Overview
Breast reduction is an option for women who have very large breasts that cause them to experience pain caused by the excessive weight (including back and neck pain, skin irritation, skeletal deformities, and breathing problems). Breast reduction surgery can often eliminate that pain and give the patient a balanced figure by removing fat, glandular tissue, and skin from the breasts and reducing the size of the areola, for smaller, lighter, and firmer breasts. Breast reduction is usually performed for physical relief rather than cosmetic improvement since most women who have the surgery are troubled by very large, sagging breasts that restrict their activities and cause them physical discomfort. The procedure will leave permanent scars (easily covered by a bra or bathing suit) and future breast-feeding may not be possible, since the surgery removes many of the milk ducts leading to the nipples. Women who are ready to consider their options for obtaining smaller breasts, can schedule an initial consultation to discuss their feelings and goals with board-certified plastic surgeons Dr. Schmid and Dr. Mooty at The Lubbock Plastic Surgery Institute at their offices in Lubbock and Midland.
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Surgical Technique
During breast reduction surgery, surgeon skill is important. In addition to minimizing scarring, there will be a focus on maintaining a healthy blood supply to the nipple areola complex. This is essential because once the nipple and areola are repositioned, blood vessels will work to reestablish blood flow in order to prevent discoloration of the nipple and loss of feeling. Excess breast tissue is generally removed through a liposuction method and loose skin will also be surgically removed.
Incision Placement
An “anchor” incision is one of the most commonly used techniques during this surgery. During this approach, an incision is made around the areola, which extends down to follow the natural curve and crease of the breast. It is also referred to as a vertical “T”. Once the breast is resized and reshaped, the nipple and areola will be repositioned and then the lift will be performed so the breast sits higher on the chest. The incisions will generally include absorbable stitches on the inside of the breast. There are variations to this incision pattern that can be used depending on breast size and aesthetic goals.
During/After Surgery
A breast reduction is performed under general anesthesia at an accredited surgical facility as an outpatient procedure. It typically takes about 2-4 hours to complete. During surgery, a training tube may be placed to control bleeding and swelling. For the first several weeks, patients will be directed to wear a surgical bra or compression garment. Most patients are able to return to work within 1-2 weeks, and may begin exercising by 4-6 weeks. The visible results of a breast reduction will be immediate. However, it may take 6 months or longer for nipple sensitivity to return.
Breast Reduction FAQs
Long-Lasting Results?
The results following breast reduction surgery should remain the same as long as a significant amount of weight gain does not occur. The natural aging process and gravity will, over time, change the laxity of a woman’s breast, but the size should remain steady if there is not a pregnancy or weight gain that follows.
Areola Reduction?
One of the drawbacks to having excessively large breasts is an enlarged areola (the slightly darker area surrounding the nipple). Thankfully, breast reduction surgery corrects this. Since the incision occurs around the areola, it is a relatively simple technique to trim away the desired amount of areola and reshape it into a smaller size so it looks proportional with the new breast size and shape.
Average Reduction Size?
This varies depending on the patient’s aesthetic and physical goals. After breast reduction surgery, it is common to go down a complete cup size, if not two.