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BREAST REDUCTION

 

Breast Reduction

Frequently asked questions

Breast reduction is surgery to reduce the size of your breasts.

Women with large breasts commonly complain of neck or back pain due to the weight of their breasts, or sometimes pain due to grooving of their bra straps over their shoulders. The bra straps can also press on the nerves leading down into the arms, causing shoulder, arm or even hand pins and needles and pains. Some women simply feel that their breast size is out of proportion with the rest of their body, and have difficulty getting clothes to fit, and want a smaller breast size. After pregnancy or weight loss the breasts can become more pendulous (“droopy”) and a breast reduction combined with a breast lift (mastopexy) is then required.

Breast reduction involves removing some of the breast tissue and skin of the breast. This tissue is primarily removed from the lower pole of the breast, beneath the nipple, as scars here heal well and are not easily seen.

The pattern of scars depends on the current size of your breasts, and how much smaller you want to go. Where only a small reduction is requested, and if you have the correct skin type (usually on in women under 25 years of age), liposuction alone may be possible. All other techniques involve a circular scar around the nipple, and your nipple will usually be moved to a slightly higher position. A scar will extend from your nipple down to the fold under your breast. This may be all that is required in smaller breasts, but usually a “J” or “inverted T” shaped scar is required, with the horizontal component running along the inframammary fold. The scars tend to heal so well that once fully settled they are difficult to find. For two weeks after your surgery you will be asked to wear a well fitted sports bra which helps with swelling. Underwiring can rub on the scar causing problems, and therefore there should be no underwiring in bras for the first few months after surgery.

In the short term there can be some reduced sensation, however with larger breast reductions there can be some degree of permanent decreased sensation.

If you give birth after breast reduction surgery you should be able to breastfeed as normal. Problems with breastfeeding normally only occur after very large breast reductions.

RELATED THERAPY

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MY LOCATION

FITZWILLIAM CLINIC   
FENSTANTON CLINIC Treatment Centre
ONE HATFIELD CLINIC    
Phone:+447812123405
Email: contact@anthonybarabas.com

MY LOCATION

FITZWILLIAM CLINIC   
FENSTANTON CLINIC Treatment Centre
ONE HATFIELD CLINIC    
Phone:+447812123405
Email: contact@anthonybarabas.com

    About Us

    Mr. Barabás was awarded Fellowship to the Royal College of Plastic Surgeons in 2011. In 2014 he was entered onto the Specialist Register for Plastic Surgery.

    FITZWILLIAM CLINIC          12:30 Friday + Some Saturday
    FENSTANTON CLINIC        Saturday’s + By  appointment
    ONE HATFIELD                    Once a month

    Mr. Barabás was awarded Fellowship to the Royal College of Plastic Surgeons in 2011. In 2014 he was entered onto the Specialist Register for Plastic Surgery.

             FITZWILLIAM CLINIC         
    (12:30 Friday + Some Saturday)
            FENSTANTON CLINIC       
    (Saturday’s + By  appointment)
                 ONE HATFIELD               
    (Once a month)

    ©2021Anthony Barabas. All rights reserved.

    Silhouetter of woman standing

    UPLIFT MASTOPEXY

     

     

    Uplift (Mastopexy)

    Frequently asked questions

    This is suitable for women who feel that their breast shape has changed over the years, frequently as a result of breast feeding or weight fluctuations. Some of the hallmarks include, droopiness of the breast gland, excess skin and a change in the position and shape of the nipple. There are also women, whose breasts and nipple position have not formed in a conventional way during development, who would also benefit from this procedure.

    As a general rule, a youthful nipple should be at the most projected part of a woman’s breast and a mastopexy aims to improve the overall shape, by repositioning the nipple areolar complex (NAC) and breast gland to a more youthful position. This involves putting scars on the breasts, which are typically shaped like a lollipop or an inverted T pattern. Although there are many different mastopexy methods, the one I favour is the auto-augmentation technique and on patient request, I usually combined it with fat transfer to the cleavage and upper pole areas for a fuller more enhanced result.

    For selected cases, I will use a slowly absorbable mesh, which supports the gland in its new position whilst it is healing in its new shape

    With my gland repositioning auto-augmentation technique, the results should be natural and long lasting. In heavy breasts however, there is always the risk of bottoming out with gravity and the need for future revisional surgery. For some patients a small breast reduction and lift might be the more appropriate treatment of choice. An absorbable internal mesh might also be required to support the gland in its new position, for a longer lasting result, but this is not my common practice. Other factors that can affect the final outcome are excessive weight fluctuations, aging and pregnancy, so the surgery should be timed appropriately.

