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.
How long does a Breast Reduction procedure take?
On average, a breast reduction procedure takes around 2-4 hours to complete, depending on the specifics of your procedure. For women with larger breasts, the procedure may take closer to four hours.
What are the benefits of a Breast Reduction procedure?
There are several benefits to having a breast reduction performed. Perhaps the most notable benefit is the alleviation of back, shoulder, and neck pain associated with the weight of your breasts. Over time, large breasts can cause chronic pain in these areas due to muscle strain. Many women choose to get a breast reduction for this specific reason.
Some patients also choose to have a breast reduction to solve other issues, including restrictions of physical movement and rashes under the breast crease. Whether you want to improve the aesthetic appearance of your large breasts or relieve tension, a breast reduction can help.
What are the risks of a Breast Reduction procedure?
Like any other form of surgery, a breast reduction comes with some risks. This can include:
- Blood Clots
- Loss of Nipple Sensation
- Nerve Damage
With these risks in mind, it’s important to find a board-certified plastic surgeon who knows how to minimize complications. At American Surgical Arts, Dr. Bidic and Dr. Gundlapalli are both certified by the American Board of Plastic Surgeons and have decades of combined experience providing amazing results to plastic surgery patients.
Does a Breast Reduction require anesthesia?
Breast reduction surgery is done under general anesthesia at an outpatient surgical facility. Once your procedure is complete, you will need a spouse, friend, or family member to drive you home and monitor you for at least 24 hours.
What will my scarring look like after a Breast Reduction?
Along your surgical incisions, your scar will appear as a raised pink line. Over time, the scar will gradually flatten and darken. In general, scars from a breast reduction won’t be visible when you are wearing a bra or bikini top. Depending on what type of incision is used for your procedure, you may or may not have a scar along the crease beneath your breast.
There are two types of incisions that Dr. Bidic or Dr. Gundlapalli may use: a lollipop incision or an anchor incision. The lollipop method involves one incision around the areola and another from the bottom of the areola down to your breast crease. The anchor method includes both of these incisions along with a third incision through the breast crease. Your surgeon will help determine the best method based on the amount of fat and tissue being removed.
How long will my Breast Reduction results last?
Any excess skin or fat that is removed during your breast reduction cannot grow back. In that sense, a breast reduction is permanent. However, there are certain factors that can increase your breast size. For example, if you gain weight, there is a chance that new fat can get deposited into your breasts. To extend your results, try to maintain your current weight and exercise regularly.