Breast Reduction in Boca Raton, FL
While many women seek breast augmentation for larger, fuller breasts, a large number also want to reduce the size of their breasts. Daniel Man, M.D., performs breast reductions on patients living in and around Boca Raton, FL, and the surrounding communities who want smaller breasts that are lighter and more proportionate to their bodies.
What Is a Breast Reduction?
Also known as reduction mammoplasty, breast reduction is intended to improve the appearance of breasts while removing the physical and emotional burden that an overly large bust can cause. This is a procedure more commonly requested than many might think and brings relief to thousands of women each year.
Breast reduction provides a perfect solution for women who are unhappy with their breasts and who wish to enhance their figure, regain lost firmness and volume, or restore balance to their bodies. Breast reduction can increase self-confidence and self-esteem, and make a woman feel happier and more desirable.
Breast reduction is ideal for women who have overly large breasts, heavy breasts with areolas and nipples that point downward due to sagging, asymmetrical breasts, or feel self-conscious or unhappy with the attention they receive because of their oversized breasts.
Benefits of Breast Reduction
Women with excessively large breasts turn to breast reduction because it offers the following benefits:
- Relieves back and neck pain that comes from having larger breasts
- Allows clothing to fit better
- Regains self-confidence
- Allows participation in activities difficult with larger breasts
Is Breast Reduction Right for Me?
If you have excessively large breasts that cause physical discomfort, difficulty finding clothing and undergarments that fit properly, and decreased self-confidence about your appearance, breast reduction may be right for you.
Breast reduction is often performed because patients:
- Believe that their breasts are too large for their bodies
- Constantly experience neck, shoulder, and back pain
- Have poor posture due to the weight of their breasts
- Notice numbness in their breasts and upper chest due to the strain
- Experience shoulder pain from bra straps
- Want a figure that is more balanced or better proportioned
- Wish that clothing fit better and was more comfortable
- Feel self-conscious wearing a swimsuit or revealing tops
- Get unwanted attention because of their bust line
- Can see that one breast is much larger than the other
- Have heavy breasts with areolas and nipples that point downward
Breast Reduction Options
There are several types of breast reductions that can be performed. Each depends largely on the original size, shape, and position of your breasts, and how much reduction is desired. The number of incisions is based on the need for access to different sections of the breast tissue, and how much skin needs to be removed.
Some patients may be able to have a reduction solely using liposuction, which removes excess fat via a cannula through a micro incision. Candidates for this kind of procedure are usually post-menopausal, have fatty breasts rather than fibrous ones, and have no appreciable sagging. Liposuction can also be used to reduce one breast by a cup size in the case of severely asymmetrical breasts.
Most patients receive a traditional breast reduction with three incisions in the shape of an anchor, from around the areola down the vertical face of the breast to the curve below the breast in the fold. This procedure results in some scarring that fades over time.
A few patients with extremely large breasts may require their nipples and areolas to be completely detached to be shifted up higher. In these cases, the ability to breastfeed will be lost along with some sensation.
How Involved is a Breast Reduction Procedure?
Dr. Man uses a surgical marker on your skin to indicate where the incisions are made. He does this while patients are standing up since breasts change shape when lying down.
Prior to the actual surgery, pre-op medications are given to keep patients comfortable. The anesthesiologist administers general anesthesia, so patients do not experience any sensation during the procedure. Local anesthetics and/or IV sedation may also be used.
The incision pattern depends on the size of the patient’s breasts, how much breasts sag, and where nipples and areolas are positioned. The types of incisions include:
- Micro-incisions and liposuction are used for breasts that are fatty (not fibrous), and which have not sagged appreciably (typically post-menopausal women.) The small incisions allow the liposuction cannula (tube) to enter the breast.
- A donut incision (periareolar) is a simple circle around the areola.
- A keyhole incision (or lollipop incision) combines the areola circle with two diagonal lines running vertically down from the areolas to the breast crease.
- An anchor incision (the most common technique) adds a third incision that runs in a horizontal curve along the breast crease, at the bottom of the keyhole incisions.
During the procedure, Dr. Man removes excess breast tissue, fat, and skin, and carefully shifts the nipple and areola to a higher position. The areolas can be reduced in size if desired. Skin located above the nipple is pulled down and sutured precisely together to reshape the breast. Liposuction may also be used to improve the contour under the arm.
In most cases, Dr. Man places drains in the breasts to collect excess fluid. At that point, he closes breast incisions with sutures that hold the deeper layers of breast tissue and the superficial layers of skin together to create youthful, firm looking breasts.
If a breast lift is performed in conjunction, the reduction takes place before closing. The result is breasts in proportion to your body. Dr. Man uses every advanced technique possible to reduce trauma to the breast tissue and skin, to make healing faster and scarring as minimal as possible.
