Dr. Robert J Paresi, Jr. MD
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Breast Reduction

Breast Reduction in Downers Grove, IL

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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.  

Health Benefits

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.

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.

Incision Placement

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.

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.  

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Breast Reduction FAQs

Long-Lasting Results?

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.

Areola Reduction?

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.  

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*Individual results are not guaranteed and may vary from person to person. Images may contain models.