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Breast Reduction in Turkey (Boob Reduction)

Surg. Harun Şimşek MD

What is Breast reduction?

In medicine, this is known as "reduction Mammoplasty". Breast reduction surgery is used when the breasts are larger than normal, and the techniques used to make the breasts acceptable for body proportions. The fat and breast tissue that give the breasts their size, as well as a section of the skin, are removed during this procedure, and the body proportion produces the breast. Breasts become smaller, lighter, and firmer after surgery. The region of dark skin surrounding the nipple, known as the areola, might also be decreased during the surgery. Breast reduction surgery is done to address both cosmetic and medical issues. The goal of the procedure is to achieve the desired size, equal size, symmetrical, and beautiful look with the least amount of scars.
The procedure is performed due to breast size, back and neck discomfort, rashes and sores beneath the breast, asymmetry, spinal abnormalities, psychological issues, respiratory problems, and personal desire. A rash commonly appears beneath big breasts and develops into open sores over time. Large breasts increase the risk of breast cancer and have a detrimental psychological effect. Problems like bending the body forward, spine and back discomfort, bone deformations, and difficulties locating acceptable garments for height and weight may develop in the event of advanced breast growth.
A 2.5- to 4-hour treatment is required. Incisions are made using the reverse T or lollipop technique. Within one week of having breast surgery, the patient is back to work. Within 3–4 months, stitch marks fade to skin colour and become obscure.

What are the benefits of Breast reduction surgery?

Many psychological and emotional advantages are provided by a breast that is proportionate to the body and beautifully formed. These;

  • It increases self-assurance.
  • Breathe more freely.
  • Physical exercise increases
  • Psychosocial depression is reduced.
  • It creates favourable interactions with the surroundings.
  • She begins to think of herself as lovely.
  • She can simply put on whatever clothing she likes.
  • Breasts get an attractive look.
  • A spiritually good transformation occurs.
  • The likelihood of developing breast cancer is lowered.
  • Back, neck, and shoulder pain are relieved.
  • Deformities of the humpback and spine are corrected.
  • Diaper rash, fungus, wounds, and other conditions in the breast fold region. There will be no issues.

What are the negative effects of big breasts?

Numerous physical malformations might be brought on by large breasts. These are some examples:

  • It results in arm numbness.
  • Pain arises with joint motions.
  • Flattening takes place between the vertebrae.
  • You will gain weight since you are unable to participate in sports comfortably.
  • Redness, rash, and fungal infections are common beneath the breasts in the summer.
  • Hook marks on the shoulders are caused by the bra being tightened to gather the breasts.
  • Because of the size of the breast, leaning forward in the shoulders and bending in the neck produce severe back discomfort.

In which situations is Mammoplasty surgery performed?

  • For women who are overweight, have uneven breasts, are under psychological stress, or have posture problems,
  • For those who have sufficient skin elasticity,
  • Due to the structure of the chest, there is little sagging,
  • Those who have gone through the process of childbirth and breastfeeding,
  • For men with saggy breasts in relation to weight,
  • Anyone with neck, back, or shoulder discomfort,
  • People who have difficulty playing sports and have limited physical activity,
  • Those who endure pain due to sweating under the breast, diaper rash, unpleasant odour, etc.
  • People who are dissatisfied with their appearance and cannot wear the clothes they want to wear.

What are the characteristics of a suitable candidate for Breast reduction surgery?

  • Does not use tobacco.
  • There is profuse perspiration.
  • The general state of health is excellent.
  • Skeletal system diseases exist.
  • She or he is in good physical and mental condition.
  • She or he has reasonable surgical expectations.
  • The BMI is normal and not obese.
  • She or he has trouble finding pants and clothes.
  • She believes her breasts are big.
  • Over the age of 20 (body development done).
  • On the shoulders, there are signs of collapse caused by bra straps.
  • Rashes, wounds, and skin irritations in the breast folds.
  • Their breasts are big enough to get in the way of their physical activity.
  • Breast development has ceased, and no hormonal illness exists.
  • Because of the size of the breasts, there are neck, shoulder, and back discomfort.
  • There is an unappealing look (size, drooping, expansion of the nipple region, nipple lower than the inframammary fold).

