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As mentioned above it is important that if a general weigh loss is planned this should be done prior to surgery. Weight loss after the operation may have negative effects on the aesthetic appearance of the breasts. At the consultation, the patient should be given a thorough and objective description of how the surgery will be performed and the effect that the chosen method will have on the length and appearance of the scars.
The amount of droop in the breasts is also determined at the consultation. This is done by measuring the distance from the collarbone to the nipple and by measuring how much of the breast hangs below the crease beneath it. The volume of the breasts may also be measured in one way or another. The breasts are also checked to be sure there are no lumps in them.
The patient may be given or advised to obtain a surgical bra or a sports bra that provides plenty of support, to wear after the operation. As in most surgical procedures, medications containing acetylsalicylic acid should be avoided prior to surgery.
The operation
If the operation is a small lift or reduction, it may be performed using light anesthesia in combination with local anesthetics and tranquilizers. For more extensive breast reduction operations the patient is usually given a general anesthesia.
As mentioned previously, there are numerous methods of reducing or lifting the breasts. Most of them require the nipple to be moved up, which means that almost all of them leave a scar around the nipple. Most of the more traditional methods also leave a scar like and upside-down T, extending down from the nipple to the crease below the breast and laterally along this crease. Other methods leave a long vertical or L-shaped scar beneath the areola and down to the crease beneath the breast in addition to the scar around the nipple.
Most surgeons plan the operation and mark the planned incisions beforehand with a pen. During this procedure the patient sits with her arms hanging loosely, and the doctor marks the new position of the nipple. The most important measure of its location is felt with a finger in the crease below the breast. The nipple should sit directly in front of this crease. Women who have no crease below their breasts, or who have nipples above this level, have no ssurgical sag” in their busts. It is of course important that the nipples are placed symmetrically, both horizontally and vertically. The
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For a good result, the incisions have to be carefully planned and marked out in advance.
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