Breast Reduction

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If you have disproportionately large breasts, a condition called macromastia, you are likely familiar with the physical and emotional discomfort this can cause. You may experience back, neck and shoulder pain; deep, uncomfortable grooves from bra straps; and irritation beneath the breasts. Additionally, you may have trouble exercising, finding clothing that fits, and dealing with unwanted attention. Board-certified surgeon Dr. Vinay Gundlapalli, and Dr. Sean Bidic, a board-certified plastic surgeon proficient in breast reduction in New Jersey, have expertise in surgical techniques to correct overly large breasts.

If you would like relief from the discomfort of overly large breasts, choose a breast reduction surgeon with experience and results that exceed your expectations. Request your consultation online, or call (856) 362-8898 to schedule your appointment.

A Consultation That's All About You

Dr. Bidic and Dr. Gundlapalli understand that overly large breasts are more than a cosmetic issue for most women. The surgeon takes the time to discuss all of your symptoms and concerns, and to develop the appropriate surgical solution for you. In some cases, he can help you to obtain insurance coverage for your breast reduction surgery. This typically requires documentation from an orthopedic surgeon or chiropractor, as well as a dermatologist, and/or primary care physician to demonstrate proof of a history of ailments related to enlarged breasts. The staff at American Surgical Arts can assist you in obtaining the appropriate documentation to determine insurance coverage for your breast reduction procedure.

Your Breast Reduction Procedure

Breast reduction involves the surgical removal of excess skin and breast tissue through excision. Occasionally liposuction may be used to remove fat and improve contours.

The surgeon employs 2 incision types:

  • Lollipop incision: This method involves an incision completely around the areola and another incision from the bottom of the areola vertically down to the inframammary fold (IMF), the crease beneath the breast.
  • Inverted-T incision: Also called an "anchor" incision, this technique is like the lollipop incision but with an additional incision along the IMF.

The cosmetic surgeon repositions the nipple, which remains attached to its nerves and blood vessels, to a higher location (in more extreme cases, the nipple is detached and reattached). He reduces the size of the areola (if necessary) and excises skin, breast, and fatty tissue until the desired shape and volume are achieved.

The surgeon applies multiple layers of sutures to support the breasts' new shape and closes the skin with buried sutures that do not need to be removed.

What to Expect After Surgery

After surgery, someone will need to drive you home and help you for the first several days. Support garments and oral pain medication can help alleviate temporary soreness.

Activities such as lifting anything weighing more than 15 pounds, being fully submerged in water, or anything that raises your heart rate above 100 will be restricted for 3 weeks. You will visit us at 1 week, 4 weeks and 3 months after surgery.

Swelling and bruising will diminish over several weeks. Although incision lines will remain, they will fade over time. Treatments for improving scars are available, and most women feel that scars are a small price to pay for the relief they experience. Once you heal, you will enjoy a more desirable appearance and improved comfort.

Lift or Reduction?

Not sure if you require a breast lift or reduction? A breast lift eliminates excess skin and moves the nipple to a more youthful position while also raising the breast mound, whereas a breast reduction also removes excess fat and breast tissue. Both will remove some volume, but a breast reduction aims to reduce the size of the breast by removing breast tissue. Learn more about breast lift.

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