Breast Reduction

What is a Breast Reduction?

If your breasts are heavy and cause pain in your shoulders, neck, or back, you are probably a candidate for breast reduction (reduction mammoplasty). After surgery, your breasts will be smaller (to your specifications), alleviating pain, bra strap indentations, and under-breast skin rashes. Women report that their clothes fit better, they are able to comfortably participate in aerobic activities, their posture improves, and they feel less self-conscious after the surgery.

Dr. Combs has extensive experience with breast reduction, even in cases where the areolas have stretched and need to be reshaped. Breast reduction is not recommended for patients under the age of 17, however, except in severe cases.

Some insurance carriers cover breast reduction surgery when it is proved to be medically necessary. Please check with your insurance company if you hope to have your surgery covered.

During your consultation, Dr. Combs will spend time with you to answer your questions and make sure he fully understands what you want to achieve. He will examine you and take a full medical history to ensure you are a good candidate for breast reduction. It is important to him to operate with the utmost integrity and transparency so that you know what you can reasonably expect from your surgery.

What to Expect from Breast Reduction

Breast reduction is an outpatient procedure with the patient under general anesthesia. You will be able to go home a few hours after the surgery. Dr. Combs may use a variety of techniques based on your needs.

Breast reductions are usually done using either a “lollipop” or “anchor” incision pattern. The anchor pattern involves an incision around the areola (the dark portion around the nipple), a vertical incision from the bottom of the areola to the breast crease, and an incision horizontally across the breast crease.

The lollipop technique can sometimes be used when less of a reduction is required. In this case, the horizontal incision across the crease is not necessary.

After the incisions are made, excess skin, fat, and glandular tissue are removed, and the breasts are resized and reshaped. The areolas are repositioned and reduced in size, if necessary, in order to match the new breast size.

There is scarring after breast reduction, but the scars will become lighter and less prominent over time.

Breast Reduction Recovery and Aftercare

Most women must miss two weeks of work after a breast reduction. Exercise and sports activities can be resumed after a month. Avoid sleeping on your stomach while your breasts heal, and do not lift heavy objects.

Pain, swelling, and bruising, are inevitable for a few weeks. You will wear a surgical bra during healing and will be given full instructions for caring for your incisions. Pain medication will be given, as well as antibiotics to prevent infection. Of course, if you have any questions as you heal, do not hesitate to call us. We will see you for follow-up examinations to monitor your healing.

Call us today for Breast Reduction surgery. We regularly see patients from the greater Portland, Oregon and Vancouver, Washington areas.