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Preparation for surgery
In addition to the blood and lung tests required prior to surgery, mammography and, if necessary, ultrasound must also be performed. Conditions such as high blood pressure, cigarette and medicine use, and diabetes must all be discussed. There is usually no need for blood transfusion for breast reduction. You will need someone to help you on the day of surgery and for a few days afterward. Breast reduction has to be performed in hospital, and you may have to remain in hospital for 1-3 days.

The Operation
In breast reduction surgery, the large breast tissue is reshaped in accordance with the individual's body measurements. Excess breast tissue and covering skin is removed. The nipple is brought to the appropriate location. The operation is generally performed under hospital conditions in an operating theater and under general anesthesia. It lasts 2.5-4 hours. No matter what technique is employed, there will be a scar around the nipple. In addition, depending on the technique employed, there will be a scar in the shape of an upside-down T running from the center of the lower edge of the nipple. The T-shaped scar is matched to the crease underneath the breast. However, recent surgical technique has to a large extent eliminated the scarring in the breast crease region in breasts that are not very large. All that remains is a scar approximately 4.5-5 cm in length running around the nipple and to the bottom of the breast. These scars are initially very prominent but can become much less noticeable over time. The level of scarring after surgery is related to the size of the breast, the surgical technique employed and the predisposition to scarring of the patient's skin. Some patients say they sunbathe topless. In certain special circumstances and extremely large breasts it may not be possible to perform the types of operation described above. In that case, free nipple techniques are employed. Scars from this form of surgery are again in the form of a reverse T shape.

After Surgery
The period after surgery is generally comfortable. Pain is. There may be some restrictions in arm movements. Dressings resembling are bra are worn over the breast, or a bra may be worn immediately after certain forms of surgery. Tubes known as drains are generally inserted in both breasts and removed within 24-72 hours. A separate dressing is placed over the nipple. The dressing is opened after two days for the wound to be examined. Since the sutures are generally biodegradable there is no need to remove them. The patient remains in hospital for 1-3 days. The patient wears a sports bra for 6 weeks, and massage is advised. There may be swelling in the early period, together with lack of sensation in the nipple and purplish skin bruising. These quickly disappear spontaneously.

Resuming Normal Life
The patient can return to work after one week. We recommend that strenuous sporting activities should be avoided for three months. Cosmetic breast reduction is a form of surgery that generally gives good and permanent results, that improves the patient's and her partner's state of mind and produces a greater love of life in both and that makes the subject of dressing and clothing much easier. The newly reshaped breast is long-lasting, although weight changes, pregnancy, breastfeeding and gravity can lead to increased breast size and sagging.

The Risks of Breast Reduction Surgery:
As with all forms of surgery, there are various risks involved with breast reduction. Although the majority of patients undergoing the operation experience no problems with it, you still need to be aware of the following points. Bleeding; a rare condition that may develop during or after surgery. The drain inserted in the breast after surgery is intended both to monitor whether there is any bleeding and to prevent even a small amount of blood from collecting inside the breast tissue. Do not take aspirin or similar drugs for 10 days before surgery, as these can enhance a tendency to bleeding. Infection: an exceedingly uncommon state of affairs. Most surgeons use protective antibiotics right from the start of surgery. Changes in nipple and skin sensitivity: there may be a temporary decline in sensitivity in these regions. Scars: every surgical procedure leaves scars as healing takes place, and the nature of the scarring cannot usually be determined beforehand. Scars may be imperceptible in some cases, while scar tissue may develop in skin and tissues in some patients. Corrective surgery or other form of treatment may even be needed in some patients. Dissatisfaction with results: you may not be happy with the size or shape of your breast. The likelihood of this is very low, but it does exist. Pain: pain in the neck, back and shoulder area may persist even after breast reduction surgery. On rare occasions, scar tissue in the skin and deep breast tissue may cause pain. Hardness in the breast: hardness due to fat necrosis or scar tissue may occasionally be observed. This cannot be predicted beforehand. Delayed wound healing: this is uncommon, but may be seen. It may take longer for some areas in the breast skin or nipple to heal entirely. Frequent dressings may be required. Healing problems are more common in smokers. Asymmetry: most women have a natural breast asymmetry. There may be differences in the shape, size and symmetry of the breast and nipple. Breast diseases: breast disease or breast cancer can develop at any stage of a person's life, irrespective of breast reduction surgery. Frequent breast checks are important whether one undergoes surgery or not. Breastfeeding: some women who undergo breast reduction surgery may be unable to breastfeed, but this can generally be determined beforehand. If you wish to have children and breastfeed them you should discuss this with your surgeon prior to surgery. Allergic reactions: local allergy to plasters, sutures or ointment used may arise on rare occasions. Need for additional surgery: several factors influence the long-term outcome of breast reduction surgery. Additional surgery may be needed if looseness or sagging develop.