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Breast Reduction & Lift

Breast Reduction

Information on breast reduction - lift in Louisville, Kentucky. Info on mammoplasty, breast tissue, recovery, gynecomastia, results, procedure, insurance coverage and more.

Reduction in the size and weight of the female breast is known as reduction mammoplasty. This surgery removes some of the breast tissue, relocates the nipple to a more youthful position, and improves the shape and position. This will make the breast smaller, more compact, and give the breast a lift. Frequently, the areola (dark skin around the nipple) is also made smaller. Functional symptoms (medical disorders) caused by excessive breast weight may be relieved or improved by this operation. When men or adolescent boys develop sustained breast enlargement, the condition is called gynecomastia. Gynecomastia can also be corrected by special surgical procedures.

Dr. Weeter finds that these patients are among the most grateful patients due to their relief of painful symptoms and to their improved appearance. Published medical studies of reduction mammoplasty patients have confirmed this. Patients not only have relief from their symptoms but also the ability to exercise better, to get a better fit in their clothes and many have psychological benefits. Probably more than any other groups of patients, women, who have had breast reduction, are advocates that encourage others to consider this reconstructive surgery. Men who undergo correction of gynecomastia are no longer embarrassed about their chest area.

  • A woman with large, heavy breasts frequently have back, shoulder and neck pain, poor posture, bra-strap indentations and chafing or rashes under the breasts will benefit from reduction.
  • A woman with a bust line that is significantly out of proportion with the rest of her figure, and may have difficulty finding the right fit of clothing.
  • A woman who has difficulty with exercise, physical activities, or poor posture due to large heavy breasts.
  • A woman (or man, with gynecomastia) with a decreased sense of self-confidence or attractiveness because of large breast size.
  • A woman with one breast that is enlarged out of proportion with the opposite, more appropriately sized breast, or out of proportion with a breast reconstructed following cancer surgery.
  • Smoking should be stopped for several weeks before and after this major surgery.
  • The specific risks and suitability of this procedure for a given individual can be determined only at the time of consultation. All surgical procedures have some degree of risk.

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Breast Reduction Before and After Gallery

INTENDED RESULT

  • More attractive contour and smaller breast size.
  • Without the consequences of large, heavy breasts, many women may find that their posture is better or may find greater enjoyment engaging in physical activities.
  • Freedom from health problems, such as neck, shoulder, and back pain, associated with excessively large breasts.
  • Incisions that fade acceptably and are in locations which are concealed by clothing.
  • Incisions that fade acceptably and are in locations which are concealed by clothing.
  • Improved self-image.

PROCEDURE

  • The procedure is done under general anesthesia in the safety of an outpatient surgical facility or in the hospital.

  • There are a variety of techniques for these operations. Most commonly, there is an incision around the areola, another between the areola and the breast crease and the third within the crease under the breast. This is called the "anchor-shape" or inverted "T" incision. On occasion, these incisions may be modified and more limited.

  • The fatty and glandular tissues of the breast and overlying excess skin are removed.

  • After removal of these elements, the breast can be contoured and pulled tighter to make them lighter, smaller, and firmer with an uplift.

  • Sutures are typically beneath the skin to strengthen the scar and avoid stitch marks.

  • Surgical correction of gynecomastia is usually done with a combination of liposuction (suction assisted lipoplasty) and a small incisional removal of the tissues.

RECOVERY

  • Initially, the breasts are wrapped with a surgical dressing to accommodate post-operative swelling and bruising. This is soon replaced with the comfort of a bra to hold soft gauze dressings until the breast is ready for the new sized bra.

  • Initial discomfort subsides daily and can be controlled with oral medication.

  • Usually, Dr. Weeter's patients return to progressively more normal activity within several weeks. The scars at the incision lines typically become reddish and firm a few weeks after surgery, but after many months they usually become pale and soft. After 8-12 months, the scars are relatively inconspicuous. The nipples and some areas of the skin may be less sensitive immediately after surgery. Sensation usually returns to normal within a few weeks or months, but sometimes may be diminished or overly sensitive.

  • With the newer techniques in breast reduction, breast-feeding may not be affected, although the possibility still exists.

OPTIONS

An additional procedure that would enhance the result is liposuction of the axillary area (armpit) or flanks to reduce excess fat deposits.

INSURANCE

  • Large breasts (macromastia) or breast hypertrophy can occur in a variety of conditions (family trait, post-pregnancy, excessive adolescent growth). When the excessive size causes functional problems, insurance will generally pay for the operation. These problems may include neck pain, back or shoulder pain, irritation under the bra straps or under the breasts and breast pain. Other problems, which are less likely reasons to be covered by insurance, include: skin irritation, skeletal deformity, breathing problems, psychological/emotional problems, and interference with normal activities. Pre-authorization by the insurance company is required prior to surgery. Each insurance policy has different guidelines and exclusions.

  • This procedure is commonly covered by insurance though insurance criteria are becoming more and more restrictive. Dr. Weeter and his staff will assist you in obtaining pre-authorization from your insurance carrier.

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Breast Lift

As time passes, pregnancy, nursing, excessive weight loss and gravity have adverse effects on women's breasts causing them to lose their elasticity, firmness, and shape and they begin to sag. A mastopexy or breast lift is a procedure that corrects this condition using a combination of removing excess breast skin and tightening the skin. If desired, implants may be used to restore breasts to their natural shape and size.

The best candidates for a breast lift (Mastopexy) are healthy, emotionally stable women who are realistic about the result they would like to achieve. A breast lift can enhance your appearance and your self-confidence. The best results are achieved on women with small, sagging breasts due to loss of skin elasticity secondary to pregnancy and / or nursing, or weight loss. Those who plan to have more children may want to postpone surgery, as the process of pregnancy and breast-feeding may change the final result of the surgery.

WHO IS A CANDIDATE

  • Women who have sagging breasts due to past pregnancies, weight change, genetics or aging.

  • Women whose breast contour has spread out after pregnancy so that the breast looks smaller or less compact.

  • If the sagging is too significant to be treated with an implant alone.

  • If the nipple-areola complexes (pigmented areas around the nipples) are disproportionately enlarged.

  • Women that have nipples and areolas that point downward or are lower than the fold beneath the breasts.

  • Women that have significant asymmetry of breast contour and level of the nipples.

  • Women who will need modification of a breast to match the opposite breast that has been reconstructed after a mastectomy. Under these conditions, insurance coverage should be available.

INTENDED RESULT

  • A mastopexy or breast lift procedure is designed to improve the shape and position of the breasts without reducing their size.
  • It is used for breasts that sag but are not overly large.
  • An elevated, more youthful, breast contour.
  • Some women find that the more compact breast contour makes their breasts look bigger without breast implants.
  • Some patients will have a more attractive shape to their breasts or shorter scars if they choose to have implants used at the time of the mastopexy.
  • Nipple-areolar complexes of the desired size and at the correct height.

PROCEDURE

  • The procedure is done on an outpatient basis in the safety of an accredited surgical facility under sedation with local anesthesia, or general anesthesia.

  • Several different techniques are available for this procedure. Most commonly there is an incision around the areola, another between the areola and breast crease, and a third within the crease under the breast. This is the "anchor-shape" or inverted "T" incision. On occasion, these incisions may be modified and more limited, such that the only incision will be at the edge of the areola.

  • The nipple-areola complex is repositioned higher, the excess skin is removed and the breast is reshaped to have a pleasing contour and to be in a more normal position.

  • Dr. Weeter chooses to place the sutures beneath the skin to strengthen the scar, minimize widening of the scar, and avoid stitch marks.

  • Breast-feeding should not be affected.

  • The insertion of a breast implant is possible and may be desirable at the same time as mastopexy.

RECOVERY

  • A post-operative soft dressing will be used for the first few nights. Soon a soft sports bra or supportive bra will be worn.
  • Sutures are typically beneath the skin to strengthen the scar and avoid stitch marks. These sutures do not need to be removed.
  • Initial discomfort is easily controlled with oral medication.
  • Light activities may be started in 7 to 10 days. Full activities are resumed by 6 weeks.
  • Lifting over 10 pounds is to be avoided for 2 weeks.
  • Fading of the scars occurs over 6 to 12 months.

OPTIONS

Additional procedures that may enhance your result are breast augmentation, abdominal liposuction or liposuction to the axilla.

NOTE: The specific risks and the suitability of this procedure for you may be determined only at the time of consultation. All surgical procedures have some degree of risk. All of this web site content, and any email responses to your inquiries are strictly for general informational and educational purposes. It is not medical advice and should not be taken as medical advice. It should not be used to diagnose or treat a health problem or disease. It is not meant to be a substitute for professional medical care.

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Information on breast reduction - lift in Louisville, Kentucky. Info on mammoplasty, breast tissue, recovery, gynecomastia, results, procedure, insurance coverage and more.

 
 
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