Breast Reduction

Breast Reduction


Breast reduction is a treatment for large breasts, which can cause physical, social and psychological discomfort to patients. When breast reduction surgery is carried out to reduce the weight of the breast, it may provide relief from distressing symptoms.

Women with large breasts are suitable for breast reduction if they are physically fit and psychologically stable. It is a major surgical procedure and should not be considered lightly.

The breast reduction surgery is carried out in one of our partner hospitals in Liverpool or Southport/Ormskirk, under general anaesthesia and 1 or 2 nights stay in hospital is usually required. Recovery from breast reduction surgery usually takes 2 to 4 weeks.

Many patients enquire about breast reduction surgery cost; when considering any surgery cost, it is best to telephone the clinic to discuss your requirements, as costs may vary depending on the exact procedure. Breast reduction costs may vary from clinic to clinic, but it is vitally important to consider the qualifications and experience of the surgeon as well as quality of  aftercare provided by the clinic.

Your Consultation:

Breast reduction at North West Cosmetic Surgery (Sthetix) is exclusively performed by Consultant Plastic Surgeons. We provide direct consultations with a Consultant Plastic Surgeon who specialises in cosmetic breast surgery. We follow the BAAPS guidelines and provide a full consultation for our patients followed by a 2 week cooling off period. We always offer a second consultation before proceeding with any surgery.
Your chosen surgeon will discuss the procedure, its limitations and potential risks and complications with you. You will also get a chance to explain your expectations of breast reduction surgery.

Procedure:

The surgery involves measuring and marking the breast prior to the surgery. Once you are asleep, the surgeon will remove the required amount of tissue from each breast and move the nipple to the new position, the breast is then stitched with dissolving stitches and dressings will be applied. Drains may be used and will be removed before you are discharged from the hospital. The scars from this surgery are usually `anchor shaped` but can be a different shape depending on the type of breast reduction carried out.

Risks and potential complications:

All surgical procedures carry risks. Risks of breast reduction include haematoma (collection of blood), infection, lumpy or wide scars, loss of sensation, asymmetry, dog ears, loss of skin, loss of a nipple, DVT and PE (a serious and potentially life threatening complication) etc. Smokers and patients with a high BMI are at a higher risk than the general population. Ideally, patients who smoke should stop smoking well before surgery and it is also advisable to try and achieve a healthy weight before the surgery is carried out.

After care:

Following your surgery, you will be given detailed instructions about the care you need to exercise. You will have the ability to get in touch with us any time, day or night should the need arise.
We operate a lifetime aftercare policy, and you will be followed up by the surgeon who performed the surgery until you are fully healed. In the event of a complication which is directly the result of your surgery, and can be corrected by surgery, we will provide treatment, where possible, free of cost to you for upto a year from the date of your surgery.

For more information visit this link about breast reduction.

Key Information


Duration of Surgery2-3 hours
Hospital Stay1 or 2 nights
Recovery Period (approx)2-4 weeks

Before/After




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After Surgery

You’re likely to feel tired and sore for a few days following your surgery, but you’ll be up and around in 24 to 48 hours. Most of your discomfort can be controlled by medication prescribed by your doctor. Within several days, the gauze dressings, if you have them, will be removed, and you may use a sports bra.


Anaesthesia

This procedure is performed using general anaesthesia.


Complications

Haematoma (collection of blood) requiring return to theatre
Infection (1-4%) – if severe may lead to tissue(skin / breast tissue) loss
Fat necrosis (10%)- resulting in lumps which may or may not resolve.
Hypertrophic or keloid (lumpy) scars
Delayed wound healing (20%)
Dog ears (folds of skin and fat at the end of scars)
Loss of sensation in nipple\breast skin (30%)
Loss (necrosis\death) of nipple areola or skin (risk 1%)
Breast feeding problems
Cancer screening. When you have a mammogram (x-ray of the breast) the doctor should know you have had surgery to the breasts.
DVT and PE – clots in the legs and these clots traveling to the lung.


