Breast Reduction – Ft Worth Texas
Breast reduction is ideal for women who suffer discomfort or embarrassment from the size/weight of large breasts. A breast reduction removes excess skin, breast tissue, and fat to reveal a breast shape and size that is more appropriate for your frame.
Where will my incisions be?
During a breast reduction, incisions are made in order to remove extra breast tissue, fat, and skin. Liposuction may be used during your breast reduction as well. The appropriate technique will be chosen by you and Dr. Kirby together, and will be based on your breast size, shape, and position. Incisions can be made in a few different patterns, but the most common are the “lollipop” and the “anchor” (or “inverted T”) incisions. Your areola will likely be made smaller during the breast reduction procedure to match the shape and size of your new breasts. Since skin and soft tissue is being removed, there is not a good way to camouflage scars on your breast. However, most scars heal very well and do not show under clothing, swimsuits or bras.
What kind of anesthesia will I have?
Breast reduction surgery is performed under general anesthesia for optimal comfort. You will be asleep for the entire surgery.
How long will my surgery last?
Breast reduction surgery, if performed alone, typically takes 2-3 hours. Combination surgery (for example, with liposuction) will take longer.
What are the risks?
Your decision to undergo breast reduction surgery is a personal decision and should be made with a full understanding of the benefits and potential complications of the procedure. Most breast reduction incisions are made in areas that are visible on the bare breast, resulting in scars that are not visible under clothing. Other risks include bleeding, infection, contour irregularities, skin discoloration, asymmetry and permanently altered sensation in the nipple and/or other areas of the breast. Some patients will experience healing problems of the nipple and/or breast following surgery. Although good results are expected, there is no guarantee. In some situations, it may not be possible to achieve optimal results with a single surgical procedure and another surgery may be necessary.
How do I prepare for surgery?
Prior to any procedure, it is necessary to review medications you are taking that may affect your surgery. You may be asked to stop or to adjust some medications you are on. As always, it is important to include supplements on your list of medications. Aspirin and aspirin products (Alka-Seltzer, Carisoprodol, Excedrin, Goody’s, Midol), anti-inflammatory medications (except acetaminophen, or Tylenol), and herbal supplements must be avoided for 10 days prior to your surgery. For more details about which medications and supplements to avoid, click here. Dr. Kirby will discuss your medications with you.
Depending on your medical condition, you may be asked to get lab testing or a medical checkup prior to your surgery. You may also be asked to have an updated mammogram prior to your surgery if you have not had one recently.
Tobacco products impair your body’s ability to heal. You will be asked to stop smoking for 6 weeks prior to any surgery. Tobacco step-down products such as chewing gum and Nicoderm continue to provide your body with tobacco and must be stopped as well. Please ask Dr. Kirby if you will need assistance with quitting.
Be sure to arrange for a responsible adult to drive you to and from your surgery. You will need someone to stay with you the night following your surgery as well.
You will receive specific instructions for your surgery day from Dr. Kirby’s office.
What is recovery from surgery like?
Following your breast reduction surgery, you will notice that your breasts have been reduced, lifted, and shaped. Sutures are placed underneath the skin as well as on the skin. Dressings will cover your incisions immediately after surgery. You will also notice that you have quite a bit of swelling that will decrease over the next few weeks. You should expect to have some soreness and possibly some temporary changes in sensation as well. You will be asked to wear a supportive or surgical bra following surgery as your breasts heal from the procedure. Dr. Kirby will discuss with you when your dressings will be removed and when to return for a post-operative visit.
Depending on your job, you can expect to return to work in 7-10 days. More strenuous activity, however, especially using your arms, cannot be resumed until 4-6 weeks after surgery. You will be directed on scar massage techniques by Dr. Kirby when the timing is appropriate.