Breast Reduction

Purpose

       Breast reduction surgery decreases the size and weight of the breasts while improving their form. In some cases the breast weight causes back pain, shoulder pain, skin infections, and other problems. In other cases the breasts are simply unpleasantly large and sagging.


Pre-operative Care

       Routine laboratory testing is often performed and photographs are taken to assess post-operative effectiveness. Mammograms are ordered in all patients 30 years old and over in order to detect any possible abnormalities and to serve as a baseline for postoperative comparison.

       No aspirin, ibuprofen, or similar drugs should be taken within two weeks of surgery. These medications can cause serious excess bleeding during, and after, the operation. If you have any questions about drugs you are taking, including over the counter preparations and natural herbs, please call the office.

       Do not EAT or DRINK anything after midnight of the night before your surgery. This prohibition includes coffee and juice in the morning. Oral medications can be taken with a sip of water.


The Operation

       You should be at the office surgicenter or hospital at least 90 minutes prior to your scheduled surgical start time. Bring all paperwork from the office with you, as many of these papers will save time on the day of surgery.

       In most cases, the operation is very similar to the breast lift/mastopexy procedure (see Breast Lift) except that breast tissue and fat are removed along with the extra skin in order to provide a better formed and smaller breast.

       Some patients with good skin tone and a limited amount of excess breast can be treated with liposuction of the breast and compression garments. This technique minimizes the scarring but it can be used in a limited number of patients.

  • Drains may be placed at the end of surgery and a fluffy dressing is administered.


Post-Operative Care

       Keep the dressing on until seen by me in either the office or, if you stay in the hospital one night, your room. The dressings will be changed and the drains removed. You will then be placed into a supportive, sport-type bra or ace bandage.

       Keep exertion to a minimum for two weeks. Take the pain medicine as prescribed. The scars may be noticeable for several months but will fade dramatically in most cases by 12 months.



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