Breast Reduction Overview
Women with large breasts frequently endure symptoms that can be improved with a breast reduction. This is a surgery that reshapes the breasts to a smaller size. Symptoms associated with larger breasts include back pain, skin infections (from tight bra straps), and dermatitis between the breast folds. Women with heavier breasts also find it difficult to exercise and many feel self-conscious because their breasts take center stage. During surgery, our Metairie Breast Reduction specialists will remove breast tissue and skin. The breasts are tightened, lifted and repositioned to be in proportion with the patient’s body.
Breast Reduction Reviews
"Breast Reduction and Lift -- 53 Years Young -- 38DDD to 36C (?) - Louisiana - Four weeks post-op tomorrow and I have NO regrets!Well ... can I just start by saying how much I LOVE this website. It has been my life line for the past 4+ weeks! I'm 53 yrs old, soon to be 54, 152 lbs., 5'4". Before surgery I was wearing a 38DDD underwire bra (hate). Also had the underarm boob thing going on. I think I will end up being a 36C ... time will tell. I have thought about having a breast reduction for about 2 years -- after a co-worker had a successful one -- and after having a miserable experience looking for a dress for my son's wedding. I really started obsessing about it after bringing my sister-in-law to some pre-op and post-op appointments (with same PS) for her mastectomy and re-construction surgeries (she is doing fine). So here is my journey:August 13, 2014: I had my consultation with my PS. He suggested me going to a size D, but I really wanted a C. I knew when I left the office that I was going to go forward, but I gave myself two weeks to think about it. August 27, 2014: Scheduled the surgery for September 11, 2014. Regarding insurance -- I did call and they said they do cover this type of procedure, but there was a long drawn out process I would have had to go through to "prove" the necessity. I'm going to be straight forward here -- I would have had to lie to "prove" the necessity. I did have some back pain, but not much at all. Didn't want to go there. My husband felt the same and was very supportive. So I paid out-of-pocket for my procedure and am never looking back. I considered my choice cosmetic, not medically necessary. To each his own. I'm comfortable with my choice. Those two weeks prior to surgery were filled with emotion and doubt -- was i doing the right thing? was I being selfish for spending so much money? what if something went wrong and I chose to do this elective surgery? maybe I should wait? Maybe maybe maybe what if what if what if and then I started googling and found this website! Bingo! Need I say more! If you are thinking about it ... do it! September 11, 2014: Day of surgery. Wasn't nervous AT ALL! My PS came to "mark me up" and we discussed "the size" again. He said "okay one more time D or C?" I stuck to my guns and said C. My thinking was that at my age, weight gain was sure to end up in the boob area and this was my one and only chance .... so C is was. I asked him if was going to do lipo for the "underarm boob" and he said yes but not much. Well thank goodness because let me tell you lipo leaves you very very sore. I think he did a great job with the little not much lipo.I went home the same day with meds for pain, muscle spasms and antibiotics. Take the pain meds! I took them for four days round the clock. Pro: no pain Con: constipation (ugggh) Ice became my best friend (for swelling and comfort)! I slept in a lazy-boy recliner a lot those first few days with 2 little travel pillows under each arm so my arms wouldn't rest on breast area. I tried sleeping in the bed with a wedge pillow, but I'm not a back sleeper. So this didn't work for me at first. But then, I got use to the wedge pillow and managed to spend most of the night in bed. The wedge pillow prevented me from trying to roll over. At week 3 I could sleep on my side a little supported by one of my little travel pillows. Now at week 4 I can pretty much sleep on my side.I've read so much on this website about people being sent home with "tape". I was sent home with internal stitches, external staples (6 in each), external dermabond, covered with gauze and a post surgical bra. Oh and those miserable drains. I had one below each breast.My surgery was on a Thursday. The following Monday those miserable drains were removed (ouch!). However, that was the last morning I had to take my pain meds. Tuesday evening was my first bowel movement (gross I know). I tried Phillips Milk of Magnesia (recommended by my PS), eating Activia, raisins (I don't like prune juice), switched to Dulcolax and took probiotics. I don't know which "one" worked or if it was a combination but hey it worked.The following Friday, one week post-op, I had my dermabond and external staples removed. My treatment now was to use Bacitracin Antibiotic ointment over entire suture line and cover with light gauze for 3 weeks. This got old fast and was sometimes uncomfortable. Especially when I was itchy! But I will be 4 weeks post-op tomorow -- so I have one more day to go. This Friday (10/10/14) he wants me to start using Mederma on suture line for four weeks. My next appointment is not until 11/5/14 at which time he will switch me to a cream that he sells (can't remember name). After reading lots of post on here, it's amazing how every PS has their own post-op treatment regimens: some tape, some no tape, some bra, some no bra. So follow your PS's rules! Well, that's enough for now. I have so much more to say so I may post again later. My best advice is to rest, rest, and rest some more. No reaching up for anything, no bending down. Let loved ones take care of you ..... I did!Take care all ..... this journey has been amazing!"- Z. / RealSelf / Oct 08, 2014
