Large breasts that are not proportionate to a woman’s frame can create both physical and psychological concerns for women. Many women experience neck and shoulder pain, difficulty breathing, backaches, breast crease irritation, and difficulty when they exercise. A lot of women who are self-conscious about their breasts also suffer from poor posture as they slope their shoulders forward in an attempt to hide their breasts. Trying to find clothes that fit properly can be stressful and frustrating. Additionally, oversized breasts can make a woman’s appearance look top heavy and obese.

Disproportionate breasts can lead to inappropriate comments, stares, and unwelcome attention. Breast reduction surgery is a welcome relief for many of these concerns and helps restore body balance, self-esteem and confidence.

What is Breast Reduction?

Breast reduction may alleviate many of the physical problems associated with large breasts while also improving the shape of the breasts and nipple area.  Overall appearance is also improved by making the breasts more proportionate to the rest of the body. Breast reduction removes excess tissue, elevates the nipple position and reshapes the breast.  Virginia plastic surgeon Dr. Behzad Parva will be happy to assist you with evaluating all of your surgical options during your personalized consultation appointment.

This 25 year young lady, 5’4” and 155lb., developed excessively large breasts at the age of 14. She has suffered with significant shoulder pain, neck and low back pain and was unable to get any relief. Her breasts impacted her quality of life and job performance. She had breast reduction surgery and is thrilled with the outcome of her surgery. She is no longer restricted by pain stemming from by her large heavy breast. She is seen 3 months post op.

Who is a Good Candidate for Breast Reduction?

Will I Need a Breast Lift with My Breast Reduction?

Many women with overly large breasts also suffer from breast sagging, which is often addressed with a breast lift as part of the breast reduction procedure. As excess tissue is removed during surgery, the surrounding area is tightened, and the nipple-areolar complex is generally lifted, as well.

What Are the Different Breast Reduction Techniques?

Since every patient has unique breast reduction needs, Dr. Parva customizes the surgical technique to optimize for the best possible results. The most common approach Dr. Parva uses is the wise pattern technique and often incorporates liposuction for the removal of fatty tissue on the lateral sides of the chest.

Vertical Breast Reduction

With a vertical breast reduction, the final scar is around the areola extending down to the inframammary crease, in a vertical or “lollipop” pattern. This technique is ideal for those with a moderate amount of excess breast tissue and a small amount of excess skin and nipple ptosis.

Wise Pattern Breast Reduction

A wise pattern breast reduction is typically recommended for those with a significant amount of excess tissue and skin. Also known as a full breast reduction, this technique results in scars around the areola, vertically down to the inframammary crease, and horizontally along this crease to create an “upside down T” or anchor-shaped scar.

Breast Reduction Using Liposuction

Though less common, liposuction can be performed alone to remove excess fatty tissue in the breasts. This is most commonly advised in addition to a vertical or wise pattern breast reduction for optimal results.

What Does the Breast Reduction Procedure Involve?

At surgery, Dr. Parva will mark your skin in the pre-operative holding area.  There are various factors that determine what breast reduction technique may be best suited for you. Dr. Parva will individualize your plan based on your particular breast size, breast asymmetry concerns, any previous scars, etc.  The excess breast tissue is removed, the nipple position elevated and the breast reshaped. Adjustments are made to achieve the closest balance and symmetry between both breasts. Although various techniques exist, every effort is made to minimize the incision and thus the final scar. The eventual surgical scar is typically made around the nipple region, extending down to the crease and within the crease under the breast. A drain is placed behind the breast to reduce potential fluid build-up during the recovery period. The surgery may be performed with an overnight stay at the hospital, or more often as an outpatient. Typical surgery times are about 3 hours. A supportive bra is placed before leaving the operating room.

What Can I Expect During My Breast Reduction Recovery?

What Risks Are Associated with Breast Reduction Surgery?

While there are many benefits to breast reduction surgery, the procedure comes with certain risks that patients should be aware of. Potential complications from reduction surgery can include hematoma, poor healing, infection, compromise of nipple/skin sensation, unsatisfactory outcome, and inability to breastfeed in the future. Our team will go over all of your risks before surgery to help you make an informed decision about your care. Dr. Parva takes every precaution to keep your safety in mind, utilizing advanced surgical techniques to minimize trauma and optimize your results. If you have any questions before or after your breast reduction, we encourage you to reach out to us.

When Will I See My Breast Reduction Results?

Noticeable results from breast reduction surgery are seen immediately, but it will take several months for swelling to settle and for the long-term results to be evident.

Women are generally amazed, and highly satisfied, at the immediate relief of breast heaviness and associated pain that is experienced right after surgery.

“The pain in my upper mid shoulder blades is gone. I do not have the posture problem that was getting worse from constantly trying to find a comfortable position to sit or stand in. The size of my reconstructed breasts is in proportion to my body and makes me feel better about the way I look.”

What Will My Breast Reduction Scars Look Like?

Scarring from breast reduction will depend upon the technique used for your surgery and individual healing factors. While every patient will have unique needs, and therefore a different surgical plan, Dr. Parva always strives to minimize incision lines to produce the least amount of scarring possible. In most cases, scars will be around the nipple-areolar complex and extend vertically down to the crease, and along the length of the crease underneath the breast. Our team will advise you on proper incision care after your procedure to optimize healing. Over the course of the first year, your scars should gradually flatten and lighten, becoming less noticeable. The scars are typically easy to conceal underneath undergarments.

Will I Be Able to Breastfeed After Breast Reduction?

Before any breast surgery, it is important to note that some women are naturally unable to breastfeed. That said, breast reduction surgery typically does not interfere with an individual’s ability to do so. However, certain techniques may increase the possible inability to breast feed. If you hope to breastfeed in the future, you should make note of this during your consultation, as it may affect which technique is recommended. Any breast reduction that causes trauma to the milk ducts, specifically as they connect to the nipple, could potentially impact your ability to breastfeed in the future.

How Much Does Breast Reduction Surgery Cost?

The cost of breast reduction surgery will vary for each individual according to the complexity of their case and their unique needs. After your consultation with Dr. Parva, our team can provide you with a personalized cost quote to help you budget for your procedure.

Schedule Your Breast Reduction Consultation

Please contact Parva Plastic Surgery today to schedule a breast reduction consultation with Dr. Parva.

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