Breast reduction surgery generally takes a few hours, depending on the patient's specific case, and is performed under general anesthesia.
In traditional incision breast reduction, skin, fat, and tissue from the lower breast area are removed to reduce the mass of the breast. In most cases, the nipples are moved to a higher position on the breast, but remain attached to the nerves and blood vessels. For very large breasts, however, the nipples may need to be moved and grafted to a completely new location. In these situations, you will lose sensation in the nipple and areola. After the nipple is moved to its new position, the skin above the nipple is brought down and around the swell of the breast, and then stitched back to close the original incision.
In vertical incision breast reduction, a lollipop-shaped incision is made around the areola and down the breast. After the breast tissue and skin is removed, Dr. Green will stitch up the incision by folding the excess skin over itself on the breast. The nipple can still be moved up in a method similar to that of the traditional procedure, but not more than a few millimeters.
In scar-less breast reduction, only one very small incision will be made in the breast crease. A thin surgical tube, called a cannula, is inserted in order to liposuction out excess fatty breast tissue. This technique is considered a scar-less breast reduction procedure because the scars are minimal and usually invisible due to their inconspicuous location under the breast.
Initially after breast reduction surgery, your breasts will be sore, swollen, and bruised. You can expect to wear bandages for about two days after surgery. Activity should be kept to a minimum for one to two weeks. You should also avoid heavy lifting and refrain from exercise and other strenuous activities for at least four weeks following the procedure. For extra support, a special soft surgical bra or athletic bra may be recommended.
Stitches will be removed in two to three weeks after the breast reduction procedure. Most women will be able to return to work and other normal activities about two weeks after undergoing a breast reduction. To ensure that the breasts are healing properly, breast reduction patients should attend follow-up appointments for several months after surgery.
Dr. Green performs breast reduction surgery with great care and precision, ensuring safe results that generally meet the expectations of his patients. As with all surgeries, however, complications can occur. Potential risks that are specific to breast reduction surgery include asymmetrical breasts or an altered or lost nipple and areola sensation. Dr. Green will make sure to discuss these with you to help you decide if breast reduction is right for you.