Inevitable Consequences of Surgery

Bleeding, oozing, Bruising, Swelling and Discomfort are inevitable after this surgery. Scars take 18 months to mature. These tend to be red and some time lumpy in the first weeks. Healing of the wounds take about 2-3 weeks


Other Aspects

There can be no guarantee of absolute symmetry in size or shape. Breast size after surgery is not guaranteed to a particular cup size and breast shape and position will continue to change with time after surgery, as effects of age, weight change and gravity are not be eliminated. There is no guarantee that symptoms of back pain, shoulder and neck discomfort and breast pain will be relieved by this surgery. Obesity and smoking increase the risk of complications. You are strongly advised to reduce weight and must stop smoking. In the case of very large breasts, fullness may remain on the side of chest following breast reduction.

Before your surgery you should have a frank discussion about your expectations with the surgeon and he will be equally frank with you about the limitations and complications of this surgery

Breast Lift / Breast Uplift / Mastopexy

Breast Lift / Breast Uplift


With or Without Augmentation


Breast lift, also known as breast uplift or mastopexy, is a suitable procedure for someone who is either born with, or has developed drooping breasts. Women may develop drooping breasts as a result of the normal ageing process due to gravity or after the changes induced by pregnancy and breast feeding. When women are happy with the size (volume) of the breast but unhappy with the drooping, then a breast lift is a suitable procedure for them . The appearance of sagging breasts may cause physical and emotional problems. A breast uplift or mastopexy may be the answer for such patients.
We offer consultations with highly trained and experienced consultant plastic surgeons, who have specialist training in breast plastic surgery and are based in the Nothwest. All our surgeons are, or have been NHS consultants with accredited UK training. This will ensure you are fully informed about the procedure, its limitations, the likely outcome and potential risks/complications.

Procedure

Breast uplift can be undertaken with a number of different techniques. The breast lift procedure involves remoulding the breast tissue, moving the nipple to a more appropriate position on the breast and removing any excess skin from the breast. The suitable technique (and there are many) of breast uplift depends upon the assessment carried out at the time of consultation by your plastic surgeon. Your surgeon will make recommendations after examining you and discussing your aspirations and desires. All Mastopexy (breast uplift) techniques involve some scarring to the breast. The usual scar is an anchor shaped scar but a vertical scar technique or a peri-areolar scar (Benelli) may be used where appropriate. The longevity of the resulting uplift depends to some extent on the quality of the breast tissues in an individual and cannot be guaranteed.

After the procedure, the breast tissues are both swollen and tense. This results in the appearance of a greater lift and firmer appearance that will slowly change over the subsequent 3 – 4 weeks. The breasts will soften and drop a little and settle into their final shape in about 6 weeks time.
The surgery will not take away the effects of gravity and over time, the breasts will slowly droop again.Alternative techniques:

A breast uplift can be combined with breast enlargement (implants) when there is not enough tissue in selected cases. When a small augmentation is desired with an uplift, fat transfer, using a patients own fat, can be considered in appropriate patients. This depends on the amount of tissue available and the desires of the patient.

Risks and Potential complications:

All surgical procedures carry certain risks and there are limitations of what can be achieved. A full and frank discussion with the surgeon is the only way to gain a clear insight into the procedure and allow you to make an informed decision about your surgery.

Risks include
• Heamatoma
• Infection
• Scar problems
• Delayed healing
• Loss of tissue (necrosis)
• Dog ears
• Asymmetry (some asymmetry is likely.)
• Loss of a nipple
• Bottoming out of breast tissue
• DVT and PEAfter care:

All your care is directly with a consultant plastic surgeon and all your after care is directly with, or under, the supervision of your consultant.
Following your surgery, you will be given detailed instructions regarding the care you need to exercise. You will have the ability to get in touch with us any time, day or night should the need arise.
We operate a lifetime aftercare policy, and you will be followed up until you are fully healed. In the event of a complication which is directly the result of your surgery, we will provide treatment, where possible, free of cost to you for up to a year after your surgery.

