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Breast reduction & breast lift

Breast reduction & breast lift

If you suffer from being overweight and/or have hanging breasts, this can be accompanied by physical discomfort, such as neck and back pain, excessive sweating and tight bra straps. Also, psychological symptoms can come from shame about the size and/or shape of your breasts. We can help you with this by performing a breast reduction surgery or breast lift. Both are surgical procedures that are the same in terms of treatment, but with the breast reduction tissue will also be removed. With a breast lift it is possible to enlarge your breasts with a prosthesis. The operation takes place under general anaesthesia and lasts about 1½ - 2 hours. The procedure can take place as a day treatment.

The plastic surgeon listens to your wishes and during a personal consultation the possibilities will be discussed with you in detail. As with all operations, it is important that you have a good health and weight. Our goal is that you have realistic expectations of the possibilities, risks and aftercare. In consultation with the surgeon, you make a choice that meets the desired result.

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Heavy and/or hanging breasts can give back, shoulder and/or neck pain. Bra straps can cut and rub into the skin of the shoulders and sweat under the breasts can cause irritations and fungus infections. An abnormal shape can also be experienced as repulsive or shameful. In most women a small asymmetry can be observed whereby one breast is slightly larger, and/or is hanging lower and/or has a slightly different shape. When the asymmetry is significant, finding the right bra size may become difficult. A breast reduction and a breast lift are in essence the same operation.  In both operations the breasts are lifted whereby the nipple is placed in a higher position, but in a breast reduction breast tissue is also removed. During a breast lift there is the possibility of enlarging the breasts by the placing of breast prostheses.

During the first consultation the options for your breasts are judged and the options and consequences thereof will be discussed. A breast reduction will result in scars and may affect the sensitivity of the nipples and in some cases the sensation may be lost. The chances of being able to breastfeed after a reduction/lift will decrease significantly. This all depends on how much the breasts need to be lifted and how much breast tissue is to be removed. As with all procedures it is important that your weight and general health are acceptable.

The procedure takes place under general anesthetic and takes about 1½ to 2 hours. Because the areola will be raised and often made smaller, it will result in a scar around the areola. The skin in the lower part of the breast will need to be removed, which will result in a vertical scar from the areola and a horizontal scar under the breast. All together these scars will have the shape of an “anchor”. In a case of good elasticity of the skin and when the necessary reduction/lift is not too excessive, the horizontal scar under the breast can be avoided; the scar then takes the shape of a “lolly pop”. Most of the time, drains will be placed to drain any fluid and blood that may accumulate after the procedure. The procedure can take place as a day case and the removal of drains and follow up are done in the consulting room. The stitches are all dissolvable and in general do not have to be removed.

The drains are removed after 1–3 days. After removal, a sports bra without underwire needs to worn to protect the breasts and to allow the healing process to proceed undisturbed. It is important the bra is supportive and comfortable as it needs to be worn day and night for six weeks. In the case of a “lolly pop” technique being used, the skin under the breast will be will be wrinkled and swollen. This skin will smoothen out in 6–12 weeks. The final scar will depend mainly on your personal healing. All breasts are different with regards to firmness and fat tissue, the elasticity of the skin (stretch marks) and the healing process (scars). The total healing process will take a year, but after 3 months it will be more or less clear what the results will be. After a breast reduction/lift the aging process will continue and further changes can occur after changes in body weight, undergoing pregnancies and menopause. This too is different for all women. It is advisable to always wear a supportive bra during the day.

The exact cup size after the procedure is difficult to determine because of the difference among the various brands of bras. Most of the time it is desirable that the breasts are in proportion to the rest of the body. The nipples need to be in the right place and the breasts need to be about the same shape and size. Healing takes about a year in total but the result can be judged after 3 months when the wound is around 70 %. healed.

Before
Before
After (Dr Karel Taams)
After (Dr Karel Taams)
Before
Before
After (Dr. Karel Taams)
After (Dr. Karel Taams)

All operations run the risk of bleeding and infections. In general, these are to be treated well with little consequences for the final result. By moving the nipple upward, the sensitivity can change, decrease or disappear. In rare instances, the circulation of the areola-nipple complex is inadequate resulting in partial or complete necrosis of the areola/nipple. The chances of breastfeeding after a reduction/lift depend on the size of reduction and the amount of lift but in general are small. Some scars are less favorable and sometimes treatment or revision may be necessary.

Before
Before
After (Dr. Karel Taams)
After (Dr. Karel Taams)