Breast Reduction

BREAST REDUCTION: The power of smaller and contoured breast Having a very large and heavy breast can lead to a variety of medical problems, such as back and neck pain, skin irritation, skeletal deformities and breathing problems. Women with overly heavy breast make them feel extremely self-conscious. This is the reason why breast reduction has become a very common surgical procedure. Breast Reduction is known in the plastic surgery world as Reduction Mammoplasty. This procedure is either a reconstructive or cosmetic surgery that aims to produce smaller, shapelier breasts, which are in proportion with the rest of the body. The size of the areola, the darker skin surrounding the nipple, can also be reduced.

Surgical Procedure

The highlight of the procedure is to remove the breast fat, glandular tissue, and skin, to make the breasts smaller, lighter, and firmer. The surgeon makes the incision around the perimeter of the areola, vertically down from the areola to the breast crease and horizontally along the breast crease, like an upside down T which is commonly referred as inverted T or Anchor Incision. The nipple and areola are almost always left attached to their blood vessels and nerves. The skin from above the nipples is then pulled down to shape the new breast and a hole is cut for the new nipple and areola. If the breasts are particularly large, a Free Nipple Graft a very large and heavy breast. Wherein the nipples are completely removed and grafted to a higher position – this results in a loss of sensation to the nipple and areola.

Hospital Admission

The surgeons recommend two nights hospital admission

Duration of Operation

The procedure may take four to six hours.

Anaesthetic

Breast Reduction is done using General anaesthesia in which the patient is asleep for the surgery.

Pre Operative Care

Surgeons advised that patients to do the following prior to the breast reduction surgery to avoid post operation bleeding or any complications: • Inform the surgeon of any allergies, all medical conditions, and any medication that the patient are taking (both prescription and non-prescription) • Avoid aspirin and any medication containing aspirin or brufen for two weeks before surgery. • Avoid smoking for two weeks as smoking can affect body’s reaction to the anaesthetic and slow down the healing process. • Checkup for any major medical problems such as diabetes, high blood pressure, heart disease During your consultation, you should discuss your expectations of the outcome of the surgery and listen to the surgeon’s opinion.

Post Operative Care

After Reduction Mammoplasty, the patient may experience some pain associated with the surgery. When the procedure is completed, a patient is advised of the following:

• Bandage and support garment. The patient breast will be wrapped in elastic bandages, gauze dressings and a surgical bra. A couple of days after surgery the pressure bandages will be removed. The surgical bra must be worn at all times for several weeks, until the swelling and bruising subsides, or until your surgeon advises you otherwise. You should only remove the surgical bra to bathe and to wash the garment.
• Surgical Drainage. A small tube may be placed in each breast to drain blood and fluids for the first day or two.
• Swelling and bruising. The extent of the post operative swelling and bruising depends on whether you tend to bruise or swell easily.
• Stitches and Wound Care. Most of the surgeons use non-dissolvable sutures which will be taken out after two weeks. If the breast skin is very dry following surgery, a moisturizer can be applied several times a day. Vitamin E cream is extremely effective and also helps the scarring to heal, however the suture area must be kept dry at all times, particularly after bathing. They may be red for months, and then slowly become fainter, eventually fading to thin white lines. The surgeon will try to ensure that your incisions as subtle as possible, however the patients are advised that the scars are extensive and permanent.
• Heavy lifting and strenuous exercise. For the first few months, it is important not to place tension on the wound by performing strenuous activities like lifting or stretching your arms above your head, as this may increase scarring by stretching the tissue. The patient will only be able to resume to regular activities after two weeks, although you should abstain from heavy lifting and strenuous exercise for several months.
• Recovery. Recuperation usually takes about two weeks. Most people are back to work after three weeks.

Risks and Complications

Risks are inherent to any surgical procedure. But do not worry, all precautions are taken by Plastic Surgery Phuket’s surgeons to avoid these risks.