All our consultant Plastic surgeons are based in the North West and live in or near Liverpool. The surgeons who perform this surgery have specialist training and expertise in breast plastic surgery.

For further details, please follow this link for more information about breast uplift .

Key Information


Duration of Surgery1.5 -2.5hours
Hospital Stayday case or 1 night
Recovery Period (approx)2-4 weeks

Before/After




Ask a Question About Breast Lift

Breast Enlargement (Augmentation) in Liverpool

Breast Enlargement (Augmentation)

Breast enlargement, breast augmentation or breast enhancement (occasionally referred to as a “boob job”) is the most popular cosmetic surgery procedure in UK. It is usually carried out by inserting implants behind the breast. This surgery can be carried out for cosmetic or for reconstructive medical reasons e.g. to correct breast asymmetry and for breast reconstruction after cancer surgery.

Breast enlargement (breast augmentation), when carried out for right reasons can produce both physical and psychological benefits. You will have a detailed consultation with one of our consultant plastic surgeons, who will discuss your desires regarding the shape and size you want to achieve.

Consultations are available for breast enlargement in Liverpool, Crosby, Ormskirk/Southport and Chester. We always give our patients a cooling off period and offer a free second consultation to make sure we fully answer your questions and deliver adequate information. This is to allow you to make an informed choice. You will have the opportunity to see the full range of implant sizes and shapes available at our clinic and decide on the size you want to achieve.

What are the alternatives?
The new procedure of enlarging breasts with your own fat is now available.  Strict protocols and guidelines have to be followed if this method of breast enlargement is considered. The limitations of breast enlargement using your own fat include the possibility of unpredictable increase in size. This is due to inevitable loss of some of the fat which is transferred from on part of the body to another.

Procedure:
The surgery involves an incision in the crease below the breast and a space is made to place the implant either behind the breast tissue (overs) or behind the chest wall muscle (unders). The incision is closed with dissolving stitches after the implant is inserted. Dressings are applied to the wounds.

Recovery:
After the surgery, you will stay overnight in the hospital, however, the procedure can be done as a day case . Most women are fully recovered and back to work about 2 weeks after the procedure, but some may take up to four weeks.

After Care:
We offer a lifetime aftercare to all our patients. If you have any complication which is directly related to your breast enlargement surgery, and can be corrected with surgery, we will provide, where possible, corrective treatment at no extra cost for up to 1 year after the procedure.

You will always have access to the hospital after your surgery (day or night) where advice can be given over the phone or a doctor will see you should the need arise.

You will be seen at our clinic for follow up care after the surgery and as often as required until you are fully healed. This is included in the cost of your surgery. You will then have the option of having the implants checked on a yearly visit at our clinic at no extra charge.

Your surgeon and the nurse at the hospital will give you detailed instructions about do’s and don’ts after your surgery.

We use implants which are covered by a lifetime guarantee for implant leak and/or rupture.

Risks and Potential Complications:
All surgery carries potential risks and there is no substitute for a full and frank discussion with your consultant plastic surgeon. You can read more about some of these potential complications below.

For more information visit this link about breast enlargement in Liverpool

Key Information


Duration of Surgery1 hour
Hospital Stay1 day
Recovery Period (approx)2-4 weeks

Before/After




Ask a Question About Breast Enlargement

Capsular Contracture


Capsular contracture occurs if the scar or capsule around the implant begins to thicken and tighten. Capsular contracture can be treated in several ways, and sometimes requires either removal or “scoring” of the scar tissue, or perhaps removal or replacement of the implant.


Haematoma


Haematoma refers to an excessive collection of blood in the tissues and can sometimes require surgery to remove the blood and stop the bleeding.


Infection


While the risk of infection with a breast enlargement / augmentation is small, if an infection settles around an implant, the implant will need to be removed to allow the infection to be treated. A replacement implant is inserted, usually after 3-4 months.


Nipple Sensation


There can be alteration to the sensitivity of the nipples in this procedure. The nipples can become oversensitive, under sensitive, or even numb. You may also notice small patches of numbness near your incisions. These symptoms usually improve over time, but may be permanent in some patients.