"Breast Reduction and Lift -- 53 Years Young -- 38DDD to 36C (?) - Louisiana - Four weeks post-op tomorrow and I have NO regrets!Well ... can I just start by saying how much I LOVE this website. It has been my life line for the past 4+ weeks! I'm 53 yrs old, soon to be 54, 152 lbs., 5'4". Before surgery I was wearing a 38DDD underwire bra (hate). Also had the underarm boob thing going on. I think I will end up being a 36C ... time will tell. I have thought about..."- Z. / RealSelf / Oct 08, 2014
"I was extremely top heavy from the time I was a teenager. I visited with a plastic surgeon about 40 years ago and he told me I was a "Freak" because I had let myself get so big. This just about destroyed me. I have had many problems with my back and neck because of the pressure on them from the additional weight. For Christmas my husband gave me the gift of a breast reduction. I made 3 appointments with plastic surgeons to decide who I wanted to do my surgery. My first ap..."- P.D. / Healthgrades / Apr 11, 2019
"I saw many doctors before choosing Dr. Guste to do my breast reduction. I decided to go with him because he devoted much of his time to not just explaining the process, but also making me feel comfortable and confident. His willingness to meet with me on short notice was an implication to how devoted he is to his patients. Not only does this surgery have long term results, but it also changed my life in a positive way."- V.V. / Healthgrades / Jun 07, 2019
"I had the best experience with Dr. Guste and cannot recommend him enough. I felt like my case was important to him and that he wanted to give me the best results possible. From the beginning, he wanted me to voice my concerns, expectations, and was extremely empathetic with my areas of insecurity that I wanted fixed. I went to Dr. Guste for a breast reduction, lift, and Tummy Tuck. He is an absolute expert at what he does -- he read my mind and gave me results that I couldn't even imagine possible. It is not easy these days to find a surgeon in this field that is extremely smart, but approachable and kind. From the beginning consultations, to working through insurance details, to the day of and even post surgery I would not change anything about my entire experience. He is the best in the business and a genuinely hard-working Surgeon that put his best foot forward. I will be grateful to him for the rest of my life. Thank you Guste Plastic Surgery for a world class experience."- E.S. / Healthgrades / Jul 10, 2019
Breast Reduction Surgical Technique
During breast reduction surgery, surgeon skill is important. In addition to minimizing scarring, there will be a focus on maintaining a healthy blood supply to the nipple areola complex. This is essential because once the nipple and areola are repositioned, blood vessels will work to reestablish blood flow in order to prevent discoloration of the nipple and loss of feeling. Excess breast tissue is generally removed through a liposuction method and loose skin will also be surgically removed.
An “anchor” incision is one of the most commonly used techniques during this surgery. During this approach, an incision is made around the areola, which extends down to follow the natural curve and crease of the breast. It is also referred to as a vertical “T”. Once the breast is resized and reshaped, the nipple and areola will be repositioned and then the lift will be performed so the breast sits higher on the chest. The incisions will generally include absorbable stitches on the inside of the breast. There are variations to this incision pattern that can be used depending on breast size and aesthetic goals.
Breast Reduction During/After Surgery
A breast reduction is performed under general anesthesia at an accredited surgical facility as an outpatient procedure. It typically takes about 2-4 hours to complete. During surgery, a training tube may be placed to control bleeding and swelling. For the first several weeks, patients will be directed to wear a surgical bra or compression garment. Most patients are able to return to work within 1-2 weeks, and may begin exercising by 4-6 weeks. The visible results of a breast reduction will be immediate. However, it may take 6 months or longer for nipple sensitivity to return.
Plan Your Procedure
Breast Reduction FAQs
The results following breast reduction surgery should remain the same as long as a significant amount of weight gain does not occur. The natural aging process and gravity will, over time, change the laxity of a woman’s breast, but the size should remain steady if there is not a pregnancy or weight gain that follows.
One of the drawbacks to having excessively large breasts is an enlarged areola (the slightly darker area surrounding the nipple). Thankfully, breast reduction surgery corrects this. Since the incision occurs around the areola, it is a relatively simple technique to trim away the desired amount of areola and reshape it into a smaller size so it looks proportional with the new breast size and shape.
Average Reduction Size?
This varies depending on the patient’s aesthetic and physical goals. After breast reduction surgery, it is common to go down a complete cup size, if not two.