Why have a Breast reduction?

The purpose of Breast reduction Aesthetics is to eliminate the patient's complaints about large breasts and achieve breasts that are equal in size and form, symmetrical, and lighter than before the treatment. Large breasts can cause neck, back, and waist pain, posture concerns, sagging in the chest structure, and psychological and social problems over time. All of these issues might contribute to a difficult social life by lowering patients' quality of life.

Am I suitable for Breast reduction surgery?

You wish to allude to our plastic specialist to determine whether you're appropriate for Breast reduction surgery. Our pro will grant you the finest suggestions by assessing components such as your body sort, age, wellbeing condition, and surgery desires. In expansion, issues such as the size, shape, and development of your breast are also assessed.

To have this surgery, it is prescribed that you simply don't have any infections, which is your common wellbeing status. It is additionally exceptionally critical that you just don't smoke, and you must have stopped smoking six weeks before the surgery. Since tissue circulation disarrangements that will happen due to smoking can cause delayed wound healing and disease.

What should be considered before Breast reduction surgery?

Consideration should be given to a number of important variables before having breast reduction surgery. First and foremost, speak with a certified plastic surgeon with expertise in such operations. Discuss in depth your aims, concerns, and aspirations. Assess your general health as well as your physical and mental preparedness for the procedure. Recognise the possible dangers and difficulties and balance them against the advantages. Take a look at how your everyday life, usual activities, and any goals you have for the future, like getting pregnant, will be impacted. The importance of thorough planning, setting reasonable expectations, and being honest with your surgeon cannot be overstated. To ensure a triumphant expedition towards breast reduction, one must meticulously contemplate these aspects and make an astute choice.

What are the main risks and complications of Breast reduction surgery?

The following hazards are associated with Breast reduction surgery:

  • Bleeding, haemorrhage, Infection, etc.
  • Fluid build-up, blood clots,
  • Fat necrosis,
  • Skin deterioration,
  • Anaesthesia dangers,
  • Asymmetry of the breasts,
  • Bruising and swelling,
  • Deep vein thrombosis (DVT),
  • Breast hardness that is extreme,
  • Persistent discomfort,
  • Sluggish wound healing,
  • Unable to breastfeed,
  • Colour changes that are permanent,
  • Wound opening along suture lines,
  • Tissue loss at incision sites,
  • Scar appearance and scar development
  • Complications of the heart and lungs,
  • Breast contouring and malformations,
  • Partial or full nipple and areola loss,
  • Varying nipple heights following surgery,
  • Temporary or permanent sensory alterations in the breast and nipple,
  • Temporary or permanent nerve, blood vessel, and muscle damage,
  • Allergy to medications and surgical materials,
  • Possibility of revisional surgery (as a consequence of disliking the breast form).

How to prepare for Breast reduction surgery?

A minimum of one week's respite shall be required, with the possibility of extending it to two weeks for select individuals. The operation's toll encompasses both corporeal and ethereal burdens. The more diligently you prepare yourself for convalescence, the swifter your recuperation will transpire. The aptness of mending shall facilitate the attainment of the highest outcomes.

What are the types of Breast reduction aesthetics?

By reducing the skin and fat tissue in the breast, Breast reduction aesthetics are accomplished.

One of the lollipop and reverse T incision techniques is used during the procedure. Depending on the state of the technology used, the operation takes anywhere between 2.5 and 4 hours to complete. Special factors such as breast size, nipple location in relation to the breast fold, breast tissue, skin structure, and distance between the nipple and shoulder and hip are assessed when choosing the kind of surgery to be performed. Before surgery, it is necessary to collect these crucial facts.

