BREAST REDUCTION

Breast reduction can be performed through a variety of techniques. A circum-areolar approach can be performed but is seldom applicable for any but the smallest reductions. The vertical reduction technique is applicable to many sized breasts and has the advantage of limited scarring. There are some shortcomings that limit its utility. The anchor technique is still the most common approach for breast reduction and has the advantage of good shape control though with the cost of added scars. On rare occasions, breast reduction can be performed with liposuction alone. In properly selected patients such as revision reduction patients where the prior notes are unavailable, or in very small reductions, it works quite well. In large reductions, it results in deflated breasts.

Breast tissue removal can be performed through a variety of different techniques. The question hinges on how the blood supply and nerve supply to the nipple and areola are maintained with the removal of breast tissue. These are technical questions that depend on the surgeon’s preferences and the patient’s anatomy. Sometimes, patients have specific goals in mind that may sway the surgeon to one approach or another. These include breast-feeding and sensation.

The American Society of Plastic Surgeons published data on how many breast reductions were performed in 2012. It showed that 68,400 patients underwent reconstructive breast reductions. But it also showed that 42,000 patients had the procedures for esthetic goals only.

All tissue removed (except liposuction) must be evaluated by a pathologist to rule out breast cancer. In many states, it’s statute, but it’s always good medicine.

No two patients are alike, so no two patients have exactly the same course of treatment. The techniques, plans, esthetic intent, and outcomes are highly individualized. With Dr. Geldner’s superior skill, 25 years of experience, and his experienced and compassionate staff, we exceed our Chicago plastic surgery patients’ expectations.

Breast reduction surgery, also known as reduction mammaplasty, is a surgical procedure aimed at reducing the size and weight of large breasts by removing excess breast tissue, fat, and skin. This surgery not only improves the aesthetic appearance of the breasts but also alleviates physical discomfort associated with overly large breasts, such as back, neck, and shoulder pain, skin irritation, and posture problems. The procedure can also make it easier to engage in physical activities and improve overall quality of life.

Good candidates for breast reduction surgery are individuals who experience physical discomfort or medical issues due to the size of their breasts. Ideal candidates are in good physical health, maintain a stable weight, and have realistic expectations about the results. Non-smokers are preferred, as smoking can interfere with the healing process. It’s important for candidates to have fully developed breasts and to be emotionally mature enough to understand the procedure and its potential outcomes. Women whose breast size limits their physical activity, causes pain, or leads to skin problems under the breasts may particularly benefit from this surgery.

During the consultation, Dr. Geldner will evaluate the patient’s medical history, breast size and shape, skin quality, and overall health to determine if breast reduction is appropriate. He will also discuss the desired results, explain the surgical options, and outline the potential risks and benefits. This thorough evaluation ensures that the patient and Dr. Geldner have a mutual understanding of the expected outcomes, leading to a more satisfactory surgical experience.

Recovery after breast reduction surgery involves a period of rest and careful management of the surgical sites to ensure proper healing. Immediately following the procedure, patients will need to wear a surgical support bra or an elastic bandage to minimize swelling and support the breasts as they heal. It is common to experience some degree of swelling, bruising, and discomfort, which can be managed with prescribed pain medications and proper post-operative care.

Most patients can return to work and light activities within one to two weeks, but it is crucial to avoid strenuous exercise, heavy lifting, and any activities that may put strain on the chest area for about four to six weeks. Dr. Geldner will provide detailed instructions on how to care for the surgical site, manage any drains if placed, and recognize signs of potential complications, such as infection or unusual swelling. Following these guidelines is essential for a smooth recovery and optimal results.

Patients should attend all follow-up appointments with Dr. Geldner to monitor progress and ensure proper healing. During these visits, he will check the incisions, remove any stitches if necessary, and address any concerns the patient may have. Adhering to the post-operative guidelines, such as wearing the support bra continuously and avoiding smoking and alcohol, can significantly enhance the recovery process and the overall results of the surgery.

Recovery time can vary depending on the individual and the extent of the surgery. It’s important to give the body time to heal and to avoid rushing back into daily activities too soon. With proper care and patience, most patients find that the physical and emotional benefits of breast reduction surgery far outweigh the temporary discomfort and restrictions during the recovery period.