    A mastopexy can take up to 2.5 hours and if it is combined with fat grafting this will be slightly longer

    As with any surgery, there is an element of ache and mild discomfort. On the whole, patients having mastopexy with additional fat grafting have a little more discomfort than those with mastopexy alone. Local anaesthesia given during the surgery, combined with oral analgesia afterwards, should keep you very comfortable during your recovery.

    Some of the general risks include discomfort, risk of poor scarring, risk of infection (1%), altered nipple sensation or loss, risk of bleeding, bottoming out, need for revision surgery, degrees of asymmetry, loss of the ability to breast feed and delayed wound healing.

    Your nipple sensation may decrease, increase (hypersensitivity), or lost completely (including erotic sensation) and this might be different between the two sides. This can improve over time as the nerves recover, but it is difficult to predict and it is not guaranteed.

    The nipple remains attached to part of the breast gland when moved to its new position. This is to preserve its blood supply, keep it alive and ensure healing. There is however the very rare risk that the nipple does not survive this transfer, leading to nipple necrosis. This is much more common in smokers and I encourage smokers to stop a month before and after this surgery. I will generally not perform a mastopexy or any other breast cosmetic procedures on active smokers.

    Lastly like in all surgery, there are no guarantees for a perfect outcome.

    RELATED THERAPY

    GET IN TOUCH

    MY LOCATION

    FITZWILLIAM CLINIC   
    FENSTANTON CLINIC Treatment Centre
    ONE HATFIELD CLINIC    
    Phone:+447812123405
    Email: contact@anthonybarabas.com

    MY LOCATION

    FITZWILLIAM CLINIC   
    FENSTANTON CLINIC Treatment Centre
    ONE HATFIELD CLINIC    
    Phone:+447812123405
    Email: contact@anthonybarabas.com

      About Us

      Mr. Barabás was awarded Fellowship to the Royal College of Plastic Surgeons in 2011. In 2014 he was entered onto the Specialist Register for Plastic Surgery.

      FITZWILLIAM CLINIC          12:30 Friday + Some Saturday
      FENSTANTON CLINIC        Saturday’s + By  appointment
      ONE HATFIELD                    Once a month

      Mr. Barabás was awarded Fellowship to the Royal College of Plastic Surgeons in 2011. In 2014 he was entered onto the Specialist Register for Plastic Surgery.

               FITZWILLIAM CLINIC         
      (12:30 Friday + Some Saturday)
              FENSTANTON CLINIC       
      (Saturday’s + By  appointment)
                   ONE HATFIELD               
      (Once a month)

      ©2021Anthony Barabas. All rights reserved.

      1

      AUGMENTATION MASTOPEXY

      Augmentation Mastopexy

      Frequently asked questions

      It is an operation to increase the size of a woman’s breast(s) using an implant (prosthesis).

      When performed on the NHS breast augmentation is usually performed to balance a difference in breast size or to reconstruct a breast following previous breast surgery. However most private breast augmentation is performed to increase the size of the breasts for cosmetic reasons.

      A breast implant is a silicone bag (shell) containing either silicone gel or saline (salt-water solution). UK plastic surgeons, including myself, almost exclusively use silicone filled implants due to their more natural feel. Long term studies have found no increased risk from silicone-filled compared to saline-filled implants, following a scare regarding leaking silicone implants in the 1970’s and 80’s. In fact modern implant “shells” are much thicker and durable than older implant types, and as such the risk of implant rupture or leakage is much reduced. The implant shells can also be rough or smooth.

      As standard implants come in either round or anatomic (“tear-drop”) shapes (as shown in the picture). There are pro’s and con’s to each shape, and one may be preferable over another depending on your current breast size, and how much bigger you want to be afterwards.

      My standard technique is to make a small incision (cut) in the fold under the breast called the infra-mammary fold (see arrow on picture). In this way the scar will be well hidden, and scars here tend to heal so well that once fully settled they are difficult to find. For two weeks after your surgery you will be asked to wear a well fitted sports bra which helps with swelling and reduces the risk of the implants moving until they have settled in. Underwiring can rub on the scar causing problems, and therefore there should be no underwiring in bras for the first few months after surgery.

