Safe and Effective Breast Reduction and Mammoplasty Surgery

Breast Reduction Surgery in Delhi

Get the best of both worlds with safe and effective breast reduction surgery in Delhi and mammoplasty surgery at Care Well Medical Centre. our centre is a leading provider of female breast reduction in Delhi. The centre offers state-of-the-art facilities and a team of skilled and experienced surgeons who specialize in breast reduction surgery. The surgeons at Care Well Medical Centre are dedicated to providing personalized care and ensuring that patients achieve natural-looking and beautiful results. If you’re considering breast reduction surgery, schedule a consultation with Care Well Medical Centre to learn more about their services and expertise.

Breast reduction, also known as mammoplasty, is a surgical procedure designed to reduce the size and volume of breasts in women suffering from macromastia. This condition refers to the excessive growth of breast tissue, which can cause physical discomfort, pain, and emotional distress. In Delhi, there are several options for women seeking breast reduction surgery for Macromastia, including experienced and skilled surgeons who can help alleviate the symptoms of macromastia.

Women have either larger or drooping breasts which becomes the cause of embarrassment. By undergoing Macromastia/breast reduction surgery, women can regain their breast shape. We, at Care Well Medical Centre, perform breast reduction surgery under the guidance of an experienced cosmetic surgeon, Dr. Sandeep Bhasin. With over 17 years of experience, our doctor delivers top-quality treatments at reasonable prices in Delhi.


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    Care Well Medical Centre offers the best Breast Reduction surgery in Delhi combined at an affordable cost. This cosmetic surgery is called the second name Mammoplasty. This Mammoplasty Surgery is recommended after investigating the health condition & the age of the patient. Breast Reduction Surgery is executed by a team of experienced surgeons headed by Sr. Cosmetic Surgeon Dr. Sandeep Bhasin.

    He has helped many damaged skin people. They were a victim of severe burn injury. Some of them were skin cancer patients, extensive wounding cases, and trauma cases. Today, they are not under social stigma and are confident too. This is by availing of the latest skin grafting procedure. Here, we have discussed what is skin grafting, who are the right candidates, its side effects, and its cure.

    An Overview


    If you have large breasts and you are considering reduction by mammoplasty. Then this post will give you in-depth knowledge of the procedure. Let’s give it a read. Like any other surgery, breast reduction surgery or reduction by mammoplasty may also involve some degree of risk. It is a common procedure for women who suffer from macromastia, a condition in which the breasts are excessively large, heavy, and disproportionate to the body. Macromastia can cause physical symptoms such as the neck, back, and shoulder pain, skin irritation, and difficulty in finding clothes that fit. It can also have a negative impact on a woman’s self-esteem and body image.


    What is Mammaplasty or Breast Reduction Surgery?


    Macromastia is a medical condition characterized by abnormally large breasts, which can cause discomfort and pain, both physically and emotionally. Breast reduction surgery involves removing excess breast tissue, skin, and fat, and repositioning the nipple to a higher, more natural position. The procedure is typically performed under general anesthesia and takes about 3-4 hours to complete. The recovery process can take several weeks and involves wearing a special support bra and avoiding heavy lifting and strenuous activities. following steps used in this procedure:

    • Reduction mammaplasty repositions both nipple and areola (skin part around the nipple) to correct the drooping.
    • If you want to have breast implant surgery, you can consult a board-certified and well-experienced cosmetic doctor.

    But remember one point. You must understand the possible risks and complications involved in breast reduction surgery and set realistic expectations accordingly by consulting the surgeon. Overall, breast reduction and mammoplasty procedures can be life-changing for women who suffer from macromastia or other breast-related issues. They offer a safe, effective way to improve physical comfort, body image, and overall quality of life.

    Breast after surgery

    Causes of Macromastia


    Macromastia can occur due to a variety of factors, including genetics, weight gain, pregnancy, and hormonal imbalances. Some women may experience macromastia during puberty when their breasts develop more rapidly and to a greater extent than average. In some cases, macromastia can also be caused by medical conditions such as gigantomastia or mammary hyperplasia.

    Effects of Macromastia on Physical and Mental Health


    Macromastia can have a significant impact on a woman’s physical and mental health. The physical symptoms associated with macromastia can cause chronic pain, discomfort, and limitations in daily activities. Many women with macromastia may also feel self-conscious or embarrassed about their breast size, leading to anxiety, depression, and poor body image.

