Breast reduction in Beverly Hills is a procedure that is associated with both physical relief and cosmetic enhancement. There are many reasons why a patient would choose to undergo a breast reduction, or reduction mammoplasty. The breast surgery is generally performed to reduce the size of the breasts, improve breast shape and nipple position, and lessen associated symptoms such as neck or back pain, shoulder grooving, and rashes below the breasts.
The breast reduction procedure results in smaller, lifted, more proportional breasts and lessening (or resolution) of neck and back discomfort due to breast size. Many patients feel substantial mental and physical relief after undergoing the procedure, and are able to engage in a wider range of activities without discomfort, including exercise such as jogging or aerobics.
TREATMENT OVERVIEW
Breast reductions involve the removal of excess breast tissue above the nipple, and the reduction of areola size to stay proportionate with the smaller breast size. While the skin of the breast will be tightened to suit the smaller breast size, the underlying muscle is unaffected. The nipple is not removed, but rotated upward to a higher position on the breast mound, enhancing the breast shape and creating a lifted, more youthful, appearance (ED Online).
There are many different techniques for breast reduction, and they vary mainly in where the remaining breast tissue gets its blood supply. Breast reduction surgery typically involves an “anchor” type scar that circles the areola and moves down to the breast crease, and along the crease (inframammary fold).
General anesthesia will be administered for this surgery and we recommend that you arrange to have someone drive you to and from the surgery appointment.
ANESTHESIA
General.
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STEP BY STEP PROCESS
AT THE CLINIC
During your consultation, Dr. Anita will take time to learn more about your motivations and goals, understand your concerns, and discuss the treatment in detail. She will go through your medical history and perform a physical exam in order to determine the best plan to reach your goals, and make sure you are a good candidate for surgery.
THE SURGERY
The day of surgery, Dr. Anita will meet with you in the preoperative area, review the planned procedure, and mark the surgical site. This is also a time you can go over any additional questions you may have prior to surgery. Breast tissue that is removed is typically sent for pathology evaluation.
POST-SURGERY
After surgery, you will be provided with postoperative care instructions, and instructions for follow-up. Dr. Anita will see you for the first postoperative visit 1-2 days after surgery and place you in a post-surgical bra, with an additional visit the week after for drain removal if appropriate. Additional postop visits are typically spaced at 2 weeks, 6 weeks, 3 months, 6 months, and 1 year after surgery.
Before & After Gallery
Frequently Asked Questions
HOW DOES A BREAST REDUCTION WORK?
Breast reductions involve removing excess breast tissue, and tightening the skin to suit the smaller breast size. They typically involve reducing the areola size to stay proportionate with the smaller breast size. There are many different techniques for breast reduction, and they vary mainly in where the remaining breast tissue gets its blood supply.
WHAT HAPPENS DURING BREAST REDUCTION SURGERY?
During a breast reduction surgery, the excess breast tissue is removed according to the surgical technique chosen by the surgeon. The underlying muscle is not affected, and the nipple is not removed. Rather, it is simply left attached to the breast tissue and rotated north to its new position on the smaller breast mound, with the skin tightened around it.
DO I NEED A BREAST REDUCTION?
The main symptoms leading women to seek a breast reduction are neck pain, upper/mid back pain, shoulder grooving from bra straps, rashes below the breasts from skin-on-skin irritation, inability to find properly fitting clothing, exercise or activity limitations due to discomfort from the breast size, and/or embarrassment or dissatisfaction with a large breast size. Sometimes it is simply a matter of aesthetic preference.
IS BREAST REDUCTION PAINFUL?
Breast reduction surgery, as with any surgery, will involve some temporary pain or soreness in the early postoperative period. To minimize this pain, numbing medication may be injected to the area during surgery, and once it wears off, oral pain medication may be used for the first few days after surgery, and then tapered off.
IS BREAST REDUCTION SURGERY SAFE?
Breast reduction surgery is generally safe. As with any surgery, there are certain risks to understand before deciding on surgery.
HOW LONG DOES IT TAKE TO RECOVER FROM BREAST REDUCTION SURGERY?
