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Breast Reduction
Making Breasts Smaller and Higher Through Surgery
Macromastia (macro=large, mastia=breast)
Large breasts (macromastia) can cause a multitude of problems, including neck, back, and shoulder pain, headaches, shoulder-grooving (where the bra-straps dig in), postural problems (which contribute to upper extremity nerve problems), interference with activities and exercise, rashes under the breasts, inability to find clothing that fits properly, and problems with self-image. As a result, women with large breasts are often in chronic pain, have little energy, may be overweight because they are unable to exercise, and have self-image problems, all of which interfere with quality of life.
Possible Solutions to the Problem of Large Breasts
Weight loss and exercise are usually suggested (if not required) by insurance companies prior to approval for surgery, but often futile. Weight loss, even if successful, usually does not alleviate the symptoms of macromastia. Many women are unable to exercise because of the large breasts themselves - hence, a catch-22. Aspirin, Tylenol, Ibuprofen, and other medication may benefit some, but usually their effect is limited. Powders may reduce your chance of developing a rash in hot weather. Chiropractic care is most helpful in mild cases. Invariably, surgery is the most effective, most efficient, and most successful way to treat the problem of macromastia. The only problem might be getting your insurance company to agree to pay for it.
Breast Reduction Surgery
Breast reduction is an operative procedure in which breast tissue and excess breast skin are removed. The removal of breast tissue results in a smaller breast. Removal of excess skin results in a breast that is higher on the chest wall and more aesthetic. This is an important component of this operation, because it allows the breast to be restored to a youthful appearance and shape. If excess skin were not removed, the breast would actually look worse following breast reduction than before surgery.
During the operation, your nipples will be moved to a higher position on your breasts. This is usually accomplished WITHOUT removing your nipples and putting them back on. The technique plastic surgeons use to accomplish this is called transposition, in which the nipple stays fully attached to the breast - only the surrounding skin is moved. Because the nipple preserves its attachment, most women retain (or improve) nipple sensation, the ability to attain an erect nipple, and the ability to breast feed. Breast reduction surgery does come with risks, which should be fully discussed with your surgeon.
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