Here are the most common risks of this surgery:

• Swelling
• Bruising
• Bleeding
• Infection
• Fluid
• Long and heavy Scarring
• Numbness
• Changes or loss of nipple sensation due to damage nerve and blood supply of the nipple

Breast reduction is recommended for women that have had children already and do not wish to have any more. Breast reduction does not increase the risk of breast cancer and indeed may slightly decrease the risk. Mammograms will still be possible after surgery.

Other

Reduction Mammaplasty Vs Liposuction

Patients whose breasts are not too large, and the skin has good elasticity then liposuction may be an alternative. This is especially useful in women who wish to avoid scars. It is possible that this technique may preserve the ability to breastfeed. This technique has become the most common way to perform breast reduction on a patient who is about a DD size. An overly heavy breast which hangs low requires the conventional method of breast reduction.

Procedure Overview (PDF)

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Pricing Table

Currency:

Phuket

Procedure Price
Bilateral Prophylactic Preventative Mastectomy (G.A.)
Op. Time: 4 - 6 hours, Hospital: 2 nights, Stay: ≥ 7 days
THB 220,000  Get Quote
Bilateral Prophylactic Mastectomy & Augmentation (Tear Drop) (G.A.)
Op. Time: 6 - 8 hours, Hospital: 2 nights, Stay: ≥ 10 days
THB 360,000  Get Quote
Breast reduction with implants (Second degree breast ptosis) (G.A.)
Op. Time: 5 - 6 hours, Hospital: 2 nights, Stay: ≥ 10 days
THB 270,000  Get Quote
Breast reduction with implants (Third degree breast ptosis) (G.A.)
Op. Time: 6 - 8 hours, Hospital: 2 nights, Stay: ≥ 10 days
THB 300,000  Get Quote
Breast reduction with implants (Severe degree breast ptosis) (G.A.)
Op. Time: 6 - 8 hours, Hospital: 2 nights, Stay: ≥ 14 days
THB 350,000  Get Quote
Breast reduction without implant (G.A.)
Op. Time: 4 - 6 hours, Hospital: 2 nights, Stay: ≥ 14 days
THB 250,000  Get Quote

Bangkok

Procedure Price
Breast reduction without implant (G.A.)
Op. Time: 4-6 hours, Hospital: 2 nights, Stay: ≥ 14 days
THB 209,000  Get Quote
Breast Reduction with Implants: Second degree (G.A.)
Op. Time: 5-6 hours, Hospital: 2 nights, Stay: ≥ 10 days
THB 228,000  Get Quote
Breast Reduction with Implants: Severe degree (G.A.)
Op. Time: 6-8 hours, Hospital: 2 nights, Stay: ≥ 14 days
THB 294,000  Get Quote
Breast Reduction with Implants: Third degree (G.A.)
Op. Time: 6-8 hours, Hospital: 2 nights, Stay: ≥ 10 days
THB 256,000  Get Quote

L.A.= Local Anesthetic  G.A.= General Anesthetic

Note:

  • Prices are quoted and charged in Thai Baht currency.
  • All other prices in foreign currency are according to prevailing currency exchange rates.
  • Prices are indicative only, can change without notice and are not confirmed until after a surgeon’s consultation.
  • Anesthesia. G.A. means General Anaesthesia. L.A. means local anaesthesia.
  • Duration (HR) means the approximate time in hours to complete the procedure in the operating room.
  • Days Admitted means the approximate number of days a patient is admitted to the hospital. If no days admitted are indicated, the patient is not admitted and is treated as an out patient.
  • Recommended Stay in Phuket means the usual minimum number of days that a patient is usually required to stay in Phuket. It includes an arrival day, an appointment with the surgeon’s day, admission and surgery, recovery days as well as a final appointment day prior to patients returning home.

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Other Breast Procedures

Other plastic surgery procedures performed at Phuket Plastic Surgery Institute (PPSI).

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