Breast Reduction Dallas
Large breasts can cause pain, improper posture, rashes, breathing problems, skeletal deformities, and low self-esteem. Breast reduction surgery, also known as reduction mammaplasty, is usually done to provide relief from these symptoms. Performed under general anesthesia, this procedure removes fat and glandular tissue and tightens skin to produce smaller, lighter breasts that are in a healthier proportion to the rest of the body.
It is important to consider each aspect of the breast reduction procedure and your life after surgery before deciding upon the procedure. Prior to the procedure, Dr.Morrissey will meet with you to discuss your expectations for breast reduction surgery. He can then evaluate which goals are within reach and propose a plan for the breast reduction operation. At that time, Dr.Morrissey will inform you about the risks and possible complications of breast reduction surgery and the long-term effects of undergoing a breast reduction.
Benefits of Breast Reduction
Women with large, heavy breasts may suffer physical pain from the weight of their breasts and may experience social discomfort due to unwanted attention to their breast size. Because of this, many women turn to breast reduction as a remedy.
Large, heavy breasts can also cause strain on a woman’s body. The extra weight of heavy breasts can be harmful to posture and may lead to spinal problems. In addition to causing back, neck, and shoulder pain, excessively heavy breasts may also lead to breathing problems and other serious health issues. Breast reduction surgery can help a woman correct her posture and remove strain on the back, neck, and shoulders, reducing overall pain.
In addition to seeking relief from the pain caused by heavy breasts, many women seek breast reduction surgery because they are uncomfortable with the unwanted attention that their breast size draws. This unwanted attention may cause a woman to become uncomfortable with her appearance. Breast reduction surgery can help a woman regain her self-confidence and positive self-image, as well as provide the motivation to participate in a wide range of physical and social activities.
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 your breasts, as well as the desired amount of reduction, helps determine which type of incision is right for you. The different types of incisions for a breast reduction include:
- Traditional Breast Reduction Surgery – The traditional approach to breast reduction surgery is a very effective method for alleviating discomfort caused by large, heavy breasts. The traditional method, also called an anchor pattern or Wise pattern reduction, is often the best choice for women requiring a large amount of tissue removal.
In the traditional breast reduction surgery technique, incisions are made horizontally under the breast in the crease and extend vertically up to and around the nipple, creating an anchor pattern. Because traditional breast reduction surgery allows for excess skin removal both vertically and horizontally, it is typically the best method for women with extremely large breasts. The anchor shaped incision also allows Dr.Morrissey to remove more tissue than other methods, maximizing breast reduction results.
Although the anchor pattern method can be useful in reducing excessively large breasts, it leads to more scarring than other breast reduction surgery techniques. These scars can often be hidden by bathing suits and even low cut tops.
- Vertical Incision Breast Reduction Surgery – 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. Vertical incision breast reductions are a popular alternative to the traditional method, especially for women who do not require extensive tissue removal.
Incisions in this technique extend around the areola and vertically down to the breast crease, making a lollipop pattern. Vertical incision breast reductions eliminate the need for the horizontal incision along the breast crease that is used in traditional breast reduction surgery, resulting in much less scarring.
Women with moderately large breasts are the ideal candidates for vertical incision breast reductions. Vertical incision breast reduction surgery may not be a good choice for women requiring the removal of excessive amounts of fat and breast tissue.
- Scar-less Breast Reduction Surgery – Scar-less breast reduction employs liposuction techniques in order to reduce the size of the breasts with minimal or no visible scarring. The scar-less breast reduction technique also leaves the nipples intact so that the patient has a reduced risk of breastfeeding complications and losing sensation in the nipple area.
Because liposuction can only reduce the amount of fatty tissue in the breast, ideal candidates for scar-less breast reduction are women whose breasts have more fatty tissue than glandular tissue. Men with gynecomastia (excess breast tissue) can also achieve desired results with male breast reduction through liposuction. Breast reduction using only liposuction is typically not the best option for more slender women with large breasts, women with extensive sagging, or women with excessively large breasts.
Breast reduction surgery generally takes a few hours, depending on the patient’s specific case, and is performed under general anesthesia.
In traditional incision breast reduction, skin, fat, and tissue from the lower breast area are removed to reduce the mass of the breast. In most cases, the nipples are moved to a higher position on the breast, but remain attached to the nerves and blood vessels. For very large breasts, however, the nipples may need to be moved and grafted to a completely new location. In these situations, you will lose sensation in the nipple and areola. After the nipple is moved to its new position, the skin above the nipple is brought down and around the swell of the breast, and then stitched back to close the original incision.
In vertical incision breast reduction, a lollipop-shaped incision is made around the areola and down the breast. After the breast tissue and skin is removed, Dr.Morrissey will stitch up the incision by folding the excess skin over itself on the breast. The nipple can still be moved up in a method similar to that of the traditional procedure, but not more than a few millimeters.
In scar-less breast reduction, only one very small incision will be made in the breast crease. A thin surgical tube, called a cannula, is inserted in order to liposuction out excess fatty breast tissue. This technique is considered a scar-less breast reduction procedure because the scars are minimal and usually invisible due to their inconspicuous location under the breast.
