What is a Breast Reduction?

A breast reduction, also known as a mammoplasty, is a cosmetic procedure in which is used to reduce or remove the excess skin, tissue, and fat from the breast. This procedure can be used for reconstructive and medical purposes if deemed medically necessary for a patient to undergo.

Patients who seek to have breast reductions in Miami performed are those who have experienced different stressors because of their oversized breasts. Some of these physical, emotional, and mental stressors include back, neck, and chest strain/pain as well as insecurities, low self-esteem, and low self-confidence. More intense physical symptoms include migraines, profound strap marks, and possibly even breaking the skin that leads to irritations and infections. Patients who have undergone a breast reduction have experienced their self-confidence restored along with their bodily proportions.

While this procedure is generally done for women, men with gynecomastia (enlarged male breasts) also undergo breast reductions. It is important for those who are thinking of undergoing a breast reduction are aware of the possibility of damage to the nerves and breastfeeding ability. Breast reduction procedures allow patients to live a more comfortable life but, it is important that a patient’s body is stable so that they can maintain the results.

Candidates for Breast Reduction

Those who undergo breast reduction procedures seek to reduce the volume or weight of their breasts. Those who have larger breasts and wish to reduce the volume of their breasts and the stress placed on the chest, shoulders, and back. Those who have lost a significant amount of weight often opt for a combination of a breast reduction and breast lift procedure.

Good candidates for a breast reduction are those who are physically healthy, don’t smoke, have realistic expectations, and have issues with their breasts such as:

  • Emotional distress due to breast size
  • Have physical limitations due to breast size
  • Have back, neck, and shoulder pain due to breast weight
  • Have skin irritations under the breast creases

Benefits & Risks of a Breast Reduction

Breast Reduction Miami

There are significant physical, emotional, and mental benefits to a breast reduction procedure. Some of these major benefits include:

  • Boost in self-confidence and satisfaction
  • Reduction of breast weight
  • Reduction of enlarged areola size
  • Lifting of droopy breasts
  • Removal of stretched skin
  • Aesthetically pleasing results
  • Greater physical mobility
  • Elimination of pain due to stress placed on the body from excess breast weight
  • Significant decrease or complete elimination of skin irritations under breast creases

Just as with any other cosmetic procedure, there are risks to having a Breast Reduction. Some of these risks include:

  • Bruising
  • Pain, discomfort
  • Hematoma, Seroma
  • Blood clots
  • Breast asymmetry
  • Temporary or permanent change in nerve sensation
  • Infection
  • Accumulation of Fluid

For a complete list of risks and considerations regarding breast reductions, please refer to this list ( https://www.plasticsurgery.org/reconstructive-procedures/breast-reduction/safety ). Speak to your surgeon if you’re worried about being more susceptible to one or more of these risks/ considerations.

Preparation for a Breast Reduction Procedure in Miami

Prior to having Breast Reduction Surgery, there are preoperative tests that must be performed such as chest X-rays, mammograms, blood tests which are done by a phlebotomist, and any other tests that may be required by the surgeon.

Medically, a surgeon will ensure that patients meet certain requirements before their breast reduction procedure:

  • Undergo lab testing and a medical evaluation to verify patient health
  • Take, stop or adjust certain medications according to doctor advisement
  • Undergo a mammogram (before and after the procedure)
  • Stop smoking a month before the procedure
  • Stop drink alcohol a week before the procedure

Non-medical preparations to consider before a breast reduction procedure include:

  • Having a clean home
  • Having everything you’d need at arm’s length
  • Having all medications filled out and at your bedside
  • Arranging for a friend or family member to pick you up after your procedure

Following all medical preparations given by your surgeon ensures a quick and safe procedure. The non-medical preparations allow patients to have a smoother recovery in a cleaner and more relaxed environment.

Breast Augmentation Procedural Steps

The purpose of Breast Reduction is to alter the size of the breasts and generally takes anywhere from two to five hours. This is done by leaving behind some surrounding breast tissue. After the excess skin and breast tissue has been removed, the skin that is left is then reshaped to create the new breasts. The position of the nipples is also raised with this procedure. Although there are many different techniques for this procedure, these techniques involve the removal of the excess skin, tissue, and the lift of the nipple. Usually, surgeons will follow these steps during a breast reduction:

  • Step 1 - Anesthesia: General anesthesia is administered to patients before the procedure to guarantee patient comfort.
  • Step 2 - The Incision: Incision is made. Depending on a patient’s circumstance and aesthetic goal, a specific type of incision will be made. During this time, the nipple is still connected to the body but can be reduced in size to be proportionate with the reduced breast size.
  • Step 3 - Tissue Removal: Surgeons will remove the excess tissue and then shape the new breast to give it a more aesthetically pleasing, lifted form. In the case that a patient is undergoing an extreme breast reduction, the nipple and areola might have to be moved to a higher area on the breast to maintain aesthetics.
  • Step 4 - Closing Incisions: The incisions are stitched or sutured together from deeper layers of the breast for maximum support during the healing process. The outer layer of the skin is either stitched, sutured, or bound with a type of skin adhesive or surgical tape.
  • Step 5 - Recovery!: Patients are put into a compression garment once their incisions are cleaned up to stimulate blood circulation and minimize swelling. Patients are taken to recovery for post-procedure monitoring.

