Gallery

Before the surgery [View with PicLens]

After the surgery [View with PicLens]

Your surgery at a glance

• Stay in Tunisia:7 nights = 3 nights at the clinic + 4 nights at the hotel.
• Hospital stay:  3 nights (1night before + 2 nights after the surgery)
• Surgery length: 3 hours
• Anesthesia: general.
• Side Effects: bruising, swelling, discomfort, temporary numbness
• Risks: infection, bad scarring, asymmetry, bleeding, permanent numbness, nipple areola loss, fat necrosis, delayed wound healing, Nipple sensation diminished.
• Recovery: Back to work: 2 weeks
• Result: 12 weeks until final result, scars continue to improve over 18 months.

Information about Breast Reduction Abroad

What is Breast reduction?

A breast reduction surgery is a cosmetic surgery procedure to reshape and reduce the size of the breasts by removing the fat, glandular tissue and skin from the breasts making them smaller lighter and firmer. It also reduces the size of the areola and repositions the nipples on a higher and more youthful position.

Is breast reduction right for you?

Some women suffer from having developed very large breasts from an early age or following pregnancies. Women with large breasts can suffer from a range of debilitating physical symptoms such as back pain, neck and shoulder pain, a feeling of heaviness in the breasts, indentation marks on the skin of the shoulder region where bra straps have dug in, restriction in physical exercise, infections and rashes under both breasts, as well as pschycosocial symptoms ( embarrassment in relationships, difficulty finding clothes to fit..).

Your Breast Reduction Consultation

During the initial consultation you will be asked about your desired breast shape and to point out anything else about your breasts that you would like to see improved. This will help your plastic surgeon understand your expectations and determine whether they can realistically be achieved. The size and shape of your breasts, the quality of your skin and the placement of the nipples and areolas will be carefully evaluated. You will be asked about your medical history including previous operations, past and present medical conditions and current medications.

Additional Information about Breast Reduction and Uplift / Lift Abroad

Preparation for Breast Reduction Surgery

• Your surgeon is likely to recommend that you reduce weight if you are overweight and to make alternative arrangements if you are on the contraceptive pill.
• Smoking does seriously effect the healing of the breast wounds and should be discouraged and attempts to give it up made (Smokers will be asked to stop smoking 2 weeks before surgery). Aspirin and some anti-inflammatory drugs used for the treatment of arthritis can cause increased bleeding, so you should avoid taking these medications for 2 weeks before surgery.

Breast Reduction Operation

• It is performed under a general anaesthetic and the operation takes 2-3 hours and requires a hospital stay of 2-3 days.
• There are several different techniques of breast reduction and many of them use different
• incisions.
• The most common method of reducing the breasts involves three incisions. One incision is
• made around the areola. Another runs vertically from the bottom edge of the areola to the crease underneath the breast. The third incision is horizontal beneath the breast and follows the natural curve of the breast crease. After the surgeon has removed excess breast tissue,
• fat and skin, the nipple and areola are shifted to a higher position. The areola, which has usually been stretched in large breasts, is also reduced in size. Skin that was formerly located above the nipple is brought down and together to reshape the breast. Liposuction may be used to improve the contour under the arm. Usually, the nipples and areolas remain attached
• to underlying mounds of tissue, and this allows for the preservation of sensation and blood supply to the breast. This method results in what is known as an “inverted-T” scar.

Another popular method of breast reduction, the vertical mammoplasty, dispenses with the horizontal scar along the breast crease. The resultant scars run only around the areola and then vertically down from the areola to the breast crease. However, this method is only suitable for moderately large breasts.

After Breast Reduction Surgery

After surgery, you’ll be wrapped in an elastic bandage. A small tube may be placed in each breast to drain off blood and fluids for the first day or two.
You may feel some pain and discomfort for the first couple of days for a week or more.
The bandages will be removed a day or two after surgery, though you’ll continue wearing a firm sports bra for six weeks. For the first two weeks postoperatively, you should not lift anything heavier than a kettle.
It is normal to feel lethargic and tired for the first 2 weeks following surgery. Depending on your job you can usually return to work for light duties after 2-3 weeks. A gradual increase in light exercise is encouraged after your first wound check following discharge from hospital, but no sport, strenuous exercises or weight lifting should be undertaken until six weeks following surgery

Breast Reduction risks and possible complications

All surgery inevitably carries some uncertainty and risk, however they are small and infrequent.. Breast reduction is one of the most common cosmetic procedures performed each year, and it can be done very safely.

• Haematoma: There is a 2-3% risk of postoperative bleeding which may at worst require return to the operating theatre for drainage.
• Infection: If infection occurs it will become evident within one week of surgery and may delay the healing process or result in the development of scar tissue. This may require treatment with antibiotics. In the unlikely event of infection, the ultimate result of the surgery may be adversely affected.
• Scarring: Scars are an unavoidable drawback to the procedure, but typically quite acceptable to most patients. Some patients may have a tendency to form thick or red scars (hypertrophic or keloid scars). These scars can usually be improved by other measures.
• Symmetry: Following reduction, sometimes the breasts may not be perfectly symmetrical or the nipple height may vary slightly. If desired, minor adjustments can be made at a later time.
• Sensation: Sensation of the nipple may be changed after your operation. It can be “lost”, “decreased”, “sore” or it may even be “improved”.
• Blood Supply: The operation is planned in such a way to ensure that an adequate blood supply is maintained to the remaining parts of the breast, such as skin, fat, breast tissue and nipple. On rare occasions, if the circulation is inadequate, tissue may not survive. This is not common, but is more likely in very large breasts or in patients with poor circulation.

This may result in:

• Total or partial loss of the nipple;
• Loss of some of the skin of the breast; or
• Loss of the breast fat: This may in turn result in oily discharge from the wounds for up to several weeks after surgery.

Breast Reduction Frequently Asked Questions

• Will I be able to breastfeed after breast reduction?

As a general rule, patients having a reduction mammaplasty will be able to breast feed. Parts of the breast tissue are separated from the ducts in the nipple and problems may arise, or the milk output may be limited. However, as a note of interest, women with large breasts tend to have a low milk output so they might have problems breast feeding anyway.
Some patients may experience a permanent inability to breast feed after having the surgery.
You should consider these factors seriously before deciding to undergo the procedure and talk them over with your surgeon.

• Are the changes permanent?

The reduction of breast volume is permanent. However it is important to realise that if you gain or lose a significant amount of weight or become pregnant, your breast size and shape will change.

Your new look after Breast Reduction and Lift / Uplift Surgery

Breast reduction surgery will make your breasts smaller and firmer. Without the excessive weight of large breasts, you may find greater enjoyment in playing sports and engaging in other physical activity.
Breast reduction often makes a dramatic change in your appearance. It may take some time to adjust to your new body image. Most women, however, eventually become comfortable with their smaller breasts and are very happy with the results of surgery. In fact, the level of patient satisfaction resulting after breast reduction is among the highest of any plastic surgery procedure.