Breast Reduction

Large breasts often cause considerable physical and mental discomfort, and even harm, to the women or teenagers who have them. The size and weight of large breasts can result in self-consciousness, improper posture, pain in the back and neck, chaffing and rashes under the breasts, breathing problems and skeletal deformities.

Breast reduction surgery is usually done to provide physical relief from these symptoms, and also to improve shape, size and symmetry of the breasts. Fat and glandular tissue is removed as well as excess skin to produce smaller, lighter breasts that are in a healthier proportion to the rest of the body. Breast reduction is performed under general anesthesia. It is a three to four-hour procedure. An overnight stay in the hospital is usually not required.

Best Candidates for Breast Reduction

  • Patients with very large breasts who require physical relief
  • Patients with one breast significantly larger than the other
  • Patients with indentations in their shoulders from tight bra straps
  • Patients who are self-conscious or dissatisfied with their over-sized breasts

Typical Results You Can Expect after Breast Reduction Surgery

  • Very natural and great looking appearance
  • Fuller and more beautiful breast size and shape
  • Softness and natural perk to the breast
  • Much better proportion and fit to clothing

Procedure
The type of surgical approach depends largely on the breast size.  The most common type is the Inferior Pedicle Reduction Mammaplasty whereby an anchor-shaped incision is made from the new location of the nipple down to and around the crease beneath the breast. After preserving the nipple on a breast mound that is inferiorly-based (from the breast crease up) Dr. Sabry removes excess glandular tissue, fat, and skin. He will then relocate the nipple and areola, and reshape the breast. Liposuction may be needed to remove excess fat from the axillary (armpit) area. This type of (Traditional) reduction results in an inverted T-scar.

Selected patients may be candidates for a “short scar” reduction or vertical reduction mammaplasty where reduction is preformed with a scar around the areola and a vertical scar. Dr. Sabry will discuss all options at length with you and will tailor the surgery to best suit your unique physique and desired outcome.

Drainage tubes are used and may be removed on first postoperative day. Dr. Sabry uses light bandages and recommends using a sports brassier for the first 2 weeks after surgery. All stitches used are dissolvable and do not require removal. Steri strips applied to incisions may be removed after 1 week.

Recovery from Breast Reduction Surgery

  • For several weeks following the breast reduction, a post-surgical bra is usually worn.
  • Most discomfort associated with breast surgery can be controlled with oral medication.
  • Antibiotics may be prescribed and are not needed beyond the first 24 hours.
  • Most women experience some degree of swelling bruising and tenderness. These symptoms should subside in a short time.
  • Dr. Sabry will advise you on a proper schedule for returning to your normal activities. Most patients are back to work within the first two weeks.

Complications
Risks are rare and usually minor but may include bleeding, infection, reaction to the anesthesia, slightly mismatched breasts or unevenly positioned nipples, and rarely permanent loss of feeling in the nipple or breast. Occasionally, a small area of skin loss may be seen at the T-junction in very large reductions.

Pregnancy and Nursing after Breast Reduction Surgery
If you are considering having children at some point in the future, you should discuss this with Dr. Sabry during your consultation. The ability to nurse after you have had the size of your breasts reduced is unpredictable and may be affected.

Breast Reduction Surgery and Breast Cancer
The risk of developing breast cancer seems to remain unchanged following a breast reduction as do Dr. Sabry’s recommendation for cancer screenings. Self breast examination should be performed monthly. A new baseline mammogram should be performed one year after your surgery. Dr. Sabry will make further recommendations during your consultation