Breast Reduction Heavy breasts can lead to physical discomfort, medical problems, and self-image issues. Women seek to have a Breast Reduction, or mammoplasty, for many different reasons. This procedure will help lift and reduce the size of a woman’s breasts restoring shape and contour to a woman’s breast and often alleviating stress on both the back and the neck caused by large breasts. Besides the physical strains that large breasts may place on a woman’s body, social and emotional stressors may also be a factor which lead a woman to choosing a reduction procedure. Many patients complain of having a hard time finding t-shirts to fit their breast size, and often feel uncomfortable in tight clothing or swimwear. Vigorous exercise, such as running or aerobics, can be difficult and may cause additional discomfort. This surgical procedure is designed make large breasts more proportionate for the individual patient. The invasive technique can reduce heavy, sagging breast tissue, reshape pendulous breasts, and raise tissue to a healthy placement on the chest. Patients opting for surgical reduction of the breasts may have only natural breast tissue, or implants from a previous Breast Augmentation. Women who opt for a reduction are noted as the most satisfied cosmetic surgery patients. Reasons women with large breasts may seek this procedure: Back or shoulder pain Painful bra-strap indentions Discomfort during exercise or physical activity Inability to find appropriately fitting clothing Avoidance of social activities due to embarrassment Who is a good candidate? Women of any age, unhappy with the size or shape of their breasts, may make an excellent candidate. Patients with heavy, sagging, and pendulous breasts can find exceptional benefits from the surgical procedure. Women considering Breast Augmentation should be in generally good overall health. As with all cosmetic procedures, patients must have realistic surgical expectations. During the consultation appointment with Dr. Lohner, it will be determined if this is the correct procedure for the individual situation. Men suffering from enlarged breast tissue, or Gynecomastia, can also make a very good candidate for this procedure. During the procedure, Dr. Lohner will sculpt and reshape the breast to a tight, flat, masculine appearance. Before scheduling the surgery, the cause of Gynecomastia should be determined, to rule out serious health conditions. Choosing a Breast Reduction Procedure: Patient should begin the process with online research. Understand the reasons women choose this procedure, the benefits of the procedure, techniques for surgery, and the recovery period. If the procedure still sounds like a good idea, contact Lohner Plastic Surgery for a consultation appointment. At the initial consultation appointment, Dr. Lohner will review the patient’s medial history, perform a brief physical examination, discuss surgical desires, and explain the surgical techniques available. He will use computer imagery to assist in a visualization of results, as well as share Before/After photos of past patients. If this is determined to be the best procedure for the situation, a unique surgical plan will be created. How to prepare for surgery: Once the consultation appointment with Dr. Lohner has been completed, and surgery has been scheduled, it is time for preparation to being. To ensure a satisfactory surgical result, with a smooth recovery period, women should remember the following key points: 1. Always ask questions Whatever questions or concerns arise contact the office immediately; never wait until the day of surgery to get clarification.2. Make transportation arrangements. Patients need a ride home from the surgical center. Arrange for this, and transportation to follow-up appointments, ahead of time for a stress-free recovery.3. Pick up all medications. Prescriptions should be filled before the day of surgery. The pain medications, antibiotics, and other prescriptions will need to be taken exactly as ordered. Also, pick up other over the counter products such as ibuprofen or allergy medications, to have on hand. 4. Schedule all follow-up appointments. Follow-up appointments are vital for proper healing and satisfactory results. Put these on your calendar before your surgery, and know others may pop up. Never skip out on a post-surgical check up with Dr. Lohner. 5. Centralize important phone numbers. Have all emergency contact information, and insurance information, together in an easy to find location. If an emergency arises, you or someone you know can easily reach out for assistance. 6. Gather supplies for the recovery period. Stock up on books, magazines, extra pillows, ice packs, and easy-to-prepare meals; these will allow for a comfortable, stress free recovery period.7. Arrange for daily visits. After surgery, women are sore, tired, and weak. This will pass after several days of healing, but initially doing any work around the house may be impossible. Have a friend or family member stop by to assist with small chores.8. Decide what to tell others about the procedure. People around you will notice changes, during your recovery period and beyond. Know what you will tell your coworkers, close friends, and acquaintances about your procedure. 