Metropolitan Plastic Surgery

Breast Reduction

Breast Reduction Virginia

For many women with extremely large, sagging breasts, it is not simply the appearance of the breast that bothers them. These women suffer from back pain, shoulder pain, postural problems, and skin rashes under their breast that make the appearance of the breast a secondary issue in their minds. Furthermore, many women find that the large size of their breast poses difficulties with such issues as finding clothes that fit or exercising. Virginia b reast reduction not only eliminates these functional problems, but can also give the woman a more aesthetically pleasing breast appearance.

The breast reduction surgery is done using general anesthesia. The incisions are placed around the areola (pink skin surrounding the nipple) and under the breast. Depending on the amount of skin and breast tissue that needs to be removed, the extent of the skin incisions may be shortened in certain circumstances. New techniques of breast reduction have been developed in order to shorten the scar associated with this surgery. In these operations, the component of the incision in the breast fold is eliminated. This has a great advantage and can produce a very natural, youthful shape without the long scars of traditional operations. The objective of Virginia breast reduction surgery is to reduce the volume of breast tissue to the extent that can be safely accomplished, while the nipple and its surrounding skin remain healthy. The nipple is then moved to a more appropriate location, and the incisions are closed.

The breast reduction operation is usually done in an ambulatory surgery center in Virginia. After breast reduction surgery, the patient will wear a surgical bra for the first few days in order to minimize swelling. Although every effort will be made to close the incisions in the best possible fashion, the scars are ultimately noticeable and permanent. The extent to which these scars will be noticeable will depend mostly on the healing ability of your skin and heredity. Fortunately, the scars are mostly hidden by the natural landmarks of the breast itself.

You may experience temporary loss of sensation in the breast or the nipple, but these improve gradually with time. After the first week, you can return to your normal activities and in a few weeks engage in strenuous exercise.

What is Breast Reduction?

Breast reduction is an operation that reduces the size of the breast and may improve symptoms related to excess weight of the breast.

Who is a candidate for Breast Reduction in Virginia?

  1. A good candidate for breast reduction is a woman with large breasts that are causing her both physical and psychological discomfort. She may have back pain, shoulder pain, arm pain, neck pain, discomfort from bra straps in the shoulder area, irritated skin under the breast, and difficulty finding appropriate clothing or bras. She may experience psychosexual problems and low self esteem. Correcting the size of the breast will not only help diminish these physical problems, but also help her confidence and self- image.

Who is not a good candidate for Breast Reduction?

There are no real contraindications to surgery unless your health precludes an elective operation. People who have unrealistic goals are not good candidates. Having keloid producing skin can be a relative contraindication to surgery. Dr. Marefat can tell you if he thinks a favorable result is possible in your case.

What does Breast Reduction accomplish?

Breast reduction can improve the shape of the breast and reduce the discomfort and pain associated with large, heavy breasts. Many women suffer from back pain, shoulder pain, postural problems, and skin rashes under their breast as a result of their large breasts. These functional problems often make the appearance of the breast a secondary issue in their minds. Furthermore, many women find that the large size of their breasts poses difficulties with such issues as finding clothes that fit or exercising. Breast reduction not only eliminates these functional problems, but can also give the woman a more aesthetically pleasing appearance.

Will Breast Reduction cure my back pain or shoulder pain?

There is a good chance that your back and shoulder pain will improve. However, no surgeon can guarantee that this will indeed happen. Pain is a subjective complaint that is difficult to quantify. If your back pain was mainly a result of the excessive weight and postural changes due to the breasts, then it is very likely that you will have significant improvement in these symptoms after Virginia breast reduction surgery. However, if the pain is due to other arthritic changes in your spine as a result of years of bad posture, then it may not go away completely.

What happens during the first consultation for Breast Reduction in Virginia?

In the first consultation, you will have a chance to discuss your concerns with our patient care coordinators and Dr. Marefat. We will explain what you need to know about Virginia breast reduction surgery and help to determine what is best for you. You will receive information booklets and pricing on the procedure.

How is Breast Reduction done?

The incisions are placed around the areola (pink skin surrounding the nipple) and under the breast. Depending on the amount of skin and breast tissue that needs to be removed, the extent of the skin incisions may be shortened in certain circumstances. New techniques of breast reduction have been developed in order to shorten the scar associated with this surgery. In these operations, it is no longer necessary to make the incision in the breast fold. This has great advantage, producing a very natural, youthful shape without the long scars of traditional operations. The objective of Virginia breast reduction surgery is to reduce the volume of breast tissue to the extent that can be safely accomplished, while maintaining a healthy nipple and surrounding skin. The nipple is then moved to a more appropriate location, and the incisions are closed.

What are the goals of Breast Reduction Surgery?

