Breast Reduction
BREAST REDUCTION
More isn’t always better! Breast size is a very personal preference influenced by overall physical stature, sense of style, and comfort. If the size of your breasts does not align with your perception of yourself, it is time to consider breast reduction .
IS BREAST REDUCTION SURGERY RIGHT FOR YOU?
Mammaplasty is a surgical procedure that removes excess skin, fat, and other tissues from breasts. The surgery reduces overall size, weight, and projection, and can improve shape and lift. While most women who have breast reduction surgery are primarily concerned with aesthetics, there can be significant physical benefits, as well.
Female breast anatomy is surprisingly complex. Breasts are comprised primarily of adipose tissue, a collection of fat cells covering the area from collarbone to middle of the ribcage and extending to the underarm. Within this mass lie lobes and smaller lobules connected by ducts that carry milk to the nipple (when lactating). Also within adipose tissue is a meshwork of connective fibers, ligaments, nerves, blood vessels, and lymph nodes.
Breast size is largely determined by genetic factors. Thus, while breast size is influenced by weight, even a slender woman may have unusually large breasts. Sometimes this amount of breast tissue is welcomed. For other women, it simply does not fit their lifestyle or self-image. In many patients, the weight of the breasts can produce debilitating neck, shoulder, and back pain.
indications:
- Breast size limits clothing choices.
- Large breasts do not project a desired professional appearance in a business setting.
- Breast size causes sagging, distorted shape, or asymmetry.
- Big breasts give the visual impression of being overweight (even when overall BMI is within the normal range).
- Weight of breasts causes bra straps to painfully indent flesh, creating shoulder grooving.
- Skin below the breast crease is chronically irritated.
- Heavy breasts result in poor posture, triggering neck and back problems.
- Physical activities and sports are more difficult or uncomfortable.
- Voluminous breasts draw unwanted attention.
- General sense of self-consciousness about appearance.
A good candidate for mammaplasty has fully-matured breasts.I generally donot recommend the procedure for teenagers, unless physical and psychological symptoms are causing undue suffering).
CRITERION IN SELECTING BREAST REDUCTION PATIENTS:
- The candidate should have symptoms consistent with large breasts (as listed above).
- The candidate should be a non-smoker, or willing to stop smoking for several weeks before and after the procedure.
- The candidate should be in reasonably good health, without medical conditions that impede the body’s ability to heal.
- The candidate has realistic expectations for the outcome of surgery and the impact it will have on her life.
Breast reduction is appropriate in patients who have reached full development of their breasts. Breast reduction should not affect an individual’s ability to breastfeed in the future.
BREAST REDUCTION IN – STEP BY STEP
If this describes you, step one is a consultation with Dr. Sanjay Tiwari This includes a review of your medical status and history. Plan on discussing your concerns, goals, and expectations. You will also have the opportunity to review before and after photos. Dr. Sanjay Tiwari explains the procedure, variations in surgical technique, and enhancement choices. This is your opportunity to ask questions, and get more information on breast reduction cost and financing options.
If you decide to proceed with reduction surgery, breasts are examined, measured, and photographed to aid in surgical planning.
Normally, breast reduction and lift are combined. The procedure involves removal of excess breast tissues by excision and/or liposuction, re-contouring of breast shape, and proper positioning of the nipple and areola. Most often this is accomplished with an anchor or keyhole shaped incision. The incision encircles the areola, extends vertically to the crease under the breast, and goes horizontally along the fold. This method provides necessary access to internal breast tissues, with minimal visible scarring. The refined suturing technique results in inconspicuous scarring that typically fades within a year.
Your procedure is performed with general anesthesia, or intravenous sedation and local anesthesia. Depending on the technique and customization, breast reduction usually takes two to 4 hours..
After surgery, the recovery process will begin. You return home a few hours after surgery is completed. Expect some discomfort, but it is manageable with medication. Sutures and drains (if necessary) come out within a week. Most women return to work at this point. Bruising, swelling, and firmness tend to resolve within a month. Light exercise may be resumed after four to six weeks. You will need to wear a wire-free support bra for two-to three months to reduce initial swelling and support breast shape as you heal.
Improvement in breast size, body proportions, and comfort is immediate. However, it can take up to a year for full results to be realized. During the months following your procedure, scars fade and smooth out, as breasts soften and settle into the tighter jacket of skin. In most cases, the ability
A BREAST REDUCTION CAN HAVE MANY BENEFITS
While breast reduction is a surgical treatment that—like all surgeries—carries risks, patients are typically very happy with the outcomeAfter the procedure, many patients experience:
- A boost in self-confidence
- A more positive body image
- Better posture
- Less pain and discomfort during both daily activities and exercise
- A thinner appearance due to improved proportions
- Better fitting clothes
.WHAT TO EXPECT AFTER THE PROCEDURE
Your breast reduction surgery will be an outpatient procedure that only takes a few hours. However, you will need to plan for your recovery time, including taking a few days off of work afterwards and avoiding vigorous activity for a month. You will experience some pain and soreness for the first few days, and we will discuss the best pain management techniques for your specific needs. You will notice an immediate improvement in your breast size, comfort, and proportions, but the full effects may take up to a year to be seen as the breast tissues soften and settle into the skin.
It is also important to know that you will have scars after your treatment. However, Dr Sanjay is a highly skilled plastic surgeon and uses the latest surgical techniques to minimize scarring, and the scars typically fade significantly after about a year. In some cases, a woman’s ability to breastfeed will be negatively impacted, but most patients are still able to breastfeed after their breast reduction. We honestly discuss the benefits and potential risks with you prior to your treatment so you can make a fully informed decision that is best for you. Many women find that the benefits outweigh the risks and that their quality of life is improved after their breast reduction surgery.