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Breast Reduction & Lift

About Breast Reduction | Mammaplasty

mammaplasty 01 updatedThis is a procedure to reduce the size and enhance the shape of large and often drooping breasts.

Following a breast reduction procedure you can expect smaller, shapelier breasts. Symptoms associated with large breasts including back, neck and shoulder pain, bra strap grooving, difficulty exercising and difficulty finding clothes to fit are commonly alleviated. Scars on the breasts are inevitable however the advantages afforded by a breast reduction make this one of the most successful and rewarding procedures.

Procedure:

A breast reduction is an operation that removes both excess skin and breast tissue, mostly from the lower half of the breasts and elevates the nipple-areolar complex to a higher position on the new, reshaped breast mound. The technique and resultant scars will be determined by the extent of the reduction. The larger your breasts the more likely it is that you will need longer incisions to achieve a pleasing result. Breast reduction techniques I commonly perform include 'vertical scar', inverted 't' and wise keyhole.

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About Breast Lift | Mastopexy

This is a procedure to elevate and re-shape ptotic (sagging) breasts.

Procedure:

A breast lift or mastopexy is an operation that removes excess skin around the breast that has been stretched during pregnancy, developed after weight loss or with ageing. The technique and resultant scars will be determined by the degree of correction or lift required. The more sagging you have, the more likely that you will need more extensive and longer incisions to achieve a desirable result. Techniques I commonly perform include the 'peri-areolar or donut mastopexy', 'vertical scar or lollipop' and 'inverted 't'' mastopexy's.

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BEFORE YOUR SURGERY

Arrange to have a responsible adult over 18 years of age stay with you the first evening after surgery. The procedure will be cancelled if you do not have support.

SMOKING

Smoking increases the risks of complications significantly and should be ceased 4 weeks prior to surgery.

ALCOHOL

No alcohol 48 hours before surgery.

DIETARY REQUIREMENTS

Be well nourished, hydrated and rested before your surgery.

MEDICATIONS

A script will be issued for antibiotics and pain tablets. You will need to purchase them from a chemist and bring them with you on the day of your procedure. Do not take these prior to surgery. The nursing staff will advise you and your carer after your procedure on how to administer them.

Certain over the counter products and prescription medicines can cause complications before and after surgery.

They can reduce the ability of your blood to clot and could increase your tendency to bleed during and after surgery. These include medications containing aspirin & anti-inflammatories (Voltaren, Brufen etc) they should not be taken 2 weeks prior to your procedure. Avoid Vitamin C & E supplements and red wine 3 days before your operation.

Stop all herbal medications 1 week before surgery. These include Echinacea, Ephedra, Garlic, Ginseng, Ginkgo, Kava, St. John’s Wort, and Valerian. *(Please ask us for a more comprehensive list if required.)

Please consult Dr Geldenhuys before ceasing any chronic medications. Arrange to have someone fetch you on discharge & stay with you for 2 nights.

ADDITIONAL PRECAUTION & ADVICE

Report any signs of a cold or infections; skin (boils, bites scratches etc) dental etc within two weeks of your surgery. These may increase the risk of surgical infections and may require delaying your surgery for a few days/weeks.

Obtain any desired “comfort items” for after surgery e.g. music, comfortable clothing, pillows, healthy prepped meals, anything that will facilitate a pleasant environment for your recovery. Avoid sun/UV exposure for two weeks prior to surgery. Any evidence of sunburn will result in your surgery being cancelled.

Do not save questions for the morning of your surgery. This is a busy time for us and it should be a relaxing time for you. Please contact the office PRIOR to your surgery if you have any questions.

DAY OF SURGERY

On arrival at the clinic you will be offered a pre-med, this is to ensure you are relaxed & calm for the procedure. Prior to surgery, Dr. Geldenhuys & your anesthetist will see you in the ward. You should have nothing to eat or drink for 6 hours before your operation. If you are required to take chronic medication during this time please do so with a sip of water.

WHAT TO BRING WITH YOU

  • Any current medicines and those which have been prescribed.
  • Medical Aid membership card
  • ID Document
  • Credit Card or other agreed means of payment
  • Toiletries if required.

WASHING

Medicated soap will be provided to be used on the morning of your operation.

PRODUCTS

Do not apply make-up, perfume/deodorant, nail polish or hair products after washing.

JEWELRY

Remove all jewelry.

CLOTHING

Wear loose, comfortable clothing and footwear. Front opening garments with buttons or zips are ideal.

POST-OPERATIVE INSTRUCTIONS

MOBILITY

  • 1st & 2nd Week: Arms to stay below shoulder level
  • 3rd Week: Arms up to shoulder level
  • 4-6 Week: Arm elevations above shoulders

During the first week, you will sleep on your back. Get out of bed every 2-3hrs and walk a little bit, thenback to resting. Avoid any strenuous movements and heavy lifting.

ACTIVITIES

Return to normal activity should be a gradual process and should never cause discomfort. Stop if you areuncomfortable!

  • First 3 weeks: You may take a gentle walk within a few days, “short Sunday stroll”. You may drive whenyou are comfortable and have discontinued all medications, typically 10 days post operatively.
  • Weeks 4-6: Legs & light cardiovascular exercise only (lower body movement, no arms)
  • Week 7-12: Gradual increase in cardio exercise & light upper body training ( abdomen, biceps - no peckexercises for first 3 months )

DRESSINGS & BRAS

At the time of surgery, dressings and bandages will be applied around the chest. You will be fitted with asupport bra, which you should wear day and night for 12 weeks after surgery. (You may, of course, removeit to shower and launder). Once the swelling has decreased you can buy new bras to fit your new size.This usually takes 3 months.

  • Sports Bras: For 6 weeks from surgery.
  • Underwire Bras: From 8 weeks onward.
  • Push up Bras: From 3 months onward.

BATHING & SHOWERING

Shallow baths until your dressings are removed. Thereafter you may shower. If you prefer to bath, do notallow the incision lines to soak for more than a few minutes. After your stitches have been removed youmay shower normally.

SUTURES

All sutures are under your skin and self dissolving. There is usually a ‘tail’ from the outermost layer ofsutures that will be trimmed at your post operative appointment around 7-12 days.

SUN

Scars take at least one year to fade completely. During this time, you must protect them from thesun. Even through a bathing suit, a good deal of UV radiation can reach the skin and causedamage. Wear a sunscreen with a skin-protection factor (SPF) of at least 30 at all times when in theoutdoors.

SCAR MANAGEMENT

The incisions will be covered with micropore & Bactroban ointment for about 10 days after surgery, thentopical Vit A or Silicone for 8-12 weeks.( this will be explained to you after surgery )

MEDICATION - Take medications as directed.

Contact Dr Geldenhuys if you develop nausea, heartburn, diarrhea, constipation or bloating. If painpersists despite pain medications please contact Dr Geldenhuys.

DIET

Have 3 meals a day with plenty of fiber, protein & carbohydrates. Hydrate yourself with plenty of noncarbonateddrinks: water & freshly squeezed juices.

CALL ROOMS (021) 424 5218 IF YOU HAVE:

  1. A temperature greater than 37’C.
  2. Bleeding from the incision or drain sites.
  3. A sudden increase in pain, or swelling of the breast or around the incision site.
  4. Any questions regarding your care.