Breast Reduction Women with the large, pendulous breasts may experience a variety of medical problems caused by the excessive weight - from back and neck pain and skin irritation to skeletal deformities and breathing problems. Bra straps may leave indentations in their shoulders. An unusually large breast can make women - or a teenage girl feel extremely self-conscious. Breast reduction is designed for such women. The procedures remove fat, glandular tissue, and skin from the breast, making them smaller, lighter, and firmer. It can also reduce the size of the areola, the darker skin surrounding the nipple. The goal is to give the woman smaller, better-shaped breast in proportion with the rest of her body.

The best candidates for breast reduction?

Breast reduction is usually performed for physical relief rather than simply cosmetic improvement. Very large, sagging breast restrict activates and cause physical discomfort which drives most women to have the surgery.

In most cases, breast reduction isn't performed until a women's breast are fully developed; however, it can be done earlier if large breast are causing serious physical discomfort. The best candidates are those who are mature enough to fully understand the procedure and have realistic expectations about the results.

Planning your surgery

In your initial consultation, it's important to discuss your expectations frankly with us, and to listen to our opinion. Every patient as well as every physician has a different view of what is a desirable size and shape for breast.

We will examine and measure your breast. (The photograph may also be used in the processing of your insurance coverage). We will discuss the variable that may affect the procedure-such as your age, the size and shape of your breast, and the condition of your skin. You should also discuss where the nipples and areola will be positioned; they'll be moved higher during the procedure, and should be approximately even with the crease beneath your breast.

We will describe the procedure in detail, explaining its risks and limitations and making sure you understand the scarring that will result.

Type of anesthesia?

Beast reduction is nearly always performed under general anesthesia. You'll be asleep through the entire operation.

The surgery?

Techniques for breast reduction vary, but the most common procedure involves a lollypop shaped incision (vertical short scar technique) circles the areola and extends downward from the lower most edge of the areola to reach the breast crease beneath the breast. We remove excess glandular tissue, fat and skin, and moves the nipple and areola into their new position. We then bring the skin from both sides of the breast down and around the areola, shaping the new contour of the breast. Liposuction may be used to remove excess fat from the armpit area.

In most cases, the nipples remain attached to their blood vessels and nerves. However, if the breasts are very large or pendulous, the nipples and areola may have to be completely removed and grafted into a higher position. (This will result in a loss of sensation in the nipple an areola tissue.)

In some cases, techniques can be used that eliminates the vertical part of the scar. Occasionally, when only fat needs to be removed, liposuction alone can be used to reduce breast size, leaving minimal scars.

Getting back to normal?

You will be up and about in a day or two but should avoid lifting r rushing anything heavy for two to three weeks.

We will give you detailed instructions for resuming your normal activates. Most women can return to work (if it's not too strenuous), social activates and exercise in about two weeks. You may be instructed to avoid sex for a couple of weeks. A small amount of fluid draining from your surgical stitch line, or some crusting is normal.

Your new look?

Although much of the swelling and bruising will disappear in the first week, it may take 6 weeks to three months before your breasts settle into their new shape. Even then, their shape may fluctuate in response to your hormonal shifts, weight changes, and pregnancy. Breast reduction scars take a little time to settle, gradually become less obvious, sometimes eventually fading to thin white lines. Fortunately, the scars can usually be placed so that you can wear even low-cut tops. Of all plastic surgery procedures, breast reduction result in the quickest body-image changes. You'll be rid of the physical discomfort of large breasts, your body and breast will look better proportioned and clothes will fit you better.