Breast Reduction in Nepal

The procedure begins with making you lay in the supine position. Anesthesia is given to avoid pain during surgery. The area is sterilized and an incision is given around the areola and down your breasts. The flap of skin containing areola and nipple is displaced and excessive fat, breast tissue, and skin are removed to lessen the size of your mammary gland. In the next step, breasts are reshaped, areola and nipples are again placed over the reduced breasts and stitches are given.

In some cases, when a large amount of tissue and fat is removed, skin flap with areola and nipples is detached and repositioned at a higher level according to the new size. Drainage tubes are inserted into the breasts to drain away blood and fluid. Bandages are applied over the stitched incisions. You are asked to wear a surgical bra. It is tried to make both breasts look alike; however, small variations in the size of breasts and areola can be there.  

Surgery can last between 2 to 5 hours and sometimes even longer depending upon the size of your breasts and amount of fat and tissue that is to be removed - an overnight stay as an inpatient is required. After your condition is monitored, you are discharged from the hospital. You have to stay for at least 14 days in Nepal for follow up procedures. Regular check-ups are advised in the first few days after surgery. Oral pain killers are given to deal with pain and swelling. Stitches are removed in 2 weeks after which you are allowed to go home. In case you notice any redness, secretion, abnormal pain or inflammation, consult your doctor.

It takes several months for recovery from a breast reduction surgery. You cannot go to work for 1 to 2 weeks after the surgery. There will be pain and swelling in the initial days for which you are given some medicines. Avoid intensive physical activity for at least 1 month. You are asked not to wear underwire bras for a few months. You are allowed to wear a normal bra after 4 weeks. It takes 6 to 8 weeks for the swelling and tenderness to go away. Even after complete recovery, scars do not disappear. However, they are faded and become less visible. Changes continue to take place for a year after going through this surgery.

You should consider the following points to take care of yourself after surgery:

• Do come for regular check-ups.
• Take your medicines regularly, as and when prescribed by your physician.
• Make sure that someone lives with you to look after you.
• Follow a healthy diet plan for a better recovery.
• Do not wear fancy, underwire bras in the early days. Wear surgical bra only.
• Wear loose clothes, tees, and shirts.
• Avoid excessive, unnecessary movement of your breasts.  
• Do not take a bath in the first few days, a wet bandage can be the cause of infection.
• Do not ignore any kind of soreness, redness or abnormal secretions from your breasts. Visit your doctor immediately.
• Drink plenty of water. It is very effective for a quick recovery.
• Use icepacks to help you with swelling.
• Do not try to lift heavy objects because your movement is restricted due to stitches. It can open up your stitches before time.  
• Do some stretching exercises when told by your physician.

Breast reduction mammoplasty is found to be successful in most of the cases. According to a survey, 80% of women are satisfied with the results of the surgery. This effectively reduces neck pain, back pain, headache, and shoulder pain, with your breasts no longer sagging and causing these problems. Respiratory and circulatory problems are also resolved. In case this surgery is not successful, it leaves prominent scars which can be subjected to hypertrophy. There might be less than the required amount of tissue and fat removal. Sometimes, more breast tissue is removed leaving your chest flat. A secondary breast reduction surgery is performed to cope with this.

For an in-depth and personal review of the pros and cons of Breast Reduction, including before and after shots, watch this video blog.

Following are some alternatives to reduce your breast size without going through a surgery:

• Weight Loss: losing weight can also be effective in the case of reducing breast size. Some exercises are there to help you decrease your size. Exercise removes excess adipose tissue making your breasts smaller.
• Liposuction: it is a less invasive method in which a small incision is given to insert a cannula and fat is sucked from it reducing breast size. There are least scarring and recovery is faster.
• Fitting bra: it is not a permanent method to reduce your breast size but a specialized fitting bra can be helpful in making your breasts look smaller. It is not a standard bra.