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Breast Reduction

Having large breasts that are heavy and out of proportion with body size results in discomfort and back problems for many women, along with self-image problems. While having large breasts may seem desirable, excessive breast tissue can get in the way of leading an active life and can make a woman the subject of ridicule and innuendo.

Breast reduction surgery removes excess breast fat, glandular tissues, and skin to create lighter, better-proportioned breasts. Liposuction is often used to remove fat; if the size and weight are primarily due to fat deposits, liposuction may be the main technique to achieve reduction.

In most cases, a board-certified plastic surgeon will resort to one of two procedures. A traditional procedure requires making an inverted T or anchor-shaped incision down the middle of the breast or a keyhole incision around the areola. This approach reduces breast volume while elevating the breast to a more normal location, improves contour, and preserves breast sensation. An alternative “short scar” method, effective on women with moderately large breasts, involves making an incision around the areola and vertically down the breast which reduces scarring, creates a rounder, more natural outcome, and offers superior results for good candidates.

After surgery, most patients experience pain and swelling for a few days, followed by occasional aching in the breasts for about two weeks. While results of the surgery are immediate, it may take up to a year for the new breasts to settle into their new size and shape.

If you are uncomfortable with your large breasts, Dr. Eko from Eko Plastic Surgery can help you. For a consultation or more information, complete the website form below or call us at (760) 249-2222.

About Breast Reduction

Breast reduction surgery or reduction mammoplasty is a procedure that results in the reduction of breast size and weight. Many individuals choose to get a reduction mammoplasty because it causes physical, emotional and mental problems. The physical problems include the hindrance of living a healthy and productive life due to the size and weight of the breasts. The emotional problems can stem from body image and confidence issues and the mental problems can manifest in self-consciousness and doubt. The ultimate goal of breast reduction surgery is to reach a breast size and weight that is healthy and beneficial to the patient.

There are some considerations an individual must think about before considering breast reduction surgery. These considerations are as followed:

  • Physical health
  • Neck and back pain
  • Skin irritation below the breast crease
  • Selecting a plastic surgeon certified through the American Society of Plastic Surgeons (ASPS)

Consultations and Preparations
After going through the considerations of breast reduction surgery next comes a consultation and preparation with the surgeon. Some things that the consultation and the preparation with the surgeon will go through are the patient’s surgical goals, along with the patient’s medical history that coincides with past medical surgeries, allergies, and the patient’s medicine regiments. The surgeon may also request the patient to get specific lab tests done and a breast examination. It is also recommended for the patient to ask questions and to voice any concerns to the surgeon.

The Surgery
The surgery is broken down into four major steps:

  1. Anesthesia
  2. The Incision
  3. The removal of the tissue and the repositioning and the closing of the incisions.
  4. The Results

Anesthesia will be administered for the patient’s comfort. The choices of anesthesia include intravenous and general anesthesia. The surgeon will discuss and recommend the best type for the patient.

The shape of the incision will consist of these options; a keyhole or racquet –shaped incision or an inverted T or anchor-shaped incision. After the incision is made, the nipples are then repositioned, the excess skin is removed and the remaining breast tissue is reduced, lifted and then shaped.

Closing the incision consists of sutures that are able to stabilize the incisions.

Results
Results of a reduction mammoplasty are not immediate. It will take time for the incisions to heal. The appearance of the patient’s breast may also change after the surgery due to age or other physiological changes. The best way to manage and maintain the outcome of the surgery is to maintain a healthy weight and to live a healthy and productive lifestyle.

Recovery
Taking caution and listening to post- surgery and recovery instructions are very important. There will be bandages and tape used around the area of the incision to help keep the breasts from infection. A plastic bra will also be used to help support the new breasts and to prevent swelling. A small tube is inserted to extract excess blood and other fluids. It is a good idea for the patient to ask the surgeon about any specific questions that arise due to the specifications of the patient’s individual surgery.

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