  • A circular cut is made around the nipple's perimeter using the Lejour (Lollipop) incision technique. Skin tissue and extra breast tissue are removed. When a procedure is conducted, the nipple may be shifted higher if it is essential given the person's anatomy. It is a technique used when the breast tissue is not too huge. Patients with a collarbone and nipple less than 33 cm are given it. When used on bigger breasts, the breast cannot contract enough and droops.
  • The bottom portion of the breast is cut in the shape of an inverted T when using the reverse T incision technique. As with the lollipop-style incision, the surgery is completed once the extra skin and breast tissue have been removed. It is a technique in which an incision is made in the underbreast fold in addition to the one in the lollipop approach. Every breast structure may use this technique, which is often used on breasts greater than 33 cm. The drooping breast may be elevated as much as required with this procedure.
  • The nerves and blood vessels supplying the nipple are not protected during the Graft Technique. It is used on individuals who are old and have very big breasts. After surgery, the breast stops producing milk because the milk ducts are damaged. The nipple may be reduced as much as desired since the milk ducts are not shielded.

What are the types of Breast reduction scars?

Through the art of Breast reduction surgery, a delicate dance is performed to preserve the essence of the nipple, the sacred passage of blood and nourishment. Within the realm of the breast, a sanctuary known as the pedicle shields and safeguards this vital connection. Lactation, the nurturing embrace of motherhood, remains intact, all thanks to the pedicle's steadfast presence. From within the depths of the breast, the pedicle emerges, manifesting in various forms: the central, the medial, the lateral, the superior, the superomedial, the superolateral, the inferior, the vertical, and the horizontal. Each is a distinct archetype, beckoning for selection, seeking to enhance the flow of life-giving blood and the tender support to the nipple's delicate realm. With gentle hands, the breast tissue is cradled—a careful balance between form and function. In this realm, perfection eludes, as the choice of pedicle is influenced by the breast's size, its graceful descent, the surgeon's mastery, and the individual's desires. Before the sacred ritual commences, the breast's flesh and skin are tenderly removed, save for the cherished nipple and its loyal pedicle, protected from the inevitable transformation. The pedicle, ever vigilant, is chosen with precision, ensuring it resides far from the realm of tissue removal, a guardian of nature's design.

What is cup size in the breast?

Aesthetic breasts ought to have the following features:

  • The breasts must be placed symmetrically next to each other at the chest when considered from the front.
  • The teats have to be equidistant from the midline, and the teat diameter should be approximately 38–42 mm.
  • While regarded from the facet, the vicinity from the armpit crease to the nipple covers 45% of the breast; the location from the nipple to the inframammary fold ought to represent 55% of the Breast.
  • There is no dimple or protrusion within the upper part of the Breast inside the herbal Breast, and this place needs to be flat.
  • The concept of decollete expresses the fullness that takes place with the outfit. There is no decollete look when naked at the breast.
  • The breasts have to be upright in order that the pen does not fall there while the pen is placed at the folded place beneath the Breast.
  • Breast length: It depends on the individual's height, weight, and body shape. However, B or C-cup sizes are normally more appropriate for women in our society.

How is male breast reduction surgery performed?

The breast tissue is sculpted according to body dimensions during attractive Breast reduction surgery, and the nipple is relocated to its proper location.

After the patient's age and desire to have another child are established, planning begins. If you want to have another kid, you should undergo surgery to keep the connections between the nipple and the breast gland intact. To shrink particularly big breasts, it may be necessary to interfere with the mammary glands.

Before the procedure, the plastic surgeon draws and marks the breasts according to the method that will be used. Surgery is a process that always leaves a mark. There are vertical scars around the nipple below it and horizontal scars beneath the breast, depending on the state of the breast.

It is a reconstructive surgical procedure. As a result, it is done under general anaesthesia. To prevent clot development in the legs, antithrombotic stockings are used.

  • Breast size,
  • Breast tissue,
  • Skin structure of the breast,
  • Position of the nipple according to the mammary fold,
  • Parameters such as the distance between the shoulder and the hip and the nipple are all considered when deciding the surgical approach.

It is done by removing fat tissue from the skin and breasts. It is used on people over the age of 20 who have finished their hormonal and physical development. It is performed under general anaesthesia. Using lollipop or inverted T incision procedures, the operation takes 2.5 to 4 hours.

The circumference of the nipple is sliced circularly in the lollipop incision procedure. Excess skin and breast tissue are removed. When required, the nipple may be taken higher based on the person's physical appearance. The skin is closed, and the surgery is finished with the placement of a drain in the region.