9. Take adequate time off from work or school. Don’t push yourself. The recovery period after this procedure can take up to two weeks. Women need to give themselves up to a week or longer for quiet rest and recovery at home, before returning to work or school. 10. Relax. This is a life-changing procedure. Under the guidance of Dr. Lohner, the results will be dramatic and spectacular. Relax; you are in good hands. The Breast Reduction Procedure: The exact technique for this procedure will depend on each individual patient’s corrective needs. Generally, surgery will take two to three hours, performed as an outpatient procedure, under general anesthesia. Dr. Lohner will begin by making a thin incision around the areola, vertically down the mid-breast, and horizontally across the breast crease. Once the incisions have been made, Dr. Lohner will excise the excess fatty and glandular tissue. He will reposition the areola and nipple proportionate to an appropriate height. Normally, the blood supply, nerves, and milk-ducts will remain intact with the nipple, allowing women the option of breast-feeding in the future. Once the tissues have been sculpted to the desired shape and size, Dr. Lohner will suture the incisions for proper healing. Some procedures may require different techniques or additional steps. Dr. Lohner can resize and reshape the nipple and areola, as needed. A woman’s individual physical characteristics may allow for the horizontal incision, across the breast crease, to be greatly reduced or even eliminated. Liposuction may be used during the surgery to remove excess fatty tissue from underneath the arm and sculpt breast contours. At times, although less often, Liposuction alone can be used to reduce the size of the breasts. During the consultation appointment, Dr. Lohner will explain all the surgical choices available. Potential risks: A mammoplasty is considered a safe procedure, with few risks involved. As it is an invasive surgery, there is always the small chance for complications. These can include infection, delayed wound healing, scarring, and loss of sensation in the nipple-area. When patients choose to work with a Board Certified cosmetic surgeon, like Dr. Lohner, they reduce their chance of complications even farther. Mammoplasty Recovery: Patients should expect the breast reduction recovery period to last between one and two weeks. Initially, mild to moderate pain may occur, but Dr. Lohner will prescribe the appropriate pain medications to keep patients resting comfortably at home. Swelling is not uncommon; patients will need to wear a special compression garment or surgical bra after surgery to keep this to a minimum. Dr. Lohner may use sutures and drain tubes, both of which will be removed in about a week. Some bruising will be noticeable, as well as temporary numbness around the nipple. These will resolve over the first several post-operative weeks. Patients generally feel well enough to return to work or school, after a Breast Reduction, in ten days or less. Strenuous activities and vigorous exercise must be postponed for four to six weeks. Visual scarring will occur after a mammoplasty, although they will be well concealed under clothing and swimwear. Scars will run around the areola, vertically down the center of the breast, and horizontally along the breast crease. Over time, these will fade, although they will always remain visible. Normally, women are extremely pleased with the results from their surgery, and relieved to have their breasts down to a proportionate size, making the resulting scars inconsequential. FAQ: How much does a Breast Reduction cost? A mammoplasty procedure will cost between $11,000 and $13,500 – depending on the surgical technique. This includes the surgeon’s fee, the anesthesiologist, and the hospital charges. When can I return to work after surgery? Patients should feel well enough to return to work or school in five to seven days. Does a mammoplasty result in scars? Yes, this procedure will leave visible scarring, the extent of which depends on the surgical technique used. Normally this will extend around the areola, vertically down the breast (a lollipop incision), and horizontally along the breast crease. Can I finance my procedure? Lohner Plastic Surgery makes it possible to finance your procedure through CareCredit. We also accept cash and all major credit cards. Lohner Plastic Surgery is located in beautiful Bryn Mawr, Pennsylvania; immediately outside of Philadelphia. We are an easy commute for patients in the Northeast, such as Wilmington, New York City, and Scranton; we are located close by airport and train stations, making the trip simple for out of town guests, as well. Contact our office at 610.519.0060 for more information on mammoplasty, and to schedule a consultation appointment.