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Breast Reduction

Heavy, oversized breasts can cause back and shoulder pain, as well as create a disproportionate silhouette and cause skin irritations beneath the breasts. On top of all that, one breast may be noticeably different in size compared to the other. If you suffer from any of these problems, a breast reduction may provide some relief. Ahmet R. Karaca, M.D., is a board-certified plastic surgeon at Birmingham Plastic Surgery has performed over 1500 breast reductions in the Detroit area.

What is Breast Reduction?

Breast reduction is a procedure that removes excess tissue from one or both overly large breasts to create a smaller, more proportionate breast size. The procedure does not correct sagging, and although the results are permanent, patients may experience an increase in breast size as gravity, hormonal changes, and the natural aging process takes effect. Breast reduction can be performed on younger women if their breasts are causing them pain and discomfort, but it’s ideal that patients wait until they’ve reached the age of 17 and their breasts have fully developed before opting to have the procedure.

Dr. Karaca routinely performs breast reductions for women who are unhappy with their overly large breasts and want to achieve a breast size that’s more comfortable and visually appealing. The procedure is also designed to restore confidence in women who feel self-conscious about their breast size and remove the persistent pain and chronic rashes often associated with having large breasts. In addition to decreasing the weight and volume of the breasts, breast reduction also molds the breast into a firmer, more youthful shape.

Benefits of Breast Reduction

Disproportionately large breasts can detract from a woman’s self-esteem, causing her to feel self-conscious and insecure about her body image. The weight of overly large breasts can also cause long-term health concerns, such as thoracic kyphosis, a painful condition that alters the curvature of the spine and makes it difficult to breathe.

Most women undergo breast reduction surgery to reshape their breasts and alleviate many of the problems that result from having large breasts. With smaller breasts, patients can gain permanent relief from the back, neck and shoulder pain that often accompanies larger breasts, and they can feel confident and more attractive about their physical appearance.

The health and emotional problems associated with larger breasts can also affect some men who may choose to undergo male breast reduction surgery, also known as gynecomastia.

Whether male or female, Dr. Karaca’s patients report improved physical and emotional comfort and satisfaction following breast reduction surgery.

Reasons for Having Breast Reduction Surgery

Breast reduction has one of the highest satisfaction rates of any surgical procedure, and there are many reasons women decide to have the surgery, including:

  • Improving physical comfort by reducing neck and back pain, skin irritations and posture problems associated with large breasts.
  • Reducing shoulder indentation marks that result from the constant pulling on the bra straps due to the weight of the breasts.
  • Increased participation in sporting activities and reducing the pain and awkwardness of general physical activities.
  • Avoiding the embarrassment of ill-fitting clothes and overall disproportion associated with larger breasts, especially for teens and younger women.

The Breast Reduction Procedure

Breast reduction surgery is performed under general anesthesia and usually takes three hours to complete on both breasts. During the procedure, excess breast tissue is removed from the breast, and the areola is reduced in size before moving the nipple to a higher position on the chest. The operation always includes a lift as well, because of the design.

There are a variety of methods to approach breast reduction, and your individual procedure will largely depend on your anatomy, desired outcome, and Dr. Karaca’s preferences. The most common breast reduction technique uses an anchor incision, which is a three-part incision featuring one cut around the areola, one vertically down the breast and a final cut beneath the breast along the breast fold. In some cases, he performs the procedure with an incision around the areola and one incision straight down towards the natural crease of the breast ( Lollipop incision ).

Breast Reduction Recovery

After three days, the dressings will be removed, and patients are permitted to shower. After one week, if the patient’s work involves non-strenuous activities, it can be resumed at this time. The breasts will continue to appear bruised, swollen and general discomfort will remain for up to three weeks; patients should continue wearing their post-operative support bra during this time.

Mild to moderate physical activities can be resumed after several weeks, and nipple sensation will return to normal over time. The final appearance of the breasts may not be apparent for several months, as the breasts take time to settle, and surgical scars continually fade.

Does The Nipple Have To Be Completely Removed When Performing Breast Reduction?

The nipple is rarely removed during breast reduction surgery. Breast reduction is performed in such a way that the nipple retains its dermal blood supply while it’s moved to a higher position and the surrounding, excess breast tissue is removed and tightened. The procedure involves the partial removal of breast tissue and a combined breast lift, but the nipple is largely left attached to the breast during surgery.

Are Breast Reduction Results Permanent?

The results of breast reduction surgery are generally permanent, but fluctuations in weight, normal aging, pregnancy and other hormonal changes can alter the size and shape of the breasts throughout the patient’s life.

What KIND OF Scarring Be Expected From Breast Reduction?

Breast reduction typically leaves patients with permanent, visible scarring. The standard scarring follows the pattern of the anchor incision used in the procedure, but it is usually hidden under the bra. Breast reduction surgery produces different types of scars, and they can be a combination of thin, flat, raised, thick and/or pigmented depending on your genetics.

How Much Does a Breast Reduction Cost in Detroit?

In cases where disproportionately large breasts cause a specific medical condition or chronic discomfort, most major insurance providers will help cover the cost of breast reduction. In instances where a patient chooses to undergo breast reduction solely for cosmetic reasons, the cost of surgery typically isn’t covered by health insurance providers. Dr. Karaca accepts personal checks and credit cards. We also offer financing plans to help patients afford the breast reduction procedure they need.