Breast Reduction is the procedure with the highest patient satisfaction in ALL of plastic surgery. The procedure allows for not only a decrease in the size of the breast, but also a better position of the nipple-areolar complex, and an improved shape to the breast mound.
Why are breast reductions performed?
There are 3 main reasons reductions are performed. Some patients do it for cosmetic reasons as they are not happy with a large breast size. Some do it for symptom relief. Oftentimes when breasts become very large they can lead to symptoms of neck and shoulder pain, trouble losing weight and exercising, and even depression. In these cases, insurance companies will often help to pay for the procedure if it meets criteria for medical necessity. And the last reason for breast reduction is to create symmetry during breast reconstruction. After mastectomy and reconstruction, the unaffected breast may need to be lifted and reduced in size in order to match the newly reconstructed breast.
Before and After Photos
The ideal candidate is one in overall good health that is interested in achieving a smaller, more proportioned breast with improved shape and nipple position. This may be for cosmetic, symptomatic, or reconstructive reasons.
During your consultation, you will meet with Dr. Arslanian and his staff and have the opportunity to discuss your individual situation as well as your concerns and aesthetic goals. Dr. Arslanian will will take detailed measurements of your breast and body and perform a complete examination. Photos will be taken to help Dr. Arslanian point out certain things and explain his approach to breast reduction. If you are deemed a good candidate, he will discuss the various options for breast reduction and make sure you are happy with your decision. If this is an insurance case, then your documentation and photos will be submitted to the insurance company to obtain authorization. He will also show you photos of other patients before and afters to help determine what size and look you are trying to achieve. After answering all your questions, you will then sit down with the surgical coordinator to discuss timing, pricing, and any other questions you might have.
Prior to surgery you will be given instructions on the day, time and location of your procedure. You will be given your prescriptions that Dr. Arslanian prescribes, and all of your paperwork including consent forms will be signed. In some cases you may need to obtain medical clearance from your physician or specialist, and possibly meet with the anesthesiologist and undergo additional lab work depending on your medical issues and personal situation.
The procedure will be performed as an outpatient in an accredited surgery center with a board certified anesthesiologist in the safest conditions possible. The surgery will be performed under general anesthesia. Pre-operative markings will typically be made the morning of surgery.
After you are asleep, Dr. Arslanian will start by making his incision. A pedicle will be created which is the breast tissue that remains attached to the nipple and maintains the blood supply. The excess tissue and skin will then be removed. The nipple will be placed into its new location and the incisions will be closed. You will be placed into a support bra and awaken from anesthesia.
There will be some expected post-operative pain that typically resolves within a few days to a week, which you will be given pain medication for.
You will go home the same day of surgery and rest. Over the course of the first week you will begin range of motion exercises to keep your arms and shoulders from tightening up. You will follow up within the first week at which point dressings will removed and any sutures that were placed on the skin. You will be given instructions on wearing your garment and increasing activity. Most people can be back to work within 3-7 days depending on if they work at a desk or have a more labor intensive occupation. By 2 weeks most patients are almost back to normal. You will then be able to start increasing activity, excising and start lifting heavier weight.
Patients should expect their results to take 3-6 months to fully develop. After a breast reduction, the breasts will typically sit high on the chest and be more perky than expected. With time, the breasts will settle and soften into a very natural position. Scars will flatten and begin losing their pigmentation after 6 weeks. Final results are typically seen at 6 months or later.
A breast reduction procedure is highly customized to each particular patient. For this reason, the cost of the procedure will vary. Dr. Arslanian will be able to provide an accurate price quote at the time of the consultation.