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Feel More Comfortable With Breast Reduction

Breast lift and reduction mammoplasty can be grouped together because to the plastic

surgeon they are closely related and, indeed, similar procedures: in both operations the nipple areola complex (NAC) is repositioned at a higher level; the breast is tightened from below; the resulting scars are the same (anchor or lollypop), and in both operations some tissue is always removed. The minimum tissue removal in a breast lift is a skin whereas in a reduction, breast tissue, fat and skin are extensively resected. There is a wide spectrum in between.

An important difference between the two operations is that reduction mammoplasties are performed to alleviate symptoms such as backache, neck ache, shoulder grooving (from bra straps), persistent sweat rash and severe asymmetries. Breast lifts are performed for purely aesthetic reasons. Insurance will frequently cover breast reduction, although the policy will often demand that a certain weight (e.g. 500gm) be removed from each side. If less is removed, the operation will be considered cosmetic and may not be covered.

Both lifts and reductions are usually performed under a general anesthetic as day surgeries. However if either is combined with another procedure - for example with abdominoplasty as in the so-called 'mommy makeover' - then an overnight stay is recommended. Both breast operations can be performed with either the 'Wise' pattern - which produces an anchor-shaped scar or as a 'vertical' reduction where a lollypop scar results (like the anchor but without the transverse component). The method selected depends somewhat on the size of the reduction, the necessity for large skin resection and on previous scarring

Many patients ask whether their nipple will retain normal erotic sensation after breast surgery. It has been shown that in the vast majority of cases it will either be retained or will return within six months. Others enquire about the possibility of breast feeding after surgery. While there is no guarantee that anyone can breast feed - even without surgery - there is no reduction in the proportion who can, as a result of it. It should be stated, however, that the larger the resection, the more the potential damage to the nerves and ducts that make both of these things possible.


At your initial consultation, take a detailed history and perform a thorough examination with the object of elucidating your symptoms, establishing your goals, and ensuring that any pre-existing medical conditions may be appropriately managed to minimize risk at the time of surgery. It is important to know whether you have a personal or family history of breast cancer and to order appropriate screening if you do. the method to be used and the position of the scar you may expect. In the case of a reduction, discuss the amount of tissue to be removed, the expected cup size after the operation and the likelihood of the surgery being a benefit of your insurance. You will have ample time to ask questions and discuss your options in a professional yet friendly setting. The surgery itself will be carried out in a safe environment (a hospital or an accredited ambulatory surgery center) and you will have a board certified anesthesiologist giving the anesthetic. You should be able to return to work in about a two weeks or even sooner of no active shoulder motion is involved.

by: Dave Stringham
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