Breast Reduction


Women who are unhappy about having large breasts and/or want to treat symptoms such as back pain, breathing problems and poor posture, may benefit from reduction mammaplasty (breast reduction), during which fat, glandular tissue and skin are removed from the breasts. The resultant smaller breasts increase patient comfort, and look more in proportion to the rest of the body. Ideal candidates for reduction mammaplasty are women with oversized breasts that are causing medical problems, low self-esteem, and/or physical or social discomfort. Women who are pregnant or breastfeeding cannot undergo reduction mammaplasty.

The Reduction Mammaplasty Procedure

Reduction mammaplasty is performed under general anesthesia. Depending on the technique used and the individual case, it takes from 2 to 5 hours to perform. One of the following incisions is often used:

  • Two rings, one larger than the other, around the areola
  • A keyhole shape, around the areola and down to the breast crease
  • An anchor shape, beginning in the breast crease, and extending up to and around the areola

Liposuction alone is sometimes used to reduce breast size. One advantage is that it leaves little-to-no scarring. However, because liposuction removes only fatty tissue, patients must have more fatty than glandular tissue in their breasts. Liposuction is also often used on men whose breasts are enlarged.

Recovery from Reduction Mammaplasty

After reduction mammaplasty, patients typically experience soreness, swelling and bruising for several days. Bandages are removed after 2 days, and replaced with a surgical bra. Physical activity should be limited for 1 to 2 weeks, while exercise and other strenuous activity should be avoided for at least 4 weeks. Stitches are removed after 2 to 3 weeks, at which point most patients return to work and other regular activities.

The results of reduction mammaplasty are noticeable immediately after surgery. As swelling and bruising subside, the breasts' appearance improves. Scars fade with time, and usually cannot be seen when a patient wears a bathing suit or low-cut top.

Risks of Reduction Mammaplasty

In addition to the risks associated with any surgery, risks related to reduction mammaplasty, depending on the technique used, include the following:

  • Loss of sensation
  • Scarring
  • Asymmetry
  • Excessive firmness
  • Inability to breast-feed
  • Loss of skin/tissue where incisions meet
  • Partial or total loss of areola and nipple

Although reduction mammaplasty provides long-lasting results, breasts are still subject to the effects of aging and gravity.

 


If you have any questions or comments, or if you want to learn more about the services Dr. Austin provides, please call 503.561.7000 or submit an online form by clicking here.

 

Patient Education


Meet Dr. Austin

Originally from California, Dr. Austin practiced in Mt. Vernon, Washington before relocating to Salem, Oregon in 1996. He was educated at Stanford University and UCLA School of Medicine, and received his residency training at the University of Washington, Seattle, and at the University of Michigan in Ann Arbor. Dr. Austin’s practice encompasses a broad range of aesthetic cosmetic surgery, as well as reconstructive surgery following cancer surgery, trauma, and congenital anomalies.

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