Breast Reduction

breastslarge-copy-2Procedure: Approximately 2–3 hours
Anesthesia: General anesthesia
Recovery: About 7 days (for office jobs and non-strenuous activities)
Post-op Visits: 1 day, 1 week, 3 weeks, 6 weeks, 6 months

Breast reduction—also known as reduction mammoplasty—is designed to correct the size and shape of overly large breasts, making them more proportionate to one’s body. This surgical procedure may be indicated for women who have heavy breasts that are causing neck pain, back pain, shoulder strap grooving or skin rashes. It can also be a good option for individuals who find it uncomfortable and/or embarrassing to wear particular articles of clothing or participate in certain physical activities due to the size of their breasts.

At our practice, board-certified plastic surgeon Jon Kurkjian, MD customizes breast reduction surgery to meet the unique needs and desires of every patient while maximizing aesthetic results. To begin the consultation process, he will perform a complete assessment of your breast size and contour, general health condition and medical history to decide whether you are a candidate for the procedure. After this evaluation, he will discuss your desired breast shape and size to understand your goals, allowing him to provide guidance on the most appropriate technique for your body.

In addition to the traditional measurement methods, Dr. Kurkjian uses innovative VECTRA XT 3D imaging to not only analyze your body, but to also enable you to view simulated images of how your breasts will likely appear following the procedure. With this ultra-high-resolution camera technology, you will be able to actually visualize the planned incisions and new breast shape on your own body, helping you feel more informed and confident about the proposed surgical plan and expected results.

From the first office visit to the final post-operative appointment, Dr. Kurkjian is dedicated to providing an unmatched level of personalized care and attention. He recognizes how busy life today is for many individuals, which is why he employs a meticulous surgical approach and specialized healing regimen that helps to produce excellent outcomes while accelerating a return to normal daily routines. To learn more about the various advantages, techniques and specifics of breast reduction, please feel free to explore the information below, or contact our practice today to schedule a consultation.

Benefits of Breast Reduction – Improving Health and Beauty

A breast reduction involves the removal of excess fat, glandular tissue and skin from the breasts. The goal is to reshape the breasts to be smaller, firmer, lighter and perkier. Often, patients find that their reduced breasts are much more proportionate with the rest of their body. Based on your needs and goals, key benefits of reduction mammoplasty can include:

  • Reduction of breast size and breast weight
  • Improved breast shape
  • Reduction in areolar size
  • Elevation of the breast mound
  • Elevation of the descended nipple-areolar complex

Breast Reduction Techniques and Considerations

A variety of techniques can be utilized to perform breast reduction, and Dr. Kurkjian’s extensive training and experience in this breast enhancement option enables him to custom-tailor the procedure to meet your specific needs and cosmetic desires. When you come to our practice for a consultation, he will walk you through the procedural process in its entirety, making sure you consider all important factors before deciding to proceed with treatment.

A Simultaneous Lift May Be Necessary

In general, the majority of women who are interested in breast reduction will also require a breast lift (though this does not mean a separate procedure will need to be performed). When excess breast tissue and volume is removed during a breast reduction, there is usually some residual loose, hanging skin. Correcting this extra skin and any drooping present is accomplished via a breast lift, ultimately helping to improve the elevation and projection of newly reduced breasts. During the consultation, Dr. Kurkjian will be able to determine whether or not you would benefit from a lift in combination with your breast reduction.

Breast Reduction Methods

There are three primary approaches to breast reduction. These include:

  • Liposuction Only
  • Vertical Breast Reduction
  • Wise Pattern Breast Reduction

Dr. Kurkjian most commonly performs a vertical or wise pattern breast reductions, depending on the quantity of breast tissue and skin that needs to be removed. If only a moderate amount of volume needs to be removed, he will generally prescribe the vertical technique wherein the incision encircles the areola and extends vertically down the breast to the inframammary crease. When a significant volume reduction is needed, the wise pattern technique will be recommended. The incision for this approach goes around the areola, continues down to the bottom of the breast and extends horizontally along the inframammary fold (resembling the shape of an anchor). It is unusual for an individual to only require the extraction of fat in order to achieve their goals, though liposuction alone can be employed for qualified patients. More commonly, liposuction is used to further enhance the outcome of either the vertical or wise pattern method.

Ultimately, there are pros and cons to each breast reduction approach, all of which can be extensively covered in-person with Dr. Kurkjian. Following an evaluation of your particular needs and goals, he can identify which technique would be most appropriate for your unique situation.

Breast Reduction Insurance Coverage

Many of our patients undergo a breast reduction for cosmetic reasons only, while others suffer from significant neck pain, back pain, shoulder grooving and under-breast rashes. Depending on your symptoms, you may be able to obtain insurance coverage for your procedure. Insurance coverage often depends greatly on the amount of breast tissue to be removed in comparison to your height and weight. At your initial consultation, the required medical information will be gathered and then subsequently sent to your insurance company for preauthorization. Once approval has been obtained, surgery can be scheduled accordingly.

The Breast Reduction Procedure

During the breast reduction procedure, excess breast tissue and/or fat is removed, and any loose, extra skin is excised. The remaining tissue is then raised and recontoured until an optimal breast shape is achieved, and tiny sutures are used to reattach the skin with the utmost precision. A key element of Dr. Kurkjian’s approach to breast reduction is to minimize any potential recovery and downtime by creating as little tissue trauma as possible. Throughout surgery, he is careful to avoid contact with the ribs, and his technique for making incisions limits any undue injury to tissues. Furthermore, Dr. Kurkjian strives to inhibit bleeding during the procedure, which helps to lessen the possibility of post-operative discomfort and/or bruising.

Breast Reduction Recovery

Dr. Kurkjian performs breast reduction surgery on an outpatient basis under general anesthesia, so patients are usually able to return home the same day with the assistance of a friend or family member. There will likely be some swelling and/or bruising in the breasts initially, but these symptoms are generally mild and should resolve quickly due to Dr. Kurkjian’s meticulous surgical technique. Pain is rare following surgery, though some degree of soreness can be expected within the first couple days of recovery. The majority of individuals feel well enough to return to office jobs, school or other non-strenuous activities after approximately five to seven days, but Dr. Kurkjian instructs patients to avoid any vigorous exercise or intense physical activities for at least four to six months to give the breasts ample time to heal.

Ultimately, Dr. Kurkjian and our team endeavour to develop a strong relationship and establish clear lines of communication with every patient who comes to our practice seeking aesthetic care. No individual is merely a number to us, which is something we take great pride in. From start to finish of the breast reduction process, we will be happy to answer any questions or address any concerns you may have—whether you wish to speak over the phone or in person.

For more information about breast reduction, or if you would like to schedule a consultation with Dr. Kurkjian, please contact our practice online or by telephone today.

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