Large
breasts are not just a fact of life for some women. They can negatively affect
self-esteem, health and overall quality of life.
Breast reduction was the
fifth most frequent cosmetic procedure performed in the United States and is
covered by insurance in most cases. Breast reduction surgery is
geared toward women with large, pendulous breasts, since the weight of their
breasts may cause neck, back, shoulder, circulation, and/or breathing problems.
Women living with large
breasts can have the following problems:
Unwanted attention from
people
Neck, Back and Shoulder
Pain
Weight of the breasts can
make the patient unbalanced with activities
Bra Strap digging into
the shoulder area
Rashes can be a common
occurrence due to perspiration getting trapped
Breast sensation might be
gone due to over-stretched tissue
Problems finding
appropriate clothing
Teasing
Emotional Stress
Extreme self-consciousness
Breast
reduction surgery can be life-changing to the women who have had to endure years
of excessive weight and sag from their oversized breasts. This surgery’s
benefits are typically performed to create a more proportional size with your
overall body shape.
Breast
reduction can help alleviate problems with
activities, health and clothing – and give the patient a new lease on life with
an overall new body image. By changing the shape and firmness of the breast the
Plastic Surgeons are able to create a much more aesthetic appeal.
A
breast reduction (reduction mammoplasty) is more than removing excess tissue and
fat. The breast itself needs to be sculpted into a smaller shape, and this can
only be done through an incisions on the breast. Breast Reduction was in the top
five reconstructive surgical procedures done in 2007, according to the American
Society of Plastic Surgeons.
The surgery itself may
take anywhere from one to three hours, depending on the case with the amount of
ptosis (sag),
mass, etc. Plastic Surgeons will agree that with breast reduction the most
important goal of surgery is to have as few scars as possible, it is not however
the single most important factor. Using a minimal scar on the wrong candidate
can result in inadequate reduction or poor shape.
As with every surgical
procedure, there are going to be some risks or disadvantages to having the
procedure done.
Scarring is the biggest tradeoff associated with a breast
reduction, but an overwhelming majority of patients say the scars are well worth
the improved quality of life they experience afterwards. All scars improve over
time, and it is possible to help diminish red raised or otherwise irregular
scars.
Most important is not to smoke. Smoking deprives the skin of the
essential oxygen it needs in order to heal.
Staying out of the sun and tanning
beds will help tremendously with scar healing. The UV light can cause
pigmentation problems and poor healing. Scar healing is very individual and genetically determined.
Most importantly, follow your surgeon’s
post operative instructions – as they are well designed with your best interest
in mind.
Incision placement may
include all or any combination of these incisions:
Concentric or donut shaped around the areola
Vertically down from the areola to the breast crease
Horizontally at the breast crease
Breast
fat and glandular tissue are removed through these incisions – and most likely
the areola might be repositioned. The areola remains attached to the nerve and
blood supply – also known as a
pedicle flap,
and entire breast is reshaped. The overall breast skin is reduced and the size
of the areola (the dark skin surrounding the nipple) will likely be smaller to
match the shape, position and proportion of the new breast. The position of the
nipple is usually in a vertical level position with the crease on the underside
of the breast.
In some cases if the breasts are not that overly large,
liposuction
may be used as part of breast reduction to remove fat in and around the breast. Using the method of liposuction doesn’t leave the scars that some of the other
techniques might.