Reduction mammaplasty is a ideal surgery which would transform large , unattractive , uncomfortable breast to smaller , attractive , comfortable breast without sacrificing and even enhancing sensuality , sexuality and function.

Indications of Breast reduction surgery

1 – Women suffering or carrying the weight of their breast , often get disease of their cervical spine , develop eczema of the inframammary fold, refrain from sport and social contacts and often have problem in finding clothing that fits. A beautiful breast can be a big help in raising the patient self esteem .

2-  Mastopexy should be limited to normal sized breast. Women with large ptotic breast just coming in for mastopexy are not usually good indication . I recommend them to have certain breast  reduction also , because their weak tissue is very likely to let the ptosis reoccur , because too much weight pulls it down .

3- Breast asymmetries can be congenital or after treatment of breast cancer . They can be corrected by  breast reduction or mastopexy .

4- Juvenile  breast hypertrophy often is a big physical and psychological problem for the affected patients , As the anatomical structures are respected in my technique it is very likely to maintain viability, sensitivity and breast feeding capacity. it is recommended in young patients as well . Breast may go on growing after Breast reduction procedure .

Summary of operative technique for Superiomedial Breast Reduction

• Marking the new nipple site. Mark the medial pedicle with a dermal base narrow enough to allow its full mobility .
• Mark the superomedially based pedicle, the medial and the lateral pillars , and moving uptill the IMF .
• Infiltrate the superiomedial pedicle, deepithelialize the pedicle and incise remaining the peri areolar skin excess.
• Incise perpendicularly the nipple areolar complex along with the superomedial pedicle , uptil the pectoral fascia.
• Saperate the pedicle and remove the excess breast tissue and skin
• Rotate the pedicle and NAC to the new position , align the medial and the lateral pillars .
• Do not extend the skin excision to the inframammary fold rather extend it laterally .
• Insert suction drains
• Close periareolar and vertical wound edges in two layers .

Post Operative Care:

• The patient stay in the hospital overnight
• The drains and the bandages are removed the next day .
• Sports bra is advised to wear day and night  initially and after two weeks only in the day time .
• Non reabsorbable stitches are removed after two weeks
• Scars are treated with ointment after two weeks

For any queries related to Reduction mammaplasty or Female Breast Reduction procedure , you can visit Kalosa clinics or Dr Ashish khare M.ch plastic surgeon .