Breast Reduction

• Inform us about any allergies, any serious medical condition(s), and all medications you are 
  taking (both prescription and non-prescription). 
• Prepare question(s) for surgeon.
• No Aspirin 2 days before surgery.
• Stop vitamin E Oil 1 day before surgery.

• Stop smoking 2 days and a month after surgery.
• Tell doctor if you have any serious medical condition(s). 
• Surgeon will conduct a routine breast examination, age, family history, mammograms, and x-ray
• Surgeon will discuss other variables that influence the decision involved in the procedure

• If patient considering breast-feeding should discuss the matter with the plastic surgeon at this time
• Surgeon will explain the specific details, technique to be used, where the operation will be performed and what realistically can accomplish
• Stop meal and water starting from midnight before surgery.
• Plan to be in Thailand at least 10 days after surgery.
• Bring a loose fitting button or zipper type dress or blouse that is easily take off during recovery.

Breast Reduction mammoplasty typically is performed to reduce disproportionately large, sagging breasts.It also can reduce the size of the areola (the dark pink skin surrounding the nipple), which frequently becomes enlarged as the breast develops. Extend of procedure depends on what changes are desired and what your surgeon deems appropriate.

The most commonly employed breast reduction technique is called brassiere pattern skin reduction, involves both horizontal and vertical incisions that follow the contour of the breast.  The vertical incision creates a key-hole-shaped pattern above the areola.

Working through the incision, the surgeon excises excess tissue, fat and skin on the side of the breast.  Skin is removed from the area within the vertical incision and around the areola.  The nipple, areola and underlying tissue are moved through this space to a new higher location.

Another technique involves completely detaching the nipple from the breast before relocating it.  Since a transplanted nipple loses all sensitivity, this approach is performed only when deemed necessary for patients with extremely large breasts.

After the nipple is repositioned, skin on both sides of the breast is moved down and around the areola and then bought together to re-contour the breast.

Sutures close the wounds under the breast and around the nipple area.  Following surgery, a gauze dressing may be applies to the breasts, or the patient may be placed in a surgical brassiere.

After breast reduction surgery, there is some soreness and discomfort which is easily controlled by medication. Swelling and skin discoloration around the incisions generally will subside in a few days. 

After surgery, there may be a temporary loss of sensation in the nipples and breast skin.  This condition will improve with time. Sutures will be removed within ten day of surgery.

Scars remain highly visible for a year following surgery, then fade to some degree.  Since incisions were made around and below the nipples, scars should not be notice able even in low-cut-clothing.

Since no two breasts are the same size and shape before surgery, usually a slight variation will exist after surgery.

• Bandage will be removed and you can take a shower after that towel the incision two days after surgery date.
• Try to keep arm extension to a minimum after removing bandage for at least three to five days.
• Wear a support bra all time for a month after removed the bandage.
• You should limit strenuous activities such as jogging, bending, heavy housework, sex or any activity that increases your blood pressure at least four weeks.
• Cold pack may be used over the incision.
• Take daily medicines and strictly follow the doctor’s instructions.
• Visit the doctor by appointments and follow up checks.
• Do not place ice or cold compress directly on skin.
• Drink plenty of water.
• No lifting objects over five to seven pounds. These are also include children and pets.
• Avoid smoking at all time during the first 3 weeks.
• Avoid alcoholic beverages when taking the medications.
• Sleep upright at least five days following surgery.
• Suture must keep dry several days all times before stitches removal.

Breast Reduction Surgery's recovery timeline.

The day after surgery, PAI doctor will visit you in hospital to discharge to hotel.

• Removing Incisions will appoint with 10 days after surgery
• No heavy exercise 4 weeks after surgery

• Sleep upright for five days following surgery
• After surgery 2 days surgery, the bandage will be removed by yourself and you can take a shower after that towel the incision
• Several days after surgery the suture area must be kept dry at all times
• Take your medicines and strictly follow the doctor’s instructions. Visit the doctor as scheduled to remove stitches and follow up check
• Do not place ice or cold compress directly on skin
• Drink plenty of water
• Try to keep arm extension to a minimum after removing bandage for at least three to five days
• Wear a support bra all time for 1 month after removed the bandage
• No lifting objects over 5 to 7 pounds. This includes children and pets

• Avoid smoking at all time during the first 3 weeks
• Avoid alcoholic beverages when taking the medications
• For at least 1 month you should limit strenuous activities such as jogging, bending, heavy housework, sex or any activity that increases your blood pressure

For local’s patient – You may resume to work after a week but must avoid heavy lifting object over the head or fast movement during 4-8 weeks after surgery date.

For international patient – Please plan to be in Bangkok at least 10 days after breast reduction. Stitches will remove within 7 to 10 days after surgery date. After departure from Thailand, you may resume to work within a few days but must avoid heavy lifting object over the head or fast movement during 4-8 weeks after surgery date.

◊ Any bruising and swelling will usually dissipate within 2 - 3 months.