The female breast is one of the defining characteristics of a woman’s femininity and sexuality. Fuller, firmer breasts are adored by both men and women alike, though desired breast size and correct body proportions greatly divide opinion. Large, heavy breasts cause grave and irreversible harm to a woman’s body over the years. The great weight on the shoulders and back, as well as loss of calcium in the bones (osteoporosis), eventually result in back and shoulder pain and changes to the spine and posture. Large breasts also pose an aesthetic hurdle since they are difficult to hide and cause frustration among women, negative body image, difficulties developing relationships with the opposite sex and often even unwanted staring and name-calling. Even just choosing clothes turns into a daily chore.

Breast reduction - before and after photos

Breast Anatomy

The breast is composed of mammary glands that produce milk during lactation.
The breast begins to develop at the onset of adolescence and is usually fully developed by the age of 17 – 18. The breast undergoes changes in shape and size over the years, especially during pregnancy and lactation.
Weight gain or loss also greatly affect breast size.
Excessive breast growth, characteristic of adolescence, is called pubertal hypertrophy.
This condition sometimes results in very large breasts as soon as adolescence.
The cause of this phenomenon is as yet unknown, and hormone testing usually reveals no indication of the condition.

Shapes

Breasts can be either big or small, saggy or loose.
The size and shape of the breasts and areolas may also be asymmetrical.
Undesired phenomena can also be observed in men, and sometimes surgical intervention is also required.
Men may also suffer from large, swollen breasts, a phenomenon called gynecomastia, and it presents in either one side or both.

Surgeries give the breast a much nicer, more adequate shape and size, but they do not support the breast, nor do they prevent sagging over time.​

Anesthesia

Surgery is performed under general anesthesia.

Breast Reduction Surgery

Breast reduction surgery takes around two hours to complete.
In addition to the removal of breast tissue, the breast must be shaped to match the woman’s body to improve her body image and make her feel comfortable with and without clothes.

Breast reduction surgery involves the removal of breast tissue and excess skin and fat.
The breast is reshaped. It takes on a new shape and size, and the nipples are raised and reshaped.
Breast reduction results in scarring of the breast.
The scars usually heal quite well and become indistinct over time.

Postoperative Instructions

Shower the day after breast reduction surgery. You can wash your breasts and the adhesive strips covering the stitches.
After the surgery, it is recommended that you use Dr. Govrin’s TripleTherapy and wear a support bra recommended by Dr. Govrin.
Dr. Govrin developed the Triple Therapy based on his extensive experience and it helps improve skin texture, makes scars heal faster, and helps maintain surgical results for longer.

Recovery

Following breast reduction surgery, the patient is admitted for observation for one day and is then discharged home where she must continue bedrest.
Breast reduction surgery is not painful, and you may resume regular activity within 4 – 5 days after surgery.
The sutures used in this procedure are dissolvable and do not need to be removed.
You will be asked to come in for follow-up around two weeks after the surgery.

Side Effects

When you choose skilled and experienced hands to perform your breast augmentation, side effects are usually rare, but include pain, bleeding, infection, loss of sensation, unsightly scars, skin or nipple damage, asymmetrical size, shape or nipple position, and slight difficulty
undergoing mammograms.
As mentioned, these side effects are rare after breast reductions and can usually be avoided, especially when the surgery is performed by a knowledgeable and experienced surgeon.

When to Seek Urgent Medical Attention

1. Fever of 38 o C (100.4 o F).
2. Severe redness on or around the breast.
3. Sudden swelling of the breast.
4. Fluid discharge from surgical wound.
5. Breast suddenly hardens after softening.

Periodic Postoperative Checkups

Every woman must get a routine breast exam performed by a breast surgeon, regardless of the surgery or its type.
My practice operates breast clinics where every woman who has undergone surgery gets tested using follow-up ultrasounds.
The test results are filed in the medical records my clinic keeps.
HMOs copay for this test. For more information and to get a referral please visit the clinic during the operating hours indicated on the website.

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    Dr. Jacky Govrin
    Expert plastic surgeon

    A specialist plastic surgeon, one of the most senior and prominent plastic surgery specialists in Israel.
    Dr. Govrin is a graduate of the Technion Medical School in Haifa, completed his residency at Rambam Hospital and trained at leading medical centers in Europe and the USA.

    Dr. Orel Govrin
    Expert plastic surgeon

    A specialist plastic surgeon and groundbreaking researcher, a second generation of excellence in plastic surgery.
    Dr. Govrin, a summa cum laude graduate of the Faculty of Medicine at Bar-Ilan University, specialized in the Department of Aesthetic and Reconstructive Plastic Surgery at Ichilov Medical Center, Tel Aviv.

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