Most breast reduction procedures will take between three and five hours, and longer if a breast lift is being performed at the same time. While many surgeons perform breast reduction solely as an outpatient procedure at a hospital, ambulatory facility, or office suite, Dr. Man has created a center that provides patients with complete care including the option to recover under the watchful eye of credentialed staff.
Before Breast Reduction
Dr. Man provides patients detailed instructions on how to prepare for surgery. These instructions may include (but may not be limited to):
- Having a complete physical
- Having a mammogram
- Losing some weight
- Stop smoking at least 6 weeks before surgery
- Stop taking aspirin or other NSAIDs that can cause bleeding
- Staying hydrated
- Buying clothing that is easy to get into and out of without raising your arms
- For mothers with infants or toddlers under five years of age, arranging for childcare for the two weeks following your surgery
- Establishing a no-fail support system (you will not be allowed to drive a car, clean, do laundry, or lift anything for two weeks)
To avoid potential complications and risks, it is important to follow instructions before and after the breast reduction procedure.
After Breast Reduction Surgery
After the procedure, patients rest comfortably until the anesthesia begins to wear off. Any necessary medications are administered to prevent infection and minimize discomfort. It is necessary for patients to have someone with them for 24 hours after the surgery. If necessary, patients may opt to stay and be cared for during the first 24 hours by our staff. Our nurses are all ACSL certified, and our facility has specialized recovery options, including chest wall cooling methods to reduce pain and swelling, a hyperbaric chamber, and oxygen treatments to speed healing.
After surgery, the breast tissue will feel tender and somewhat tight. The first 48 hours are usually the most intense regarding limited range of motion and pain levels. Lifting the arms is difficult and should be avoided for the first few days. It is also recommended that patients sleep on an incline.
How Involved is the Recovery from Breast Reduction Surgery?
Patients receive detailed instructions on the recovery process. To promote swift healing and reduce swelling and discomfort, we recommend patients begin to move around and eat a nutritious meal following surgery. A surgical bra with gauze inserted to cover the incisions must be worn for the first three days. Even though we don’t normally compression wrap the chest, we typically place drains depending on the amount of fluid being generated by the healing process. Support garments must be worn for several weeks to hold the breasts in place during the healing process.
It is very helpful to have help at home for the first week, particularly with small children, to avoid slowing the healing process. Breast reduction is a significant surgery and requires a longer recovery than that of a lift or augmentation.
With breast reduction, patients are not able to return to work for at least three to four weeks depending on the nature of your job. You cannot lift more than five pounds or anything over your head nor engage in any strenuous activity.
Once the initial period of discomfort has passed, it is recommended that patients call us if something causes pain to flare up. Additionally, let us know if a high temperature develops, or if one or both of your breasts are excessively swollen, tender to the touch, painful, red, or inflamed.
By six to 10 weeks after surgery, patients should start feeling much more comfortable with range of movement and any discomfort should be almost completely gone. Dr. Man provides patients with more specific details about the recovery process, based on individual needs and the surgical process used in the case, but it usually takes about six months for a patient to become fully accustomed to their new breasts.
How Long Do Results Last?
Under normal circumstances, breast reduction can last for years. However, there are several factors that can lead to a need for additional procedures. Situations that can lead to changes in your breasts include:
- Pregnancy, childbirth, and nursing
- Aging and gravity
- Weight gain or loss
- Hormonal changes
How Much Does Breast Reduction Cost?
The cost of breast reduction is different for each patient and is based on several variables including the extent of the procedure, the type of breast reduction performed, and whether it is done in conjunction with another procedure. Dr. Man does offer financing to help make breast reduction available to all his patients.
What Do I Do Next?
The first step towards a breast reduction is scheduling a consultation with Dr. Man. At this appointment, he takes time to get to know you and your goals, evaluate your breasts, and discuss possible treatment options with you. Some of the information he requires includes:
- A full medical history
- Any past or present medical conditions
- Medical treatments you have received in the past
- Past surgeries or hospitalizations
- Allergies or sensitivities
- Current medications
- Current mammogram results
- Family history of breast cancer
- Any plans for weight loss
- Any plans for pregnancy
Additionally, Dr. Man examines, measures, and photographs your breasts, and considers the following before making a recommendation:
- The current breast shape and size you have
- The breast shape and size you want to have
- The quality and quantity of your existing breast tissue
- The location of your areola and nipple
- The quality of your skin
If you have sagging breasts, you may need a breast lift as well as reduction. If you are planning to become pregnant or are in the process of losing a significant amount of weight, he may recommend you wait to get a reduction. Dr. Man wants you to be an active participant in developing your plan of treatment. By ensuring that you are well educated about your options, he can help you choose the best procedure for you.
Daniel Man, M.D., is a board-certified Florida plastic surgeon who performs breast reduction on women living in Boca Raton, FL, and the surrounding communities to help them with the physical and emotional effects of larger breasts and to have a shapelier appearance. Please contact us to set up your consultation today.