Breast Reduction

Also known as reduction mammaplasty, breast reduction involves removing excess breast fat, glandular tissue, and skin to acquire a breast size in proportion to your body. The most common reason for breast reduction surgery is a desire to decrease the size of large or overdeveloped breasts in order to ease physical discomfort caused by the weight of the breasts. There are many techniques for breast reduction surgery and the type recommended for you will be determined by body shape, your breast tissue, and the goals you and Dr. Loghmanee or Dr. Cerio discuss.

Am I a good candidate for breast reduction?

One or more of the following may indicate you are a good candidate for breast reduction;

  • Your breasts are fully developed and you are in good physical condition
  • You are bothered by the feeling that your breasts are too large
  • You have back, neck, or shoulder pain caused by the weight of your breasts
  • You have indentations in your shoulders from bra straps and/or skin irritation in the breast creases
  • Your physical activity is limited due to the size and weight of your breasts
  • Your breasts hang low, and/or have enlarged areolas caused by stretched skin
  • One of your breasts is noticeably larger than the other

Dr. Cerio or Dr. Loghmanee will conduct an examination and discuss with you your desired breast size and expected outcome and determine whether your desires can realistically be achieved. You must come prepared to discuss your full medical history, including any medical conditions, previous surgeries or treatments, family history of breast cancer, drug allergies, current medications, and use of alcohol, tobacco or illegal substances.

Considerations with breast reduction:

Age: Breast reduction surgery can be performed at any age but for the best outcome it is recommended that you wait until breast development has stopped.
Weight Loss: If you are planning to lose a significant amount of weight, be sure to inform your surgeon. He will likely recommend you achieve your weight-loss goals prior to surgery.
Pregnancy: It is also important to inform your surgeon if you are considering having children in the future. Pregnancy can cause unpredictable breast changes and could affect the long-term results of your breast reduction. Also, certain breast reduction techniques have better results than others if you wish to breastfeed in the future.

Surgery and Recovery

Breast Reduction is usually performed as an outpatient procedure, usually performed under general anesthesia.  The surgery usually takes between two and three hours. Your breasts will be wrapped in gauze dressings or a surgical bra, and may have drain tubes to prevent the accumulation of fluid. You will be given detailed information from Dr. Loghmanee or Dr. Cerio detailing normal symptoms, signs of complications and instructions for recovery.

You should be able to walk immediately following surgery and will be up and about within a day or two after surgery. Your breasts will be sore and tender to the touch for the first few days, and you must not lift, bend, pull or push anything and not engage in any strenuous activity for at least two weeks. Drain tubes, if used during the surgery, will be removed by the second post-operative day and dressings will be removed within several days and you may be required to wear a supportive garment. Stitches are usually absorbable and disappear over the period of a few weeks. Swelling and discoloration will occur and you may experience loss of sensation in the nipple area and this may take up to a year to return to normal. You should be able to resume your normal activities after several weeks. Your surgeon will recommend follow up visits to evaluate your healing process. It is important to follow doctor’s orders for the best outcome.