Breast Reduction Surgery Overview
Breast reduction surgery, or reduction mammaplasty, is a viable, effective treatment option for women with extremely large, pendulous breasts. Women with unusually large breasts often suffer from a variety of medical conditions caused by the added weight, including back and neck pain, breathing problems, bra-strap indentations on their shoulders, skin rashes below the breasts, and severe self-consciousness about their appearance. While most health insurance policies won't cover breast reduction surgery unless a doctor prescribes it as medically necessary, electing to undergo a breast reduction procedure is still an affordable option for many women.
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There are a variety of techniques used in breast reduction surgery. In the most common procedure, the surgeon makes an anchor-shaped incision that outlines the areola, tracks straight down the breast, and parallels the crease beneath the breast. The surgeon then removes excess tissue from the area below the areola, reshapes the breast, and sutures the skin. The nipples usually remain attached to their blood vessels and nerves, which helps to maintain their sensitivity to touch. For certain patients with extremely large breasts, however, the surgeon may need to reposition the nipples and areola, which typically results in a loss of sensation in the nipple and areola. For patients whose breast size is caused by excessive fat tissue, the surgeon can sometimes reduce the size with liposuction alone, which minimizes the risks of scarring and loss of sensitivity.
Breast reduction surgery can be performed in a hospital, outpatient surgery center, or office-based surgical suite. In nearly all cases, the surgeon will use general anesthesia to sedate the patient. The surgery usually lasts between two and four hours, although surgery for some women can require more time.
After surgery, most patients experience soreness, swelling, and bruises around their breasts for a week or more. These symptoms will gradually decrease over time. The surgeon will schedule a series of follow-up visits to assess the patient's recovery, but most patients can usually start getting back to non-strenuous normal routines after a couple of weeks.