Initially after breast reduction surgery, your breasts will be sore, swollen, and bruised. You can expect to wear bandages for about two days after surgery. Activity should be kept to a minimum for one to two weeks. You should also avoid heavy lifting and refrain from exercise and other strenuous activities for at least four weeks following the procedure. For extra support, a special soft surgical bra or athletic bra may be recommended.
Stitches will be removed in two to three weeks after the breast reduction procedure. Most women will be able to return to work and other normal activities about two weeks after undergoing a breast reduction. To ensure that the breasts are healing properly, breast reduction patients should attend follow-up appointments for several months after surgery.
BREAST REDUCTION FAQ
Will insurance cover Breast Reduction Surgery?
- Medical insurance will cover breast reduction surgery if two conditions are met.
- There is documentation of medical necessity
- It is a covered benefit in your insurance plan.
Documentation of medical necessity comes from your primary care physician. Complaints of neck back and shoulder pain, shoulder strap grooving, rashes or dark discoloration in the area under the breast due to skin on skin contact are common complaints. Documented treatment attempts such as physical therapy, chiropractic, anti inflammatory medication are helpful. (realizing that NONE of those interventions could ever make a breast smaller, it is required to make it past the insurance company gatekeeper. I know it makes no sense.) The insurance company wants to make sure this is not a cosmetic procedure. Often times, the insurance company’s first response is to reject. Your surgeon can appeal and request a peer to peer review in cases that are clear to your surgeon.
If it is not a covered benefit on your plan, or it has been specifically excluded,(very common for the insurance company to avoid paying for breast reduction) you may have to wait until the next enrollment period and make sure it is a covered benefit when you sign. You can expect the premium to go up a bit. The other alternative is to pay for the reduction as a cosmetic procedure.
How bad does a breast reduction hurt?
- Most women are pleasantly surprised that recovery from surgery is not as painful as anticipated. This is likely due to the fact that there is no violation or the muscle beneath the breast. The fascia covering the muscle is the limit of the depth of the dissection. Cutting through or spreading the muscle fibers apart is typically what contributes most to postoperative pain in other surgeries. This does not occur in breast reduction surgery. You will be discharged to home with pain medicine for 5-7 days and thereafter will be able to switch to acetaminophen (Tylenol) or ibuprofen (motrin).
When can I shower?
- You will spend the night after surgery in the hospital in order to continue receiving fluids, nausea and pain medicine. The morning after surgery, I will remove the drain in each breast and replace fresh bandages. Please bring an old bra, one that you are ready to throw out anyways. We will use this bra to hold the dressings in place for the first few days after surgery. After this, a comfortable sports bra hat clasps or zips in the front is most comfortable. You may shower on post-operative day number two. (the day after you go home from the hospital.) Be sure to remove the dressings first. The steri strips will stick to your skin. Pat dry with a soft towel afterwards. Replace fresh dressings. The bra can be used to hold the dressings in place to avoid the use of adhesive tape on the sensitive skin of the breast.
Will I have drains?
- A drain is a tube that draws fluid and blood out of an area after a surgery. One drain will be placed in each breast at the time of surgery. The drains will typically be removed the following morning before discharge from the hospital. The drain helps to alert to unusual or excessive bleeding that may require further attention.
What will the incisions look like?
- The incisions for a breast reduction typically appear like an anchor or an inverted T. An incision line extends the length of the inframammary fold (where the underwire of the bra rests), around the areola and straight downward from the areola to the inframammary fold. This “T” area is a common area where some wound healing delay can occur. Typically, this area heals quite well.
How much will be removed?
- Some Insurance companies use a table (Schnurr) based on body surface area for minimum excision weights. If predicted excision weight is less than that which corresponds to the body surface area, insurance will not cover the procedure and will consider it cosmetic. The amount to be removed should make a noticeable difference for the patient in terms of relief of weight on the shoulders, lifting the skin of the breast off the abdominal skin, and provide a proportionate and symmetric female silhouette.
Can I pick a post operative cup size?
- It is difficult to predict a post operative cup size, primarily because cup sizes vary significantly from one manufacturer to the next. I strive to provide a proportionate, symmetric and shapely breast that relieves your symptoms , makes it easier to find bras and clothing that fit and flatter your new silhouette.
Will I have feeling in my nipples?
- Generally speaking, yes. It is possible, however, that the nipples may become more sensitive, less sensitive or not change. Many women with very large breasts report little erotic sensitivity before surgery.
Can I breastfeed after breast reduction surgery?
- In theory, based on the technique used, beast feeding should be possible. The ducts to the breast will remain intact to the nipple and thus lactation should be possible. You may, however, not be able to produce enough milk to be the sole source of nutrition for your baby. If this is the case, supplementation with bottle feeding may be necessary.
What is nipple necrosis? Will it happen to me?
- Nipple necrosis is a situation where there is not enough blood supply to the nipple to keep the nipple alive. The nipple may turn purple or black and a thick scab may form. Fortunately, this complication is rare and only women with extremely large breasts are at significant risk. Measurements taken during the consultation can determine who is at greatest risk, and other techniques are available to minimize this risk