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After the operation
After the anesthetic wears off the area may be tender and sore for a few hours, and there may be slight nausea caused by the anesthetic. However, the pain after a breast reduction is usually slight – much less than after a breast enlargement. Most patients manage with mild analgesics, and if the operation was a small one the patient can usually go home the same day.
The area operated on may be somewhat swollen, but usually the swelling is not severe and the area only pulls and hurts with certain movements. The arms should not be stretched too high over the head, since this puts extra stress on the stitches. Regardless of how the incisions were sewn, all stitches are removed within about fourteen days. The patient is usually advised to wear a supportive sports bra both day and night for the first three weeks, and during the daytime after that. Exercise and physical exertion should be avoided for three weeks, but may then be gradually resumed. All physical activity that stretches or pulls at the scars before they have stabilized, however, can make them broader. It takes about three months for scar tissue to develop its full strength.
The result of the operation can be judged about half a year after the surgery, although the scars may mature further after this time and may still be slightly red at the six-month checkup. Using surgical tape on the incisions for a long time (up to six months) after the surgery will help the scars to mature more quickly.
The breast, which contains no muscles, is constantly pulled down by gravity. A large bust will therefore always tend to sag over the years, especially if it does not have the support of a brassiere. All women with large breasts, including those who have had breast lifts or breast reductions, should therefore wear brassieres. Sports bras that hold the breasts in place vertically should always be worn for sports. Everyday bras should also provide good support, and wired bras are usually more supportive. If the patient does not wear a bra after the operation, the new breasts are certain to sag faster.
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Fullness in the upper pole of the breast can be achieved only if a breast implant is combined with the breast lift (anatomical breast implants 220 cc were used in this case). Scars usually fade within 6 months (below).
Breast enlargement without a simultaneous lifting operation will nevertheless result in elevation of the tissues. This is especially true if the implant is large and has a great deal of projection. This patient rejected breast lifting scars around the areola and was instead given only an anatomical cohesive breast implant with full projection, 375 cc (right).
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