Breast Reduction

Breast Reduction Las Vegas

Breast reduction is a reconstructive surgical procedure to reduce the size of very large breasts. Those in need are often plagued with back and neck pain, skin irritation and bra strap grooving. Breast reduction surgery is often done to relieve physical discomfort as opposed to cosmetic enhancement. Often times the breasts are enhanced cosmetically.

The Consultation
Doctor Parker will meet with you to gather information regarding you and your medical history. He will examine you at this time and take measurements to determine the amount of breast tissue to be removed to give you the appropriate size breasts which are in proportion to your body. One common problems with breast reduction surgery is the patient often times desires more breast tissue removed than what might be necessary, especially in women with extremely large breasts.

Pre-Procedure

Review the list of medications which should not be ingested two weeks prior to the operation. Patients are seen just prior to their surgery date for a general physical examination to ensure that no underlying medical problems exist that may interfere with the safety of their surgery. Prophylactic antibiotics are prescribed prior to and for a few days after surgery to reduce the risk of surgical wound infection. A prescription for pain medication is also written, so that you have your pain pills when you return home from the operation.

Preoperative photographs are taken so that you can see the improvement from your surgery afterwards. We generally take postoperative photographs at 3 – 6 months after your procedure.

You will be asked to sign a surgical consent, which enumerates the risks of the procedure in detail. These risks have been explained here, but are also discussed at the consultation.

You will need to arrange for an escort to drive you to and from our surgical center. It is mandatory to have someone stay with you for at least 24 hours after surgery, for your comfort and safety.

The Procedure

Reduction mammoplasty is performed under a general anesthetic, which means you will sleep through the operation. You will be provided with anesthesia by a board-certified anesthesiologist. Typically, the operation takes about three hours, but may be longer in women with extremely large breasts.

Prior to the operation, Dr. Parker will outline the planned incisions on your breasts with a marking pen with you sitting upright. These skin markings provide a guide for the surgery, which is done with you in the supine position, so that in the upright position the breasts are shaped appropriately and are as symmetrical as possible. The outline of the incisions results in scars with an anchor shape, going around the areola (which is made smaller), vertically down the center of the breast, and horizontally in the fold beneath the breast. In smaller reductions, the scar beneath the breast may be eliminated.

Small drainage tubes are placed to evacuate any oozing which can occur in the first day or so. All incisions are closed with dissolving type stitches and surgical wound tapes. Thick gauze and cotton dressings are placed for comfort and support. After the operation, you will need to spend at least an hour in our recovery room in order to recover from the anesthetic.

Recovery Period

You will need to have someone stay with you for at least the first 24 hours. There is moderate pain that is well controlled with the pain medication that Dr. Parker prescribes. You will also take an antibiotic for four days after surgery. The drain tubes empty into a small bulb, or reservoir, which needs to be emptied periodically.

Some patients can go home on the day of surgery. If very large breasts are reduced, Dr. Parker will frequently keep these patients in the hospital overnight. The breasts are wrapped in a post-operative surgical bra that is worn for approximately one week. Although most patients can return quickly to their daily routine Prolonged or excessive physical activity is discouraged for up to 2 weeks, as this will make the breasts swell painfully.

The appearance of the breasts changes over time. The breasts will become slightly smaller as the swelling subsides. They will also descend to a certain extent as the effects of gravity act on the newly tightened skin envelope. Most patients find this to be beneficial, in that the breasts look more natural after they have had time to “settle in”. It is prudent to always wear a supportive bra to maintain the contour of your new breasts.

Frequently Asked Questions:

1. Will I still be able to breast feed?
Most women can still breast feed after breast reduction. This ability, however, is dependent upon the initial size of the breasts and the desired post-operative size. Loss of breast feeding ability increases with the amount of tissue removed.

2. I am concerned about loss of sensation in the nipple?
Nipple sensation is also usually maintained after breast reduction. However, like breast feeding, the more tissue removed, the more nipple sensation is jeopardized.

3. The size of my breasts is fine, but they hang too much Is a breast reduction for me?
You would need a breast lift, or “mastopexy.” In this procedure, only the breast skin (no tissue) is removed. With the excess skin removed, the breasts rise to a more youthful level. Some woman may require a breast implant as well in order to get adequate lift.

Las Vegas Plastic Surgery