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The breasts that are known to be one of the most important organs that make a woman feel beautiful and attractive are also the structures mostly affected by lifelong hormonal changes and weight gain. In cases of birth, breastfeeding and excessive weight gain, the breasts grow naturally and cracks may occur in the skin tissue. The effect of gravity is felt even more in large breasts and over time, the nipples are displaced to the bottom of the breast alignment. By the studies, this has been to be the cause of physical problems as well as aesthetic problems.

Large breasts change the body's balance center and cause curvature of spine, causing hump. These curvatures in the spine cause pain in neck and back that cannot be treated with drugs or physical therapy. As the thin straps cannot carry the weight of large breasts, thick bra straps must be used and these bras make pressure on the shoulders causing shoulder, neck, arm pains and cavities in the shoulders. Unfortunately, women who try to camouflage large breasts using smaller or tighter bras may have breast pains and respiratory problems. In areas where the breast is folded, redness, rash, or even fungal infections may develop due to airlessness and friction. Women who have big breasts want to do sports for weight loss, but they cannot continue their activities after a few attempts and gain more weight because large breasts prevent them from exercising comfortably. The women who prefer clothes to hide their breasts rather than clothes they like may experience demoralization, lack of confidence, depression and isolation from society.

As the growth of the breast in overweight women is usually associated with loss of elasticity in the breast skin and loosening of the breast, weight reduction may result in the breast being hollow and flaccid, even if the weight gain is reduced, which means that at least a steepening operation may be required. Breast reduction surgery is the only way to shrink and steep breasts in women whose body is normal or weak and have large breasts. 

To reduce the volume of the breast and to steep the nipples, many different methods have been described in which the breast gland, fat and skin tissues are removed. If the brown/pink nipple portion of the breast is larger than normal, this area can be reduced. The objectives of the developments in the techniques are to maintain the nipple sensation, to have a longer-lasting breast form, to not be affected by breastfeeding and to have as little as possible traces. Since each woman's body and breast structure, age, additional health problems, habits (smoking, etc.), wound healing, giving birth and general expectation of surgery will not be the same, talking to the patient and detailed physical examination of the patient will help the surgeon to determine the most appropriate methods for the operation. Choosing the most appropriate method requires the surgeon to know most of these methods and to have them surgically mastered.

In relatively small breasts, it is possible to perform less surgery (vertical trace starting from the nipple to the breast fold), while larger breasts have to be followed by methods that leave more marks. However, they do not cause a distinctive and/or disturbing appearance when viewed from the opposite side since these additional traces will be placed at the level of the nipple. Traces can be fused within 6-12 months for people who do not have wound healing problems, and various gels may be recommended for faster healing of the scars. Patients with a history of wound healing disorders, such as hypertrophic scar or keloid formation, are advised to tell their physicians about this situation in order not to have any surprise. 

Breast reduction operations last for 2-3 hours depending on the chosen technique. Depending on the bleeding condition, the drain can be placed or not placed. It is recommended that you use a special bra for 1 month after surgery. Patients are usually discharged after 1 day; as the sutures are soluble, there is no stitch removal. If the drain is placed in the surgery, these drains are usually withdrawn after 1-2 days. Bathing is allowed 2-3 days after the drain is taken. For the wound healing to be smooth after the operation, you should not do any heavy work for 3-4 weeks, do not raise your arms too high and avoid movements that force your arms.
Breastfeeding is not affected by the surgery as the milk channels are not damaged. However, in patients who have a chance of pregnancy after the surgery, breastfeeding cannot be guaranteed.

Breast reduction surgery does not cause breast cancer. Although breast ultrasound is made for those under 40 years of age before the breast reduction surgery and mammography is made for those elder than 40, all breast tissues removed before surgery are sent to the pathological examination regardless of whether there is a suspicious lesion or not. 
As with all surgeries, tissues have swelling and tension due to edema and the breasts may appear larger than they should be after breast reduction surgery. In the first 2 months, edema decreases rapidly, and in 6-12 months, the breasts become more natural.

Pain in the postoperative period can be controlled with painkillers and the patients may describe mild burning and itching for 6-12 months.

If the vertical technique is used in the patient's operation, the vertical sutures are usually twisted before stitching. This image can be worrying for the patient for 1-2 months, but then it heals completely.

The risks that may be encountered in the early period can be summarized as bleeding, infection and wound opening which can be encountered in all kinds of surgical procedures. There may be complaints in the late period that the marks are obvious or that the breast is larger or smaller than the desired shape. Some patients may lose excess weight after the surgery with the motivation of the surgery and the stiffness and tension of the breasts may be lost. In such cases, the stiffness and tension of the breasts can be restored with additional surgical procedures. Your breasts will not grow again unless you gain too much weight or become pregnant after breast reduction surgery. However, the breasts may sag over time due to the decrease in skin elasticity due to gravity and aging. This condition can be corrected by the breast lift operation. 

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