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Breast
reduction
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Breast
reduction quicklinks and FAQ's
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Breast
reduction surgery is sought by many women to relieve the physical
restrictions and painful strain on neck, shoulders and back caused
by excessively heavy breasts -- a strain that can be so severe that
it leads to chronic headaches, back and neck deformities, shoulder
indentations, breathing problems, skin irritation and a variety
of other medical problems.
Breast reduction surgery, technically called mammaplasty,
is usually performed for physical relief rather than for cosmetic
reasons. This procedure involves removal of excess breast tissue
to reshape and lift the breasts. The results are smaller, lighter,
better-shaped breasts that are in better proportion with the rest
of the body.
Because of the functional problems associated with extremely large
breasts, insurance will often cover the cost of this surgery. If
you're considering breast reduction, the following information will
provide you with a good introduction to the procedure.
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| What
are some of the most common benefits of breast lift surgery? |
Breast reduction is quite successful
at reducing the weight of very heavy breasts, making it easier to
enjoy an active lifestyle. Many women find that this surgery relieves
chronic back, neck, and shoulder pain. The primary benefit of the
operation is functional, but you also get a breast lift, which may
enhance your appearance and improve your body image.
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| What
will happen at the initial consultation? |
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During the consultation,
you and your surgeon will discuss the changes that you would like
to make in your appearance. Because this is a highly personal decision,
you’ll want to take time to discuss all of your concerns and desires,
including what size and shape you would like your breasts to be.
Show your doctor pictures of breast sizes you like. You should also
tell him/her about any medications you currently are taking, and
any health conditions you have.
During the consultation, your surgeon will explain the different
options available to you. He/she will explain how your age, the
size and shape of your breasts, and the condition of your skin may
affect the results. He/she will discuss the procedure in detail,
explain the risks and limitations, and explain the type of anesthesia
that will be used.
The surgeon will then examine and measure your breasts, and photograph
them for reference during surgery and afterwards. He/she may also
require you to have a mammogram (breast x-ray)
Be sure to ask all the questions you have about the surgery, and
ask to see photos of the doctor’s recent patients, before and after
surgery. Also ask for, and follow up on, patient references. Learning
everything you can about your options, risks and benefits is the
key to making an informed decision. See Questions
to ask your doctor.
Note: Some insurance companies will pay for breast reduction
if it's medically necessary, but they may have specific requirements
such as a letter from your surgeon, a referral from your general
practitioner, and/or photos or other documentation. Be sure to find
out what your insurance company requires if you intend to use insurance
to pay for this surgery.
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| How
is breast reduction done? |
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Most often, the incisions for breast reduction are similar to those
used for the "keyhole-anchorbreast
lift" technique. This procedure involves an anchor-shaped
incision that circles the areola, extends downward, and follows
the natural curve of the crease beneath the breast. Excess glandular
tissue, fat, and skin are removed, and the nipple and areola are
moved into their new position. The surgeon then brings the skin
from both sides of the breast down and around the areola, shaping
the new contour of the breast. In some cases, techniques can be
used that eliminate the long vertical part of the scar.
In most cases, the nipples remain attached to their blood vessels
and nerves. However, if the breasts are very large or pendulous,
the nipples and areolas may have to be completely removed and grafted
into a higher position. (This will result in a loss of sensation
in the nipple and areolar tissue.)
Liposuction may be also be used in breast reduction. The ultrasound
method or liposuction is currently the subject of some controversy
due to the possibility of changes in the breast tissue from the
ultrasonic waves. The use of standard tumescent liposuction is not
quite so problematic. Check with your surgeon at the time of consultation.
The periareolar
or doughnut reduction method may also be effective if there
is not a large excess of skin. This method has the advantage of
hidden scars; however it tends to flatten the breast shape a bit.
In general, the more skin that is cut, the more it is possible to
shape the breast and therefore, there is a trade-off between the
extent of the scars and the extent of the shaping of the breast.Your
doctor will discuss the different methods used for breast reduction
and describe the technique that is best for you.
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