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Breast Reduction

Breast Reduction McAllen

RGV Cosmetic breast reduction photo - model
Model

Patients who choose breast reduction typically have spent years dealing with the many discomforts associated with overly large breasts. Reasons for moving forward with this cosmetic breast surgery procedure include:

  • Neck, back, and shoulder pain
  • Posture problems
  • Limitations on physical activity
  • Rashes and skin irritation under the breasts
  • Painful indentations from bra straps
  • A feeling of being out of proportion or “top heavy”
  • Enlarged areolas
  • Extensive sagging, stretched skin, stretch marks

Just as compelling as the physical reasons for wanting breast reduction are the psychological ones. Many breast reduction patients say that their overly large breasts have caused them to be self-conscious due to unwelcome attention. Often, these women have been teased since puberty, and many feel the need to hide their bodies beneath baggy, shapeless clothing due to their self-consciousness.

Women are not the only ones who suffer from this condition. In men, enlargement of the male breast tissue, also known as gynecomastia, can be an equivalent source of discomfort and embarrassment. For men, the breast reduction procedure is often performed using liposuction (see below).

Your Consultation

I will take a complete medical history and conduct a thorough examination to evaluate your general overall health, and also perform a detailed analysis of your breasts’ shape and asymmetries. I will also use this time to offer any additional breast augmentation information you may need to feel more comfortable and confident about the procedure. Ideally, the Breast Reduction patient has no health problems, no pre-existing breast disease, and wishes only to improve the shape and appearance of the breasts. Breast Reduction generally does not interfere with the ability to breast-feed, if future pregnancies are anticipated.

Photographs will be taken before and after your cosmetic breast surgery procedure. Most patients will be required to have a recent normal mammogram (within 6 months prior to the procedure), or we will arrange for a screening mammogram to be done prior to surgery.

I will discuss your options, based upon your preferences and the physical characteristics of your breasts. The location of the incisions will also be discussed with you, as well as the potential risks and complications. To minimize the possibility of excess bleeding, you will need to avoid taking drugs containing aspirin and will receive a complete list of medications and supplements to avoid before surgery. You may also be advised to shower with an antiseptic soap for a day or two prior to surgery.

The Breast Reduction Procedure

Breast reduction surgery is designed to remove excess breast tissue, skin, and fat through incisions made directly on the breast. It is performed as an outpatient procedure utilizing light general anesthesia. Depending on the amount of reduction desired, I will use one of the following breast reduction techniques:

  • Liposuction of the breast can produce both a significant breast reduction and a moderate but gratifying breast lift. The use of microcannulas permits breast reduction with minimal postoperative pain, rapid postoperative recovery, quick return to normal activities, and virtually no scaring. Not only can liposuction reduce the breast by more than 50 percent in size, the breasts are also lifted to a significant degree. This breast lift is the result of the reduced weight of the breast, which allows the breasts’ natural elastic properties to contract and produce elevation, and the skin tightening that occurs after liposuction. The breasts do not change shape after tumescent liposuction, they simply become smaller and somewhat elevated. After liposuction, the breast’s shape is simply a smaller version of the shape before liposuction. Not all patients are candidates for breast reduction with liposuction alone and I will discuss your options based on the physical characteristics of your breasts.
  • If you are not a candidate for liposuction breast reduction alone, then the vertical breast reduction or LeJour approach will be used. This is also called the “lollipop” reduction, because of the shape of the incision. It encircles the areola, and then descends in a straight line, forming the lollipop shape. Through these incisions, the excess breast tissue, skin, and fat is removed, and in some cases the areola is reduced. The nipple is placed higher on the breast, while remaining attached to nerves and blood vessels. When the incisions are closed, the result is a lifted and tightened breast that is more in proportion with the patient’s body. This approach is ideal for women who require a lesser degree of reduction.
  • If your breasts are too dense or excessively droopy, then an extended LeJour approach will likely be needed. This results when I have to extend the vertical incision along the underlying breast fold.

Risks

Anyone considering any type of surgery should be aware of both the benefits and risks. Fortunately, significant complications from Breast Reduction are infrequent, and patients are generally quite pleased with the results.

Potential risks of Breast Reduction include bleeding, infection, and reactions to anesthesia. There may rarely be tissue loss and delayed wound healing along portions of the incision, especially in cases where the procedure has been extensive, or in smokers and diabetic patients. This may result in a widening of the scars. Breast Reduction does leave permanent scars, although most of the necessary incisions are placed within natural skin folds, and all incisions are generally covered by a bra or bathing suit. Scars from liposuction are almost invisible, and the appearance of other breast scars can be expected to improve with time. (Please visit my Scar Care page for more information.) Occasionally, the scars will require revision at a subsequent procedure, if they have healed poorly. Very rarely, problems with the shape or position of the nipples or permanent loss of sensation or loss of tissue in the nipples, or breasts, may occur.

Most of the risks associated with this cosmetic breast surgery can be lessened and managed by carefully following the recommendations and instructions you will receive during your consultation. All of your personal questions or concerns will be addressed at that time as well.

Recovery

After surgery, your stitches will be covered with gauze and a soft wrap with a surgical bra will hold the bandages in place. Your breasts may be slightly bruised or swollen, and you may experience some mild discomfort for a couple of days. I will prescribe pain medication strong enough to counteract any pain or discomfort you may feel. In the recovery stage, it is important to wear the post-surgical bra at all times, in order to support the breasts following surgery, and to maintain their shape during healing. If drains are placed, they will be removed after 2-5 days.

You may experience a temporary loss of feeling in your nipples or breasts, which is generally caused by swelling during the initial post-operative period of six to twelve weeks. Normal sensation usually returns after three to six months.

To ensure proper healing, follow the detailed instructions you will be given at the time of your pre-operative consultation. Most patients may return to normal daily activities within 24-48 hours. You may resume non-strenuous work within one week or less following the surgery, and you may gradually resume strenuous physical exercise after approximately three to four weeks. We recommend that patients obtain a follow-up mammogram 6 months after Breast Reduction, which will serve as their new baseline mammogram.

Your New Look

Our patients generally find Breast Reduction to be an extremely “uplifting” procedure. They are enthusiastic about the restoration of a more proportionate appearance to their breasts, and decreased back and neck pain. In many cases, patients are able to wear more revealing clothing, and are able to select from a wider and more appealing variety of bra styles. Many patients also report feeling more self-confident about the appearance of their breasts when not wearing clothing. In summary, the great majority of patients are very pleased with the results of Breast Reduction, especially when they are well informed regarding their options, and realistic in their expectations.

Moving Forward

Breast reduction surgery involves more than just making your breasts smaller. It is an aesthetic procedure that involves sculpting and re-shaping the breasts into a pleasing contour. As with any cosmetic surgery procedure, it is critical that you choose a cosmetic surgeon with high levels of training, experience, and patient satisfaction, such as Dr. Rodriguez. If you would like additional breast augmentation information or to find out if breast reduction surgery is right for you, contact our offices to schedule a consultation.

Submitting your information to be contacted by RGV Cosmetic Surgery & Vein Care, does not constitute or establishes a physician-patient relationship with the physicians or nurse practitioner of RGV Cosmetic Surgery & Vein Care.

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