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Breast Reduction - Reduction Mammoplasty

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Women with very large, pendulous breast may experience a variety of medical problems caused by the excessive weight, including back and neck pain, skin irritation, skeletal deformities and breathing problems. Bra straps may leave indentations in their shoulders and back and cause painful grooves.


The best candidates for reduction mammoplasty are healthy, emotionally-stable women who are realistic about what the surgery can accomplish.

Preparing for your surgery

Depending on your age and family history, you may need to have a mammogram before surgery. You'll also get specific instructions on how to prepare for surgery, including guidelines on eating and drinking, smoking, and taking or avoiding certain vitamins and medications.

Most major insurance carriers cover the breast reduction procedure, please check with your carrier to inquire about their requirements.

The surgery

The breast reduction procedure usually takes between 5-8 hours, although very extensive procedure will take longer. The procedure involves an anchor-shaped incision that circles the areola, extends downward, and follows the natural curve of the breast. Dr. Fisher removes the excess glandular tissue, fat and skin and moves the nipple and areola into a new position in the center of the newly sized breast. He then brings the skin from both sides of the breast down and around the areola, shaping the new contour of the breast. Dr. Fisher also utilized liposuction to remove excess fat from the armpit and wing areas.

In some patients, a modified procedure is utilized that minimizes that visible scars. In some cases, liposuction alone is all that is necessary to reduce the size of the breasts.

After your surgery

After surgery, you'll wear an elastic bandage or a surgical bra over your bandages. Your breasts will be bruised, swollen, and uncomfortable for a day or two, but the pain shouldn't be severe. Within a few days, the bandages or surgical bra will be replaced by a soft support bra. You'll need to wear this bra around the clock for three to four weeks, over a layer of gauze. The stitches will be removed in 10-14 days.

You can expect some loss of feeling in your nipples and breast skin, caused by the swelling after surgery. This numbness usually fades as the swelling subsides over the next six weeks or so. In some patients, however, it may last a year or more, and occasionally it may be permanent.

Getting back to normal

Healing is a gradual process. Although you may be up and about in a day or two, don't plan on returning to work for a week or more, depending on how you feel. And avoid lifting anything over your head for three to four weeks. Dr. Fisher will give you detailed instructions for resuming your normal activities.

Your new look

Dr. Fisher will make every effort to make your scars as inconspicuous as possible. Still, it's important to remember that the scars are permanent.  Fortunately, the scars can usually be placed so that you can wear even low-cut tops.