Breast Augmentation Procedural Steps

Circular Incision: Also known as the “donut” incision or a “free nipple graft”, this technique allows the scarring to be hidden by the darker skin of the areola and is reserved for smaller breast reduction procedures because of the limited incisional space. Surgeons are able to liposuction the excess breast tissue from both breasts leaving them symmetrical. This technique is minimally invasive, allowing for a reduction of the breasts without completely disconnecting the blood vessels, nerves, or milk ducts during the procedure. Those who undergo this method often have a shorter recovery period.

Vertical Incision: Also known as the “lollipop” or “keyhole” method, this technique minimizes scarring while being the least invasive. Surgeons make this incision by going around the areola and taking the opening vertically down the breast. After the incision has been made, the tissue will be removed and the nipple will be lifted a few millimeters.

The surgeon then collects the remaining folds and stitches the outer and inner portions of the breast which creates a support structure. This method is best for minimal to moderate breast reductions. Vertical incisions are not recommended for larger breast reduction procedures.

Horizontal Incision: Also known as the “inverted T” or “anchor” incision, this technique is generally used on women who suffer from macromastia (over enlargement of breast tissue). The technique consists of three lacerations and is the most invasive of all the techniques. The first laceration is made around the circumference of the areola. The second laceration is made below the areola in a vertical position and extends downward toward the lower part of the breasts, and the last of the incisions is made horizontally below the breasts which connect to the vertical laceration.

Breast Augmentation Procedural Steps

After a breast reduction procedure, patients will be put into a compression garment that they will wear for the remainder of the recovery process. Following the surgeon’s rules, advice and recommendations are essential for a quick and comfortable recovery. Full recovery time can take anywhere from a couple of weeks to a month depending on various factors. Some of these factors include the complexity of the procedure, the amount of tissue removed, and how a patient heals.

Some pain and discomfort is expected after the procedure but, will subside as the body adjusts to its new figure. Pain relievers and lymphatic drainage massages help alleviate any tenderness. Patients will need to change their wound dressings, keeping them clean, daily until the wounds have dried or healed enough to go without wound dressings. If the surgeon places dissolvable stitches and they do not dissolve, they will be removed during a follow-up appointment.

Patients will be able to walk about the day after their procedure and will be able to resume light to moderate activities a month after the procedure. The surgeon will advise when patients may freely do moderate to intense activities at their leisure; usually after six weeks.

Breast Reduction Surgery

Results of a Breast Reduction

Breast reduction results can be noticed immediately after the procedure. If a patient doesn’t have a significant amount of breast tissue removed, it may be more difficult to notice an immediate physical change but they will feel the literal weight that has been removed from their chest. After patients have healed enough to be able to remove their compression garment, they’ll be better able to view the results of their breast reduction.

Complete results can be seen once the swelling has completely subsided. Breast reduction results will be maintained unless influenced by certain factors such as pregnancy, skin elasticity, weight loss, and weight gain. As patients age, their breasts will age with them but should stay the same size.

Cost of a Breast Reduction Cost in Miami

The average cost of a breast reduction procedure in the United States is $6,000 but can range upwards of $8,000. At Adore Plastic Surgery, breast reduction procedures start at a base of $4,000. Depending on a patient’s circumstance, what their procedural goal is, the surgeon performing the procedure, length of the procedure, and if other procedures will be combined with the breast reduction will alter the final pricing.

If a patient chooses to combine their breast reduction with other procedures such as breast lifts, tummy tucks, mommy makeovers, and liposuction procedures then the price of their total cosmetic procedure will naturally increase. Breast reduction procedures are often not covered by insurance unless it is deemed a corrective or reconstructive procedure. If this is the case, patients must provide their surgeons with a formal letter from their insurances stating complete coverage of the procedure.

At Adore Plastic Surgery, we’re proud to offer patients safe, quality procedures and services at an affordable cost. Schedule a free consultation with one of Broward’s board-certified plastic surgeons to receive a price for your breast reduction procedure.

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