Some young ladies suffer from severe enlargement or noticeable reduction in the size of the breasts, and women often lose the full size of the breasts after completing breastfeeding or after losing weight or with age or for hormonal reasons, which leads to their sagging.
1- Breast reduction surgery (reduction mammoplasty) aims to reduce the size of the breast by removing fatty and glandular tissue and tightening the surrounding skin. This is done to improve the appearance of the breast and relieve pressure on the back and neck and improve daily comfort. It has multiple methods, all of which are concerned with external appearance and maintaining function and degree of sensation. The shape of the scars resulting from surgery may differ.
2- Breast lift surgery are for sagging, but their size is appropriate. They are very similar to breast reduction surgery without removing fatty and glandular tissue, mainly by removing excess skin and lifting the breasts while tightening the surrounding skin.
3- Breast augmentation is either by injecting autologous fat or by silicone implants through a hidden incision in the armpit or semicircular around the nipple or under the breast. The advantage of silicone implants is that the size of the breasts does not change over time, and we do not need to extract fat from other places. Autologous fat injection is a good option in the case of fatty accumulations, and it is less expensive for the patient. Its disadvantage is that some of the fat does not remain, and the patient may need another session to compensate for the loss. Any of these surgeries is performed under general anesthesia, and in most cases the patient leaves the hospital on the same day or the day after the operation. The pain of the operation is mild to moderate and is reduced by painkillers, with a recovery period of one week and visits to the clinic until the wound heals. The patient can return to practicing sports and all types of activities within a month of the operation.
4- In sagging breasts with small size, or after massive weight loss when the breast is evacuated and ptotic, we can do lifting and augmentation in the same session or sometimes we start by lifting first and after full recovery we go for a second session for augmentation, of course, the first option is preferable by the patients but there are some drawbacks that leads many surgeons prefer the two stages option (surgery is more challenging for the surgeon, needs extra experience, results are not as good as in two stages method and incidence of complications including infection is a little bit higher in the first choice. Eventually, it is a discussion and a choice by both the patient and her surgeon.
