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Overly large breasts can cause some adolescents, both male and female, to have health problems, or emotional problems.
In addition to self-image issues, they may also experience physical pain and discomfort. The weight of excess breast tissue can impair your ability to lead an active life. The emotional discomfort and self-consciousness often associated with having large breasts is as important an issue as any physical discomfort and pain. Also known as reduction mammaplasty, this procedure removes excess breast fat, glandular tissue and skin to achieve a breast size in proportion with the body and to alleviate the discomfort associated with overly large breasts.
Breast reduction is a good option for your child if he/she:
What to expect from your consultation
Your surgeon will explain in detail the risks associated with surgery. You will be asked to sign consent forms to ensure that you fully understand the procedure your child will undergo and any risks or potential complications.
If your child experiences shortness of breath, chest pains, or unusual heart beats, seek medical attention immediately. Should any of these complications occur, hospitalization and additional treatment may be required.
The practice of medicine and surgery is not an exact science. Although good results are expected, there is no guarantee. In some situations, it may not be possible to achieve optimal results with a single surgical procedures and another surgery may be necessary.
Following your surgeon’s instructions is key to the success of your child’s surgery. It is important that the surgical incisions are not subjected to excessive force, abrasion, or motion during the time of healing. Your surgeon will give you specific instructions on how to care for your child. Be sure to ask questions: It’s very important to address all your questions directly with your surgeon. It is natural to feel some anxiety, please discuss these feelings with your surgeon.
When your child’s procedure is complete, dressings or bandages will be applied to the incisions. An elastic bandage or support bra may be worn to minimize swelling and support the breasts as they heal.
A small, thin tube may be temporarily placed under the skin to drain any excess blood or fluid that may collect.
The results of breast reduction surgery will be long-lasting. However, over time breasts can change due to aging, weight fluctuations, hormonal factors and gravity.
What happens during breast reduction surgery
Breast reduction is usually performed through incisions on the breasts with surgical removal of the excess fat, glandular tissue and skin. In some cases, excess fat may be removed through liposuction in conjunction with the excision techniques described below. If breast size is largely due to fatty tissue and excess skin is not a factor, liposuction alone may be used for breast reduction. The technique used to reduce the size of the breasts will be determined by your child’s individual condition, breast composition, amount of reduction desired, your personal preferences and the surgeon’s advice.
Anaesthesia Medications are administered for your child’s comfort during the surgical procedure. The choices include intravenous sedation and general anaesthesia. Your doctor will recommend the best choice for your child.
The incision options include:
The incision lines that remain are visible and permanent scars, although usually well concealed beneath a swimsuit or bra.
Removing tissue and repositioning
After the incision is made, the nipple-which remains tethered to its original blood and nerve supply-is then repositioned. The areola is reduced by excising skin at the perimeter, if necessary. Underlying breast tissue is reduced, lifted and shaped. Occasionally, for extremely large breasts, the nipple and areola may need to be removed and transplanted to a higher position on the breast (free nipple graft).
Closing the incisions
The incisions are brought together to reshape the now smaller breast. Sutures are layered deep within the breast tissue to create and support the newly shaped breasts; sutures, skin adhesives and/or surgical tape close the skin. Incision lines are permanent, but in most cases will fade and significantly improve over time.
See the results
The results of breast reduction surgery are immediately visible. Over time, post-surgical swelling will resolve and incision lines will fade.