    The emotional toll of macromastia can also affect a woman’s relationships and overall quality of life. Women with macromastia may avoid social situations, intimacy, or physical activities due to discomfort or embarrassment. Additionally, they may experience discrimination or harassment based on their breast size, leading to further emotional distress.

    Who Opt for Mammoplasty and Breast Reduction Surgery?


    The procedure for breast reduction surgery involves several steps. Firstly, the surgeon will make incisions around the nipple, down the breast, and under the breast to access the tissue that needs to be removed. Depending on the size of the breast and the amount of tissue to be removed, the surgeon may use a vertical incision technique, anchor incision technique, or a combination of both. The goal is to create an aesthetically pleasing breast shape that looks natural and proportional.

    After removing the excess tissue, the surgeon will reposition the nipple and areola higher on the breast and remove any excess skin. The incisions will then be closed with sutures and dressings will be applied.

    Why Do You Need Breast Reduction Surgery?


    Reasons for Mammoplasty and Breast Reduction Surgery

    • Physical Symptoms: Women with macromastia may experience physical symptoms such as chronic pain, discomfort, and limitations in daily activities due to the size and weight of their breasts. Breast reduction surgery can alleviate these symptoms.
    • Emotional Symptoms: Women with macromastia may also experience emotional symptoms such as anxiety, depression, and poor body image due to the size and appearance of their breasts. Breast reduction surgery can improve their body image and self-confidence.
    • Changes in Breast Size and Shape: Women who have experienced changes in breast size and shape due to weight loss, pregnancy, or aging may also seek mammoplasty and breast reduction surgery to restore their breasts to a more youthful and proportional appearance.

    Breast reduction surgery can solve varied issues such as:

    • Nerve pain
    • Pain in the breast region
    • Headache
    • Deep grooves over the shoulders from bra straps
    • stretch marks
    • Difficulty in breathing while lying on the back
    • Difficulty in finding a comfortable position to sleep due to the breast weight
    • Chronic neck, shoulder, and back pain
    • Chronic skin rashes or irritation beneath the breasts
    • Poor self-image
    • Restricted activities
    • Difficulty fitting into bras and clothes

    Due to the higher risk of postoperative complications, reduction mammaplasty is not recommended if you have the following issues:

    • Smoking
    • Alcohol consumption
    • Obesity
    • Diabetes
    • Heart-related problems

    You can even postpone this mammaplasty surgery if you are undergoing certain conditions such as:

    • Weight loss exercise – If you are undergoing an exercise program and changing your diet plan, it’s better to wait. At times, losing weight can also bring changes in your breast size.
    • Pregnancy/Childbirth
    • Breast-feeding

    Benefits of Mammoplasty and Breast Reduction Surgery


    • Alleviates Physical Symptoms: Breast reduction surgery can reduce the size and weight of the breasts, reducing chronic pain, discomfort, and limitations in daily activities.
    • Improves Body Image and Self-Confidence: Breast reduction surgery can reshape the breasts to a more proportional and aesthetically pleasing size, improving body image and self-confidence.
    • Enhances Quality of Life: Breast reduction surgery can improve physical and emotional symptoms associated with macromastia, enhancing the overall quality of life.
    Consultation with a Plastic Surgeon

    How will Your Cosmetologist Decide Whether Breast Reduction Surgery is the Right Option?


    It is important for women considering mammoplasty and breast reduction surgery to consult with an experienced and board-certified plastic surgeon to determine if these procedures are right for them. The plastic surgeon can evaluate the woman’s medical history, physical condition, and aesthetic goals to determine the best approach for achieving desired outcomes. The plastic surgeon can also discuss the potential risks and benefits of the procedures, as well as the recovery process and post-operative care.

    • Your cosmetic surgeon will evaluate your medical history and overall health condition
    • Be open to your doctor regarding the issues you’ve faced regarding your breast size
    • Discuss your expectation about breast size after the surgery
    • Breast examination by taking photos
    • Breast measurement
    • Mammogram

    After conducting the above tests, the surgeon will finalize whether this surgery is the right option. Your cosmetologist will explain the procedure, benefits, and risks associated with this surgery. You may be asked to quit smoking, tobacco use, and alcohol consumption for a period before and after surgery. You may be asked to stop taking medications like aspirin or other anti-inflammatory drugs. Your surgeon will provide timely instructions about what you should do.

