Breast Reduction

Breast reduction surgery, which is also known as reduction mammaplasty, is a surgical procedure that is performed to remove excess fat, skin, and tissue from the breasts.

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What is Breast Reduction ?


Breast reduction surgery, which is also known as reduction mammaplasty, is a surgical procedure that is performed to remove excess fat, skin, and tissue from the breasts. The results provide a smaller and more youthful look to the breasts. There are multiple reasons patients have breast reduction surgery including the desire to gain a breast size that is more proportionate to the rest of the body, ease any pain or discomfort caused by the large size of the breasts and gain a better self-image. Patients also have breast reduction surgery to improve their ability to take part in physical activities they are limited in enjoying due to the size and/or weight of their breasts. Large breasts can result in patients having difficulty fitting into certain clothing as well as suffering from skin irritation or a chronic rash underneath the breasts. Breast reduction surgery can be performed at any age, but it is recommended that patients wait until their breasts are fully developed.

Types of Breast Reduction


Anchor or Inverted-T Breast Reduction    

Anchor or Inverted-T Breast Reduction – The surgeon makes an incision around the areola that continues down the center of the lower half of the breast. An incision is then made in a horizontal direction along the crease of the breast. Together, these incisions forn an inverted or anchor shape so the skin can be moved both horizontally and vertically on the breast. This means excess breast fat, tissue and skin can be removed from any area on the breasts. While this technique does produce long scars, any scars in the breast crease are usually not very noticeable because of their location. 

Lollipop Breast Reduction    

Lollipop Breast Reduction – The surgeon makes an incision around the areola that goes (vertically) down the center section of the lower half of the breast. The look of the incision is why this technique is known as “lollipop” breast reduction. In addition to the main incision, there might be a need to create a small horizontal incision in the crease of the breast in order to achieve the desired results. This breast reduction technique provides an improved shape and projection to patients with breasts that have a moderate size. Patients will see some short scars after the procedure.

Benelli/Donut Breast Reduction    

Benelli/Donut Breast Reduction – An incision is made around the peBrimeter of the areola so the scar will be hidden in the dark skin of the areola. The circular incision is the reason the technique has the “donut” name. This is an ideal technique for patients with mildly sagging breasts that are small or medium in size. The areola will become stretched and flattened and there is not much access to the breast tissue.

Am I a Candidate for a Breast Reduction ?


Ideal candidates for Breast Reduction include:
Patients that have back, neck or shoulder pain due to the size and weight of their breasts
A person with one breast that is larger than the other breast
Someone that is uncomfortable with the appearance of their breasts
Patients that feel their breasts are too large or heavy for the frame of their body
A person that has to limit their physical activities due to the size of their breasts
Someone that is currently not pregnant and does not plan on becoming pregnant in the future (as pregnancy and/or breastfeeding can change the size and shape of the breasts)
Male patients with enlarged breast tissue that makes them uncomfortable or self-conscious about their appearance

Breast Reduction costs


Nationwide
$6500-$12,000
Los Angeles
$7500-$10,500

The total cost of breast reduction surgery depends on a number of factors including the type of breast reduction performed by the surgeon. The total cost is also determined by the amount of work performed during the procedure, additional fees charged by the medical facility or the doctor and the area of the country where the breast reduction surgery is performed.

Breast Reduction Procedure Explained


Anchor or Inverted-T Breast Reduction Steps

Lollipop Breast Reduction Steps

Benelli/Donut Breast Reduction Steps

Breast Reduction Downtime and Recovery


The amount of downtime and recovery a patient will need after breast reduction depends on the breast reduction technique performed by the surgeon and the individual person. Here are the general steps involved in the downtime and recovery from breast reduction surgery:

  • The patient should plan on anywhere from two six weeks of recovery time and this includes a week to ten days off work.
  • After the surgery, the patient will need to wear a post-op bra for 24 hours a day (except when showering) to support the breasts.
  • The person will also have bandages placed over the incisions.
  • Gentle walking should be performed each day to help prevent the formation of blood clots.
  • No heavy lifting should be performed for a few weeks or until cleared to do so by the doctor.
  • It can take a few months before the patient can return to wearing underwire bras in order to avoid damaging skin that is still recovering.
  • Low-impact exercises and other daily tasks can be resumed by the end of the first month after surgery.

The amount of downtime and recovery a patient will need after breast reduction depends on the breast reduction technique performed by the surgeon and the individual person. Here are the general steps involved in the downtime and recovery from breast reduction surgery:

  • The patient should plan on anywhere from two six weeks of recovery time and this includes a week to ten days off work.
  • After the surgery, the patient will need to wear a post-op bra for 24 hours a day (except when showering) to support the breasts.
  • The person will also have bandages placed over the incisions.
  • Gentle walking should be performed each day to help prevent the formation of blood clots.
  • No heavy lifting should be performed for a few weeks or until cleared to do so by the doctor.
  • It can take a few months before the patient can return to wearing underwire bras in order to avoid damaging skin that is still recovering.
  • Low-impact exercises and other daily tasks can be resumed by the end of the first month after surgery.

Breast Reduction complications


Asymmetry between the two breasts

Bleeding

Fluid accumulation

Changes in the sensation of the breasts or nipples

Irregular breast shape or contour

Infection

Swelling

Skin discoloration

Bruising

Scarring

Inability to breastfeed

Typical Breast Reduction results


The results of breast reduction surgery are visible almost immediately after the procedure. The amount of reduction in the breasts depends on the breast reduction technique performed by the surgeon.

In general, patients will have breasts that are smaller in size and shape and they will also be free from the daily pain and/or discomfort they felt due to the size and weight of their larger breasts.

Anchor breast reduction provides breasts that are more youthful and firmer in appearance. Lollipop breast reduction gives a shapely look to the breasts while donut breast reduction provides a smoother and tighter look to the breasts as well as less sagging.

Typical Breast Reduction results

The results of breast reduction surgery are visible almost immediately after the procedure. The amount of reduction in the breasts depends on the breast reduction technique performed by the surgeon.

In general, patients will have breasts that are smaller in size and shape and they will also be free from the daily pain and/or discomfort they felt due to the size and weight of their larger breasts.

Anchor breast reduction provides breasts that are more youthful and firmer in appearance. Lollipop breast reduction gives a shapely look to the breasts while donut breast reduction provides a smoother and tighter look to the breasts as well as less sagging.

Alternatives to Breast Reduction


“No Vertical Scar” Breast Reduction 

This technique creates an incision in the breast crease and another one around the areola. The surgeon is not able to move the skin in a horizontal manner so the ability of the doctor to reshape the breasts is rather limited. There is also less breast projection, and a wider breast shape, in the final results. 

Scarless Breast Reduction

A breast reduction technique that leaves little to no scars after the procedure. The surgeon makes two small incisions in the crease of the breast and liposuction is performed to eliminate excess fat in the breasts. The surgeon is not able to remove any excess skin or tissue with this technique so the amount of reduction that can be provided is limited. Liposuction will make the breasts lighter and smaller which can help to eliminate the amount of physical pain felt by a patient dur to larger breasts.

Breast Reduction Questions & Answers By Expert Doctors

Breast Reduction Q&A By Expert Doctors


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