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Breast implants can be very successful when performed on
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Breast Reconstruction

Breast Reduction Surgery
Breast reduction surgery is commonly used to relieve problems
associated with having excessively large, heavy breasts, and
it can significantly change the size, shape, and general
appearance of the breasts.

Is Breast Reduction Right For You?
Women who experience any of these symptoms may be
good candidates for breast reduction surgery:

  • Heavy, swaying breasts that have downward-pointing
    nipples and areolas
  • Breasts of unequal size
  • Large breasts that are out of proportion with your physical frame
  • Irritation or inflammation on the skin under the breasts
  • Pain in the back, neck or shoulders caused by heavy breasts
  • Bra strap indentations in your shoulders
  • Self-consciousness about your breast size
  • Limited physical activity due to large, heavy breasts

The Initial Evaluation with Your Plastic Surgeon for Breast Reduction
In your initial consultation with your plastic surgeon, you should discuss your expectations for the surgery, and clarify the size and shape you want for your breasts. Your surgeon needs to hear your expectations, and can tell you if what you want is possible or unrealistic.
Your surgeon will also take a number of measurements of your breasts, and maybe even photographs. You must give your surgeon your complete medical history, which will include any medications you currently take, allergies to medication, previous treatments or surgeries that you have had, including breast biopsies.

Does Insurance Cover This Type of Surgery?

Some insurance companies will cover breast reduction surgery. To be eligible, you will have to have a policy that clearly states it will cover this type of surgery, and you will have to tell your insurance company how much breast tissue is going to be removed. Before your surgery, you may need to give your insurance company a letter of predetermination. You can find out more about this from your doctor or his staff.

What Type of Incisions Will Be Made? 

The surgeon will choose the most appropriate surgical technique based on your preferences and your physical condition. Most plastic surgeons use a standard three-incision technique, in which one incision is made around the areola, another from the bottom of the areola to underneath the breast, and the third following the curve formed by the breast crease.
Risks and Side Effects

Prior to your surgery, your surgeon will discuss the potential risks and side effects that you may encounter. The more common problems include infection, bleeding, and reactions to the anesthesia. In some rare instances, a blood transfusion is required. Some surgeons will ask you to donate some of your own blood, in case a situation arises that will require it.

Preparing For Surgery

Certain precautions may need to be taken in advance of your surgery. For example, if you are a smoker, you should stop far ahead of the surgery date. You should stop taking aspirin and other anti-inflammatory medications for a period prior to the surgery, as these can cause bleeding.
Breast reduction surgery can be done either on an in-patient or outpatient basis. If you do have to stay in the hospital, it probably won’t be for more than one night. You also must arrange for someone to pick you up from the hospital or clinic following the surgery, and someone must stay with you for a couple of days.

What Happens on The Day of the Surgery?

You will be administered a general anesthetic to make you sleep during the procedure. After the surgery, you will be moved to a recovery area to be monitored. Your breasts will be covered with gauze dressings, and you may need to wear a surgical bra.

What Happens Following the Surgery?

It will take a few days before you will be up and moving around comfortably. You should avoid strenuous movements, which can cause bleeding or swelling. Within a day or two after the surgery, surgical drains will be removed and your dressings will be changed. You may need to wear a support bra for a few weeks.

When Can Normal Activities Resume?

Most women are able to go back to work within a couple of weeks. After several weeks, you should be ready for mild exercise. Sexual activity should be avoided for at least one week.

The Aftermath of Breast Reduction Surgery

The post-surgery size of your breasts should stay constant, unless you become pregnant or you gain weight. This type of surgery will give you smaller, firmer breasts, and this can be a dramatic change in the way you look. So you may need to give yourself time to adjust to the changed body image. The majority of women are pleased with the outcome, and now breast reduction surgery gets some of the highest patient satisfaction ratings of any type of plastic surgery.


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