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Breast Reduction & Lift
Breast reduction, or reduction mammoplasty, is for a woman experiencing health problems and/or extreme self-consciousness associated with very large, heavy breasts. The goal is to give the woman a more attractive contour with smaller, better-shaped breasts in proportion with the rest of her body. She will then benefit from freedom of health problems associated with large breasts and an improved self-image.
Medical problems associated with very large breasts include back and neck pain caused by the excessive weight, skin irritation, skeletal deformities and breathing problems. Bra straps may leave shoulder indentations. Large, heavy breasts also contribute to poor posture, and can interfere with normal daily activities such as exercise. Excessive breast size may also lead to a decreased sense of attractiveness and self-confidence.
Breast reduction is done under general anesthesia on an outpatient basis or in the hospital. The surgery removes fat, glandular tissue, and skin from the breasts, making them smaller, lighter, and firmer. It can also reduce the size of the areola, the darker skin surrounding the nipple.
Incisions are made around the pigmented nipple-areolar complex and extend vertically below the nipple and in the fold under the breast. The nipple-areolar complex is moved upward to the desired location. The incisions are covered with a light dressing.
Afterward, the breasts are placed in a surgical bra that will hold them symmetrically during initial healing. Initial discomfort subsides daily and can be controlled with oral medications. Scars will fade in 6-18 months. Surgery will likely reduce, but not eliminate the ability to breast-feed.
The result may be further enhanced by liposuction of the axillary area to reduce excess fat deposits. This is commonly covered by insurance. Our staff will assist you in obtaining preauthorization.
Recovery: What to Expect
When performed by a qualified plastic surgeon, breast reduction is a safe procedure. Nevertheless, as with any surgery, there is always a possibility of complications, including bleeding, infection, or reaction to the anesthesia. Some patients develop small sores around their nipples after surgery; these can be treated with antibiotic creams. You can reduce your risks by closely following your physician’s advice both before and after surgery.
Much of the swelling and bruising disappears in the first few weeks following the surgery. Breasts may appear slightly mismatched, or have unevenly positioned nipples. Their new shape will be apparent within 6 months to a year, and will depend on hormonal fluctuations, weight changes and pregnancy.
Although your surgeon will make your scars as inconspicuous as possible, some permanent scarring is inevitable. Smokers are more likely to experience poor healing and wider scars. The scars will be red and lumpy in the months following the surgery, but the redness will fade and in time the scars will be less obvious. The good news is, your bra or bathing suit will cover whatever scars remain, and most likely, the scars will not prevent you from wearing low-cut tops.
Ability to Breastfeed
Because the surgery removes many of the milk ducts leading to the nipples, breast-feeding may no longer be an option.
Some patients may experience a permanent loss of feeling in their nipples or breasts. Rarely, the nipple and areola may lose their blood supply and the tissue will die. (The nipple and areola can usually be rebuilt, however, using skin grafts from elsewhere on the body.)
The End Result
Breast reduction produces the most dramatic results of all plastic surgeries. It ends the physical discomfort or large breasts and makes your body appear more evenly proportioned, and clothes fit better. Your new image will take some getting used to, as much as you desired the change. Give yourself and your family and friends time to adjust to the new you and, like most women, you will enjoy the benefits.
Breast lift surgery, or mastopexy, restores a more youthful appearance to a woman’s breasts. Over the years breasts can lose their shape and firmness due to pregnancy, nursing and loss of skin elasticity, causing them to sag. Mastopexy will raise and reshape breasts slowing the effects of aging and gravity. This procedure can reduce the size of the areola, the darker skin surrounding the nipple.
Mastopexy is commonly performed in conjunction with breast augmentation (implants) to increase breast firmness and size. This may appeal to women who have lost breast volume after pregnancy. Pregnancy and nursing often result in stretched skin and therefore decreased volume. If you are planning a future pregnancy, it is advisable to postpone your breast lift as pregnancy will likely cause further stretching.
As with all plastic surgery, realistic expectations and emotional stability are important. Though breasts of any size can be lifted, women with smaller breasts enjoy longer lasting results.
Though not a simple operation, mastopexy is normally safe when performed by a qualified plastic surgeon. Mastopexy is occasionally performed in a hospital, but more often is done in an outpatient facility. Breast lifts are usually performed under general anesthesia. Local anesthesia may be used with a sedative if the incision is small; you’ll be awake but relaxed, and will feel minimal discomfort.
The surgery may take between 1 ½ to 3 ½ hours. A more common approach involves an incision along the natural contour of the breast where excess skin will be removed. The nipple and areola are then repositioned. The skin surrounding the areola is brought together to reshape the breast, with stitches around the areola and the lower breast area.
As with any surgery, there are possible complications. A patient may suffer an adverse reaction to the anesthesia (rare), or experience bleeding and infection following a breast lift, causing scars to widen. Poor healing and wider scars are more common with patients who smoke.
Because milk ducts are left intact, mastopexy will not affect your ability to breast-feed.
For best results, follow your physicians advice both before and after surgery.
After Surgery: What to Expect
After surgery, your stitches will be covered with gauze and an elastic bandage or a surgical bra will hold the breasts in place. Your breasts will be bruised, swollen, and you may experience some mild discomfort for a couple of days. Your doctor may prescribe pain medication. A soft support bra replaces the bandages or surgical bra after a few days. In the recovery stage, it is important to wear the bra at all times.
After a week or two, the stitches will be removed. Some noticeable, permanent scarring is normal, but easily covered by your bra or bathing suit. The scars may be red and lumpy for a few months, eventually fading and becoming less obvious. The procedure can also leave you with unevenly positioned nipples, or a permanent loss of feeling in your nipples or breasts.
To ensure proper healing, plan to stay at home for at least a week before returning to work. You will need to avoid lifting anything over your head for 3-4 weeks and avoid strenuous sports for a month.