Many patients feel that their breasts are too large, which causes them both physical and emotional discomfort. Excessively large breasts can be a source of self-consciousness as well as a cause of pain and difficulty performing certain physical activities. In these cases, breast reduction surgery is often the best option.
A breast reduction is a surgical procedure that removes excess breast tissue to achieve an overall smaller breast. This both creates a more proportionate appearance that is more in-line with the patient’s cosmetic preference and alleviates discomfort and symptoms associated with excessively large breasts. Some of these symptoms can include neck or back pain, chafing and rashes or sores, difficulty performing certain activities including some forms of exercise, and emotional distress. Patients who do not experience these symptoms can also choose breast reduction for cosmetic reasons.
Breast reduction surgery is performed by first administering either IV sedation or general anesthesia. Dr. Rosenberg will advise which is best for you. Next, incisions are made using one of several techniques, which include a circular pattern around the areola (periareolar), a keyhole-shaped pattern around the areola and down to the breast crease, or an anchor-shaped pattern which adds a horizontal incision along the breast crease to the keyhole incision technique. The correct technique for your breast reduction depends on your unique anatomy and goals for the procedure. Once incisions are made, fat and breast tissue are removed from the breasts to create a smaller size. Liposuction may also be used to remove excess fat. As necessary, the nipple and areola may be repositioned to maintain a natural appearance. Finally, the incisions are closed using sutures.
Many patients who are troubled by overly large breasts are candidates for this surgery. If you have issues with self-image, physical pain, or other emotional and medical issues due to your large breasts, a breast reduction may be the right procedure for you. Good candidates are:
During your breast reduction consultation, Dr. Rosenberg will ask you questions regarding your health history, lifestyle, and goals for the surgery. Be prepared to share information regarding your current medications, allergies, family history of breast cancer, or previous surgeries. During the consultation, Dr. Rosenberg will also take any necessary measurements or photographs. Finally, you will have the chance to ask any questions you may have about breast reduction surgery or recovery.
During your breast reduction consultation, you will have the chance to ask any questions you might have about the surgery or recovery period. Some examples of questions you may want to ask include:
During recovery, most patients have dressings or bandages over incisions and may have small tubes to drain excess blood or fluid or support garments to minimize swelling.
Most patients will need to rest for one to two weeks after surgery before returning to normal activities like work or school. They should also refrain from strenuous activity, such as exercise, for about a month. Dr. Rosenberg will provide detailed instructions for recovery as well as prescriptions to help ease discomfort as you heal.
While breast reduction surgery is generally safe, like all surgical procedures there are some risks. Some of these potential complications include scarring, infection, changes or loss in sensation (which may be temporary), bleeding, breast asymmetry, and anesthesia risks. Many of these risks can be avoided by carefully following Dr. Rosenberg’s instructions during your recovery period.
To find out more about breast reduction surgery and whether you are a good candidate for the procedure, schedule a consultation with Dr. Rosenberg. Call the Plastic Surgery Center of Maryland at (410) 324-3071 or request your appointment online.
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