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OVERVIEW BREAST AUGMENTATION BREAST LIFT ENLARGEMENT/LIFT BREAST REDUCTION TUMMY TUCK VASER LIPOSELECT ARM LIFT THIGH LIFT COOLSCULPTING
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PREPARING FOR SURGERY

Who Is a Candidate?

Breast reduction surgery is a highly individualized procedure and you should do it for yourself, not to fulfill someone else’s desires or to try to fit any sort of ideal image.

Breast reduction is a good option for you if:

  • You are physically healthy
  • You have realistic expectations
  • You don't smoke
  • You are bothered by the feeling that your breasts are too large
  • Your breasts limit your physical activity
  • You experience back, neck and shoulder pain caused by the weight of your breasts
  • You have regular indentations from bra straps that support heavy, pendulous breasts
  • You have skin irritation beneath the breast crease
  • Your breasts hang low and have stretched skin
  • Your nipples rest below the breast crease when your breasts are unsupported
  • You have enlarged areolas caused by stretched skin

For more information about our breast reduction procedure, please contact us online or call us at We look forward to helping you look your best.

PREPARING FOR SURGERY

Prior to surgery, we will have you:

  • Take certain medications or adjust your current medications
  • Avoid taking aspirin, anti-inflammatory drugs and herbal supplements as they can increase bleeding
  • Stop smoking well in advance of surgery
  • Depending on your age get a baseline mammogram before surgery to help detect any future changes in your breast tissue

During a preoperative appointment, usually 1-2 weeks before surgery, we will:

  • Get lab testing or a medical evaluation
  • Tell you what to do on the night before and morning of surgery
  • Discuss the use of anesthesia during your procedure
  • Explain post-operative care and follow-up, and what help you will need after the procedure

INFORMED CONSENT

Pain from a breast reduction varies but is usually moderate. Patients are given pain pills to alleviate the discomfort, but usually only need them for several days.

The decision to have breast reduction surgery is extremely personal. You will have to decide if the benefits will achieve your goals and if the risks of breast reduction surgery and potential complications are acceptable.

Dr. Alexander and his staff will explain in detail the risks associated with surgery. You will be asked to sign consent forms to ensure that you fully understand the procedure you will undergo and any risks or potential complications.

The risks of breast reduction include:

  • Unfavorable scarring
  • Bleeding (hematoma)
  • Infection
  • Changes in nipple or breast sensation, may be temporary or permanent
  • Pain, which may persist
  • Breast contour and shape irregularities
  • Breast asymmetry
  • Poor wound healing
  • Potential loss of skin/tissue of breast where incisions meet each other
  • Potential partial or total loss of nipple and areola
  • Skin discoloration, permanent pigmentation changes, swelling and bruising
  • Damage to deeper structures - such as nerves, blood vessels, muscles, and lungs - can occur and may be temporary or permanent
  • Fluid accumulation
  • Potential inability to breastfeed
  • Allergies to tape, suture materials and glues, blood products, topical preparations or injectable agents.
  • Fatty tissue deep in the skin could die (fat necrosis)
  • Excessive firmness of the breast
  • Possibility of revisional surgery
  • Blood clots, cardiac and pulmonary complications
  • Anesthesia risks

You should also know that:

  • Breast reduction surgery can interfere with certain diagnostic procedures
  • Breast and nipple piercing can cause an infection
  • Your ability to breastfeed following reduction mammaplasty may be limited; talk to your doctor if you are planning to nurse a baby
  • The breast reduction procedure can be performed at any age, but is best done when your breasts are fully developed
  • Changes in the breasts during pregnancy can alter the outcomes of previous breast reduction surgery, as can significant weight fluctuations

The practice of medicine and surgery is not an exact science. Although good results are expected, there is no guarantee. In some situations, it may not be possible to achieve optimal results with a single breast reduction procedure and another surgery may be necessary.

IMPORTANT TERMS TO KNOW

Anesthesia—General: The patient is asleep, requiring that the airway be protected, either by a standard breathing tube, or by a laryngeal mask (LMA), an inflatable mask that goes in the back of the throat but doesn’t go down the trachea. Through the airway, an anesthesiologist gives gases to put the patient asleep. Drugs may also be given through the IV.

Anesthesia—Local: The surgical area is numbed up with an injection, but the patient is awake. Sometimes a patient will be given an oral medication, like Valium, to help with relaxation.

Anesthesia— Sedation (Twilight): The patient is made sleepy with medications given through an IV. The level of sedation can be adjusted, from barely sleepy to very sleepy. Sometimes sedation is given by the surgeon, but most of the time it is administered by an M.D. Anesthesiologist.

Areola: Pigmented skin surrounding the nipple.

Breast Lift: Also known as mastopexy; surgery to lift the breasts.

Breast Reduction: Also known as reduction mammaplasty, reduction of breast size by surgery.

Excision: To remove skin.

Hematoma: Blood pooling beneath the skin

Liposuction: Also called lipoplasty or suction lipectomy, a procedure that vacuums out fat from beneath the skin's surface to reduce fullness.

Mammogram: An x-ray vision of the breast

Mastopexy: Surgery to lift the breasts.

Reduction Mammaplasty: The surgical removal of breast tissue to reduce the size of breasts; also known as breast reduction surgery.

Sutures: Stitches used by surgeons to hold skin and tissue together

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