Many women seek breast reduction, also known as reduction mammoplasty or mastoplasty, because they are having back and neck problems caused by the excessive weight of their breasts. The main goals of this procedure are to give you smaller, lighter, aesthetically shaped breasts that will be in better proportion to your body and to relieve neck, back, and shoulder pain. You may want to consider liposuction to remove excess fat from the underarm area as well.
The breast reduction procedure can take between two to four hours depending on the complexity of your particular needs. There are two most common methods for this procedure: the Inverted T and the Vertical Incision method.
Incisions with the Inverted T go around the areola, straight down to the breast to the crease and runs from side to side in the crease beneath the breast. Excess glandular tissue, fat and skin will be removed. The nipple and areola are then moved to their new, higher location. If your breasts are very large, the nipples and areolas may need to be completely removed and reattached to a higher location. Skin from both sides of the breast is brought down and around the areola to contour the new shape of your breasts. Very fine sutures will be placed. Incisions will be glue with tissue seal to reduce scaring and a compression dressing or support bra will be placed.
For women with moderately large breasts the vertical incision method may be the best option. Incisions will be placed around the areola and straight down to the bottom of the breast. Excess glandular tissue, fat and skin will be removed. The breast is reconstructed from the inside and secured in place by sutures. The nipples and areolas are then repositioned in a new higher location; drains may be placed to help remove excess fluid. Incisions will be closed with very fine stitches and tissue glue will be added to reduce scaring. A compression dressing or support bra will be placed.
Your initial consultation is extremely important. Every woman has a different idea of what the best size and shape for her breasts are, so it is important to discuss your expectations. Be prepared to provide your medical history and inform us of any vitamins and medications (including over-the-counter) that you are taking. Make sure to let the surgeon and office staff know if you smoke, have uncontrolled high blood pressure, allergies, blood clotting problems, or the tendency to form excessive scars because these problems can affect the results of your surgery
-Do Not Take Aspirin or Products Containing Ibuprofen for two weeks before or after your procedure. These medications thin the blood, interfere with normal blood clotting and increase the risk of bleeding and bruising. Instead, use medications containing acetaminophen, such as Tylenol.
-Discontinue Smoking for two to six weeks before and after surgery. Smoking constricts small blood vessels and inhibits the healing process.
-Avoid Alcohol for two weeks before and after surgery.
-Decreasing Salt intake will help diminish swelling after surgery.
-Drink Plenty of Water to help flush toxins from your body.
-Stop Taking All Vitamins and Herbs two weeks prior to surgery.
-Fill Your Prescriptions before your surgery date, especially pain and antibiotic medications your doctor has prescribed for this procedure.
Work: Most patients with office jobs are back to work within two weeks after surgery depending on how they are felling. If a high level of activity is required for your job, talk with your doctor about a time frame that will be appropriate for you to return to work.
Swelling and Bruising: Your breasts will be bruised, swollen, and uncomfortable. This can last for approximately two to three weeks. To help minimize swelling, sleep with your head elevated for the first several days.
Showering: You may shower on the second or third day following surgery but you must put your support bra back on immediately. Be sure to dry the area around the incisions and the drains well.
Discomfort: Just after surgery, you will feel chest discomfort. Take the pain medication prescribed to help keep it to a minimum, however, if you begin to have severe pain, contact your surgeon immediately.
Recovery: Within a day after surgery, you should be up and walking around. You will need to wear a compression garment or support bra for four to eight weeks following surgery. Wearing an underwire bra is not allowed during recovery. Avoid any high impact activities for about two months. Lifting should be kept to a minimum for two weeks.
Results: Each patient heals and scars differently. It is vital to keep in mind that the results of this procedure vary from patient to patient. However most patients will enjoy their final result within six to twelve months.