TEARDROP – In this type, the majority of the breast tissue will sit below the nipple.

BELL – It typically has a more slender build at the top of the breast with the nipple sitting fairly low.

EAST WEST – This is characterized by the nipples pointing outwards towards the sides of the body rather than straight ahead.

SIDE SET – The majority of the breast tissue tends to drift toward the side of the body rather than the middle, thus side-set breasts, often referred to as wide-set breasts, typically have a greater space between them than other breast types. Like East West forms, Side Sets typically have a large center gap, but their breasts are bigger and their nipples look more forward than outward.

SLENDER – Slender breast shapes are characterized by having narrower width compared to round or full breasts and long, with less volume at the top compared to the bottom, and nipples that tend to point downwards creating a long and slender appearance.

ROUND – Breasts characterized by a uniform and evenly full appearance with the distribution of breast tissue being equal at the top and bottom

FULL – The breasts are close together and are rounder compared to the other forms. The distribution is even at the top, bottom and sides with the nipples pointing forward or up. A common finding is spillage or digging under the arms or breasts.

SHALLOW & SLENDER – These breasts are characterized by a wider base and a flatter profile, with the breast tissue spread out over a larger area compared to projected breasts. They are often slimmer at the top and fuller at the bottom, potentially appearing longer than wide. 

ATHLETIC – The chest shapes of athletes are characterized by a broader, more muscular appearance with the breasts having less soft tissue and a smaller cup size compared to other breast shapes, thereby appearing wider and flatter. 

CLOSE SET – These are characterized by breasts with most of the breast tissue lying in the center such that there is very little space between the breasts with a prominent cleavage. There is a large distance between the breasts and the shoulders.

ASYMMETRIC – Here the two breasts might differ in size, shape or position and this is extremely common. This might be more noticeable during puberty or after pregnancy.

Firstly, a proper history is taken including the time of onset of breast enlargement, any family history of breast enlargement, the symptoms experienced by the patient because of the breast hypertrophy and any additional concerns that you might be having. A medication and addiction history would also be taken including an allergy history.

Next, a proper examination is done. The size and shape of the breasts as well as symmetry is examined. The condition of the skin, the upper poles, nipple sensation, areolar size and position of the nipples with respect to the breasts are all noted.

Once, a diagnosis of breast hypertrophy is made, planning is made regarding breast reduction surgery. The incision lines, final scars and expected results are all informed to the patient. Any questions that the patient might be having regarding the surgical planning are all addressed at this stage.

Routine investigations including blood tests, chest X ray and ECG are done in every patient and any abnormality is detected in any of these tests is corrected prior to surgery.
Apart from these routine investigations, a breast ultrasound in patients less than 35 years of age and a mammogram in patients older than 35 years is done to detect any other abnormalities in the breasts and to serve as a baseline against which further ultrasounds or mammograms may be compared.

Have a light meal the night before surgery.
If you are feeling anxious, take an anxiolytic.
If you are taking any medications for blood pressure or any other problems you should take those unless prohibited by your surgeon.
Get a good night’s sleep!

Do not take anything by mouth, not even water from the morning of surgery as your surgery would be done under general anesthesia.
You can have a bath if you feel like.
If you are taking any morning medications and have been informed by your surgeon to take the same then take it with a small amount of water.
Go to the surgical facility in time and get admitted and sign all the forms.

Markings would be done first and the final location of the nipples would be demonstrated to the patient.
Any final questions the patient might be having are answered at this stage.
The patient is next put under general anesthesia and surgery started.
The incisions are made, the excision is done and drains inserted and final closure done.

You will need to stay in the surgical facility for 1 day and would be discharged home the next day after surgery.

Oral antibiotics would be given to you and you would need to take these so as to reduce any chances of infection.

Pain killers would be given to you along with antacids and these would be needed to reduce the pain which subsides drastically after the initial 2-3 days.

You would be advised to wear a sports bra for a couple of weeks after the procedure: this supports the breasts and lessens pain.

Drains would be removed after an appropriate time frame.

Take rest for the first few days after surgery. Bed rest is not recommended, ambulation is advised.

Avoid strenuous activities for around 2-3 weeks after surgery.

Clean the breasts 2-3 days after surgery with soap and water and then apply an antibiotic ointment and dressing as advised by your surgeon.

Follow-ups with the surgeon are recommended at appropriate time frames so as to assess healing, once the surgeon is assured that the wounds have healed well, he will then remove the stitches.

Scar lightening gels would be advised to you after the wounds have healed completely.

Similarly massaging your breasts would be of help once the wounds have healed.

Bleeding

Infection

Alteration in Nipple Sensation

Loss of Nipple-Areolar Complex

Poor scarring

Unsatisfactory Result

Delayed healing and wound disruption

Asymmetry and others

Kindly visit the gallery section for real patient pictures:
https://www.indiacosmeticplasticsurgery.com/cosmetic-gallery/

Improved Confidence and Self Expression – Women feel more confident in themselves and more comfortable in their own bodies.

Shopping gets Easier – It becomes easier for women to get appropriate clothes after a breast reduction surgery.

Better Back – Due to the reduction in breast size, the back strain gradually gets reduced and women feel more energetic than before.

Improved Neck and Shoulder Pain – As the dragging effect disappears, so does the neck and shoulder pain.

Bras don’t Hurt Anymore – The cutting effect of bras on the shoulders disappears.

Exercise becomes Easier – Women interested in exercise can finally go to the gym and exercise in any way they want.

Better Breast Skin – The irritation of skin in the undersurface of the breasts decreases and skin maceration disappears.

Easier Breathing – As the breasts get smaller, breathing gets easier.

Better Posture – The stooping posture disappears after a breast reduction surgery.

Mobility Improvement – The restraining effect of breast size on mobility disappears.

Body Proportion Improvement – The body proportion becomes more aesthetic after a breast reduction surgery.

For male breast reduction, kindly visit:
https://gynecomastias.com/

The cost of breast reduction surgery varies widely among centers and hospitals and can extend up to Rs 2 lakh or even more in corporate hospitals, Prof. (Dr.) Souvik Adhikari performs this surgery at a very reasonable cost with 1 day stay at the facility such that his services can be afforded by even the underprivileged population. Please contact with him directly with your pictures or drop into his chamber for an examination to get a quote.