The female breast is a symbol of femininity, sensuality, and beauty. Changes with age, weight loss, pregnancy, or prior surgery can affect the shape and size of the breast. When choosing surgery for the breast, women have more options than ever before. Our qualified surgeons and their staff are sensitive to your individuality and the special significance of the breast. Whatever your motivations, our Surgeon listens, then executes your mutual plan with attention to detail and meticulous technique. Contact us to schedule a relaxed consultation to discuss your goals.
This surgery is used to reshape excessively large breasts and bring them into proportion with the rest of the body. It is also effective in reducing shoulder and neck pain, rashes, and difficulty with exercise or other daily activities caused by excessive weight of the breasts.
Reduction mammaplasty is a surgical procedure that reduces the size of the breasts, making them smaller and lighter. The procedure can also reshape the breasts to make them firmer. Breast reduction can be performed on women who want to achieve a more balanced body contour. While many women undergo surgery to undergo a cosmetic improvement, the procedure can also greatly improve the quality of life for others by reducing the weight of the breasts, thereby minimizing and preventing back and shoulder pain, poor posture, uncomfortable bras, and improving mobility for daily life and in more strenuous physical activity. Patients who undergo breast reduction surgery typically experience a boost in self-esteem and a healthier life that is more comfortable. You’ll be able to wear clothes that fit better and to move around more easily.
General Breast Reduction Surgery
Breast reduction involves the surgical removal of fat, glandular tissue and skin to achieve a shape and size that is desirable for the patient. After the administration of anesthesia, incisions are made around the areola and down following the natural curve of the breast. Excess tissue is removed and the areola and nipple are then repositioned to a more desirable position. Sutures are placed. Excess fat may also be removed by liposuction.
Recovery Following Breast Reduction Surgery
Breast reduction surgery achieves the quickest improvement to the body contour. A complete list of post-operative instructions will be given to you. Follow them closely to help your body recovery quickly and properly. You’ll most likely require plenty of rest and limit your movement. Dressings, applied immediately following surgery, will help the recovery process. You may also need to wear a surgical bra to maintain support. Any discomfort experienced following surgery can be minimized with prescribed oral medication. Complications are rare, and can be minimized by following post-operative care instructions carefully.
The incidence of breast cancer is unfortunately high. Everyone has been touched by this disease in a friend or loved one. In the process of overcoming the disease, the loss of a woman’s breast affects her confidence and sense of self. Breast reconstruction patients are a source of inspiration to our surgeons and the staff and they strives to restore what nature and prior surgery has taken away. Creating a breast deserves the same artistry as other aesthetic breast procedures.
If you are considering a mastectomy or have previously had a mastectomy, it can be helpful to consult with a plastic surgeon who regularly performs breast reconstruction. We will work closely with the general surgeon, the oncologist, and the radiation oncologist to help plan the type of reconstruction and the optimal timing. Many patients who have breast reconstruction feel that it restores their sense of wholeness and helps them to go on with their lives more positively. But breast reconstruction is not for everyone, and some women are comfortable without it after mastectomy. For those women who prefer restoration of the breasts, several good techniques are currently available.
One category of reconstruction utilizes breast implants and another utilizes the patient’s own tissue.
Breast Reconstruction with Tissue Expanders
Breast reconstruction with implants is often done in stages. During the first stage a tissue expander is placed underneath the muscle that remains after the mastectomy. Fluid is added to the tissue expander each week to gradually enlarge it, and stretch the skin and muscle to create a pocket which will ultimately accept the permanent implant. Generally the expansion process takes about a month with an additional month waiting period. Then, the permanent implant is placed in the second stage of reconstruction. Currently the FDA permits silicone gel-filled implants or saline implants for permanent implantation. There are several different styles and shapes of implants available and your surgeon should be well-versed in all of these techniques.
Breast Reconstruction with Tram Flaps
When reconstruction is done with the patient’s own tissue , it is usually obtained from the skin and fat which would normally be discarded in a conventional “tummy tuck”. This can be delivered to the chest wall while still attached to one of the abdominal wall muscles, to allow blood flow into the tissue so it remains healthy and alive. In another variation of the “tummy tuck” reconstruction, the skin and fat can be totally disconnected from the lower abdominal wall and then reconnected with a small blood vessel in the armpit following the mastectomy. This is called a “free flap” because the skin and fat are free from any body connections at one point.
Nipple reconstruction is generally done one or two months after the breast mound is created. A consultation for post mastectomy and breast reconstruction should be extensive and thorough, including a full explanation of the risks and benefits involved with various reconstruction procedures.