Large breasts can cause pain, improper posture, rashes, breathing problems, skeletal deformities, and low self-esteem. Breast reduction surgery, also known as reduction mammaplasty, is usually done to provide relief from these symptoms. Performed under general anesthesia, this procedure removes fat and glandular tissue and tightens skin to produce smaller, lighter breasts that are in a healthier proportion to the rest of the body.
Breast reduction surgery is not recommended for women who intend to breast-feed, since many of the milk ducts leading to the nipples are removed.
It is important to consider each aspect of the breast reduction procedure and your life after surgery before deciding upon the procedure. Prior to the procedure, Dr. Moye will meet with you to discuss your expectations for breast reduction surgery. He can then evaluate which goals are within reach and propose a plan for the breast reduction operation. At that time, Dr. Moye will inform you about the risks and possible complications of breast reduction surgery and the long-term effects of undergoing a breast reduction.
Women with large, heavy breasts may suffer physical pain from the weight of their breasts and may experience social discomfort due to unwanted attention to their breast size. Because of this, many women turn to breast reduction as a remedy.
Large, heavy breasts can also cause strain on a woman's body. The extra weight of heavy breasts can be harmful to posture and may lead to spinal problems. In addition to causing back, neck, and shoulder pain, excessively heavy breasts may also lead to breathing problems and other serious health issues. Breast reduction surgery can help a woman correct her posture and remove strain on the back, neck, and shoulders, reducing overall pain.
Breast reduction surgery generally takes two to four hours, depending on the patient's specific case, and is performed under general anesthesia. The size and shape of your breasts, as well as the desired amount of reduction, helps determine which type of incision is right for you.
In traditional incision breast reduction, skin, fat, and tissue from the lower breast area are removed to reduce the mass of the breast. In most cases, the nipples are moved to a higher position on the breast, but remain attached to the nerves and blood vessels. For very large breasts, however, the nipples may need to be moved and grafted to a completely new location. In these situations, you will lose sensation in the nipple and areola. After the nipple is moved to its new position, the skin above the nipple is brought down and around the swell of the breast, and then stitched back to close the original incision.
In vertical incision breast reduction, a lollipop-shaped incision is made around the areola and down the breast. After the breast tissue and skin is removed, Dr. Moye will stitch up the incision by folding the excess skin over itself on the breast. The nipple can still be moved up in a method similar to that of the traditional procedure, but not more than a few millimeters.
In scar-less breast reduction, only one very small incision will be made in the breast crease. A thin surgical tube, called a cannula, is inserted in order to liposuction out excess fatty breast tissue. This technique is considered a scar-less breast reduction procedure because the scars are minimal and usually invisible due to their inconspicuous location under the breast.
Initially after breast reduction surgery, your breasts will be sore, swollen, and bruised. You can expect to wear bandages for about two days after surgery. Activity should be kept to a minimum for one to two weeks. You should also avoid heavy lifting and refrain from exercise and other strenuous activities for at least four weeks following the procedure. For extra support, a special soft surgical bra or athletic bra may be recommended.
Stitches will be removed in two to three weeks after the breast reduction procedure. Most women will be able to return to work and other normal activities about two weeks after undergoing a breast reduction. To ensure that the breasts are healing properly, breast reduction patients should attend follow-up appointments for several months after surgery.
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