If you think of the nipple as the endpoint
blood vessels run past it and supply the rest of the breast
But if you make a C-shaped incision
[Cutting certain areas can affect breastfeeding..] only this part would be able to produce milk
But in my case, I don’t do it that way
[Using a different method to minimize the effect on breastfeeding] I fold it upward like this
so I preserve most of the milk ducts
SHINYU CLINIC
[Today’s question?] If I get a breast reduction, can I not breastfeed?
After you get a breast reduction
you might produce less breast milk!
Is the breast reduction surgical method the issue?
So the traditional surgical method is
[A method that uses a C-shaped incision] I refer to it as a C shape
where they cut in a C shape like this
They cut and then pull it together
But there is a pathway where blood vessels run
We need to preserve that
[Usually avoiding the vessels on the inside of the breast] Typically, they preserve the vessels running on this side
[They tend to make the incision on the outer side of the breast] so they cut here and lift it up that way
But we don’t do it that way
[Using minimal incisions and folding upward(?)] and fold the entire area upward
stacking it in layers as we fold
By doing that
we preserve all the blood vessels here
We keep those vessels intact
and as a result
[Milk duct tissue?] we also preserve all of the milk duct tissue
If you think of the nipple as the endpoint
blood vessels run past it and supply the rest of the breast
But if you make a C-shaped incision
[Cutting certain areas can affect breastfeeding..] only this part would be able to produce milk
But in my case, I don’t do it that way
[Using a different method to minimize the effect on breastfeeding] I fold it upward like this
so I preserve almost all of the milk ducts
PD: Oh, so it’s a reduction surgery,
PD: but you fold and lift it up?
Sure, from the outside
[Isn’t this the same as what other clinics do??] it might look like any other clinic
doing a standard vertical lollipop incision
You might think that
But the internal technique is completely different
So breastfeeding won’t be a problem?
[It’s not like it completely goes away…] I do think it might decrease a little
Because I’m lifting by
making incisions in specific areas
I think some reduction is inevitable
I think overall it should be fine
I used to perform breast cancer surgeries
coming from a breast surgery background
I’m particularly sensitive about breastfeeding
Even for me
when I perform breast reductions
technique inside the breast has changed a lot over time
Even I find that the details keep evolving
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PD) Then there are cases like that
PD) I’ve heard it’s pretty common to reduce the areola
PD) during breast reduction surgery too…
Most want to reduce the areola
[Breast Size = Areola Size] People with larger breasts usually have larger areolas too
So if they do a vertical incision
or a O-type incision,
they also want to reduce the areola
PD) If we do the areola reduction together
PD) Is there any damage when breastfeeding?
[It doesn't affect breastfeeding at all!] It's different from the areola reduction
When I do areola reduction surgery, I only cut off my skin
But it's a question of whether it works properly,
and whether it leaves a scar
Most of the time, the reduction of the areola cuts only the skin
So if cut deeper,
it can be necrotic
The areola itself can be necrotic
so we have to take off the skin a little
If you get the areola reduction surgery,
The amount of feeding will be reduced.. It is what it is
But it is traditional way!
If you do it the way we do it
although the amount of lactation is reduced,
it will not decrease much
[Different incision techniques and internal breast handling] The direction we make the incision is a bit different
And if
you still think your breasts are too large
then it's better to go ahead with the surgery
rather than waiting until after childbirth
If you’re like, “It’s manageable for me,”
then you really don’t have to get the surgery at all
I operated on a 63-year-old patient today
The older you get,
the more likely you are to get inflammation
So If you're too old,
you may not be able to have surgery
Other hospitals will probably refuse too
Because (when you're old), the results don't come out well
The body and recovery..
The recovery is all different even if the surgery is done in the same way
[Might not be able to do it later on] It's best to get breast reduction
while you're still young
The breast reduction surgery is
a big operation
It is a bigger operation than breast cancer surgery
So we say that the breast reduction surgery is
the flower of the breast surgery
(I miss my teacher all of a sudden) That's what my teacher said
In conclusion!!
No breastfeeding problem after chest reduction surgery!
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