      RELATED THERAPY

      GET IN TOUCH

      MY LOCATION

      FITZWILLIAM CLINIC   
      FENSTANTON CLINIC Treatment Centre
      ONE HATFIELD CLINIC    
      Phone:+447812123405
      Email: contact@anthonybarabas.com

      MY LOCATION

      FITZWILLIAM CLINIC   
      FENSTANTON CLINIC Treatment Centre
      ONE HATFIELD CLINIC    
      Phone:+447812123405
      Email: contact@anthonybarabas.com

        About Us

        Mr. Barabás was awarded Fellowship to the Royal College of Plastic Surgeons in 2011. In 2014 he was entered onto the Specialist Register for Plastic Surgery.

        FITZWILLIAM CLINIC          12:30 Friday + Some Saturday
        FENSTANTON CLINIC        Saturday’s + By  appointment
        ONE HATFIELD                    Once a month

        Mr. Barabás was awarded Fellowship to the Royal College of Plastic Surgeons in 2011. In 2014 he was entered onto the Specialist Register for Plastic Surgery.

                 FITZWILLIAM CLINIC         
        (12:30 Friday + Some Saturday)
                FENSTANTON CLINIC       
        (Saturday’s + By  appointment)
                     ONE HATFIELD               
        (Once a month)

        ©2021Anthony Barabas. All rights reserved.

        breast implants

        BREAST IMPLANTS / AUGMENTATION

         

        BREAST IMPLANTS / AUGMENTATION

        Frequently asked questions

        It is an operation to increase the size of a woman’s breast(s) using an implant (prosthesis).

        When performed on the NHS breast augmentation is usually performed to balance a difference in breast size or to reconstruct a breast following previous breast surgery. However most private breast augmentation is performed to increase the size of the breasts for cosmetic reasons.

        A breast implant is a silicone bag (shell) containing either silicone gel or saline (salt-water solution). UK plastic surgeons, including myself, almost exclusively use silicone filled implants due to their more natural feel. Long term studies have found no increased risk from silicone-filled compared to saline-filled implants, following a scare regarding leaking silicone implants in the 1970’s and 80’s. In fact modern implant “shells” are much thicker and durable than older implant types, and as such the risk of implant rupture or leakage is much reduced. The implant shells can also be rough(Textured it) or smooth.

        As standard implants come in either round or anatomic (“tear-drop”) shapes (as shown in the picture). There are pro’s and con’s to each shape, and one may be preferable over another depending on your current breast size, and how much bigger you want to be afterwards.

        My standard technique is to make a small incision (cut) in the fold under the breast called the infra-mammary fold In this way the scar will be well hidden, and scars here tend to heal so well that once fully settled they are difficult to find. For two weeks after your surgery you will be asked to wear a well fitted sports bra which helps with swelling and reduces the risk of the implants moving until they have settled in. Underwiring can rub on the scar causing problems, and therefore there should be no underwiring in bras for the first few months after surgery.

        RELATED THERAPY

        GET IN TOUCH

        MY LOCATION

        FITZWILLIAM CLINIC   
        FENSTANTON CLINIC Treatment Centre
        ONE HATFIELD CLINIC    
        Phone:+447812123405
        Email: contact@anthonybarabas.com

        MY LOCATION

        FITZWILLIAM CLINIC   
        FENSTANTON CLINIC Treatment Centre
        ONE HATFIELD CLINIC    
        Phone:+447812123405
        Email: contact@anthonybarabas.com

          About Us

          Mr. Barabás was awarded Fellowship to the Royal College of Plastic Surgeons in 2011. In 2014 he was entered onto the Specialist Register for Plastic Surgery.

          FITZWILLIAM CLINIC          12:30 Friday + Some Saturday
          FENSTANTON CLINIC        Saturday’s + By  appointment
          ONE HATFIELD                    Once a month

          Mr. Barabás was awarded Fellowship to the Royal College of Plastic Surgeons in 2011. In 2014 he was entered onto the Specialist Register for Plastic Surgery.

                   FITZWILLIAM CLINIC         
          (12:30 Friday + Some Saturday)
                  FENSTANTON CLINIC       
          (Saturday’s + By  appointment)
                       ONE HATFIELD               
          (Once a month)

          ©2021Anthony Barabas. All rights reserved.