    What’s the cost of Mammoplasty/Breast Reduction Surgery?


    The cost of breast reduction surgery in Delhi can vary depending on several factors such as the expertise of the surgeon, the complexity of the procedure, and the geographic location of the clinic. On average, the cost of the breast reduction procedure in Delhi is around Rs 90,000 INR to 100,000 INR. People will have to pay for pre-surgical and post-surgical consultations. It’s better to contact insurance companies to inquire about its coverage. The cost of mammoplasty in Delhi varies depending on the expertise of the cosmetic surgeon you choose.

    Additionally, you may want to check with your insurance provider to see if they cover the cost of the procedure. Some insurance companies may cover breast reduction surgery if it is deemed medically necessary to alleviate physical pain and discomfort.

    How should you prepare yourself for breast reduction surgery?


    Before you undergo surgery, you should be ready with the following things on hand:

    • Ice for massage
    • Clean clothes and towels
    • Loose, comfortable outfits
    • Ointments for the incision sites

    How is the Mammoplasty/Breast Reduction Surgery Conducted?


    • Breast reduction surgery usually takes about 2-5 hours under general anesthesia.
    • The surgeon will create a cut around your nipple downward on the breast in the form of a keyhole.
    • The surgery team will remove extra fat, tissue, and skin from your breasts and reposition the nipple & areola.
    • The surgeon will stitch up your breasts and wrap them in a special gauze.
    • The insertion of drainage tubes into the breasts will drain excess fluid and reduce swelling after the operation.
    • You may also need to wear a surgical bra.
    • Avoid showering until the nurse removes those drainage tubes.
    • Most people either go home after surgery or spend 1–2 nights in the hospital.

    In What Cases, You should Consult Your Surgeon Immediately After Surgery?


    After breast reduction surgery, it is important to closely follow the post-operative care instructions provided by your surgeon. It is also important to be aware of potential complications that may arise and to contact your surgeon immediately if you experience any of the following:

    1. Excessive Bleeding or Swelling:
    • Some amount of bruising, swelling, and bleeding is normal after breast reduction surgery, but if these symptoms become excessive, it could be a sign of a more serious issue.
    • If you experience heavy bleeding or swelling that is significantly more than expected, you should contact your surgeon immediately.
    1. Signs of Infection:
    • Infection is a rare but serious complication of breast reduction surgery. Signs of infection may include redness, swelling, warmth, tenderness, or drainage from the incision site.
    • If you notice any signs of infection, such as fever, chills, or flu-like symptoms, contact your surgeon immediately.
    1. Severe Pain or Discomfort:
    • Pain and discomfort are normal after breast reduction surgery, but if you experience severe or worsening pain that is not controlled with pain medication, you should contact your surgeon immediately.
    • Severe pain may be a sign of a more serious complication, such as infection, hematoma, or nerve damage.
    1. Changes in Sensation:
    • It is common to experience temporary changes in sensation after breast reduction surgery, such as numbness or tingling in the breast or nipple area.
    • However, if you experience any new or unusual changes in sensation, such as loss of feeling or increased sensitivity, you should contact your surgeon immediately.
    1. Wound Opening or Delayed Healing:
    • In some cases, the incision site may open or heal slowly after breast reduction surgery. This can be a sign of poor wound healing or infection.
    • If you notice any signs of delayed healing, such as persistent drainage or an open wound, contact your surgeon immediately.

    Short Summary

    In summary, it is important to closely monitor your recovery after breast reduction surgery and to contact your surgeon immediately if you experience any unusual symptoms or complications. Prompt treatment and care can help to ensure a safe and successful recovery.

    Importance of seeking expert medical advice before opting for the procedure:

    Seeking expert medical advice before opting for mammoplasty and breast reduction surgery is crucial to ensure safe and successful outcomes. Here are some important reasons why it’s important to consult with a qualified plastic surgeon:

    Evaluation of Medical History and Physical Condition:

    • A board-certified plastic surgeon will evaluate the woman’s medical history, physical condition, and overall health to determine if she is a good candidate for the procedure.
    • The surgeon will assess any underlying health conditions that may increase the risk of complications during or after surgery, such as high blood pressure, diabetes, or heart disease.
    • The surgeon will also evaluate the woman’s breast size and shape, skin elasticity, and nipple placement to determine the best approach for achieving desired outcomes.

