Breast Reduction

Breast reduction surgery is designed to treat large, heavy breasts. The goals of a breast reduction are to alleviate the discomfort associated with large breasts and to restore proportionate size, shape and position of the breast

Large, heavy breast can be both painful and aesthetically displeasing. Dr. Somogyi will discuss your symptoms as well as your desired breast shape and size.  Many different techniques can be used during breast reduction surgery. Through a comprehensive examination that includes detailed measurements and 3D VECTRA photographic analysis, Dr. Somogyi will determinethe best technique for you.

Incisions may be made in one of three ways:

  • Around the areola
  • Vertically downward from the bottom edge of the areola to the crease underneath the breast.
  • Horizontal beneath the breast and follow the natural curve of the breast crease

 

After Dr. Somogyi has removed the excess breast tissue and skin, the nipple and areola are shifted to a higher position. The remaining breast tissue is then rearranged to provide a proportional and aesthetically pleasing shape.

 

What to Expect

After a breast reduction, your breasts will likely be covered with gauze and a surgical support bra. You will be able to move around normally; however, actions that involve lifting, straining, or strenuous exercise should be avoided for 6 weeks until the breasts have completely healed. Breast reduction surgery is not overly painful and, although strong pain medication will be prescribed,most often Tylenol and Advil are sufficient to help alleviate discomfort. Sexual activity should be limited during the two weeks after surgery.

You will be instructed to wear a support bra for a6 weeks, until the swelling and discoloration of your breasts diminish. Your breasts will be swollen and bruised for about two weeks. You’ll likely feel pain and soreness around the incisions, which will be red or pink for a few months. You may notice that you feel less sensation in the nipple and areola areas.  Sensation loss is usually temporary and may take weeks, months or even more than a year to return to normal. Your breasts will require some time to settle and assume a pleasing, natural shape.

The breast reduction procedure will leave some scarring along the incision sites. While scars are permanent, they’ll soften and become thin and white within one to two years. The scarring will generally follow along the natural lines of the breast and can usually be hidden by bras and bathing suits. The extent of the scars will depend largely on your body’s ability to heal but Dr. Somogyi will provide you will all the necessary tools to maximize your healing and minimize visible scarring.

The results from a breast reduction should be long lasting. Once corrected, the breasts should remain relatively stable, assuming weight does not fluctuate greatly. Maintaining a stable, healthy weight can help you retain your results. Over time skin inelasticity due to aging and gravity may make another procedure necessary to retain the desired results.

 

Risks

Each year thousands of women undergo successful breast reduction surgery, experience no major problems and are happy with the results.  Significant complications from breast reduction are infrequent. However, Dr. Somogyi’s goal is to make sure you understand what this surgery involves, including possible risks, complications and follow-up care. Breast reduction surgery poses various risks, including:

  • Diminished sensitivity or permanent loss of sensation in the nipples or areas of breast skin
  • Irregularities or asymmetry in the shape and size of the breasts
  • The areolas (the pigmented area around the nipples) may appear uneven
  • Irregularities or asymmetry in the shape and size of the breasts (This could occur as a result of changes during the healing process, or surgery might not successfully correct pre-existing asymmetry)
  • Rarely, the blood supply to the nipple or areola is interrupted during a breast reduction. This can damage breast tissue in the area and lead to the partial or total loss of the nipple or areola
  • Rarely, poor healing can cause scars to become thick and wide
  • Difficulty breast-feeding

 

Your consultation with Dr. Somogyi is designed to maximize your outcomes and minimize complications by ensuring that the appropriate procedure is selected and that you have a full understanding of your pre and post-operative instructions. Our office is a constant resource for you in this regard and will carefully guide you through this exciting experience.

soft slit separator

Learn more about our BREAST procedures: