Women with overly large breasts face a number of complications including pains in the neck, back, and shoulders, as well as chest pains from the extra weight they bear. In addition, there may be skin irritation where the skin is constantly being stretched, or on the shoulders from restricting bras. Not only do women find physical strains with this issue, but they often struggle with finding appropriate-fitting clothing and undergarments. For many women, smaller breasts can bring big life changes, increasing activity levels and boosting self-confidence. As a result, women often seek a breast reduction procedure, also known as a reduction mammoplasty.
There are a variety of different surgical techniques used to reduce and reshape the female breast, but the critical consideration is the tissue viability of the nipple-areola complex (NAC), to ensure both the sensitivity and lactation capability of the breasts.
In general, a reduction mammoplasty is performed through incisions on the breasts with surgical removal of the excess fat, glandular tissue, and skin. If the breast size is largely due to fatty tissue and excess skin is not an issue, then liposuction alone may be used for the procedure. However, the technique Dr. Friedman decides to perform will depend on the individual condition and breast composition, as well as the amount of reduction desired.
Once under general anesthesia, Drin, Friedman will make one of the following types of incisions:
Both the keyhole and anchor pattern incisions elevate the nipple to a more normal location, reducing volume, improving contour, and usually preserving breast sensation. The entire procedure can last between 2 and 5 hours.
When your procedure is complete, dressings or bandages will be applied to the incisions. You will also wear a support bra at home to minimize swelling and support the breasts as they heal. A small, thin tube will likely be temporarily placed under the skin to drain any excess blood or fluid that may collect at the incision sites. Within a few weeks, the swelling and bruising around your incisions should disappear. You may have a temporary loss of sensation in your breast skin and nipples after surgery. Sensation may return over time.
Dr. Friedman and his staff will provide you with instructions to follow regarding how to care for your breasts following surgery including what medications to apply or take orally, as well as specific concerns to look for at the surgical site. At your follow-up appointment, your stitches will be removed and the doctor will discuss special exercises and massaging techniques you will need to perform on your breasts at home.
To find out more about our Breast Reduction service, visit Dr. Friedman’s office locations at 7545 E Angus Dr, Scottsdale, AZ 85251 and 903 N. Beeline Highway, Suite A, Payson, Arizona 85541, or book an appointment by calling (480) 664-0125 today.