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Plastic Surgery Frequently Asked Questions (FAQ)

Plastic Surgery

Breast Reduction

Will I be able to breast feed after a breast reduction?

It depends on the extent of the reduction and whether a free nipple graft is performed, as this can affect the ability to breast feed.

Can liposuction alone be used for a breast reduction?

Yes, liposuction alone can be used for a breast reduction. Typically it is used in patients who have very tight skin with good elasticity and the ability to snap back. Liposuction can be used to take the breast down as much as a cup size.

Can my breasts grow back after a breast reduction?

Yes, the breast can grow again in response to hormonal changes, pregnancy, and weight gain.

I am 16 years old and have very large breasts; am I too young to have a breast reduction?

Dr. Spence's preference is not to operate on the breasts while they are still growing. At age 16 their may still be some hormonal changes and enlargement of the breast. A 16-year-old patient will be followed to determine that breast growth has stabilized. Once this is found to be so, it is safe to proceed with surgery.

It is difficult to find a bra to fit, how soon can I go bra shopping after my breast reduction?

It typically takes 6 to 8 weeks for the majority of the swelling to go out of the breast; we have most patients wear a support bra until then.

I am planning to lose 50 lbs, should I get a breast reduction?

It is Dr. Spence's preference to have you lose as much of the weight as you possibly can; also, remember that breast size can sometimes change with weight gain or loss and it is best to have the surgery when your weight is most stable.

Do the scars from a breast reduction fade over time?

Yes, breast reduction scars do fade over time; however, much of your healing is dependent on your skin type. Some patients have the tendency to form hypertrophic or keloid scars no matter what surgical technique is used.

My breasts are very unequal and large; can this be fixed by a breast reduction?

Yes, different amounts of tissue may be removed from each breast to create improved symmetry.

Can I have my nipples reduced without having a breast reduction?

Yes, the size of your nipples can be reduced without reducing the size of the breast. The procedure can be performed under local or general anesthesia.

I have very wide areolas; will this be fixed with my breast reduction?

Yes, the size of your areolas (darkened area around the nipples) can be dramatically reduced with a breast reduction.

I have this ring of fat extending from my breast into my armpit, which bulges when I wear an evening dress. What can be done to remove this?

Liposuction can be used to address this to produce an excellent result with virtually no scarring.

My bra straps are cutting into my shoulder; will this be relieved after my breast reduction?

Yes, the grooves on your shoulders are due to the weight of your bra straps. When the weight is removed this should improved

When can I replace my nipple ring after my breast reduction?

Remember that nipple rings can become infected. These must only be replaced after all incisions are healed and your surgeon gives you the go ahead. This should be done with a sterile technique to prevent infection.

Will insurance cover my breast reduction?

Some plastic surgeons will accept insurance coverage for your breast reduction. Usually you must prove that it is medically necessary by documenting back, neck, or shoulder pain. This sometimes requires supportive letters from your physician. Please note that Dr. Spence does not participate in any insurance plans. If you are interested in having your insurance company cover this, contact them and have them provide you with a list of plastic surgeons on your plan. Dr. Spence's practice does offer financing options for your breast reduction.

What kind of scarring could potentially occur from a breast reduction?

It is very important to understand the nature of potential scarring from a breast reduction. There are typically 3 types of scarring that can be unfavorable:

  1. Hypertrophic scar – These scars are red, thick, raised, and may be itchy and painful. These types of scars are usually confined to the boundaries of the incision.
  2. Atrophic scar – These scars are sometimes paler than the surrounding skin and the skin is typically thin and widened.
  3. Keloid scars – These are rope like scars that are raised with irregular borders and sometimes grow outside the boundaries of your incision.

All surgeons would like to have fine line scars from their surgeries; however, there are times, despite the most meticulous surgical techniques, unsightly scars can occur. This depends on how your skin heals and the predominant kind of collagen its produces.

If I scarred well elsewhere from a previous surgery, does that mean I will have good scars from a breast reduction?

Not always, as skin in different areas of the body can react differently. Since there is no guarantee, what is important is that a clear discussion of the risks of scarring takes place prior to your surgery. If unfavorable scarring does occur, a plan should be in place to manage this.

What interventions are available to treat my scars and when should they be performed?

Some possible treatments are:

  1. Scar revisions – This involves surgically removing the area of unsightly scarring and resuturing the skin. This is usually performed after the scar has matured, which could occur several months to 1 year after surgery.
  2. Dilute steroid injections – These are usually performed at the first sign of appearance of hypertrophic and keloid scars. It is important to notify your surgeon when these initial signs occur.
  3. Laser treatments of scars – Different types of lasers are available to treat scars. The timing and frequency of laser interventions depend upon the kind of scar that is being treated.
  4. Silicone sheeting (or topical creams) – This is applied early in the course of care (sometimes as early as 2 weeks after surgery). This is thought to work by temperature, compression, and humidity of the scar.

I have neck pain, numbness, and tingling in my fingers. I was also told I have a disc problem. Can large breasts cause this and will it improve with a breast reduction?

It is important to sort out the origin of pain before undergoing a breast reduction. It would be unwise to undergo surgery and still find yourself with these symptoms. Enlarged breasts can contribute to these symptoms. Many patients see orthopedic surgeons or neurologists to determine the source of pain before visiting their plastic surgeon. This work up may involve a CAT scan and an MRI.

I have a rash beneath my very large breast with darkened skin. Will this go away with my breast reduction?

This is called inframammory intertrigo. Most often a breast reduction will help, but if changes in the pigmentation persist it will often respond to topical bleaching creams.

What is a free nipple graft and how would I know if I needed one?

Free nipple grafts are usually performed in extremely large breast reductions where there is inadequate blood flow to keep the nipple alive if it is kept attached. This can occur in very large breasts (Gigantomastia) or when the nipple must be moved very large distances up the chest wall. The downside of a free nipple graft is that the nipple will often lack sensitivity and may loose some of its pigment. Pigment can often be restored by dermal tattoos.

Will a breast reduction accelerate my weight loss?

Patients who have extremely large breasts that cause back, neck, and shoulder pains or limit their ability to exercise are often more motivated to exercise and lose weight after their breast reduction.

The responses to Frequently Asked Questions listed here are not intended to be medical advice, but are the practice of Dr. Spence and will vary from surgeon to surgeon and patient to patient.

« to Orlando Breast Reduction

To schedule a breast reduction consultation with Dr. Spence at Orlando Plastic Surgery, call 407-999-2585 or request a breast reduction consultation online.