Reasons to Consider Breast Reduction from a Plastic Surgeon

Breast Reduction Columbia, MD

Also known as reduction mammoplasty, breast reduction surgery is performed to remove surplus fat, tissue and skin from the breasts. People with large breasts can opt for this procedure to reduce discomfort and make their breast size proportional to their body. Undergoing breast reduction can also improve self-image and enable participation in physical activities.

The procedure is performed by a certified plastic surgeon. Before undergoing the procedure, the patient must be aware of the requirements, including the risks and complications, and be ready to set realistic expectations.

Who needs breast reduction?

Breast reduction is performed on women with large breasts who are dealing with issues such as:

  • Nerve pain
  • Restricted activity
  • Chronic rash or skin irritation beneath the breasts
  • Chronic back, shoulder or neck pain
  • Difficulties with bras and clothing
  • Poor self-esteem due to large breasts

Patients who smoke, have conditions like diabetes or heart problems, or who are obese are not eligible for breast reduction surgery.

The breast reduction procedure

During the initial consultation, the plastic surgeon will evaluate the patient’s medical records and general well-being. Discussions will include the patient’s expectations for the procedure, what is involved, including the benefits and risks, such as scarring and potential loss of sensitivity. The doctor will examine the breasts and take photos for record purposes.

Ahead of the surgery, the patient may be asked to undergo different lab tests, receive a baseline mammogram and quit smoking for some time before and after the surgery. The patient will also need to stay off of aspirin, herbal supplements and anti-inflammatory drugs to prevent bleeding. The doctor may decide to keep the patient overnight or have them arrange for transport back home.

During the procedure

Breast reduction is usually performed under general anesthesia. The technique used to decrease breast size may vary, and the surgery might include making incisions and using liposuction to reduce excess fat in the breasts.

The surgeon will make an incision from the areola downward, then proceed to take out the surplus breast tissue, fat and skin to decrease breast size. The breast will be recontoured, and the nipple and areola repositioned accordingly. In the case of very large breasts, the nipples and areolas may be detached and reattached at another point with a skin graft. The plastic surgeon will attempt to make the breasts even, but there might be minor size and shape variations in the breasts. The procedure may reduce the size of the areola. Usually, the incision scars will eventually fade, but will not disappear entirely.

The surgeon will cover the breast in bandages or gauze and may put a tube under each arm to remove excess blood or fluid. Patients will be placed under pain meds and antibiotics to reduce the risk of infections. The breast may feel somewhat tender, sensitive or swollen. The surgeon might suggest wearing an elastic compression bra to keep the breasts protected.

In conclusion

After a successful breast reduction surgery, the patient will experience significant relief in their neck, shoulders and upper back. It will also allow for their active participation in physical activities and enhance their positive self-image. Recovery may take months, but the results of the procedure are usually permanent.

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