Female Breast Reduction New York City

Overview:

Reduction mammoplasty is the procedure of choice for women with large, pendulous, often painful breasts.

The procedure performed by Dr. Simone may reduce the chances of breast cancer by as much as 50%. A considerable portion of surgical costs are often met by insurance companies if the patient meets their criteria for surgery.

Excessive breast size and weight is often associated with:

• Painful breast tissue, cyst formation
• Back and neck pain
• Permanent change in posture
• Skin irritation
• Bra straps indentations
• Difficulty sleeping and breathing
• Unnecessary negative attention and self-consciousness.
• Restriction in physical activites and exercise

Goals:

Surgery is more often done to relieve and correct physical symptoms rather than for aesthetic reasons.

The goal is to give a woman smaller, better-shaped breasts in proportion with the rest of her body, relief of symptoms and reduction of the chances of developing breast cancer, especially if there is a family history.

Dr. Simone will review your desires and goals, your medical and family history followed by a thorough physical examination. He will discuss how the surgery is performed and what you can reasonable expect from surgery with the objective of creating a natural appearance that is balanced and appropriate to your body type and is pleasing to you. Photographs are taken and used as a guideline during surgery. You will be sent a list of detailed preoperative instructions that may include the restriction of certain drugs [such as those containing aspirin] alcohol, dietary supplements, caffeine and cigarettes. Medications such as antibiotics and/or analgesics may be prescribed. Dr. Simone will give you complete details of your proposed surgery at the time of consultation. Potential risks and complications will be discussed by Dr. Simone with you at the time of consultation.

Depending on your age, personal and family history, you will be sent for mammography to be sure there are no tumors or findings suspicious of cancer.

Surgery:

• The procedure removes fat, glandular tissue, and skin from the breasts, making them smaller, lighter, and firmer and lifts the breasts. It may also reduce the size of the areola [the darker skin surrounding the nipple].
• Surgery is performed under a general anesthetic or local anesthesia with sedation [asleep and pain free].
• It can be done in a hospital setting or at Dr. Simone’s accredited Park Plastic Surgery Center where most are done.
• Incisions are located around the nipple, down to and usually along the breast fold . Resultant scars, although permanent, are easily covered by a bra or bathing suit. Scarring from breast reduction usually results in well healed, slightly pale scars but as healing is a very individual process, altered scarring is always a possibility.
• The tissue that is removed comes from those areas of the breast which are generally the most “active”–that is, the areas where most breast cancers occur -thereby reducing the risk of breast cancer. The tissue removed is sent to the pathologist for analysis allowing for more accurate post operative counseling.
• Breast reduction if often done in association with liposuction of specific areas.

Post-Surgery overview:

• Pain following surgery is can be small to moderate in intensity but perfectly manageable by oral analgesics
• Dressing will be worn for one week. You may take a tub bath during this time
• After first week, you will change to a surgical bra which can be removed for showering
• All removable stitches will be out by 10- 14 days. Absorbable stitches will remain
• Work usually can be resumed after one week
• You can anticipate 3-4 office visits during the first two post-op weeks
• Insurance may cover part or all your surgical costs if surgery is approved as medically necessary
• An inclusive written list of specific post-op instructions will be given to you upon discharge.

Though uncommon, risks and complications may include, but are not limited to:

• Unfavorable breast scars
• Bleeding (hematoma)
• Infection
• Changes in nipple or breast sensation, which may be temporary or permanent
• Breast contour and shape irregularities
• Skin discoloration, permanent pigmentation changes, swelling and bruising
• Breast asymmetry
• Fatty tissue deep in the skin could die (fat necrosis)
• Fluid accumulation

Breast Reduction surgery is among the most rewarding procedures experienced by patients. It is in many ways liberating in that it can make a woman feel so much more comfortable in her body, able to wear a greater variety of clothing while avoiding uninvited negative attention. Moreover, there is often improvement of posture as well as a great relief in upper back, should and neck discomfort merely by reducing the excessive weight of the breasts. It also reduces significant breast pain whether associated with the menstrual cycle or not. All of these positive benefits can lead to better sleep, a greater capacity for a variety of healthy exercise regimes and even in a woman’s personal intimate relationships.