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Breast Reduction

by Artisan

Reduce breast size and weight

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Even though some women may desire larger breasts, others are bothered by it.

Large breasts can decrease quality of life and interfere with daily activities. In severe cases, they can even cause neck, shoulder, and back pain. In these instances, some women seek surgery to reduce the size and weight of their breasts.

What is breast reduction surgery?

Breast reduction, also known as reduction mammoplasty, is a surgical procedure in Singapore to reduce the size of the breasts, giving them a more youthful and perky appearance.

It involves the removal of breast tissue, fat, and excess skin. After breast reduction surgery, many patients report: 

  • Improvement in quality of life and self esteem
  • Ability to participate in physical activities
  • Dramatic improvement in the shape and size of their breasts 
  • Beautiful, natural looking breasts

How does breast reduction surgery work?

Breast reduction works by correcting the following issues:

  • Chronic shoulder, back, or neck pain
  • Chronic rash or irritation under the breasts
  • Nerve pain
  • Inability to participate is some physical activities
  • Indentation from bra straps
  • Poor self-image

Breast reduction allows you to get the breasts size proportionate to your body by removing the excess fat, tissue, and skin. In the same procedure, other problems like breast asymmetries, saggy breasts and large areolae (darker skin which surrounds the nipple) can be addressed. It is a procedure that can dramatically improve the shape, size, and contour of your breasts.

How is breast reduction surgery usually carried out in Singapore?

There are three methods of breast reduction surgery, there are:

  • Liposuction: suitable for small reductions. A thin tube connected to a vacuum is inserted through a small incision, next excess fats and fluids are sucked out from your breasts. 
  • Vertical or “lollipop”: suitable for moderate reductions and visible sagging. An incision is made around your areola and down to the crease of your breast. Excess fats and skin are removed while breast tissue is reshaped and tightened.
  • Inverted or “anchor”: suitable for large reductions and high amount of sagging or unevenness. An incision is made around your areola, down and along the crease of your breast. Excess fats and skin are removed while breast tissue is reshaped and tightened. 

Routinely, breast tissues that are removed are also submitted for histopathology examination to exclude any occult abnormalities.

Benefits of breast reduction surgery

  • Smaller breast size
  • Improved breast shape
  • Resolution of associated problems: chronic pain, skin affections, limitation in activities/sport

What should I expect before the procedure?

During your first consultation, you and your surgeon will discuss why you want a breast reduction, what are your concerns with regards to your breasts, and how you want your breasts to look after the procedure. Additionally, you will discuss on the following things:

Medical history

It is important to give honest answers with regards to your medical history. This allows your surgeon to make accurate and safe decisions with regards to the procedure. Inform your surgeon about any medications, surgeries, or allergies you have/had. You must also inform your surgeon if you have diabetes, circulatory problems, thyroid problems, and other health issues if any. You must disclose if you or any of your family members have or had breast cancer. 

Physical examination

Your surgeon will conduct a physical examination of your breasts and help to identify any problem areas that can be treated with breast reduction surgery. Your breasts will also be measured, and pictures will be taken to guide your surgeon before and during the procedure.

After this, you and your surgeon will discuss the procedure and expected results. Once the treatment plan has been decided for you, your procedure will be booked. Before the procedure, you must:

  • Stop smoking: smoking reduces blood flow to the skin and hinders the healing process. It also increases your risk of tissue damage.
  • Stop some medications: medications such as aspirins and anti-inflammatory drugs are blood thinners which may increase bleeding during and after the procedure.
  • Schedule a mammogram: a mammogram must be conducted to screen for any potential breast problems such as breast cancer. 
  • Maintain a healthy weight: weight changes can cause your breast ligaments and skin to sag. Ensure that you are at a healthy weight before your procedure so that the results are long-lasting.

What should I expect during the procedure?

Breast lifts or mastopexy are out-patient procedures and you will not be required to stay overnight at the hospital if all goes well. The procedure lasts three to four hours and involves the following steps:

  • General anaesthesia is administered.
  • Depending on your requirements, either liposuction is performed, or incisions are made to remove excess fats and skin.
  • Breast tissue is reshaped and tightened.
  • Nipples and areola are repositioned higher.
  • Drainage tubes may be placed if necessary. These tubes are removed after 24-48 hours.
  • Incisions are closed with sutures.

At Artisan Plastic Surgery, the surgical techniques used by our surgeon, Dr Vincent Tay, emphasises the preservation of healthy breast tissue, blood supply, and sensation to the nipples and breasts.

It culminates in a safe and effective procedure with low complication rates in his hands. As each patient is unique, Dr Tay will ensure a bespoke procedure is performed for you to meet your desires and needs.

All surgical procedures have some degree of risk. The procedure should be carried in a safe environment and in an accredited clinic. Minor complications that do not affect the outcome could occur occasionally. Major complications are rare.

who is a candidate

for Breast Reduction

Individuals with the following issues are suitable for breast reduction surgery:

  • Desire smaller breasts
  • Extensive breast asymmetry
  • Suffer from chronic neck, shoulder, and back pain from excessive breast size
  • Chronic skin irritation along bra straps and under the breast folds
  • Chronic rash or skin irritation under the breasts
  • Limited during every day and sport activities
  • Difficulty fitting into bras and clothing

What to expect?

for Breast Reduction

  • After your breast reduction surgery, your breasts will be swollen and bruised for approximately two weeks.
  • You will be required to wear a compression bandage or sports bra post-surgery to give your breasts extra support.
  • Limit all physical activities for four to six weeks while your breasts recover from the procedure. 
  • You will also be prescribed painkillers to help alleviate any pain or discomfort you may feel.
  • A follow-up appointment will be made to remove drainage tubes or sutures if necessary.
Frequently asked questions

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