Breast Reduction

Overly large breasts often cause several serious problems. Most often, women with large breasts experience back and neck pain due to the size and excessive weight of the breasts. In addition to back pain, problems with the neck and shoulders are extremely common. Skeletal deformities, skin irritation, breathing problems and excessive sweating can also occur. Unwanted attention, in addition to feeling self-conscious, is an issue that is difficult to quantify but is nevertheless frustrating. If you are tired of the problems caused by the size of your breasts, breast reduction surgery may help.

Reduction mammoplasty, more commonly known as breast reduction, is a solution for women whose large breasts cause physical or emotional pain. The goal of breast reduction surgery is to give you a smaller, lighter and firmer shape. A breast reduction can also reduce the size of the areolas and help you enjoy a body with improved proportions.

Are You a Good Candidate for Breast Reduction?

In most cases, Dr. Brought will not perform breast reduction surgery unless your breasts are fully developed; however, if you suffer from serious physical side effects like the symptoms mentioned previously, earlier surgery is possible.

Preparing for Breast Reduction Surgery

Having realistic expectations is extremely important when considering breast reduction surgery. You should also be prepared for post-operative risks. Breast reduction is an invasive procedure, and you will have noticeable scarring afterward. Most women have scars that are not visible when wearing a bathing suit or other revealing clothing, but what kind of incisions you have depend on the technique used by Dr. Brought.

Unevenly shaped breasts or irregularly positioned nipples are risks following surgery. If you plan to have children, know that breast reduction surgery can affect your ability to breastfeed as breast reduction surgery may remove many of your milk ducts.

In the days post-surgery, you may experience loss of feeling in your breasts or nipples; in some cases, this is permanent. In rare cases, the area around the nipple and areola can lose their blood supply, resulting in death of the tissue. While this is very rare, it is more common in smokers or diabetics.

Once you and Dr. Brought have agreed that you are a good candidate for surgery, he will examine and measure your breasts; he may also photograph them to use for reference or if you are a candidate for insurance reimbursement. Whether or not you are a candidate for insurance reimbursement depends on your coverage and whether or not the procedure is medically necessary. Your insurance company may require Dr. Brought to remove a certain amount of breast tissue to qualify for reimbursement.

About Breast Reduction Surgery

There are several breast reduction techniques. One common incision makes an anchor-shaped cut that extends along the horizontal crease of the breast. However, Dr. Brought prefers to make a vertical incision that eliminates the horizontal incision. Dr. Brought prefers this incision because it typically results in less scarring and a better shape that lasts a longer time. During breast reduction, Dr. Brought will remove excess skin, fat and glandular tissue from your breasts. He will also reposition the nipples to a natural location and reduce the size of the areolas if necessary. In addition, Dr. Brought may recommend liposuction to remove fat from under the arms, which is not technically part of the breast. If your breasts are exceptionally large, he may recommend the common horizontal incision, and in extremely rare cases, free nipple grafting. Although some patients may require a temporary post-surgery drain, most do not, and your body will absorb the sutures over time.

Recovery from Surgery

You will awaken from surgery wearing light gauze dressings and a surgical bra. You will feel some pain and discomfort, especially during movement or coughing. This discomfort usually lasts about a week, and medicine should effectively control the pain because the muscle was not involved in the surgical dissection.

You should plan to wear the surgical bra, or possibly a sports bra, all day and all night for several weeks until the bruising and swelling subside. You should also expect to feel some numbness in your breasts or near your nipples. Although this usually fades in the weeks and months after surgery, it can be permanent in some cases.

It will take a day or two for you to feel up to walking and moving around. You should avoid lifting anything over your head and pushing anything heavy for several weeks, as well as raising your arms above 90 degrees. Your breasts may ache on occasion for several weeks after surgery. It may take as long as several months or a year for your breasts to settle into their final shape, but breast reduction patients are typically among the most satisfied following surgery. The results are immediately noticeable.

Dr. Nathan Brought

Dr. Nathan Brought is a double-board-certified plastic and reconstructive surgeon who serves patients in the Franklin, Nashville, Memphis, Knoxville and Chattanooga, TN region. For more information about breast reduction or to schedule a consultation with Dr. Brought, contact SPRSI.

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