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.
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.
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.