QUESTIONS?
How long does the surgery take? A Breast lift typically takes about two hours; a reduction 3 hours and a lift and augmentation about two and a half hours.
How long is the recovery? Typically patients can return to work in 3-4 days. No exercise is recommended for two weeks. There is minimal discomfort with either procedure as the breast is mainly composed of fat which tends to have less nerve endings than other parts of the body.
Will I have normal sensation after the surgery? For the first few weeks there is always some decreased sensation of the breast and nipple and areola area. This improves over time, and by two months most patients have recovered full sensation though it can take up to two years for some.
Can I breast feed after these surgeries? It depends- on your particular anatomy. I have had patients who have been able to breast feed after a breast lift, and other who have not! Obviously a certain number of breasts ducts are cut during the surgery. However in most patients ( but not all), it is the ducts coming from the upper and more central portions of the breast that supply the majority of the breast milk- these are typically spared during the surgery. So, I tell my patients that if breast feeding is important to them, they should hold off on these surgeries till after they finished having children.
What are the risks? As in any surgery there are risks to these types of surgeries. In general the risks for breast reduction are greater than those for breast lift since tissue is actually removed in a reduction rather than repositioned as in a lift. Infection and bleeding occur in about 3% of surgeries. Loss of the nipple due to loss of blood supply occurs in 2-4% of patients. The larger or droopier the breasts, the greater the risk of complications since the blood vessels supplying the areola and nipple are already stretched out. Smoking is an absolute contraindication, in these surgeries even more that in others, and will lead to problems.
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