Breast Reduction

Women with large breasts sometimes experience pain, improper posture, rashes, breathing problems, skeletal deformities, and low self-esteem. Breast reduction surgery, also known as reduction mammaplasty, is a surgical procedure that can provide relief from these symptoms. During breast reduction surgery, which is performed under general anesthesia, fat and glandular tissue are removed, and skin is tightened, producing smaller, lighter breasts that are in a healthier proportion to the rest of the body.

The ideal candidate for breast reduction surgery has over sized breasts that cause medical problems, low self-esteem, physical or social discomfort, or frustrations with breast size. Breast reduction surgery cannot be performed on women who are pregnant or breastfeeding.

It is important for patients to understand the details and risks associated with this procedure, and to have realistic expectations in order to be satisfied with the results of their surgery. All aspects of breast reduction surgery will be discussed by Dr. Chaudhari during the initial patient consultation.

Breast reduction surgery generally takes two to four hours, depending on the patient’s specific case, and is performed under general anesthesia. The size and shape of the breasts, as well as the desired amount of reduction, help determine which type of incision is most appropriate, and the types of incisions include:

Standard Incision

The traditional approach to breast reduction surgery is a very effective method for alleviating discomfort caused by large, heavy breasts. In this approach, incisions are made horizontally, under the breast, in the crease and extend vertically up to and around the nipple, creating an anchor pattern.Traditional breast reduction surgery allows for the removal of excess skin, both vertically and horizontally, therefore it is typically the best method for women with extremely large breasts. The anchor shaped incision also allows surgeons to remove more tissue than other methods, maximizing breast reduction results. The nipples are usually moved to a higher position on the breast during this procedure.

Vertical Incision

The vertical incision technique, also known as the short scar or LeJour breast reduction, typically results in shapelier breasts and less scarring than traditional breast reduction surgery. With this technique, the incision extends around the areola and vertically down to the breast crease, forming a lollipop pattern. The vertical incision approach eliminates the need for a horizontal incision along the breast crease, and is a popular alternative to the traditional method, especially for women who do not require extensive tissue removal.

Following breast reduction surgery, patients typically experience soreness, swelling and bruising. Bandages are worn for about two days after surgery, and stitches are usually removed after two to three weeks. Activity should be kept to a minimum for one to two weeks. Most women are able to return to work and other normal activities about two weeks following surgery. It is important to see your doctor for regular follow-up visits to ensure that your breasts are healing properly.

The results of the breast reduction procedure are noticeable immediately after surgery and will continue to improve as swelling and bruising subside. Scars will continue to fade with time and can usually be concealed by a bra, swimsuit or low-cut top.

Breast reduction surgery is considered safe for most patients, but does carry the same risks associated with any surgical procedure. Some of these risks may include loss of sensation, scarring and asymmetry, and general surgical risks such as infection, bleeding and reaction to anesthesia. Complications are uncommon, and most patients come through the procedure with no problems.

Dr. Chaudhari will discuss these and other risks with you prior to surgery, as well as answer any questions you may have to ensure that your procedure goes as smoothly as possible, and you enjoy the results you want.