Walking is encouraged the same day as surgery, and most patients are back to work in a week. It is recommended to wait 6 weeks to resume full exercise, and to wear a supportive bra when resuming workouts.
HOW MUCH DO BREAST REDUCTIONS COST?
Breast reduction costs can vary depending on whether or not one is a candidate for insurance to cover part of the costs. To provide you with accurate pricing information, we invite you to book a complimentary Pre-Consult Phone Call with our Patient Care Coordinator by calling 310-340-6294. During that phone call, important information will be discussed and ballpark pricing will be provided.
DOES INSURANCE COVER BREAST REDUCTION SURGERY?
Breast reduction surgery may be a covered benefit by some insurance plans. Each insurance company has specific criteria that must be met in order to qualify for coverage, and obtain an approval or pre-authorization. Even when authorized, there is no guarantee of insurance payment, and payment may be contingent upon the amount of breast tissue removed.
What Does a Breast Reduction Look Like?
Breast reductions involve the removal of excess breast tissue and skin, raising the position of the nipple, and reducing the areola size to one proportionate with the smaller breast size. While the skin of the breast will be tightened to suit the smaller breast size, the underlying muscle is left undisturbed. The nipple is not removed from the underlying tissue, but rather it is rotated upward to a higher position on the breast mound, enhancing the breast shape and creating a lifted, more youthful, appearance.
There are many different techniques for breast reduction, and they vary mainly in where the remaining breast tissue gets its blood supply. Breast reduction surgery in Beverly Hills typically involves an “anchor” type scar that circles the areola and moves down to the breast crease, and along the crease (inframammary fold).
General anesthesia will be administered for this surgery and we recommend that you arrange to have someone drive you to and from the surgery appointment.
What Are the Types of Breast Reductions in Beverly Hills?
When it comes to breast reduction surgery, there are different incision types and different “pedicles” of blood supply. The classic incision is the Wise pattern incision, otherwise known as an anchor type incision. Another option is the vertical incision, which is the same as the anchor minus the horizontal portion that lies in the fold.
With either type of incision, the breast tissue that is left behind must have good blood supply to survive. Two common techniques for Beverly Hills breast reduction include inferior pedicle reduction and superior-medial pedicle reduction. In her experience, Dr. Patel prefers the superior-medial pedicle technique, due to the improved long-term appearance of the breast with better cleavage and less bottoming out of the breast.
Can You Get a Breast Augmentation at the Same Time as a Reduction?
While it may seem counterintuitive, some women opt for implants at the time of their reduction. The breast reduction accomplishes removing excess skin and breast tissue from various portions of the breast, and reposition the remaining tissue into a higher position.
What you cannot get from breast reduction surgery in Beverly Hills is fullness at the upper pole of the breast, and for that reason some women choose to have implants to fill that upper part of the breast. Some surgeons prefer to do the reduction and implant surgery at separate times.
It is possible, however, to combine the procedures, understanding that you may have to come back for a revision if needed later. In massive weight loss patients, there is also a greater tendency for the skin and tissues to stretch after the reduction, making the chance of revision higher.
What Can I Expect During Recovery?
Walking the day of surgery is recommended. If drains are places, you should sponge bathe only until the drains are removed. You may shower 24 hours after drain removal, but should not soak in a bath or fully submerge the treated areas until they are fully healed.
Scar therapy sheets or scar gel may be used starting two weeks after surgery or once incisions have no open areas, crusting, or scabs. A soft, supportive (snug but not too tight), non-underwire bra that zips or fastens in the front is recommended for the first 6 weeks following surgery.
In general, Dr. Patel recommends avoiding exercise for six weeks following breast reduction surgery in Beverly Hills, at which time you can ease back into your workouts. Light activity that does not involve the upper body may be okay around three weeks after surgery.
You may return to work one to two weeks after surgery, depending on your pain level, stamina, and activities required in your occupation. You may drive once you are no longer taking pain medications or muscle relaxers, and allow a 24-hour minimum window between your last pain medication or muscle relaxant dose and driving.
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