Women seeking breast reduction may be experiencing back, neck or shoulder pain because of the size of their breasts. Their breasts may be too large in proportion to their body or may hang heavily, pointing downward causing bra strap indentations. Skin beneath the breasts may be irritated due to their size. Overly large breasts also may restrict physical activity or cause self-consciousness.
Breast reduction can be performed at any age once the breasts are fully developed. Some women opt for the procedure before childbirth, others wait. Women who intend to breast feed should discuss this with the plastic surgeon. Breast reduction should be performed only after women have completely discussed their concerns and expectations from the procedure. Women should also share their medical history during the consultation, including any breast biopsies or previous procedures, any plans for future weight loss, as well as discussing any current medications.
About the Procedure
The procedure is conducted under anesthesia. Three incisions are usually used in breast reduction: one around the areola, one under the contour of the breast and one vertical incision. The nipple and areola usually remain attached to underlying tissue and moved upward as the breast is reshaped. This helps to preserve sensation and the ability to breast feed, though that cannot be guaranteed. After excess tissue, fat and skin is removed, the breast is reshaped using small stitches that will fade somewhat over time. Some may be hidden by skin pigment and the curve of the breast itself. Liposuction may be used to remove some of the fat leading to the arm, so the contours are consistent. All individuals are different and may require alternate techniques. In some cases, the vertical or horizontal incision might be unnecessary.
Concerns
In rare cases, if breasts and areolas are unusually large, the nipple area may have to be removed completely and moved. In those cases, the woman would have decided to agree to the loss of sensation and breast feeding. As with any surgery, there is the risk of excessive bleeding, infection and complication. In some cases adjustments may need to be made in a later procedure. Candidates should fully discuss any concerns and understand the risks as well as the benefits before undergoing breast reduction.
