 Complications or Risks possibly involved in Breast Reduction, include;
Early complications are the following –
• Skin separation over the inverted T junction (8%)
• Partial loss of nipple / areola sensation (rare)
• Nipple necrosis (0.8%) with diminished blood supply to the nipple or venous congestion with very long pedicles (> 25 cms)
• Post-operative haematoma or seroma (fluid collection)
• Infection – intra-operative antibiotics are given.
• Skin bruising
• General anaesthetic complications eg pneumonia
Late complications include the following –
• Scars may become hypertrophic (raised) (3.3%). A silica gel dressing can be applied or re-excision may become necessary (uncommon).
• Shape may need revision – insufficient resection at medial and lateral ends may require further elliptical resections at three months under local or general anaesthetic.
• Fat necrosis (0.8%)
• Dermoid cyst (0.3%)
• Carcinoma (0.2%) – all breast tissue is sent for histology.
• Lactation – one study showed that 72% were able to breastfeed with decreased capacity.
|
|
