Large breasts can cause physical discomfort that can prevent you from living life to the fullest.  They can limit your physical activity; cause back, neck, and should pain; and irritate the skin beneath the breast crease.  In addition to the physical pain, large pendulous breasts can cause stress stemming from feelings of self-consciousness and other emotional problems, which can be just as impactful as the physical issues on a woman.  If you have large breasts and they are causing you one or more of these issues, a breast reduction is a potential solution that can alleviate discomfort and help you look and feel better!

Breast reduction surgery (also known as reduction mammaplasty) is a surgical procedure that removes excess fat, glandular tissue, and skin from the breasts.  The goal of this procedure is to alleviate discomfort caused by large breasts and create an aesthetic improvement by forming breasts that compliment your silhouette.

Your individual anatomy, breast composition, and the volume of reduction desired will determine the techniques used for the procedure.  In some instances, liposuction is used concurrently with the procedure.  This is especially common when the main cause of large breasts is fatty tissue and excess skin is not a factor.  The procedure can be performed under general anesthesia or intravenous sedation and local anesthesia.  An incision is either made around the areola and vertically down from the areola to the breast crease (known as a keyhole or racquet-shaped pattern) or around the areola, vertically down from the breast crease, and horizontally along the breast crease (known as an inverted T or anchor-shaped incision patter).  Following the incision, the nipple is repositioned.  If necessary, the areola is reduced in diameter by removing at the perimeter.  (In some cases, particularly those for patients with extremely large breasts, a free nipple graft where the nipple and areola are removed and repositioned higher is necessary.)  The excess underlying breast tissue is then removed, and the remaining tissue is repositioned shaping the breast.  Once this is complete, the incisions are brought together finishing the shaping of the now smaller breast.  Sutures are placed deep within the breast tissue to augment the new shape, and sutures, skin adhesives, and/or surgical tape are used to close the skin.  Incision lines will fade significantly overtime thought the lines may remain permanently.  Following surgery, you will need to wear an elastic bandage or support bra, which will maintain the breast shape and minimize swelling.  Temporary drainage tubes may be placed under the skin to allow the removal of any excess blood or fluid.  Post-operative instructions and medications will be provided.

Immediately following the procedure, the results will be visible.  Swelling and visibility of the incision lines will fade over time.  Several months after your surgery, the final results will be visible once swelling has dissipated and the position of the breasts settle.  Maintaining your weight and a healthy lifestyle will aid in achieving optimal results.  Aging and gravity can continue to change your breasts over time.  Pregnancy can also cause changes to the breasts.  While optimal results can be achieved, in some cases it is necessary to have another surgery to achieve the best aesthetic outcome.

Contact Dr. Johnson’s office at 212-271-0156 for a complimentary consultation to determine if a breast reduction is the right option for you to enhance your appearance.

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