About The Surgery
Surgery is not performed in the office, rather at a state-of-the-art, fully accredited, outpatient surgical center or hospital. Anesthesia is provided by physician anesthesiologists. Breast reduction surgery takes approximately 2-3 hours. The patient is discharged home with a special bandage to limit swelling and pain. Local anesthesia is added for patient comfort. Most patients take Tylenol or stronger for pain for 2-3 days. Patients are advised to refrain from strenuous physical activity and exercise for 6 weeks.
Breast reduction is one of the most common procedures we perform at Perez Plastic Surgery and it has a very high degree of patient satisfaction. Dr. Perez has lectured throughout the world on various subjects in breast surgery including breast reduction, augmentation and breast lift. Selected repeatedly as one of America’s Top Doctors, Dr. Perez’ extensive international travel and teaching have kept him up-to-date on the various techniques of breast reduction surgery. We are often referred complex and secondary breast cases by other surgeons.
Dr. Perez was also selected to the NOVO National Council of Leaders in Breast Aesthetics, an honor bestowed to less than 100 plastic surgeons in the entire U.S.
A breast reduction naturally includes a breast lift to correct any droopiness. Changing the size or position of the nipple/areola can also be achieved. Our mission is to customize surgery to each patient’s individual goals. We strive to achieve a natural looking result with emphasis on fullness and cleavage to enhance the woman’s figure and bustline.
Patients typically experience an immediate relief of neck and back pain from removal of the excess breast weight, eliminating the need for chiropractic and orthopedic treatments. Scars are an important consideration with breast reduction. Our office is experienced in all types of breast reduction surgery. Your individual needs and treatment options will be discussed thoroughly at the time of consultation.
Surgical fees vary depending upon the patient’s individual needs. The exact cost of surgery, including facility and anesthesia fees, are quoted at the time of consultation. Insurance sometimes covers breast reduction. Our office will work with you to get the maximum reimbursement from your insurance company.
The American Society of Plastic Surgeons says…
Women with very 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. And unusually large breasts can make a woman-or a teenage girl-feel extremely self-conscious. Breast reduction, technically known as reduction mammaplasty, is designed for such women. The procedure 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. The goal is to give the woman smaller, better-shaped breasts in proportion with the rest of her body. If you’re considering breast reduction, this brochure will give you a basic understanding of the procedure-when it can help, how it’s performed, and what results you can expect. It can’t answer all of your questions, since a lot depends on your individual circumstances. Please be sure to ask your doctor if there is anything about the procedure you don’t understand.
The best candidates for breast reduction
Breast reduction is usually performed for physical relief rather than simply cosmetic improvement. Most women who have the surgery are troubled by very large, sagging breasts that restrict their activities and cause them physical discomfort.
In most cases, breast reduction isn’t performed until a woman’s breasts are fully developed; however, it can be done earlier if large breasts 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. Breast reduction is not recommended for women who intend to breast-feed.
All surgery carries some uncertainty and risk
Breast reduction is not a simple operation, but it’s normally safe when performed by a qualified plastic surgeon, 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 anitbiotic creams. You can reduce your risks by closely followoing your physician’s advice both before and after surgery.
The proceduce does leave noticeable, permanent scars, although they’ll be covered by your bra or bathing suit. (Poor healing and wider scars are more common in smokers.) The proceduce can also leave you with slightly mismatched breasts or unevenly positioned nipples. Future breast-feeding may not be possible, since the surgery removes many of the milk ducts leading to the nipples.
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.)
Planning your surgery
In your initial consultation, it’s important to discuss your expectations frankly with your surgeon, and to listen to his or her opinion. Every patient-and every physician, as well-has a different view of what is a desirable size and shape for breasts.
1- Heavy breasts can lead to physical discomfort, a variety of medical problems, shoulder indentations due to tight bra straps, and extreme self-consciousness.
The surgeon will examine and measure your breasts, and will probably photograph them for reference during surgery and afterwards. (The photographs may also be used in the processing of your insurance coverage.) He or she will discuss the variables that may affect the procedure-such as your age, the size and shape of your breasts, and the condition of your skin. You should also discuss where the nipple and areola will be positioned; they’ll be moved higher during the procedure, and should be approximately even with the crease beneath your breasts.
Your surgeon should describe the procedure in detail, explaining its risks and limitations and making sure you understand the scarring that will result. The surgeon should also explain the anesthesia he or she will use, the facility where the surgery will be performed, and the costs. (Some insurance companies will pay for breast reduction if it’s medically necessary; however, they may require that a certain amount of breast tissue be removed. Check your policy, and have your surgeon write a “predetermination letter” if required.)
Preparing for your surgery
Your surgeon may require you to have a mammogram (breast x-ray) before surgery. You’ll also get specific instructions on how to prepare for surgery, including guidelines on eating and drinking, smoking, and taking or avoiding certain vitamins and medications. Some surgeons suggest that their patients diet before the operation.
Breast reduction doesn’t usually require a blood transfusion. However, if a large amount of breast tissue will be removed, your physician may advise you to have a unit of blood drawn ahead of time. That way, if a transfusion should be needed, your own blood can be used.
While you’re making preparations, be sure to arrange for someone to drive you home after your surgery and to help you out for a few days if needed.
Techniques for breast reduction vary, but the most common procedure involves an anchor-shaped incision that circles the areola, extends downward, and follows the natural curve of the crease beneath the breast. The surgeon removes excess glandular tissue, fat, and skin, and moves the nipple and areola into their new position. He or she then brings 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.
2- Incisions outline the area of skin, breast tissue, and fat to be removed and the new position for the nipple.
3- Skin formerly located above the nipple is brought down and together to reshape the breast. Sutures close the incisions, giving the breast its new contour.
4- Scars around the areola, below it, and in the crease under the breast are permanent, but can be easily concealed by clothing.
Type of anesthesia
Breast reduction is nearly always performed under general anesthesia. You’ll be asleep through the entire operation.
Where your surgery will be performed
Breast reduction is generally done in a hospital, as an inpatient procedure. The surgery itself usually takes two to four hours, but may take longer in some cases, you can expect to remain in the hospital two to three days.
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