Safety of Silicone

There is no evidence that breast enlargement using breast implants will affect fertility, pregnancy, or your ability to nurse. If, however, you have nursed a baby within the year before augmentation, you may produce milk for a few days after surgery.
A few women with breast implants have reported symptoms similar to diseases of the immune system, such as scleroderma and other arthritis-like conditions. These symptoms may include joint pain or swelling, fever, fatigue, or breast pain. Research has found no link between silicone breast implants and the symptoms of what doctors refer to as “connective-tissue disorders”.


Implants and Breast Cancer


While there is no evidence that breast implants cause breast cancer, they may change the way mammography is done to detect cancer. Additional views will be required. Ultrasound examinations may be of benefit in some women with implants to detect breast lumps or to evaluate the implant.


Implant Rupture/Leakage


If a break occurs in a gel-filled implant, one of two things may occur. If the shell breaks but the scar capsule around the implant does not, which is usually the case, you may not detect any change. If the scar also breaks or tears, especially following extreme pressure, silicone gel may move into surrounding tissue. There may be a change in the shape or firmness of the breast. Both types of breaks will require a second operation and replacement of the leaking implant. If the silicone has entered the breast tissue, it may not always be possible to remove it all.


Rippling, Wrinkling and Palpable Edges


Some women may find that the implant edges are palpable or (more rarely) visible.
Occasionally wrinkling of implants may be visible. This usually happens when you have little tissue under your skin to hide the implant. If you are concerned about this, you should discuss this with your surgeon. While the majority of women do not experience these complications, you should discuss each of them with your physician to make sure you understand the risks and consequences of breast augmentation.

Breast shape and size will continue to change after breast enlargement / augmentation.
For many women, the result of breast augmentation can be satisfying experience, as they learn to appreciate their fuller appearance. Regular examination by your plastic surgeon and routine mammograms for those in the appropriate age groups at prescribed intervals will help assure that any complications, if they occur, can be detected early and treated. We provide a one year limited guarantee after this surgery – talk to your surgeon for details.
Before your surgery you should have a frank discussion about your expectations with the surgeon and he will be equally frank with you about the limitations and complications of this surgery.

Uneven Breast Correction / Breast Asymmetry Correction

Uneven Breast Correction / Correction of Breast Asymmetry


Almost all women have some degree of breast asymmetry/breast unevenness. Uneven breasts/breast asymmetry can involve shape, size and nipple position or a combination of these problems. Tubular breast deformity may affect some women and often these patients present to the surgeon with a complaint of uneven breasts. Other reason for significant asymmetry can be Polands syndrome, where one breast fails to develop. In extreme cases a complete reconstruction is required. This type of surgery is usually complex and should only be carried out by an experienced Plastic surgeon with a special interest in breast surgery.
Minor degree does not require correction. However, when the asymmetry interferes with selection of clothing or psychological or sexual wellbeing of a person, corrective surgery can produce pleasing results. A combination of procedures may be used to achieve a greater degree of symmetry. Absolute symmetry is usually impossible.

Options for correction

Specialist plastic surgeon with vast experience of breast plastic surgery provides a range of techniques which can be used to improve symmetry of the breasts. In our clinic, this service is provided by NHS accredited consultant plastic surgeons who are based in the Northwest.
The techniques which can be used include
• Breast reduction
• Breast enlargement
• Breast reconstruction
• Uplift procedure with or without enlargement
• Fat transfer to breasts
• Tissue expansion

After examination and through discussion with the patient, the surgeon will decide on a plan to carry out a procedure or procedures to gain better symmetry for the patient.

All surgical procedures carry certain risks and there are limitations of what can be achieved. A full and frank discussion with the surgeon is the only way to gain a clear insight into the procedure and allow you to make an informed decision about your surgery.

For further details, please visit this link for more information about breast asymmetry correction.

Key Information


Duration of Surgery1-3 hours
Hospital Stayday case or 1 night
Recovery Period (approx)2 – 4 weeks

Before/After




Ask a Question About Correcting Breast Asymmetry