In our practice, we require a routine pre-operative health check-up to exclude serious underlying medical illness that may cause some complications during or after the operation.
Breast reduction surgery is a major aesthetics surgery done under general anesthetics in our affiliated hospitals in Phuket, not at the clinic. You will be admitted in the hospital’s private room and operated on the same day with 2 nights of hospital stay. Full payment of the operating expenses must be paid in full before the operation.
In most cases, breast reduction surgery is more of a medical necessity rather than a cosmetic need. Breasts weighing more than 400 grams can cause neck and back pain, overtax the spine and even lead to osteoporosis.Upon consultation, each patient is carefully examined and measurements of the chest and breast are an essential part of the evaluation. In Breast reduction surgery, we mainly use a technique called Vertical Reduction Mammaplasty that only causes minimal scarring.
The Surgery: Reduction Mammaplasty or breast reduction surgery is an aesthetic surgery typically performed to reduce skin, subcutaneous fat and gland tissue, to lift the nipple, mammary and areolar tissues thereby reshaping the breasts. Healthy patient who have reasonable expectations from the surgery and understands the advantages and disadvantages of the operation is a good candidate for a breast reduction operation.
The Incision Site: There are various techniques and incisions depending on the amount of breast tissue to be reduced, the scar placement and the surgeon’s preference. In breast reduction surgery, an incision is made either:
Around the areola, the pigmented part of the nipple (Peri-areolar Reduction Mammaplasty)
Around the areola, extending vertically down to the sub-mammary fold (Vertical Reduction)
Another technique involves completely detaching the nipple from the breast before relocating it. However since all transplanted nipple loses all sensitivity, this approach is performed only when deemed necessary for patients with extremely large breasts.
Get Ready For The Big Day (Before, During & After)
2 Weeks Before: Stop smoking well in advance of surgery. Stop taking Aspirin, Herbal or diet supplements and certain anti-inflammatory drugs as taking these substances can cause increase bleeding.
On Consultation Day: Prepare for medical check up, physical exam and discuss expectations, your medical history such as any drug or food allergies, underlying medical conditions and on-going medical treatments to the plastic surgeon. The surgeon may take photographs before and after surgery and keep the photos in your medical record.
24 hours and 12 hours Before: Scrub chest, both breasts and armpits with anti-bacterial soap for 10 minutes on the night before and in the morning of your surgery.
8 hours Before Operation: No food or drink, take off jewelries, nail colors on hand & feet
The breast reduction surgery usually takes 4-6 hours however you will be observed in the recovery room for an hour or two until stable before being moved back to your private room.
Small drains might be retained to drain blood on both sides; it will be left for one night and your chest will be wrapped in elastic bandage.
After your surgery, you will be given a potent intravenous painkiller continuously. Some patients are sensitive to the painkiller and might develop nausea so please inform our nursing staff once you wake up feeling sick in the room.
24 hours after Operation: You will be encouraged to ambulate as soon as you can manage.
On the 2nd Day: Your wound will be dressed, drains and intravenous painkillers will be taken out and you will be discharged when you are feeling well.
On Discharge: You will be given a written instruction on when to take your antibiotics, anti-inflammatory and analgesic pills and you’ll be advised on the date of your follow-up visit.
7 days After: Your follow-up visit and removal of stitches. You are expected to stay in Phuket for at least 7 – 10 days to recuperate well. You will also be taught proper breasts massage maneuver. You will be ask to avoid swimming, only light exercise and you may be allowed to use a soft sports bra. Pain may vary however can be controlled by medications. The swelling in your breasts may take three to five weeks to disappear.
Full payment of the operating expenses must be paid in full before the operation. This package is applicable for elective, uncomplicated patients only. When any underlying abnormality is detected during the pre-operative check-up, special investigations and consultations must be required to avoid risk at your additional expense.
Package Includes: Doctor’s fee, anesthetics, operating theater charges, medical supplies and special equipments, hospital private room accommodation for 2 nights and routine in-patient medications related to the procedure, regular food menu, nursing and room services, basic preoperative check-up (routine blood test, EKG, Chest X ray), home medications and doctor’s fee on follow-up visit.
Charges for in-patient stays in excess of 2 nights, charges for intensive care, when necessary, outpatient expenses incurred before admission, telephone charges and guest meals, any other charges for laboratory profiles and medications not related to the procedure, other specialist consultation and charges related to underlying condition such as Diabetes, Asthma, Hypertension, Drug Allergy and Heart Disease.
The Long Term Result of Breast reduction Operation
It is highly recommended for patients to stay in Phuket or nearby places for at least 10-14 days because breast reduction surgery is an aesthetic reconstructive procedure rather than purely aesthetics. Since this is a complex operation requiring highly technical skills which have variable presentations in each patient with high chances of developing early post-operative complications, it would be beneficial when our surgeon could closely follow-up and monitor your recovery while you’re still in Phuket. There are no promises for the results as the outcome varies in each individual patient and it will take many months to see the result. In the event that the patient requires additional operations, there will be no doctor’s fee; however, the patient must pay for the operating room charges, anesthesia and hospital fee.
Like any surgical procedure, breast reduction is also associated with certain number of risks and complications despite maximum care. Possible complications include bleeding, infection and delayed healing. Our Team takes every precaution possible to prevent and minimize the risks of surgery. However, much of the responsibility for risk avoidance rests with you as well.
Jungceylon Plastic Surgery Clinic has compiled before and after treatment pictures in this cosmetic surgery photo gallery for educational purposes only. It is used for a brief communication between the surgeon and the patient before the actual consultation with demonstrating different surgical techniques and results, in different individual patients.
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