I want to have a breast reduction surgery, but after seeing pictures of patients whose operation went very wrong, I got worried and discouraged. Why do some patients who have breast reduction surgery end up with dead tissue and really awful wounds? How can you prevent that? Is it the doctor's fault? If the operation goes great and the patient follows the post operation treatment correctly, can still this happen? If the doctor I'm seeing is a member of the ISAPS, can I be assured that he won't do anything wrong? Please, I'm really really worried.
Breast Reduction Recovery
Doctor Answers 65
Breast reduction surgery complications
- Very large breast size
I require my patients to quit smoking before reduction surgery to help minimize risks due to smoking.
Good management of diabetes can help decrease risks as well. This is evaluated by looking at the hemoglobin A1c level.
In addition, ask your surgeon how many breast reductions he or she does a year, as well as his/her complication rate. This should give you a better idea of your individual risk of complications after breast reduction surgery.
Bad Results With Breast Reduction
Breast reduction complications
An in-person exam with a board-certified plastic surgeon is the best way to assess your needs and provide true medical advice. The response to the question does not constitute a doctor patient relationship or formal advice.
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Technique & Breast Reduction Recovery
The initial discomfort post procedure subsides daily and can be controlled with oral medication.
Most patients resume normal activity within two weeks. However full activity, lifting, sports, with no restrictions is safer after 6 weeks Some discomfort, swelling and discoloration of the #breasts are to be expected for several weeks.
The scars at the incision lines typically become reddish and a few weeks after surgery are raised and firm. In a number of months they become pale and soft. After 8-12 months, the scars are relatively inconspicuous. The #nipples and some areas of the skin may be numb or sensitive after surgery. Sensation may return within a few weeks or months, but may be diminished or overly sensitive.
Your procedure should be performed by a #PlasticSurgeon who is board-certified and has a great deal of experience specializing in cosmetic #surgery. You will then greatly improve your chances of getting the result you desire, and, without the need for a revision surgery. It is suggested that you look at before and after photos of the surgeons actual patients, and read patient reviews. Gathering all of this information will help you make a well-informed decision.
Breast Reduction Recovery and Complications
Thank you for your question.
Breast reduction surgery is safe and effective. Many of patients go home the same day, although most opt to stay in hospital overnight. All the sutures I use are dissolving and most patients are able to lightly shower over their dressings the following day. I ask my patients to wear a bra with no underwire day and night for the first two weeks. Most patients return to work after 2 - 3 weeks. I ask patients not to exercise for 3 - 4 weeks. Most patients feel well enough to drive after 1 - 2 weeks.
All surgery involves some risks - wound healing problems, bleeding, pain for example. Thankfully, the complication rate of breast reduction surgery is low. Make sure your plastic surgeon is a registered member of the Australian Society of Plastic Surgeons, or the Australian Society of Aesthetic Plastic Surgeons. This is your way of ensuring your surgery is being performed by a specialist who knows what they are doing. If complications occur, it is important that you are under the care of someone who knows how to treat them.
It important that you feel comfortable with and have confidence in your surgeon. I often meet with patients a few times before their procedure to go over everything and make sure that we're all on the same page. As I am sure you will read elsewhere on this forum, breast reduction surgery is a popular procedure which patients recover well from. In the main, breast reduction patients are overwhelmingly glad they went through with their surgery.
I hope this helps.
Breast reduction recovery
Most people who undergo breast reduction are very happy. After surgery, they literally feel like they have a huge weight off of their shoulders, and many women are able to stand up straight and look and feel more confident. That said, not everybody is a great candidate for breast reduction. For example, the top three risk factors that can lead to major wound healing problems are smoking, obesity (BMI > 30), and diabetes. Knowing this, many plastic surgeons will avoid operating on smokers (or at least require that the patient stop smoking completely of a couple of months before surgery), require that patients lose weight so that their BMI is less than 30, and keep their glucose (blood sugar) under control. If all of these factors are controlled, then it is still possible to have wound healing problems. For example, the surgeon must be careful to preserve the blood supply to the nipple. Sterile technique must be used in a certified operating room. If the operation goes well and the patient is compliant with postoperative treatment, it is still possible to have wound healing problems, but the risk is then minimized. If your doctor's only qualifications is that he is a member of the ISAPS, then that may be a red flag. You want to look for a board-certified plastic surgeon, meaning the surgeon has been certified by the American Board of Plastic Surgeons and is a member of the American Society of Plastic Surgeons. The ABPS has an extremely rigorous board certification process, and they are the only medical board in which breast reduction is part of the board certification process.
Board Certification Matters Most
As a board-certified plastic surgeon with extensive experience performing cosmetic breast surgery, I can say with confidence that women who undergo breast reduction are among the most satisfied patients I've treated. There is always the risk of complications with any surgical procedure, but if you select a plastic surgeon certified by the American Board of Plastic Surgery (who might also be a member of ASAPS or ASPS), your chances of experiencing the type of complications you may have seen are going to be significantly lower. I hope this helps ease your anxiety.
Complications following Breast reduction.
Delayed wound healing or dehiscence of suture line can rarely happen . These are treated conservatively with dressing and oral medication. The worst complication following breast reduction is loss of blood supply to the Nipple and Areola complex. This is rarely seen in women who are diabetic or are smokers. If this happens ,then new nipple and areola have to be created after the wound heals completely. This can rarely happen in any surgeons hand.
Breast Reduction Surgery
Thank you for your inquiry. The first step is to set up a consultation with a board certified surgeon. Once you are in the consultation, see how you feel about your surgeon? Can you ask her questions easily? Does she tell you about the procedure in detail and possible complications? Ask her to show pictures of patients pre and post-operatively. Complications happens to the best of surgeons, the question you want to ask is how your surgeon takes care of them. This is a very common procedure and many patients have very few complications. Good Luck!
Breast Reduction Surgery and Complications
Breast reduction surgery has been one of the more rewarding aspects of my practice as my patients continually explain that their surgery has been life changing. No surgery is without risks for complications. Technique certainly can play a part in complications, such as nipple necrosis, which is why I would implore you to seek out a Plastic surgeon certified by the American Board of Plastic Surgery. Sometimes, complications occur outside of the surgeons control or fault can lie with improper patient selection. For instance, patients who have an elevated B.M.I., diabetes mellitus, or are smokers have a higher incidence of wound healing complications, infections, skin and nipple/areolar necrosis. If you do not have these risk factors, and your are being treated by a board certified Plastic surgeon, your risk for complications is very low and will in all likelihood have a successful outcome.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.