The Impact of Large Breasts
The typical patient with excessively large breasts presents complaining of shoulder grooving, shoulder pain, neck pain, and/or back pain. When breasts are large and in a low hanging position, the patient is forced to overly arch her lower back in an attempt to raise her breasts to a more anatomic position, altering the natural curvature of the spine. Additionally, intertrigo, irritation beneath the breasts due to moisture, is commonly found in the summer months. It also may be difficult to exercise despite wearing supportive bras.
What is a Breast Reduction?
Breast reduction, also known as reduction mammoplasty, is a surgical procedure aimed at reducing the size and reshaping the breasts to achieve a more proportionate and comfortable appearance. During the procedure, excess breast tissue, fat, and skin are removed to alleviate the physical and emotional burden associated with excessively large breasts. Surgeons typically tailor the technique to the patient's unique anatomy and desired outcomes, ensuring natural-looking results.
Breast reduction in Washington DC not only addresses the physical discomfort caused by the weight of large breasts but also offers psychological benefits, improving self-esteem and body image. By reducing the strain on the shoulders, neck, and back, patients often experience relief from chronic pain and are able to engage in physical activities more comfortably. Overall, breast reduction surgery can enhance both the aesthetic appearance and quality of life for individuals struggling with the challenges of overly large breasts.
Breast Reduction Surgery
The procedure is typically performed on an outpatient basis with general anesthesia. The patient is first marked in an upright position prior to entering the operating room. The typical scar pattern extends around the nipple, vertically to the inframammary fold, and then horizontally in the fold. This is known as a “Wise pattern” or “keyhole pattern”. The skin and breast tissue to be excised is marked, and the nipple/areola complex is left attached to the remaining breast tissue. Breast feeding is a possibility in the future, but varies with each individual. Liposuction may be utilized on the sides to minimize the length of the incision. Occasionally, the procedure can be performed entirely with liposuction, and in some cases, an incision in the fold may not be required or minimal. At the end of the case, a temporary drain is placed on each side to prevent fluid accumulation in the breast. The patient is then placed in a dressing consisting of gauze padding and ace bandages placed circumferentially like a tube top.
Recovery from Breast Reduction Surgery
For the initial 24 hrs after your Washington DC breast reduction surgery, it is normal for there to be drainage staining the dressing out the outside. Depending on the type of drainage tubes used, the patient is seen in the next few days for dressing and drain removal. If non-dissolving sutures are used around the nipple/areola complex, these are removed at 4 and 8 days after surgery. All of the remaining sutures dissolve. The patient is asked to limit the use of her arms, keeping her elbows by her side for a period of 2 weeks from the day of the surgery. At that time, she will gradually start resuming her normal level of activity with the expectation that she will be back to normal at approximately 3-4 weeks. It is recommended that a mammogram not be performed until approximately 9-12 months after surgery to allow the scar tissue to settle and remodel.
Breast Reduction Risks and complications
Risks and complications are uncommon, but may occur. They include, but are not limited to: infection, bleeding, unfavorable scarring, delayed wound healing, sensory changes of the nipple and surrounding skin (increased, decreased, lost), loss of the actual nipple (very rare), persistent asymmetry, and need for revision in the future.
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