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Breast Reduction

Exceptionally large breasts can cause more than just feelings of embarrassment; they can cause physical discomfort and medical problems as well. Breast reduction surgery removes fat, tissue, and skin from the breasts, making them proportionate with the rest of the body. The goal of breast reduction is to make the breasts smaller, lighter, and firmer. Breast reduction can also reduce the size of the areola (the dark-pigmented region surrounding the nipple).

Please contact our skilled plastic surgeon if you have questions about breast reduction, or if you would like to schedule a consultation.

The Breast Reduction Procedure

Breast reduction begins with an incision around the areola that extends below the natural curve of the breast. Excess skin, fat, and glandular tissue are removed. The nipple and areola are then placed in their new position. The remaining skin is tightened to form the new shape of the breast. The entire breast reduction procedure is performed under general anesthesia and can take up to three hours to complete. While the most common technique is called a “lollipop,” or vertical reduction, there are multiple methods that can be used:

Periareolar: Sometimes called the “donut” technique, this approach uses an incision placed around the areola (pigmented area around the nipple). This method is only effective for patients with a very small amount of ptosis (droop), and is not right for everyone.

Vertical: The most common technique, the lollipop or short scar reduction is, as described above, a combination of a periareolar incision and a vertical incision that runs from the areola to the inframammary fold.

Inferior pedicle: Also known as the “anchor” reduction, this technique uses the same incisions as the lollipop as well as a third that runs horizontally along the inframammary fold. This allows for the greatest reduction of excess tissue, and may be necessary for some patients who have severe ptosis. In most cases, Dr. Jon Paul Trevisani is able to perform breast lift surgery with the lollipop technique.

Dr. Jon Paul Trevisani will determine which option offers you the best results based on your anatomic characteristics and desired outcome.

Breast Reduction Recovery

After your breast reduction procedure, you will have gauze dressings and a supportive bra will be applied. Although you will likely experience swelling, bruising, and minor discomfort after breast reduction, these side effects will subside as your breasts heal. We will also provide prescription medication to manage any pain and provide the easiest recovery experience possible. Although everyone heals at their own speed, most women are able to return to light activity, including work, after about two weeks. If you have strenuous duties, this estimate may be extended or you may have to limit your responsibilities for the first several weeks. Intense exercise should be avoided for four to six weeks. After a few months, you should be mostly healed and have a good idea of the final outcome. A minor amount of swelling should continue to improve, and the scars should also fade in color and level out.

Common Questions About Breast Reduction

Would you like to know more? Our skilled plastic surgeon has provided answers to some of the most frequently asked questions (FAQs) about breast reduction. If you have another inquiry you don’t see answered here, or if you would like to schedule a consultation, please contact us today.

When should I consider a breast reduction?

If you suffer from physical or psychological discomfort as a result of heavy, oversized breasts, a breast reduction may be right for you. This procedure is designed to reduce the size of breasts to make them more manageable and comfortable as well as to improve body and breast proportion. This procedure can also help if one breast is a different size than another and if you’re self-conscious about the size or appearance of this feature. Your medical history and cosmetic goals will be evaluated, and a customized treatment plan will be developed to best suit your needs and desired outcome.

What will the scars look like?

The placement of the incisions will depend on your individual treatment plan. Most patients who have a breast reduction use the “lollipop” technique. Therefore, the scars will be located around the areola and vertically from the areola to the inframammary fold (where the breast meets the skin). The healing process following surgery is an essential part of achieving your desired outcome, including having the least noticeable scars possible. It’s important to understand that these marks will never fully disappear; however, most women heal very nicely and the lines are relatively unnoticeable.

Will medical insurance cover the cost of a breast reduction?

Medical insurance coverage varies from plan to plan, so we recommend you discuss this possibility with your insurance agent. Oftentimes, partial or full coverage is available as long as certain criteria are fulfilled. This may include trying non-surgical and conservative methods initially, losing weight, or removing a certain amount of breast tissue. In the event you need additional options, we work with a reputable financial lender that offers affordable rates to qualified applicants.

Large breasts can limit physical activity, restrict your ability to wear certain types of clothing, and cause discomfort and embarrassment. If you are troubled by large breasts and think that breast reduction may be right for you, please contact the Aesthetic Surgery Centre today.