    Discussion of Realistic Expectations and Aesthetic Goals:

    • A plastic surgeon can discuss realistic expectations and aesthetic goals with the woman to ensure that she has a clear understanding of what can be achieved with the procedure.
    • The surgeon will take into account the woman’s individual breast size, shape, and body type to determine the best approach for achieving proportional and aesthetically pleasing results.
    • The surgeon can also discuss the potential risks and benefits of the procedure, as well as the recovery process and post-operative care, to ensure that the woman is fully informed and prepared for the surgery.

    Maximizing Safety and Minimizing Risks:

    • A qualified plastic surgeon will prioritize the woman’s safety during the surgery and take steps to minimize the risk of complications.
    • The surgeon will perform the procedure in a sterile and controlled environment, using the latest techniques and equipment to ensure precise and accurate results.
    • The surgeon will also provide detailed instructions for post-operative care, including pain management, wound care, and follow-up appointments, to ensure a smooth and safe recovery.

    In summary, seeking expert medical advice before opting for mammoplasty and breast reduction surgery is essential to ensure safe and successful outcomes. A qualified plastic surgeon can evaluate the woman’s medical history, physical condition, and aesthetic goals, discuss realistic expectations, and maximize safety while minimizing risks.

    What’s the Recovery Process After Breast Reduction Surgery?


    • There will be follow-up appointments to remove stitches. So, it’s always better to take 1-2 weeks to leave after the surgery.
    • You should stop physical activities and exercise for one month after the surgery.
    • Convey your concerns to your surgeon even if you face depression or tiredness.
    • Avoid heavy weightlifting
    • If you have breast pain, don’t miss consuming painkillers for the first few days after the surgery.
    • You can wear an elastic compression bra to protect the breasts
    • Avoid wearing underwire bras for several months after surgery

    Mammaplasty Video



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    What are the Possible Risks Involved in Mammoplasty/Breast Reduction Surgery?


    Like any other surgery, breast reduction surgery has got several complications such as an allergic reaction to anesthesia and bleeding. Other possible risks include:

    • Scarring
    • Temporary bruising
    • Loss of sensation in the nipples and skin around the nipples
    • Inability or difficulty to breast-feed
    • Infection of the connective tissue
    • Fluid accumulation in breast tissue
    • Differences in shape, size, and symmetry of the breast – further surgery would be required to improve the appearance. That’s why it’s always advised to undergo breast reduction surgery by an experienced cosmetologist.

    If you want to reduce discomfort and achieve a breast size proportional to your body permanently, you can opt for the best breast reduction / Mammoplasty surgery clinic in Delhi. Still, the outcomes depend largely on the cosmetic surgeon you select. You must choose an experienced cosmetic surgeon who understands your concerns and performs breast reduction surgery regularly. Only he can tell if you are the right candidate for this surgery. Want to take action? Contact our clinic that performs breast reduction surgery in Delhi.

    Breast Reduction Before and After Results


    breast reduction before and after results photo
    breast reduction before and after results Image

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    KNOW THE ANSWERS TO FREQUENTLY ASKED QUESTIONS RELATED TO Breast Reduction HERE

    Breast Reduction FAQs


    • Are You the Best Candidate for Breast Reduction Surgery?
    • What is the Cost of Breast Reduction Surgery in India?
    • What to Expect Before Surgery?
    • What to Expect Post Surgery?
    • What are the Potential Risks of Reduction Mammoplasty?
    • What are the Superficial Risks of mammoplasty/Breast Reduction Surgery?
    • What are the Serious Surgical Risks For Less Commonly Observed?
    • Does Smoking have Harmful Effect on Healing Post Reduction Mammoplasty?
    • How should you prepare for Breast Reduction Surgery?
    • What are Important Steps of Reduction Mammaplasty?
    • How to Recover from Brest Reduction Surgery?
    • What are the Long Term Recovery Concerns?
    Are You the Best Candidate for Breast Reduction Surgery?

    Many women are uncertain if they are a good candidate for this sort of surgery. Leaving aside medical issues due to large breasts. Some women feel self-conscious about their excessive breast weight. These women are advised that they should undergo a reduction mammoplasty to get back in shape. Besides, physical and emotional discomfort, if you are fit and don’t smoke. You are an ideal candidate for mammoplasty.

