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Breast Reduction (Reduction Mammoplasty)

Breast reduction (reduction mammoplasty) is a surgical procedure used to resize or reshape breasts. It is performed by removing some fat, skin, and glandular tissue from the breast. Performed under general anesthesia, the process usually takes two to four hours.

 

 

Candidates for breast reduction are women with large breasts usually experiencing neck, back, and shoulder problems due to the weight of the breasts. The ultimate goal of the procedure is to have smaller, firmer, and lighter breasts.

The two most popular techniques when performing breast reduction are the inferior pedicle, and the vertical scar techniques.

The inferior pedicle technique is used mostly on women with the largest breasts. An incision is made around the areola and extends downwardsreduction3 reduction2 reduction1 following the curve of the breast. Excess skin, fat, and tissue are removed and the nipple and areola are moved to a new higher location.

The second technique called the vertical scar technique which eliminates horizontal incisions and results in the least amount of scarring. The same principle of removing tissue, fat, and skin is used to reduce the size of the breast.

One technique gaining popularity is the liposuction only method. This approach is not as drastic as the other techniques, and it is less invasive. Patients also benefit from much quicker healing periods. This method would not be suitable on excessively large breasts.

Patients undergoing reduction mammoplasty may take only a few weeks for initial recovery, but the body can take up to six months or even a year to adjust to the new breast size. Depending on the type of surgery performed there are factors to consider when planning a breast reduction. Loss of feeling in the nipples and inability to breast feed after surgery are common problems. While most women report the loss of feeling to be temporary, some say it is more permanent. Again, with breast feeding, some women have no problems breast feeding post surgery, and in some cases the milk ducts under the nipple have been permanently damaged resulting in the inability to breast feed.

If you are considering breast reduction be sure to contact your insurance provider. In many cases, the cost of the procedure may be covered as long as the surgery is being done to correct medical problems associated with large or heavy breasts.

Breast Reduction FAQs

Breast Reduction Without Surgery

Q: Can I get the same results without reduction mammoplasty?

A: In most cases, without surgery, your problem can not be corrected as successfully. Weight loss can often reduce the size of the breasts, but only to a certain degree. The overall size of the breast is dictated by genes. Some women also find that their breasts remain larger after child birth. Unfortunately, diet and exercise cannot drastically reduce the size of disproportionate breasts.

Breast Feeding After Reduction

Q: Will I be able to breast feed after a breast reduction procedure?

A: All women of child bearing age should be aware that breast feeding a child may not be possible after reduction mammoplasty surgery. The technique used may have some influence. For example, most surgeons believe the inferior pedicle method gives the greatest chance of breast feeding following surgery. This is because it preserves the most amount of connection between the nipple and breast tissue. When complete amputation of the nipple is performed, the result is almost no chance of lactating.

Liposuction for Breast Reduction

Q: I have heard of using liposuction for breast reduction, does this method work?

A: Using liposuction for reduction mammoplasty is a relatively new technique. It follows the same principle as conventional liposuction. Although too early to tell, breast reduction using liposuction seems more likely to preserve the ability to breast feed. This method also leaves fewer post surgical scars but can make the breasts more prone to sagging.

Look The Same Following Surgery

Q: Will both breasts look the same following reduction mammoplasty?

A: Chances are your breasts were not exactly the same size and shape prior to surgery. While minimal, it is likely that there will be a difference following the surgery as well.

To Discuss With Surgeon

Q: What should I discuss with my surgeon prior to surgery?

A: The most important thing your surgeon needs to know prior to surgery is what you want to achieve. Photographic examples are a good place to start. Discussing this with your surgeon in detail will assist in avoiding any misunderstandings.

Long Lasting Results

Q: How long will the results of the surgery last?

A: Depending on the individual patient and type of skin, results are very long lasting. The breasts will certainly remain smaller than they would have been had surgery not been performed. Gaining large amounts of weight following the surgery will affect the longevity of the surgery. Also, in younger patients, it is possible for the breasts to regain fatty tissue.

Return Exercising

Q: When can I exercise and return to my normal routine?

A: Short walks and gentle exercise is recommended within a week following your surgery. A common complication of any surgery is the development of blood clots in the legs due to inactivity. It is important to achieve a balance of rest for the first week, and low impact activities to avoid clotting. A surgical bra should be worn during this period. After two weeks, you can begin more vigorous movement but should avoid jogging or heavy lifting for at least one month.

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