Breast Reduction Overview
Women with breasts that are disproportionately large can suffer from physical symptoms and emotional trouble that can be helped with breast reduction surgery. The physical concerns from larger breasts can include back pain, skin rashes and infections, such as dermatitis in the folds of the breasts. Heavier breasts can also make it difficult to exercise and many women feel self-conscious because of the attention given to their breasts. A reduction mammaplasty removes excess breast tissue and then reshapes the breasts to a firm, proportionate appearance. During breast reduction surgery by Dr. Paresi, excess breast tissue and loose skin are surgically excised before the breasts are tightened, lifted to a higher position for natural-looking breast that are well-proportioned to the patient’s body.
Unless you’re a fuller figured gal, it’s hard to understand how difficult it can be to have a large bust. Even teenage girls can have this problem, which may lead to various issues that have an enormous influence on health, lifestyle, and shopping alternatives.
According to the American Board of Cosmetic Surgery, breast reduction is a cosmetic surgical procedure that reduces the size and weight of large, heavy breasts, and helps create a more aesthetically pleasing breast contour that is better proportioned to a patient’s body. The surgeon removes excess breast tissue, fat, and sagging skin, which improves breast symmetry, makes the breasts smaller, lighter and firmer, and eliminates sagging.
Large breasts contribute to physical symptoms such as back, shoulder, and neck pain, along with shoulder indentations from bra straps, skin irritation, and poor posture. They can also exacerbate asthma symptoms. Physical activity can be cumbersome and difficult, even painful; this keeps many women from exercising, which would result in weight loss and a natural reduction in breast size.
Although often considered a cosmetic procedure, breast reduction surgery can provide the patient with health benefits. Physical pain should disappear, along with skin problems and shoulder indentations. Patients will be able to participate in sports and other activities, allowing them to get and stay healthier. They will be able to find clothing that fits well. Confidence and self-esteem will be improved, along with an overall quality of life.
Breast reduction surgeries typically take 3-4 hours depending on the size of the breasts. It is an outpatient surgery and is usually not very painful. The patient will need 4-5 days off work, and 6 weeks for a complete recovery. We recommend that prospective patients contact their insurance company for coverage details. Rubrics are used to determine qualification for coverage; in general, the less you weigh and the more that needs to be removed, the better the chances that insurance will cover the procedure.
Breast Reduction Reviews
"When I first went to see Dr.Paresi I was pretty nervous. He was very professional and kind, which put my mind at ease. After my first visit with him I was no longer nervous. I really liked everything about his personality. It is the perfect combination for his profession. With my breast reduction surgery I couldn't be happier. The incisions look beautiful, along with everything else. I never thought i would feel as great as i do now. Dr.Paresi would be my first choice for any type of reconstructive or plastic surgery."- Google User / Google / Jun 14, 2012
"I am a 52 yr old women that had neck, shoulder and back pain from very large breast. I was recommended to Dr. Paresi for a breast reduction. I was very happy with him because he treated me like a person and not a number, and VERY happy?"- I. / Citysearch / Jun 01, 2016
"36 Year Old Mother and Wife - Chicago, IL - Dr Robert Paresi was awesome! Professional and does a clean precise job. I have heard so many stories about breast reductions here is my unfiltered experienced. I was a nervous wreck leading up to the day thinking about being put to sleep, blood clots, the after pains. I was a mess. I prayed everyday and trust that I was making the right decision. I followed all instructions given pre op, I am not a smoker or a drinker so it was easy. I do love to eat so not having a meal from the might before was a challenge but it was worth it. I had all my supplies and sports bras ready for post op. I remember lying on the operating table listening to the movements no more time for nerves this was happening..Dr Waterman was ready to put me under he said this proferol will burn a bit but not for long, omg was he right it burned going through my veins in my left arm but the next thing I knew I was waking up in recovery with my family and friends.The operation was roughly 4 hours but everything from start to finish seemed like 10mins if so much. The after pains simply felt like a burn on my chest which with pains meds quickly disappeared.Not a single day of excrutiating pain...none. No bleeding no drains. The swelling has been very minimal. One thing the pain meda co codomal made me so bloated..see tummy pic...lol but I dealt with that with milk magnesia,fresh fruits and water. I am loving loving loving my new boobs.No more sag no more pains no more my breast reaching places before me. I.am liberated I can wear anything I want. Surely I will not be missing those thick tight horrible bras that cut and slash the skin around my boobs arms and back. Keep your incisions from friction on your clothes or bras with using steril gauge pads use an antibacteria cream on incisions and clean carefully . Oohh those after shocking sensations going through the breast those are real, feels like little nagging sticks but I guess its the nerves settling. If you are thinking about a reduction get on board...just do it. Dr. Robert Paresi at the Sparman clinic is the best!"