Renaissance Plastic Surgical Arts - Jeffrey W. Colyer, M.D.
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Breast Procedures

Breast Augmentation - Breast Lift
Breast Reconstruction
- Breast Reduction

Breast Reduction

If you are a woman with overly large breasts, breast reduction can be a tremendously life-enhancing option. Having the procedure will give you far more than just smaller, firmer breasts. You'll also get significant relief from many physical and emotional discomforts, a new sense of freedom in your exercise and physical activity, and the ability to wear a greater variety of clothing styles. In fact, of all the procedures that plastic surgeons perform, breast reduction ranks among the highest in patent satisfaction.

Breast reduction, also called reduction mammoplasty, is a procedure that removes excess breast tissue and skin, making you breast more proportional to the rest of your body. The areola may be reduced and repositioned as well.

Am I a good candidate for breast reduction?

You may be a good candidate for breast reduction if you have one or more of the following conditions:

  • breasts that are too large in proportion to your body frame
  • heavy, pendulous breasts with nipples and areolas that point downward
  • one breast is much larger than the other
  • back, neck or shoulder pain caused by the weight of your breasts
  • skin irritation beneath your breasts
  • indentations in your shoulders from tight bra straps
  • restriction of physical activity due to the size and weight of your breasts
  • dissatisfaction or self-consciousness about the largeness of your breasts

Breast reduction can be performed at any age, but plastic surgeons usually recommend waiting until breast development has stopped. Childbirth and breast-feeding may have significant and unpredictable effects on the size and shape of your breasts. Nevertheless, many women decide to undergo breast reduction before having children and feel that they can address any subsequent changes later. If you plan to breast-feed in the future, you should discuss this with your plastic surgeon.

During the consultation, you will be asked about your desired breast size as well as anything else about your breasts that you would like to see improved. This will help your plastic surgeon to understand your expectations and determine whether they realistically can be achieved.

How will my plastic surgeon evaluate me for breast reduction surgery?

Your plastic surgeon will examine your breasts, taking measurements and perhaps photographs for your medical record. The size and shape of your breasts, the quality of your skin, and the placement of the nipples and areolas will be carefully evaluated.

You should come to the consultation prepared to discuss your medical history. This will include information about any medical conditions, drug allergies, medical treatments you have received, previous surgeries including breast biopsies, and medications that you currently take. It is important for you to provide complete information.

You should tell your plastic surgeon if you plan to lose a significant amount of weight, particularly if you have noticed that your breasts become smaller with weight loss. Your surgeon may recommend that you stabilize your weight before having surgery.

Will my insurance help cover the cost of surgery?

Insurance coverage is sometimes available for breast reduction surgery. Many factors determine your eligibility, including the specific terms of your insurance policy and the amount of breast tissue to be removed. A letter of predetermination may be required by your insurance company prior to surgery. Your plastic surgeon or a staff member in your surgeon's office will discuss these matters with you.

How Breast Reduction is Performed

Individual factors and personal preferences will determine the specific technique selected to reduce the size of your breasts.

Where are the incisions placed?

The most common method of reducing the breasts involves three incisions. One incision is made around the areola. Another runs vertically from the bottom edge of the areola to the crease underneath the breast. The third incision follows the natural curve of the breast crease.

After the surgeon has removed excess breast tissue, fat and skin, the nipple and areola are shifted to a higher position. The areola, which in large breasts usually has been stretched, also is reduced in size. Skin that was formerly located above the nipple is brought down and together to reshape the breast. Liposuction may be used to improve the contour under the arm.

Usually, the nipples and areolas remain attached to underlying mounds of tissue, and this allows for the preservation of sensation. The ability to breast-feed may also be preserved by this method, although this cannot be guaranteed.

Results of Breast Reduction

Breast reduction surgery will make your breasts smaller and firmer. Without the excessive weight of large breasts, you may find greater enjoyment in playing sports and engaging in physical activity.
The incisions from your breast reduction surgery will heal and fade over time. It is important to realize, however, that the incision lines will be permanently visible, more so in some individuals than others. Fortunately, the incisions for breast reduction are in locations easily concealed by clothing, even low-cut necklines.

Breast reduction often makes a dramatic change in your appearance. For this reason, it may take some time to adjust to your new body image. Most women, however, eventually become comfortable with their smaller breasts and feel very pleased with the results of surgery. In fact, the level of patient satisfaction resulting from breast reduction is among the highest of any plastic surgery procedure.

How long will the results last?

Unless you gain or lose a significant amount of weight or become pregnant, your breast size should remain fairly constant. However, gravity and the effects of aging will eventually alter the size and shape of virtually every woman's breasts. If, after a period of years, you become dissatisfied with the appearance of your breasts, you may choose to undergo a breast "lifting" procedure to restore their more youthful contour.

 

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