Breast Reduction (Female)
Description:To remove excess fat and skin from the breasts, which are reshaped and the nipples repositioned to form newer smaller breasts.
Potential Risk of Negligence:There are general risks associated with major surgery and a general anaesthetic including a small risk of chest infection particularly if you smoke, and also a small risk of thrombosis in the leg veins, particularly if you are taking the contraceptive pill. Early complications, although rare include bleeding into the breast tissue producing a swollen painful breast, and the development of a haematoma. The treatment involves further anaesthetic to drain the blood and stop further bleeding. Infection is another rare complication (usually from the dormant germs lying in the breast ducts) and can cause part of the wound to break down, prolonging the healing process and worsening the quality of the final scars.
Permanent and extensive scars are produced during this surgery, which initially may be red and lumpy, but which fades to your natural skin colour over several months. Skin can become sloughy and form a scab which separates leaving a broad scar. The nipple disc and the skin where the scar meets underneath the breast are parts most likely to be affected. If you smoke you are more likely to be at risk of this happening. Rarely nipple and skin sensation may be reduced or even lost after surgery. Fat necrosis can occur when breast tissue and fat loose blood supply and the breasts become hard and lumpy. This can result in an oily discharge from the breast in the first few weeks following surgery. The lumpiness may take up to two years to soften. The breasts may be left asymmetrical, where the breasts differ in size, and it may not be possible to correct existing asymmetry.
When reducing large breasts it may be necessary to adjust the folds of skin at the end of the scar, both between the breasts and at the sides. This is usually carried out under local anaesthetic several months later.
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