 North Adelaide Medical Centre Breast Reduction Assessment includes;
• Complete a family history of breast cancer.
• Proper medical history.
• Full examination of breasts, looking for lumps, skin changes, asymmetry, position of nipple / areola complex.
• Baseline mammogram if over 35 years of age and ultrasound if younger.
• Full discussion of risks and possible complications.
• Discussion of indicated technique.
• Emotional assessment – loss of breast tissue, especially if the result and shape is not acceptable, may lead to a degree of grief and change in body image, especially if the abdomen is protuberant. This may cause further emotional turmoil as changes in lifestyle become necessary.
• Pre-operative preparation includes stopping the oral contraceptive pill and smoking one month before surgery. Medicines that can affect clotting eg aspirin, anti-inflammatory and herbal medications are stopped two weeks prior to surgery.
• Realistic expectations need to be present. Any surgery always leaves scars. Most of the time they will be acceptable and will start fading after six months.
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