Women with very large breasts often complain of pain, discomfort, back problems, recurring rashes, and even emotional distress. For them, the answer can be simple. Dr. Gary Price offers Breast Reduction surgery to his New Haven and Guilford, CT patients as a solution.
What is a Breast Reduction?
The outpatient procedure may involve one of several techniques. Which technique is appropriate for you will be determined by factors discerned during your initial consultation, including the amount of reduction desired and the current condition of breast tissue (laxity).
Breast reduction surgery is a fully personalized procedure that aims to bring harmony to the body frame as a whole by carefully reshaping the breasts and the skin that covers breast tissue.
Who Is a Good Candidate for Breast Reduction Surgery?
Many healthy women and men undergo breast reduction surgery to increase their sense of confidence and satisfaction with their shape. Reasons for seeking breast reduction vary from one person to another and may include both cosmetic and physical concerns. These include:
- Breast size causes skin irritation or neck and back pain.
- Breast size and weight causes indentations from bra straps.
- Breasts affect clothing options, altering the fit of certain items.
- The weight of breasts causes nerve impingement in the neck, leading to numbness or tingling in the neck, shoulder, breasts, or arms.
- Breast size causes emotional turmoil, either due to unwanted attention or dissatisfaction with body shape.
Ideal breast reduction candidates are in good general health and do not smoke. They have realistic expectations and the ability to communicate with their surgeon the outcome they wish to achieve, including details such as breast shape, size, and projection. Breasts should not be reduced until the patient has reached full physical and emotional maturity and has no plans for future pregnancy or breastfeeding. Finally, skin elasticity should be good to achieve the best results from breast reduction alone. In some cases, the desired outcome is achieved with a combination of breast reduction and breast lift.
Benefits of Reduction Mammoplasty
Breast reduction surgery offers both physical and psychological benefits. On a physical level, smaller breasts are more comfortable. Less weight on the chest reduces pull on the neck and shoulders and may also reduce breast sag that irritates the skin. On an emotional level, women who undergo breast reduction often say they feel more at home in their body. They are no longer the target of unwanted attention and they gain a sense of freedom to wear clothing that suits both their style and their body shape.
How Is Breast Reduction Surgery Performed?
To gain access to the tissue inside, Dr. Price makes one or more incisions in the breast. After excess fat and tissue are removed, the skin is closed using stitches. The nipple and areola (dark area that surrounds the nipple) may have to be repositioned due to the new size of the breast.
Liposuction is sometimes needed during surgery. In some cases, if there is excess fatty tissue but not excess skin, liposuction alone may be sufficient.
Breast reduction is usually done on an outpatient basis while the patient is under general anesthesia. The procedure typically takes 3 to 5 hours. Smaller breast reductions can be performed using local anesthesia.
Breast Reduction Methods
Breast reduction is performed in a particular way to achieve the best results for each patient. In general, this procedure is conducted under general anesthesia on an outpatient basis in a three to five-hour window. During surgery, the surgeon makes approximately three incisions through which breast tissue is removed. The nipple and areola are repositioned to achieve natural forward projection from the central part of the breast and skin that was present above the nipple is repositioned to refine overall shape on a smaller foundation of fatty tissue. In some cases, liposuction is performed near the armpit area to further improve chest contouring.
Techniques that may be considered for breast reduction include:
- Donut incision borders the areolas only.
- Keyhole incision, or lollipop incision, borders the areolas and runs down from the areolas to the breast crease.
- Anchor incision is three distinct access points: around the areola, extending from the areola to the breast crease and, finally, horizontally along the breast crease.
- Microincisions may be appropriate for fatty breasts with excellent skin elasticity that allows size to be reduced with a liposuction technique alone.
- The areola may also be resized to fit the new, smaller shape of the breasts.
Breast Reduction Results
Breasts that are reduced through surgical technique can be expected to remain the same size unless significant weight gain or pregnancy occurs. What women may experience is the normal sagging that occurs with age.
What Procedures Can Be Combined with Breast Reduction Surgery?
Breast reduction surgery is most commonly combined with breast lift surgery. This combination may be ideal for women whose breast weight has caused skin to become loose and saggy. Reducing breast size does nothing for projection or breast height on the chest wall. A lift repositions the reduced breast tissue to sit higher and project more fully.
What Is Nipple Reduction?
There are cases when nipples appear to sag and are excessively protuberant. In such cases, nipple reduction surgery will correct the problem.
What is Male Breast Reduction?
Breast reduction surgery is not only for women; men can opt for this surgery, as well. Many men have excess breast tissue, a condition commonly known as gynecomastia. This condition not only affects a man’s appearance, but also his confidence. The best option for these patients is male breast reduction surgery. Dr. Price often performs the procedure by making tiny incisions, and it is usually accompanied by liposuction. Your treatment options will be discussed by Dr. Price during your consultation.
Breast Reduction Recovery Process
After surgery, gauze will cover your incisions. The breasts may be wrapped in an elastic bandage or a surgical bra. Your stitches dissolve on their own.
Pain may be present during the first few days after surgery but should respond to pain medication. Bruising and swelling may remain for several weeks. To help reduce bruising and swelling, you may have to wear a surgical bra to support your breasts as they heal.
Regular activities can be resumed after a couple of weeks, as instructed by Dr. Price. However, you should avoid heavy lifting and other strenuous activities for a minimum of two weeks.
After breast reduction surgery, expect to have visible scars. Scars are almost always found in places that can be hidden by a bra. They fade significantly over time.
Risks of a Breast Reduction
Breast surgeries such as reduction mammoplasty rarely result in serious complications when conducted by a fully trained, board-certified plastic surgeon. The success rate and satisfaction rate for this procedure are very high. As with any surgical procedure, the breast reduction carries slight risks, including:
- Anesthesia reaction
- Accumulation of fluid or blood beneath the skin (seroma or hematoma)
- Excessive bleeding
- Altered skin sensation (persistent diminished nipple sensation)
- Unsatisfactory results
- Blood clots in the legs or lungs
Scarring After Reduction Mammoplasty
The incisions made to conduct breast reduction all lie in areas that can be hidden beneath clothing. As scars heal, their appearance becomes increasingly subtle so, in most cases, they eventually appear as nothing more than a slight line. Periareolar incisions around the areolae typically disappear into the border between colored skin and natural skin.
Schedule a Consultation
Are you tired of the constant back pain and your large breasts limiting your daily activity? Consider undergoing breast reduction surgery with Guilford’s Dr. Gary Price! Call us today at (203) 453-6635 to schedule a consultation.
*Individual results may vary on case by case basis to the end of the page.