Every year, thousands of women consider having breast reduction surgery as they desire to to take advantage of its potential benefits. However, just as many ask themselves “Is breast reduction surgery safe?” However, to get an answer to this question, one must first understand what it entails and the overall risk.
Breast reduction surgery, or reduction mammoplasty, is a common procedure that is designed to alleviate discomfort associated with overly large breasts.Yet, like with any surgery, it carries certain risks which can include infection, scarring, and bleeding. In addition, there is also the potential for asymmetrical breasts and loss of sensation. Anesthesia-related complications, although rare, are another consideration. However, though these risks exist, it is important to know what is the likelihood of these occurrences and what can be done to lower the chances of unwanted outcomes.
Understanding Breast Reduction Surgery
Breast reduction surgery is a process which involves the removal of excess breast fat, glandular tissue, and skin. The goal is often two-fold with one being aesthetic by creating a breast size and shape that is more in proportion with the body; and the other is to help alleviate the mild to severe discomfort caused by overly large breasts such as back and neck pain, skin irritation, and physical limitations.
The procedure has been practiced for decades, but as with any surgery, there are risks involved. These potential complications are why it’s crucial to understand the procedure fully before deciding to undergo it.
Is Breast Reduction Surgery Safe?
Despite the potential for complications, breast reduction surgery is generally considered safe, and with new less invasive techniques, and thousands of successful procedures performed each year, the aftercare is becoming easier to implement and follow. However, it’s still important to remember that all surgeries carry some level of risk.
Potential complications can include infection, bleeding, skin loss and adverse reactions to anesthesia. It is important that you discuss these risks with your doctor to see if your current condition makes you more susceptible to any of these occurrences, and how you may be able to better prevent them.
Common Risks and Complications
It is important to note that risk can vary from person to person, depending on individual health factors and the specific surgical technique used. Yet, these are the most common complications that can arise from breast reduction surgery.
- Infection: Postoperative infection is a risk with any surgery. It’s important to follow all postoperative care instructions to minimize this risk. Signs of infection can include redness, swelling, or unusual discharge from the surgical site.
- Scarring: Scarring is a natural outcome of any surgical procedure. The extent and visibility of scars can vary depending on the surgical technique used and individual healing processes. In addition, aftercare can be very important in minimizing a scar’s appearance.
- Bleeding: There is a risk of bleeding during and after surgery. Your surgeon will take steps to minimize this risk, and it’s important to follow all postoperative care instructions to aid in safe healing.
- Asymmetrical Breasts: While surgeons strive to create symmetry, there is a possibility of slight asymmetry in breast size or shape after surgery. This is usually minor and can often be corrected with a minor revision procedure if necessary.
- Loss of Sensation: Some patients may experience a temporary or permanent loss of sensation in the nipples or breasts after surgery. This risk should be discussed with your surgeon prior to the procedure.
Anesthesia and Surgery: What to Expect
Breast reduction surgery is typically performed under general anesthesia, which means you’ll be asleep and will not feel any pain during the procedure. However, anesthesia itself does carry some risks, including allergic reactions and breathing difficulties. Yet it is important to note that these risks are rare and almost all risks can be diminished during your pre-op discussions with your anesthesiologist.
Depending on the needs of each patient, the surgery generally takes between two to five hours to complete. During the procedure, your surgeon will make incisions on your breasts, remove excess tissue and skin, and reshape the remaining tissue to achieve the desired size and shape.
Preoperative Assessments and Preparations
A good portion of the risk reduction process will take place prior to the procedure. Before your breast reduction surgery, you’ll undergo a thorough preoperative assessment. During this assessment, you will provide a detailed medical history to your surgeon, a complete physical examination, and possibly some lab tests if required. Remember that It’s crucial to disclose all medications and allergies to your surgeon as well, as this is vital information they will need to know.
Yet risk reduction does not just fall on your surgeon as you will most likely have to go through some lifestyle changes as well. Unhealthy habits such as smoking will have to be eliminated, as it will increase the risk of complications. Certain medications that increase bleeding risk may also need to be avoided. These preparations are essential to ensure a safe surgical outcome.
Postoperative Care and Recovery
Your risk reduction process does not end once the surgery is completed as proper postoperative care is crucial for a safe recovery. This includes following all instructions given by your healthcare team. You will also need to monitor for signs of infection, such as redness, swelling, or unusual discharge.
Caring for the incisions is also essential. This involves keeping the surgical area clean and dry, and using prescribed ointments if necessary. In addition, regular follow-up appointments with your surgeon are also important to monitor your healing progress.
Remember, complications can be managed effectively if addressed promptly. So, don’t hesitate to contact your healthcare team if you notice anything unusual.
Breastfeeding After Breast Reduction
Breastfeeding after breast reduction surgery may be impacted. However, many women are still able to breastfeed successfully. It’s important to discuss your breastfeeding plans with your surgeon before the procedure to understand the potential implications.
Choosing the Right Surgeon for Safety and Success
Finally, one of the most important risk reduction strategies you can initiate is choosing a qualified, experienced, and skilled surgeon. Beverly Hills Plastic Surgeon Dr. Robert Applebaum recommends researching available surgeons extensively and to look for factors such as board-certification and a track record of successful breast reductions procedures.
It’s also important to feel comfortable with your surgeon, meaning you should meet with them to gain a comfort level. Open communication about your concerns, expectations, and goals can also contribute to a safer and more satisfying outcome.
Medically Reviewed by:
Robert Applebaum M.D.