The reverse T incision procedure involves making an inverted T letter incision beneath the breast. Excess breast tissue and skin are removed, and the procedure is completed similarly to the lollipop incision approach. Individuals with overly big and sagging breasts, individuals with skin that has lost its elasticity, the elderly, and those with extreme asymmetry are all candidates for this procedure. It is not ideal for young patients, however, owing to the length and clarity of the scars.

The most recent Breast reduction procedure is a vertical Mammoplasty. Only a vertical scar around the nipple and down from here remains after this technique. Scars are brief, and surgical outcomes are satisfactory with this approach. The breasts stand more erect because the base of the breast is narrowed. In terms of long-term outcomes, it outperforms other techniques.

The nipple-areola is removed at the commencement of the transplant method. The nipple and areola are sewn in place after the extra tissue in the breast is removed and the breast is contoured. The feeling of the nipple will not be the same after the surgery, and the breastfeeding function will not be observed in the breast after this process.

These two locations are not surgically addressed in procedures that use the pedicle to protect the areola. Excess tissue and skin from the breast are removed to contour it.

The breasts are given a natural look as a consequence of the Breast reduction surgery, breast-related difficulties are eradicated, and the person's life is made simpler.

What is the recovery process after Breast reduction?

Gynecomastia is the development of feminine breast tissue in males. Gynecomastia, which affects 10–15% of men as they get older, does not go away and remains permanent. Breast enlargement in males may be caused by a variety of drugs, behaviours, diets, and disorders. Breast reduction surgery is done when diet, exercise, or drugs are ineffective.

Prior to the procedure, planning is completed. The amount of skin and tissue excess is determined. Liposuction is a technique for removing fat tissue. The hard tissue beneath the nipple is removed by a tiny, non-marking incision created in the nipple's dark region. Scarred Breast reduction surgery is done on women who have a lot of extra skin in their breasts.

What should be considered after Breast reduction surgery?

The following guidelines can help you heal if you follow them throughout the healing process:

  • The patient should walk for four hours following the procedure, and oral nutrition should begin.
  • She or he is admitted to the hospital for observation for one day before being released the following day.
  • Drains may be removed upon discharge or kept in place until the first dressing is applied.
  • On the fourth day, drains are removed along with the initial dressing.
  • The second dressing is applied on the eighth day.
  • Permanent sutures are removed after 15 days, if needed.
  • Thin tapes are used to seal the suture region.
  • She or he may resume his normal activities and employment after the second dressing.
  • For eight weeks, a sports bra is worn.
  • Oedema and bruising in the surgical region recover in 2–3 weeks.
  • After a few months, the lower margins return to their natural form, the breasts fit back into place, and the scars fade.
  • The breast achieves its final form after approximately a year, and the scars lose their sharpness.
  • A nutritious diet is critical to the healing process.
  • Avoiding smoking and drinking is essential for your recovery process.
  • The breast tissue is taken and submitted to a pathology laboratory to be tested for suspected breast disease.

What to expect before and after the surgery?

  • The ability to move the arms may be restricted.
  • Following surgery, the patient should rest for three to seven days.
  • It is important to routinely take any medications your doctor has prescribed.
  • For one month after surgery, excess weight should not be carried or the arms should not be overworked.
  • Heavy sports should be avoided for at least two months after surgery.
  • You may go for short walks.
  • In around 3 to 4 weeks, the swelling that develops will go down.
  • Within a year, on average, breasts restore their original look.
  • For postoperative scars to heal quickly, smoking and drinking should be avoided for at least a month. Drinking and smoking both negatively affect cell regeneration, which in turn affects how obvious the surgical scar is.
  • It is important to keep the surgery site tidy.
  • For four weeks, she or he should lie on his back.
  • Use the specialised bra for 6 to 8 weeks.
  • You may eat, get up, and move about after the procedure for 4-6 hours.
  • Depending on the volume of incoming fluid, drains are removed after 1-3 days.
  • The bandages are taken off, and it is OK to take a shower after 7–10 days.
  • For a couple of months, scar healing creams are used.
  • A customised, non-wired corset is worn for two to three months.
  • If the arms are not stretched, you may go back to work one week following the procedure.
  • It is vital to wait at least six months, or perhaps a year, to observe the most recent scenario and take appropriate action if retouching or modification is needed.
  • The ultimate shape of the surgical scars takes two years to develop.
  • It's usual to see very little fluid or crusting at the surgery site.
  • Your wound regions will soften and your tissues will strengthen over the course of 6 to 8 weeks. You should refrain from any interventions during this time, with the exception of a mild touch with your breasts.
  • Since the operation will be done by preserving the milk ducts, you won't have a physical barrier to breastfeeding if you need to.
  • Your breast size may partially alter as a result of hormonal changes or weight gain. Your breasts won't enlarge to their previous size, however.
  • Your risk of developing breast cancer will also drop since part of your breast tissue will be removed during the procedure.