    What is the Cost of Breast Reduction Surgery in India?

    Breast Reduction by mammoplasty is not expensive in India. But, it requires a higher degree of surgical skills. The cost of this sort of surgery depends on many factors including.

    • The surgeon’s experience
    • The geographical location of the clinic
    • The type of surgical procedure amongst other
    What to Expect Before Surgery?

    A woman should discuss with her surgeon her medical conditions and pre-treatments. They should also talk to their doctor about previous surgeries and drug allergies. This is to prevent potential complications.

    Those having a family history of breast cancer are recommended to discuss the fact with their surgeon before the surgery. Sometimes, patients are also encouraged to ask their surgeon about the anesthesia. That is going to be used during the procedure.

    Patients are also better off knowing in detail about the procedure. That the surgeon will use to make the breasts firmer and more proportioned.

    What to Expect Post Surgery?

    After surgery, patients are suggested to use the surgical bra twenty-four hours a day to support the breasts. There may be a plastic tube in each breast to let the blood and other fluids drain out of the body for the first couple of days. After a fortnight, stitches are removed.

    To relieve pain, swelling, and bruising, medicines are suggested to patients. Breast healing is observed within three weeks of post-operation. And, at this point in time, patients can stop taking medicines to subside pain and swelling in the breasts.

    Besides that, women can resume their normal activities at this time. But they are prevented from lifting excessive weight or doing strenuous exercise for a few more weeks.

    It is important to note here that there will be a visible scar on a patient’s breast. The scar can fade over a period of time, but it never disappears. Though, the scar can be concealed by a bra or swimsuit.

    What are the Potential Risks of Reduction Mammoplasty?

    As stated earlier, reduction mammoplasty involves various risks. Few of them can easily be treated and do less harm to patients. But, few complications are serious, but, they aren’t commonly observed.

    Since potential risks and complications associated with reduction mammoplasty. Make the important discussion of this post, each of these complications will be described herein in detail.

    What are the Superficial Risks of mammoplasty/Breast Reduction Surgery?
    • Scars – Breast reduction surgery leaves visible scars on the breasts. Since these scars never fade away, specialized treatments are done to remove post-surgery scars. Such treatments may include Fraxel laser treatment, Healite II, exfoliating facial, and enzyme peels.
    • Delayed Healing – If you are a smoker or obese or malnourished, then you may experience a delayed healing process.
    • Nipple Sensitivity – temporary loss of nipple sensation is one of the most common issues post-reduction mammoplasty. Typically, it takes almost six months for nipples to restore the lost sensation.
    • Infection – sometimes, patients get infection post-surgery. This can be treated through the use of proper antibiotics.
    • Breast Asymmetry – The slight unevenness in breasts is pretty natural. This can still exist following surgery. This is not considered a major reduction in mammoplasty complications.
    • Breastfeeding – Depending upon the surgical procedure used for the surgery, the nipples and areola can be separated from blood vessels and milk ducts. If it happens, who man will never be able to breastfeed? But, in most cases, after a few weeks, post-surgery women resume their breastfeeding ability and can nurse their infants.
    What are the Serious Surgical Risks For Less Commonly Observed?
    • General Anesthesia – A smaller percentage of patients are allergic to general anesthesia and cannot tolerate the drug. Specific concerns are taken in advance to help patients respond well to the drug.
    • Nipple Loss/Necrosis – It’s a very rare but serious issue in which tissue decay is observed in the areola. Sometimes, this complication affects a part of the areola but at times, it can take over the whole part of the nipple. This complication most frequently occurs in smokers.
    • Bleeding – Sometimes, blood gets collected at the surgical site in the breasts. This pool of blood is called a hematoma. To treat this condition, you may undergo another surgery, which is usually invasive.
    • Allergies – Some patients are allergic to antibiotics, injected agents, suture materials, blood products, glues, and surgical tapes. Such patients are suggested to contact their surgeon immediately.
    • Keloid Scars or Large scars – Scars and surgery go hand in hand. In simple words, after any sort of surgery, having visible scars is pretty natural for patients. But, the severity of scars varies from person to person. Few patients have more visibility and uneven scars than other patients. To help your scars heal better and speedily, you are advised to use silicone stripes after consulting your surgeon.
    Does Smoking have Harmful Effect on Healing Post Reduction Mammoplasty?