- M. / RealSelf / Oct 01, 2016
"I am a 52 yr old women that had neck, shoulder and back pain from very large breast. I was recommended to Dr. Paresi for a breast reduction. I was very happy with him because he treated me like a person and not a number, and VERY happy with my results! Dr. Paresi was very involved with me as I went through the healing process. If I had questions he would call my home to talk with me and reassure me things are ok. If I was still worried he would tell me to come in so he could see, to relieve my mind. He would tell me, give it time you will heal and he was ALWAYS right! As you can see I was a worrier. But he was very patient with me!!! Dr Paresi went over and beyond to get the results I wanted and I am extremely happy now with my new breast, and my pain is so much better! I will always remember his kindness! Thank you Dr. Paresi, you have changed my life! Your so Awesome!!! Ingird Y."- I.Y. / Citysearch / Jun 01, 2016
"Dr. Paresi is the best at what he does. A few years ago, he gave me a breast reduction and did an excellent job.For this reason, I knew he would do an excellent job on my lower and upper abdomen, and he did. He warned me only 50% reduction on lower abdomen but it was more than that! Again, he did an excellent job and I would never hesitate to have him do any procedure. Thank you Dr. Paresi!"- K.S. / Google / Dec 03, 2017
Breast Reduction Surgical Technique
During breast reduction surgery, surgeon skill is important. In addition to minimizing scarring, there will be a focus on maintaining a healthy blood supply to the nipple areola complex. This is essential because once the nipple and areola are repositioned, blood vessels will work to reestablish blood flow in order to prevent discoloration of the nipple and loss of feeling.
Techniques for performing a breast reduction do vary among surgeons. An “anchor” incision is one of the most commonly used techniques during this surgery. During this approach, an incision is made around the areola, which extends down to follow the natural curve and crease of the breast. It is also referred to as an inverted “T” incision.
Dr Paresi uses a ‘Vertical Scar’ breast reduction technique in about 90% of patients. This eliminates the need for the transverse scar on the underside of the breast crease and decreases the overall scar burden for the patient. It also allows for better re-positioning of the breast tissue to better shape the breast tissue and give an improved aesthetic appearance.
Once the breast is resized and reshaped, the nipple and areola will be repositioned and then the lift will be performed so the breast sits higher on the chest. The incisions will generally include absorbable stitches on the inside of the breast. There are variations to this incision pattern that can be used depending on breast size and aesthetic goals.
Breast Reduction During/After Surgery
A breast reduction is performed under general anesthesia at an accredited surgical facility as an outpatient procedure. It typically takes about 2-4 hours to complete. For the first several weeks, patients will be directed to wear a surgical bra or compression garment. Most patients are able to return to work within 1-2 weeks, and may begin exercising by 4-6 weeks. The visible results of a breast reduction will be immediate. However, it may take 6 months or longer for nipple sensitivity to return.
Plan Your Procedure
Breast Reduction FAQs
The results following breast reduction surgery should remain the same as long as a significant amount of weight gain does not occur. The natural aging process and gravity will, over time, change the laxity of a woman’s breast, but the size should remain steady if there is not a pregnancy or weight gain that follows.
One of the drawbacks to having excessively large breasts is an enlarged areola (the slightly darker area surrounding the nipple). Thankfully, breast reduction surgery corrects this. Since the incision occurs around the areola, it is a relatively simple technique to trim away the desired amount of areola and reshape it into a smaller size so it looks proportional with the new breast size and shape.
Average Reduction Size?
This varies depending on the patient’s aesthetic and physical goals. After breast reduction surgery, it is common to go down a complete cup size, if not two.