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Breast Reduction Preparation



                                 Breast Reduction Preparation

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Breast Reduction patients are normally given a pre operative information packet that will explain everything you should do and know leading up to your surgical date. There is a list of medications that you should not take for up to two weeks before your surgery.  These medications include aspirin containing products, Vitamin E, any drug that might increase your bleeding time.

Some surgeons will go over the benefits of Arnica Montana for swelling and bruising. Make sure you ask your plastic surgeon if it is okay to use this product during recovery.

More than likely, you will have a full physical done by your regular family doctor or internist making sure you are okay to undergo breast reduction surgery. Your surgeon will want you to have a complete blood count (CBC) done to check if you have any underlying infections or problems. A CBC checks both white and red blood cell count which ultimately can alert your surgeon to disease or disorders that you might have before the surgery.

If you are 35 years old or above, your surgeon may advise you to have a pre-operative mammogram screening to rule out any abnormalities before your breast reduction surgery. This is to detect any abnormalities of the breast tissue or evidence of breast cancer.  Smoking increases risks of complications so it would be best if you stop for at least two weeks before surgery and for several weeks after the procedure.


                                                 Breast Reduction

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Read our page on "Easing the Pain" with large breasts




Prior to your surgical procedure for breast reduction, your plastic surgeon assess’ your overall health. They evaluate the following:

  • Overall good health

  • Evaluation of the breast and chest to detect any asymmetry

  • Evaluation of the body proportion to detect the breast size to enhance body contour

  • Breast measurements are taken – chest bone to the nipple, the nipple to the fold of the breast.

  • Determination of the amount of ptosis (droop or sag) of the breast; measured as Grade I, II, or III.  Grade III ptosis is the worst resulting with both the nipple and the breast tissue lay below the fold of the breast.

  • Examination for shoulder grooving (bra straps cutting into the shoulders) and inframammary intertigo (rash underneath the fold of the breast)

  • Sensitivity of the nipple and extent of stretch marks

  • Realistic expectations concerning the operation and the final size of your breasts.




Pre-operative Instruction for surgery:

  • Please stop Aspirin, Aspirin-containing products, Plavix and non-steroidal anti-inflammatories (such as Ibuprofen) for 10 days prior to and two weeks following your surgery. Also, drugs such as Warfarin or any other anti-coagulant will affect bleeding. Read the section on medication to avoid before surgery. 

  • Smoking tobacco and alcohol increase anesthetic and surgical risks. Stop using alcohol and or smoking one to two weeks prior to and three weeks following surgery. They cause delayed wound healing, skin redness and other complications.

  • Please notify your physician/surgeon of all your routine medications and significant health history. Most surgeons will tell you to remain on your daily medications, however, you need to tell the surgeon and the anesthesiologist every medication you are taking, prescription and over the counter.

  • Ask your surgeon if you can take Arnica, which is a natural herb that significantly decreases bruising. Your surgeon will let you know if this is okay. Also, Vitamin C (ascorbic acid) helps promote healing along with Vitamin A.

  • If you are having a morning procedure you must not eat or drink after midnight the evening before. If you are having an afternoon procedure you must not eat or drink after 6.00am on the morning of surgery. You may, however, take your normal medications if your surgeon tells you to and you may brush your teeth.

  • Shower and remove any make-up and nail polish before arriving for your procedure. 

  • Unless you are remaining in hospital someone will need to drive you home after surgery and stay with you that evening and or for the first 24 hours after surgery.  





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