    Smoking is one of the biggest factors that affect wound healing. It delays the healing process by reducing the blood flow to the surgical site in the breasts.

    It is important to note that Breast reduction by mammoplasty already reduces the blood flow to skin edges, nipples, and areola. It usually takes one or two months for the body to rebuild blood circulation into these areas post-surgery.

    Hence, patients are advised not to smoke for at least sixty days from the surgery. If you do, you might struggle with poor scars, healing problems, or loss of areola/nipples.

    It’s important to remember that smokers are at a high risk of loss of nipples. Carbon monoxide is present in cigarette smoke and nicotine. They together reduce the blood flow to various body parts including operated breasts.

    When blood flow to breasts becomes greatly stopped, the nipples and areola die soon. This is why smokers must stop smoking one month before the surgery. They also need to stay off cigarettes for at least one month after the surgery.

    How should you prepare for Breast Reduction Surgery?

    Before you undergo surgery, you should be ready with the following things on hand. Prior to the Breast reduction surgery, your surgeon will advise you to do the following:

    • Some laboratory examinations are required
    • You will be given certain medicines
    • You will be asked to adjust your current medication
    • A mammogram will be performed before and after the breast reduction surgery to detect any changes in the mammary gland tissues
    • You might be asked to quit using certain drugs that can increase bleeding
    • You need to follow the post-operative instructions to ensure a fast recovery
    • You must stop smoking well in advance
    • Ice for massage
    • Clean clothes and towels
    • Loose, comfortable outfits
    • Ointments for the incision sites
    What are Important Steps of Reduction Mammaplasty?

    To remove the excess tissues or skin from the breasts, the surgeon makes one or several cuts in the organ. Incision patterns usually depend on the technique used for reshaping your breasts. Though, there are three types of incisions. That is popularly seen in reduction mammaplasty.

    • A circular incision around the areola
    • A key-whole incision that circles the areola and extends down to the natural breast crease
    • Anchor-shaped incision

    Below are described as important steps taken by the surgeon:

    • Anesthesia – Depending on your health, a surgeon will tell you to go either for intravenous or general anesthesia.
    • Incision – As you read above, there are three types of incisions are used for altering the breasts’ appearance. The selection of an incision depends on the surgical technique. That a surgeon is going to use for the surgery.
    • Re-shaping, Repositioning, and Grafting – glandular tissues and skin are removed to reshape and reduce the breast’s size. Sometimes, the nipple and areola have to be repositioned or the size of the areola is reduced to achieve the goal of firmer, smaller breasts. However, nipple and areola grafting is also needed to re-shape especially pendulous breasts. For grafting, nipples and areola are completely removed and then relocated to a newer position on the breast.
    • Stitching the Cuts – now, incisions are stitched together to reshape the organ. Stitches are made deep within the organ tissues to ensure better support for the newly reshaped breast. Though the cut marks are permanent, they usually fade away over time and become less visible.
    How to Recover from Brest Reduction Surgery?

    Post-operative instructions are needed to be followed to ensure faster recovery from the Breast reduction surgery. These instructions include different types of medicines. The patient needs to apply these medicines over the surgical site on the breasts and take oral medicines in order to reduce the risk of infection.

    Besides medication, patients are advised to wear bandages or a surgical bra over the dressing to help stitches heal properly. Stitches are removed after one or two weeks.

    During this period, patients are requested to cut on salt consumption and increase water intake. This is in order to help the fluid flush out of the body that causes swelling on the breasts.

    Though patients can resume their normal activity within two weeks post-surgery, they are refrained from lifting heavy weights or tiring exercises. This will help the organ heal faster.

    What are the Long Term Recovery Concerns?

    Recovery varies greatly from person to person. Few women feel numbness or experience hypersensitivity of breasts for up to a year. In contrast, few women don’t experience any of the above symptoms. Likewise, scar healing also varies per person.

    To reduce post-surgery symptoms like swelling, pain, and breast tenderness patients are advised to change their lifestyle and keep from the heavy workout for several months post-operation. Including lots of protein and vitamin C in the diet will also help patients heal faster. Thus, eating right to boost their recovery after Breast reduction surgery is also important for patients.

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