excess glandular tissue, fat, and skin, relocates the nipple and areola, and reshapes the breast using skin from around the areola before closing the incisions with stitches.
For a few days after surgery, the breasts are bound with an elastic bandage or a surgical bra and you may be given surgical drainage tubes for fluid removal. Stitches are all dissolvable and there is no need for suture removal. The recovery bra with no underwire must be worn for about a month.
A little pain is normal after surgery, whether it's mild
discomfort, swelling during menstruation, a measure of numbness or sensitivity, or random, shooting pains that may last for a few months. Swelling, bruising, crusting and slight changes in breast size are also common. Most patients return to work in about two weeks, although you should avoid heavy lifting for three to four and only gentle contact with the breasts should occur for six weeks.
Scars fade with time to a fine white line in most cases but will not disappear, although they can be hidden with a bra, bathing suit or low-cut top.
Risks are rare and usually minor but may include bleeding, infection, reaction to the anesthesia, small sores around the nipples, slightly mismatched breasts or unevenly positioned nipples, and permanent loss of feeling in the nipple or breast.
Gynaecomastia (Breast Reduction for Men)
 The overdevelopment of male breasts, also known as gynaecomastia, affects an estimated 40 to 60 percent of men. This condition may be caused by a hormonal imbalance, side effects from drugs, or may occur for no particular reason at all. But despite the cause, the condition is significant and may pose a serious problem in a man's life.
Men with large or sagging breasts can be both physically and emotionally uncomfortable, often restricting themselves from certain activities because they feel self-conscious about their breast size. Male breast reduction is an excellent way to decrease the
size of a man's breast, helping him feel more comfortable and confident.
Candidates for Male Breast Reduction
A good candidate for male breast reduction surgery is any man who feels uncomfortable with his large breast size. The procedure can be performed on men of all ages who are in good health, both physically and emotionally. The best candidates for male breast reduction surgery have firm, elastic skin that will reshape well to their body's new contours.
Male Breast Reduction Procedure
Male breast reduction surgery is usually performed under general anesthesia on in a day surgery facility. The surgery typically takes one to three hours. Several techniques can be utilized in male breast reduction, depending on the extent of the procedure.
If the enlarged breasts are primarily caused by excessive fatty tissue, liposuction can be performed through tiny incisions to remove the excess fat. The incision may be made around the edge of the areola (the area around the nipple) or in the underarm. If excess glandular tissue is the primary cause of the enlarged breast, the tissue will be excised, or cut out,
in addition to liposuction.
In more extreme instances when large amounts of fat or glandular tissue have been removed, excess skin may have remained that has not reshaped well to the new contour of the breast. In these cases, the excess skin may have to be removed as well.
Male Breast Reduction Recovery
Following male breast reduction surgery, patients will experience some bruising, swelling, and discomfort. This discomfort usually dissipates after a few days and can be reduced with prescribed medication. To help reducing swelling, an elastic pressure garment should be worn for about two weeks, and for several weeks after at night.
You will be encouraged to walk around on the day of your breast reduction surgery and can expect to return to work in approximately one week. You may also begin light aerobic exercise after a week, but you should avoid strenuous activities for about three to four weeks following the surgery.
Risks and Complications of Male Breast Reduction
As with all surgical procedures, male breast reduction
surgery contains a possibility of complication. Although rare, these complications include:
- Skin injury
- Infection
- Excessive bleeding
- Excessive fluid accumulation or loss
- Loss of nipple sensation
- Discoloration
- Scarring
- Asymmetrical breasts or nipples
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