Noting that breast size negatively affects people’s social lives, Plastic, Reconstructive and Aesthetic Surgery Specialist Assoc. Dr. Osman Kelahmetoğlu said, “Shoulder, neck and back pain is one of the most common complaints of patients. Back and neck hernias may accompany these pains. Also, diaper rash under the breast is very uncomfortable. Women who complain about the size of their breasts can have reduction surgeries starting from the age of 18. If he does not have an additional disease, he can safely have these surgeries until the age of 40-45.
RISK OF SPINE PROBLEMS INCREASE WITH AGE
Emphasizing that it is more important to perform these surgeries, especially at an advanced age, Assoc. Dr. Kelahmetoğlu said, “Because after menopause, the shape of the breast also changes. The breast tissue in it decreases, the adipose tissue increases. However, as people get older, weight starts to increase as people move less. Spine problems may develop due to the decrease in muscle and bone strength. This situation seriously disturbs life,” he said.
“ADVANCED AGES DO NOT FEAR OF SURGERY”
Stating that the elderly are afraid of having breast reduction surgery, Assoc. Dr. Kelahmetoğlu said, “First of all, they should know that these surgeries should not be feared. Moreover, the health and comfort that will come to their lives with breast reduction increases the importance of this surgery. A general evaluation of the patient is made before the operation. Co-morbidities and the drugs he uses are learned and possible risks are examined after the surgery. If the anesthesiologist reports ‘not suitable for surgery’ in his evaluation, the operation is not performed. However, it should be underlined that the surgery can be performed safely in the case of diabetes and high blood pressure. With the method I developed, we ensure that the surgery is completed in a shorter time, reducing the possible risks of anesthesia and focusing on increasing patient comfort.
“IT SHOULD BE PROPORTIONED TO THE WOMAN’S BODY”
Pointing out that the size should be proportional to the person’s body in the breast reduction process, Assoc. Dr. Osman Kelahmetoğlu continued his words as follows:
“The distance from the pit in the neck (sternal notch) to the nipple normally varies between about 20-24 cm. In large breasts, this distance can be increased to 30-40 cm. First of all, it is checked according to certain parameters whether it is disproportionate to the woman’s body. In preoperative measurements, a general examination is performed by taking the measurement of the chest circumference, excluding the breast. This will give the patient’s body size and will not change after surgery. After the surgery, only the size we call the cup-size changes.”
THE PATIENT WILL SAY AN ‘OH’ AT THE FIRST STEP UP
Stating that there will be pain in that area after the surgery, Assoc. Dr. Kelahmetoğlu said, “However, the patient will say ‘oh’ when he gets up for the first time. You will immediately feel the difference. Because sometimes 1 and sometimes 6 kilos are taken at once. Most patients forget about the pain of surgery when they realize that the weight is taken off. The patient can return to his normal life in 2-3 days by wearing a special bra. However, this period may vary from person to person and the technique of the surgery.
DETAILS OF THE DEVELOPED METHOD
Providing information about the technique he developed, Assoc. Dr. Kelahmetoğlu said, “We tried to develop a simplified method especially for postmenopausal, elderly and overweight patients. Because advanced age means the emergence of additional diseases in many people, the emergence of diseases such as obesity and diabetes that will affect the health status of the person. In this case, the operation time may be longer for patients with very large breasts. This means more anesthesia. Therefore, it is necessary to shorten the operation time in order to reduce the risks that may occur due to the surgery, such as clotting, etc. With this method, the time is shortened. We give the shape of the breast in a shorter time to meet the expectation of the patient,” he said.
APPLIED TO 74 YEARSOLD PATIENTS
Stating that he has successfully applied the method in 30 patients (23 of whom are in the article) so far, Plastic, Reconstructive and Aesthetic Surgery Specialist Assoc. Dr. Osman Kelahmetoğlu said, “Patients are very satisfied with the results. Of course, in advanced age, for example, in the 70’s, the breast may move away from its acceptable shape due to sagging skin. However, since the important point in this group of patients is to gain weight, this patient group is also satisfied with the result. The oldest of the patients to whom we applied this method was 74 years old. Today, the children and grandchildren of our patients reach us and seek solutions.” used the phrases.