Excessively large breasts can produce significant amounts of symptoms, including back pain, neck pain and shoulder discomfort. Sometimes the skin underneath the breast may become irritated, the breasts themselves are sometimes uncomfortable, and in some rare patients, numbness of the extremities is also possible (carpal tunnel or cubital syndrome).
Candidacy for Breast Reduction Surgery
The best candidates for breast reduction are healthy individuals who suffer from symptoms caused by excessively large breasts. When traditional medical treatments such as weight loss and the use of anti-inflammatory medications fail to resolve these problems, patients can often be relieved by the surgical procedure also known as reduction mammoplasty.
During the consultation, Dr. Perez will discuss the pros and cons of the procedure and recommend the technique that will best address your individual needs. This procedure is performed under general anesthesia, administered by a board certified anesthesiologist, in an accredited outpatient surgical facility in the Overland Park area. This surgery usually takes between 2 to 3 hours.
Post-surgical recovery for breast reduction usually takes two to three weeks. During this time physical activity will need to be limited in order to allow for the proper healing of the tissues. Early ambulation, however, is encouraged.
The post-surgical discomfort is usually easily controlled with oral narcotic pain medications. Patients will be provided with a compression garment which Dr. Perez prefers all of his patients wear for 2 weeks.
In a breast reduction surgery, excessive breast tissue and skin are removed from the breast and the remaining tissues are brought back together to create a breast contour as natural as possible. As a consequence of this procedure, some scarring around the areola and on the lower portion of the breast results. The type and the extent of incision utilized can vary depending on the individual.
Patients with larger breasts that require more extensive breast tissue removal or patients that have looser skin on the breasts may incur larger scar results. On the other hand, if the patient’s skin is young and elastic and the amount of tissue to be removed is not extensive, these patients are more likely to be candidates for a short-scar mastopexy.
However, most patients, according to Dr. Perez, can benefit from a modification technique developed and performed by him. In this modified technique, Dr. Perez is able to eliminate the medial (inner) portion of the horizontal scar and is able to give patients more upper pole fullness compared to traditional techniques.
Surgical Scar Healing
Like any other surgery where cuts are involved, it is important to remember that the appearance of the surgical scars will change over time. Dr. Perez will follow your healing progress very closely. He will use post surgical tape initially to cover the scars to minimize post-surgical scar formation. As the patient heals, he will instruct them on post surgical scar gels and massage technique.
As a general rule the more pigment the patient has on their skin, the longer it will take for the scar maturation to complete. For some patients this process may take 6 months, for others it may take up to 18 months.
Breast reduction patients report that, aside from the relief of the physical pain (shoulder grooving, neck, back and shoulder pain), they attain a restored self esteem and a significant improvement in the way their breasts look and clothes fit.