Indications that you may need a Breast Reduction
- Pain in the back, shoulders and neck due to heavy breasts
- Excessive breast size that limits daily activity and makes a woman feel less attractive
- Bra-strap indentations at the shoulders
- Rashes, irritation, or chafing under the breasts
- Poor posture
Intended Results of a Breast Reduction
- Freedom from health problems and discomfort associated with excessively large breasts
- More attractive contour, smaller breast size, and improved self-image
- Firmer, more youthful looking breasts
- Ability to fit into your clothes more attractively and comfortably
A breast reduction procedure is performed under general anesthesia, or under local anesthesia with sedation, on an outpatient basis or in the hospital. Incisions are made around the pigmented area (the nipple-areolar complex) and are extended vertically below the nipple to the crease of the breast. Often, an incision is also made in the fold under the breast. In some cases, patients may need the nipple size reduced to match the smaller breast. In such case, the perimeter of the nipple is excised to the proper proportion. Once complete, the nipple-areolar complex is moved up to the desired location, and excess breast tissue, fat and skin are removed, creating a new breast contour. You will be able to return home the same day of your procedure and will be prescribed pain medication to assist in alleviating discomfort.
Additional procedures that may enhance the result:
- Liposuction of the axillary area to reduce excess fat deposits and scale the area to match the new breast size
Recuperation and Healing
The incisions in breast reduction surgery are covered with light dressings and the patient wears a bra or ace wrap to hold the breasts symmetrically during initial healing. Initial discomfort subsides daily and is controlled with oral pain medications. The recovery process will vary from patient to patient. Some bruising and swelling can be expected, but should only last a few weeks post-operation. Within the first few weeks, you will have a follow-up appointment to remove the stiches and to check in on your recovery process. Most women return to work within two weeks. Within the first two months, you may experience tenderness around your menstruation time. It is important to be gentle with your breasts for the first four to six weeks to allow for full recovery. Scars will not completely disappear, but will fade substantially in 6 to 18 months. Surgery may reduce the ability to breastfeed.
Learn more about the recovery process following a procedure here.
Breast reduction may be covered by insurance, depending on your insurance carrier and their criteria. Several factors that are taken into consideration are the amount of breast tissue to be removed, skin irritation, shoulder grooving, and chronic back and neck pain. Any medical documentation regarding these symptoms can be faxed to our office at 734.712.2312 before your consultation to expedite the pre-authorization process.Schedule a Consultation