Women with large breasts who are unhappy with their appearance and / or want to treat symptoms such as back, neck or shoulder pain, breathing problems and poor posture may benefit from breast reduction surgery. This procedure removes fat and glandular tissue from the breast while tightening skin to produce smaller breasts that are more comfortable and in healthier proportion to the rest of the body. In addition to physical pain and other symptoms, large breasts may also draw unwanted attention that can affect a woman’s self-esteem and make her uncomfortable with her appearance. Breast reduction can help patients regain confidence and enjoy a renewed self-image by creating a body contour they are proud of. Prior to your procedure, Dr. Monasebian will meet with you to discuss your goals and expectations for surgery, as well as to inform you of the details of your chosen procedure. This discussion is important in helping patients achieve the precise results they desire. Each procedure is fully customized for each individual patient.
Candidates for Breast Reduction Surgery
Ideal candidates for breast reduction surgery are women with oversized breasts that cause medical problems, low self-esteem, physical or social discomfort or frustrations with the size of their breasts. Women must not be pregnant or breastfeeding while undergoing this procedure. It is important for patients to understand the details and risks associated with this procedure, and to have realistic expectations in order to be satisfied with the results of their surgery.
The Breast Reduction Procedure
The breast reduction procedure is performed under general anesthesia and takes about two to four hours, depending on the techniques used and each patient’s individual case. There are several different types of incisions that may be used for this procedure. Dr. Monasebian will determine the best type for you after evaluating your breasts.
- Vertical Incision Breast Reduction – This is the techniques most commonly performed by Dr. Monasebian in over 90% of his cases. Also known as short-scar, this technique involves incisions that extend around the areola and down to the breast crease for a lollipop shape. Vertical incision is ideal for women with moderately large breasts and creates shapelier results with less scarring for women who do not require extensive tissue removal.
- Minimal Scar Breast Reduction – With this technique, liposuction techniques are used to reduce the size of the breasts with little to no scarring. Since liposuction only removes fatty tissue in the breast, patients should have more fatty tissue than glandular tissue. This technique is commonly used on men with enlarged breasts (gynecomastia).
- Traditional Breast Reduction Surgery – This technique involves an anchor-shaped incision and is ideal for women with extremely large breasts, although scarring is usually more apparent. Skin, fat and tissue can be removed from the lower breast and the nipples and areolas may be repositioned as well.
After the breast reduction procedure, patients will likely experience soreness, swelling and bruising for several days. Bandages will be removed after two days and replaced with a surgical bra. Physical activity should be limited for one to two weeks, while exercise and other strenuous activity should be avoided for at least four weeks.
Patients will return to Dr. Monasebian to have stitches removed after approximately one week, at which point most will be able to return to work and other regular activities. It is important to see Dr. Monasebian for regular follow-up visits to ensure that your breasts are healing properly. The results of the breast reduction procedure are noticeable immediately after surgery and will continue to improve as swelling and bruising subside. Scars will continue to fade with time and can usually be concealed by a bra, bathing suit or low-cut top.
Male Breast Reduction (Gynecomastia)
Although rarely discussed, enlarged male breasts is a common condition. Gynecomastia affects approximately 40 to 60 percent of men. There is no known cause for gynecomastia, although there has been some correlation with various drugs or medical conditions. Men who feel self-conscious about their appearance are helped with breast-reduction surgery. The procedure removes fat and/or glandular tissue from the breasts, and in extreme cases removes excess skin, resulting in a contoured chest that is flatter and firmer.