What is Breast Reduction?
Many women with very large breasts may suffer from a variety of medical problems as well as physical discomfort. These problems range from back/neck pain and skin irritation to skeletal deformities and even breathing problems. In addition, bra straps may leave shoulder indentations. Performed by female plastic surgeons at The Plastic Surgery Center of Nashville in Tennessee, breast reduction, or reduction mammaplasty, is a procedure that removes skin, fat, and glandular tissue from the breasts. Treatment makes the breasts smaller, lighter, and firmer, and can also be performed to reduce areola size.
Real Patient Results
Breast reduction is performed under general anesthesia on an outpatient basis and usually requires two to three hours to complete. As with breast lifts, the incisions and subsequent scar location on the breast are determined by how much tissue needs to be removed to alleviate your symptoms. Many of our patients obtain the best results with a vertical or short scar reduction. With this procedure, incisions are placed around the areola and straight down. In other patients who require removal of significant skin and tissue, the surgeon makes an anchor-shaped incision around the areola straight down and then in the crease under the breast. After the incision is made, fat, glandular tissue and skin are extracted and the areola and nipple are repositioned. Liposuction is sometimes used to remove any excess fat around the armpit. If only fat removal is required, we use liposuction exclusively.
During most reduction surgeries, the nipples will remain attached to the nerves and blood vessels. In cases where breasts are extremely large, the areolas and nipples may be removed completely and then repositioned. This will result in loss of nipple sensation as well as loss of sensation in the surrounding tissue. Stitches will be placed along the surgical incisions.
After breast reduction surgery, you may have small tubes inserted into each breast in order to drain excess fluids. The operation area will be wrapped in gauze dressings and a surgical bra or a protective elastic bandage. Pain or discomfort after surgery is common for the first few days to a week. Two days after treatment, the bandages will be removed, though you will continue to wear the surgical bra for several weeks. until the bruising and swelling go down. After one week, any stitches on the outside will be removed; however, the majority of sutures are inside and will dissolve over time.
You may experience pain in your breast the first time you menstruate after surgery. Random shooting pains may occur for several months after the procedure and you may experience a loss of sensation in the nipples and breast skin as a result of swelling. The numbness or loss of sensation usually fades over the next six weeks, but the condition sometimes persists in some patients for a year or more. In a rare instance, the loss of sensation is permanent. Most patients return to work in about two weeks.
At our cosmetic surgery practice in Nashville, we perform many reduction surgeries and achieve exceptional results. Yet, as with any surgery, there is always the possibility of complications. Some potential complications following breast reduction surgery include infection, excessive bleeding, or an adverse reaction to anesthesia. Surgery may affect breastfeeding since the milk ducts are removed during the procedure. On rare occasions, the nipple and surrounding tissue may lose blood supply. If this should occur, the areola and nipple can usually be reconstructed using skin grafts.
If you feel that you are a candidate for breast reduction, contact our Nashville, Tennessee practice for more information.