Breast reduction, technically known as reduction mammoplasty, is a surgical procedure for both men and women who suffer from the weight of excessively large breasts. This procedure removes fat and breast tissue from the breast making them smaller, lighter and firmer. The end goal is to give the patient an outcome that is not only proportionate to their body size, but to also relieve the pain caused by the gravitational pull of their breasts.
Breast Reduction Benefits
The cosmetic enhancement achieved through breast reduction surgery is second only to the physical relief of pain caused by disproportionally large breasts. In addition, the psychological impact caused by large breasts can be relieved.
Signs Breast Reduction Surgery May Be Right For You:
- Breasts that are large and heavy
- Back pain
- Neck pain
- Skin infections
Who Is The Best Candidate For Breast Reduction Surgery?
The best candidates for breast reduction surgery are those who have reached full development. Special exceptions may be considered for patients who haven’t reached full development if their large breasts are causing serious physical discomfort. In some cases Dr. Margoles may recommend liposuction instead of surgery if a patient only needs to have some fat removed from their breasts.
When you meet with Dr. Margoles for your consultation she will discuss your procedure in detail, including cost, recovery time, follow-up appointments, and medications. She will also be happy to show you before and after pictures to give you a better idea of what to expect from your procedure. Dr. Margoles and her staff are always available to answer any questions you may have
Breast Reduction Surgery Details
Patients will receive an antibiotic drip during the procedure. Breast lift surgery takes approximately 90 – 120 minutes and is performed as an outpatient procedure using general anesthesia to keep you comfortable.
You will be in the recovery room for 1 hour following surgery, after which you will be sent home. All patients must have a responsible adult with them to return home. It is also strongly advised that a responsible adult stay the night with you.
What to Expect for your Breast Reduction
bleeding, infection, rare cases injury to nipple areola complex
back to work 3-7 days, strenuous activity 4-6 weeks
swelling, bruising, minimal – moderate discomfort
In most cases, the final results are seen by 3 months, but may improve over a
Types of Breast Reduction Incisions
Incisions for your breast reduction occur in one of three areas: around the areola; around the areola and vertically down to the breast crease; or around the areola, vertically down and horizontally along the breast crease. Dr. Margoles will select the appropriate incision pattern, based on the size of your breasts and the degree of correction necessary. Options include the following:
- Doughnut-shaped (around the areola)
- Lollipop-shaped (around the areola and vertically down to the breast crease)
- Anchor-shaped (around the areola, vertically down and horizontally along the breast crease)
Through the incisions, Dr. Margoles will lift the underlying breast tissue layers and reshape the breast mound higher on the chest. She will relocate the nipple-areola complex on the breast and reshape it, if needed. Excess breast skin will be removed and the remaining skin around the newly positioned breast will be tightened. The incisions will be closed with sutures layered deep within the breast tissue to help support the breast.
Breast Reduction Surgery Aftercare & Recovery
You will receive detailed post-surgery care instructions and Dr. Margoles and her staff will be available to answer any questions or concerns. It is important to follow Dr. Margoles instructions carefully to ensure the best results and easiest recovery.
After your surgery, surgical bandages will be applied to the treated area. Bandages will be removed in 1-2 days following surgery though you may need to continue wearing a support bra for several weeks. Some discomfort is to be expected but can be controlled with medication. Sutures will dissolve. Breast reduction surgery will cause some scarring at the incision, extending out and around the areola. Scarring will fade, though not totally disappear.
Breast Reduction Recovery Chart
WIll be wearing a surgical support bra 25 hours a day. May have a Fluffy outer dressing that may be removed in 24 hours. There will be paper tapes on the incisions, leave in place. May shower in 24 hours.
limit exericse to walking. Continue to wear support garment
Sutures begin to dissolve. Swelling and brusing have subsided.
Still some swelling, but start to get an idea what the final result is, but they can continue to settle for the next few months. Can begin to exercise
In most cases, the final results are seen by 3 months, but may improve over a year.
Breast Reduction FAQ
Why do women choose breast reduction?
Breast reduction is an appealing option for women who have physical, emotional or aesthetic concerns about overly prominent breasts. The procedure can end years of back and neck pain, inflammation, soreness and even social awkwardness. Breast reduction has the effect of dramatically improving upper-body proportions by reducing breast size, enhancing symmetry, adjusting the nipple, compressing the size of the areola, and generally creating a more youthful profile.
Is the procedure similar to breast lift?
There are similarities, and important differences as well. During each procedure, the breast is reshaped, resulting in an elegant, perkier appearance. Although breast lift does involve the removal of some tissue, its emphasis is on reclaiming a youthful profile by elevating the breast, not reducing its size. Breast lift can also help restore symmetry, when ligaments have relaxed to a greater extent in one breast compared to the other. And, the procedure can return low or downward-pointing nipples to a natural position and appearance.
What should I expect with scarring?
Scarring is a prime concern for most surgical patients, and this is especially true of women who trust a plastic surgeon to achieve the optimal aesthetic result. Highly respected New York City and Greenwich, Connecticut plastic surgeon Dr. Sandra Margoles is skilled at choosing the particular surgical technique that will minimize scarring for your cosmetic procedure. Central to that goal is carefully planning how many incisions will need to be made, and where they will be located. The process requires artistry, experience and precision. Dr. Margoles will work closely with you to understand your preferences for placement and number of incisions.
Once the surgery is over, there are things you yourself can do to speed the healing and ensure that any scars will be minimal in appearance. Dr. Margoles will prescribe a topical medication that you will apply at home that will promote successful healing by keeping the area free of bacteria. Avoiding physical activity during recovery is another way you can help your body heal without stress or distraction. Vigorous exercise, reaching, lifting and straining can all pull at the skin and result in an irregular healing pattern. Smoking and excessive exposure to ultraviolet rays should also be avoided. Sun exposure in the days after surgery can actually result in scars that are thicker, darker, and much more noticeable.
Are the results of a breast reduction permanent?
The results of breast reduction will be long-lasting, in the absence of future pregnancies or dramatic weight gain. The procedure turns back the clock, but some new sagging or loosening will naturally occur with aging. Your new, sleeker profile will slow this process. In addition, breast tissue will rarely grow back, so your new slim profile should be permanent.
Contact Us To Learn More About Breast Reduction Surgery & Schedule A Consultation
Dr. Margoles specializes in breast surgery in Stamford and Greenwich, CT. Many plastic surgery patients come to see her and her highly trained staff of professionals to meet their breast reduction needs. Don’t spend another day in pain. Contact our Greenwich, CT office to schedule your consultation now (203)869-2939.