How much is a Breast reduction? How much does it cost to do Breast reduction in Turkey?

Breast reduction surgery prices vary depending on the quality of the materials used, the experience of the plastic surgeon, the clinic that will perform the procedure, the procedure performed depending on the condition of the patient, and the type of technique.
You can contact us for information about our current prices. (A link will be provided.)

Is there any pain after Breast reduction surgery?

Each person's sense of pain is different, and every surgery may produce varying degrees of discomfort. Surgery for Breast reduction is not a particularly unpleasant procedure. You won't experience any discomfort because of the hospital's intravenous anaesthetics. The medicines your surgeon has prescribed for you to take at home will help you deal with the pain that will come the following day.

The locations where the skin incisions are made experience essentially no discomfort since local anaesthesia is used throughout the surgery.

How long does it take to recover from Breast reduction surgery?

Depending on the approach, the procedure might last 2.5 to 4 hours, or possibly more. One night in the hospital after Breast reduction surgery

  • Drains are typically removed after 2-3 days.
  • After the initial dressing, you may shower.
  • You will wear the special bra for 6 to 8 weeks.
  • The contour of your breast becomes evident as the swelling subsides.
  • The breast normally takes six months to reach its ultimate form.
  • After one week, normalcy is restored.
  • Sports activities begin after six weeks.

Will I have visible scarring after a breast reduction?

On the scar that will appear after the procedure, the technique employed, the care shown, the patient's genetics, environmental influences, and factors such as the patient's skin type are beneficial.

Round scars remain in the shape of T, L, and J letters and around the nipple, according to the procedure used. The wounds, which are visible and red at first, gradually become pink and approach skin colour. It fades into a tiny line and loses sharpness by the end of a year. The scar around the nipple is not noticeable since it corresponds with the colour-changing region of the areola. The scars that arise will assume their full shape two years later.

Scar-reducing silicone gels are used after surgery to reduce scars. Special creams may be used to diminish scar clarity and the formation of puffy scars. Furthermore, eliminating smoking and consuming vitamin C-rich meals may help to minimise scar clarity.

Can I breastfeed after Breast reduction surgery?

If the link between the mammary gland and the nipple is retained after Breast reduction surgery, it is feasible to nurse following the procedure. Because the graft procedure removes the breast milk ducts, the breast loses its ability to nurse following surgery. Other procedures pose no such danger.

What is the alternative treatment?

In certain exceptional cases, liposuction can be employed as a method to decrease the size of the breasts; however, it should be noted that the outcomes of this procedure are not enduring.

What does breast reduction procedure involve?

Breast reduction surgery is a painstakingly planned surgical operation that aims to reduce the size and volume of the breasts. Under general anaesthesia, the surgeon begins by creating precisely designed incisions, which are commonly in a keyhole or anchor-shaped pattern, depending on the degree of reduction desired. Excess glandular tissue, fat, and skin are then expertly removed, contouring the breasts to obtain a symmetrical and proportional look. The nipples may be moved for a more attractive appearance. The wounds are then methodically closed with sutures and, occasionally, drainage tubes. To guarantee maximum healing and outcomes, post-operative care, including pain control, and attention to the surgeon's recommendations are required.