Breast Reduction in Dallas
Women who are unhappy about having large breasts and/or want to treat symptoms such as back pain, breathing problems and poor posture, may benefit from reduction mammaplasty (breast reduction). During this procedure fat, glandular tissue and skin, are all removed from the breasts. The resulting smaller breasts improve patient comfort, and look more in proportion to the rest of the body. Ideal candidates for reduction mammaplasty are women with oversized breasts that are causing medical problems, low self-esteem, and/or physical or social discomfort. Women who are pregnant or breastfeeding cannot undergo reduction mammaplasty.
Men also have breast tissue that can grow disproportionately. This condition is called gynecomastia. There are multiple causes, including obesity, disorders of the testicles, thyroid, or liver; some medications or drugs, and as a natural effect of aging. Treatment may involve liposuction, direct excision, or a combination of both.
The Reduction Mammaplasty Procedure
Reduction mammaplasty is performed under general anesthesia. Depending on the technique used and the individual case, it usually takes from 2 to 4 hours to perform. One of the following incisions is often used:
- Two rings, one larger than the other, around the areola
- A keyhole shape, around the areola and down to the breast crease
- An anchor shape, beginning in the breast crease, and extending up to and around the areola
Liposuction alone is sometimes used to reduce breast size. One advantage is that it leaves little-to-no scarring. However, because liposuction removes only fatty tissue, patients must have more fatty than glandular tissue in their breasts. Liposuction is also often used on men whose breasts are enlarged.
Recovery from Reduction Mammaplasty
After reduction mammaplasty, patients typically experience soreness, swelling and bruising for several days. Bandages are removed after 2 days, and replaced with a surgical bra. Physical activity should be strictly limited for 1 to 2 weeks, while exercise and other strenuous activity should be avoided for at least 4 weeks. Nonabsorbable stitches – if needed – are removed after 1 to 2 weeks, at which point most patients return to work and other regular activities. Occasionally, drain tubes may be used for one to several nights.
The results of reduction mammaplasty are noticeable immediately after surgery. As swelling and bruising subside, the breasts’ appearance improves. Scars fade with time, and usually cannot be seen when a patient wears a bathing suit or low-cut top.
Risks of Reduction Mammaplasty
In addition to the risks associated with any surgery, risks related to reduction mammaplasty, depending on the technique used, include the following:
- Loss of sensation
- Excessive firmness
- Inability to breast-feed
- Loss of skin/tissue where incisions meet
- Partial or total loss of areola and nipple
Although reduction mammaplasty provides long-lasting results, breasts are still subject to the effects of aging and gravity.
- National Institutes of Health
- Centers for Disease Control and Prevention
- Eunice Kennedy Shriver National Institute of Child Health and Human Development
- S. Department of Health & Human Services
- S. National Library of Medicine