Breast Reduction Basics
Breast Reduction is technically referred to as a Reduction Mammaplasty. It is a procedure designed to reduce the size of the breast by removing breast tissue, fat and skin giving the breasts a smaller, lighter, firmer feeling. The areola, the pigmented skin around the nipple, can be reduced during the same procedure.
Typically, women seeking consultation for a breast reduction often have the following complaints:
- Indentations in the shoulders made by bra straps
- Persistent neck or back pain
- Rashes and/or the inability to keep hygiene below the breast
- Disproportionate breast size to body shape
- Breast asymmetry
- Breathing problems
Best Candidates For A Breast Reduction
In most cases, a Reduction Mammaplasty is performed for relief of physical symptoms rather than cosmetic improvement. The majority of women seeking this procedure struggle with large, pendulous, sagging breasts that significantly inhibit their activity and cause physical discomfort. A Breast Reduction is performed when a patient’s breasts are fully developed and a patient has realistic expectations of the results. If a patient is intending on breast feeding, it may be best to delay their operation until after child bearing years.
This is your time to get to know Dr. Stiller and the staff at Stiller Aesthetics, and it is important to convey your goals and expectations for the surgical procedure. Dr. Stiller will evaluate your medical health and explain the surgical technique of a breast reduction. All of your questions related to the procedure will be answered as thoroughly as possible.
A breast examination will be performed assessing the quality of your skin and breast tissue at the consultation. Surgical options will be discussed and you and Dr. Stiller will select the best procedure based on your goals. Dr. Stiller will go over the risks and potential complications and will explain the pre-operative and post-operative process.
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Get To Know Your Doctor
During your consultation an explanation of pre-operative and post-operative plan will be reviewed. You will be given a list of medication to avoid taking two weeks prior to the operation. A Stiller staff member will contact you a few days before the surgery and notify you what time you are expected to arrive for your procedure and discuss any last minute details.
At this time, you will be given an opportunity to ask any further questions. Continuing a healthy diet and exercise is very important prior to surgery. Smoking must be stopped two weeks prior to surgery.
Breast Reduction Risk
All procedures carry some uncertainty and risks.
As with any surgery, bleeding is a risk. This may form a blood collection called a hematoma and may require drainage. It is important to discuss any history of excessive bleeding or family history of bleeding.
Getting Ready For Breast Reduction Surgery
During your consultation, an explanation of the pre-operative and post-operative plan will be reviewed. You will be given a list of medications to avoid taking two weeks prior to the operation.
A Stiller staff member will contact you a few days before the surgery and notify you what time you are expected to arrive for your procedure and discuss any last-minute details. At this time, you will be given an opportunity to ask any further questions. Continuing a healthy diet and exercise is very important prior to surgery. Smoking must be stopped two weeks prior to surgery.
You will get the most satisfaction with a Breast Reduction if you understand the procedure thoroughly. Discuss all your expectations with Dr. Stiller at the initial consultation to get the best result.
Breast Reduction Surgery Day
Do not eat or drink eight hours before your surgery. You should wear a button-down or zipper front shirt and sneakers. Do not wear sandals or slippers. You will meet with a member of our staff to prepare for surgery. Dr. Stiller will see you prior to your surgery to answer any final questions and meet family or friends. You will meet with our anesthesia provider to discuss anesthesia. For family or friends that accompany you, we have a lounge area to comfortably pass the time. You will need someone to drive you home after the operation and stay with you for the first 24 hours after the surgery is completed.
Breast Reduction Overview
Typically, a Reduction Mammaplasty takes between two and four hours. Excess skin is removed and the breast tissue is reshaped moving the nipple and areola into a higher position. The scar resulting from the procedure can range around the areola and down, or around the areola-down-across the lower fold of the breast. The most common scar is anchor-shaped. Scar size and shape depend on the amount of skin needing to be removed and elevation of the breast required.
During the procedure, Dr. Stiller will attempt to leave the scars inconspicuous; however, initially, will be red and firm.
Scars typically fade over time. They should be hidden by a bra or low cut tops. It is important to remember that a breast reduction won’t keep your breast firm forever. Gravity, aging, pregnancy, and weight fluctuations will eventually take their toll again.
A Breast Reduction can be performed with sedation or general anesthesia.
After Breast Reduction Surgery
Following your surgery, you will have post-operative dressing and a surgical bra. You may also have a drainage tube under your breasts. This tube will be removed when drainage decreases. Generally, you can expect to feel tired and sore for a few days following breast reduction, but we want you to walk immediately after the surgery. Swelling and bruising is expected and generally takes a few weeks to subside. The majority of your discomfort can be controlled by prescribed pain medications.
The gauze and dressing will be removed at your first post-operative visit by Dr. Stiller. You will be required to wear the surgical bra around the clock for three to four weeks. Stitches will be removed 10 days after the operation. Numbness of the skin and nipple may occur. This usually goes away when the swelling decreases; however, it may persist for up to a year, and occasionally can be permanent.
You should be able to get back to work in a few days or a couple of weeks, depending on the type of work. Avoid lifting above your head for one month. Your physician will direct you regarding resuming exercise and normal activities during your follow-up evaluations. Healing is a gradual process. Initially, scars will be red but should fade over time. Avoid breast stimulation until the soreness of your breast is relieved, usually a few weeks.
Schedule Your Consultation Today
If you're interested in learning more about breast reduction surgery please contact us for a consultation at 509-747-5773 or fill out our contact us form below. We will discuss your needs and concerns, and determine your best course of action.