Our objective is to reduce the size of your breasts so that they are more suited to the frame of your chest. By removing the excess weight from your chest, you will see significant relief in neck pain, back pain, shoulder pain, and strap marks on your shoulder. You will be less likely to have skin related problems, such as rashes or sores under the breast. In addition, Virginia breast reduction surgery will enable you to exercise easier and live a healthier life.

What kind of anesthesia will I have during Breast Reduction?

General anesthesia. In certain small reduction surgeries, it may be possible to do the surgery using straight local anesthesia or local sedation.

What can I expect after Breast Reduction Surgery?

After Virginia breast reduction surgery you will have a minimal to moderate amount of drainage from the incisions. You will need to rest for the first 2 or 3 days, but most people are up and about shortly after surgery. We generally recommend our patients take off 7 days from work. Heavy lifting and exercising should be avoided in the first 2 weeks. Your body will tell you when you are ready to get back into your regular exercise routine.

You will have a supportive bra or bandage for the first few days. This helps in the attachment of the skin back to the underlying tissues after surgery and reduces the chances of fluid collections under the skin. Once the dressing is removed, you can shower normally. We usually remove the dressings in the first 2 or 3 days after surgery.

There will be some numbness associated with Virginia breast reduction surgery. This numbness usually persists for about 4-6 weeks. A moderate degree of swelling is normal after this operation. This swelling is related to accumulations of fluid in skin and subcutaneous tissues. Most of the swelling subsides within the first 2 or 3 weeks after the surgery. Minor asymmetry between the two sides can be seen after breast reduction. No one has completely symmetrical breasts, and you have to accept minor differences in size and shape.

Will Breast Reduction be natural?

Unnaturalness and imperfection as a result of breast reduction is not a common aesthetic complication. The breasts heal quite well, and minor differences and irregularities usually resolve by themselves after several weeks. Most surgeons endeavor to achieve the best results in the initial operation. However, even when everything is done right, there is still a chance that you may develop some irregularity. If this does occur, you may need to fix this problem in a touch-up procedure. This touch-up procedure is done approximately 3-6 months after the initial procedure.

What are some of the complications of Breast Reduction?

Before the doctor discusses the complications of breast reduction, it is important for you to consider how to digest these bits of information. Reading about complications can be quite scary. Many people cannot comfortably sit through a consultation session without having real doubts about breast reduction surgery. This is a natural response. But it is different when you have these complications explained to you by a doctor. Dr. Marefat can put it in perspective for you and identify the likelihood of such complications occurring. Most complications are very rare. Some are less rare and need to be explained to you in more detail so you understand how we would tackle these problems if they occurred. The purpose of explaining the risks and complications is for you to appreciate what steps we would take to treat you, putting you back on the road to recovery. Remember that every surgeon has his or her own way of treating problems. You must go over these potential risks with your surgeon to gain better insight and understanding.

  • Bleeding. Bleeding is very uncommon with breast reduction because we are generally not cutting deeper breast tissues. However, there have been some reports in the literature of bleeding as a complication. There are those who are at higher risk of bleeding. The use of certain medications, such as aspirin or or coumadin (a blood thinner), could put you at higher risk of bleeding. Some people with a history of uncontrolled hypertension could be at higher risk of bleeding after the breast reduction surgery. There are some individuals who have a problem with their coagulation system that they were not aware of and, consequently, have had bleeding after surgery. If you do not have any of these risk factors, you should not be at a high risk for bleeding. However, if you do have bleeding for whatever reason, we will treat it immediately.
  • Infection. Infection is a rare complication of breast reduction surgery. We give you antibiotics, both before and after surgery, to prevent this possibility. Even when this is done, there may be a minor chance that an incision may become infected. If this does happen, we will treat you with stronger antibiotics and will try to find the source of infection.
  • Calcifications. Sometimes with breast reduction surgery, there may be a small degree of trauma to the breast tissues or fatty tissues in this area and this may result in late calcifications. Occasionally, these calcifications may create some doubt as to the presence of breast cancer and may necessitate a biopsy.
  • Anesthesia risks. There are risks associated with anesthesia. With modern equipment and techniques available in modern hospitals, risks from surgical anesthesia are minimal.
  • Scarring. There may be scars under and around your areola (the darker skin surrounding the nipple). Sometimes there may be a scar under the breast fold. Any time that you have incisions, there is the potential for poor healing and obvious scars. This is very rare, however, and scars do improve with time. Sometimes we may need to revise the scar at a later date. The doctor generally does this after 9-12 months from the time of the initial surgery.
  • Sensory changes. There will be temporary sensory changes in the breast and nipple that usually resolve in 6-8 weeks. In very rare cases, there may be permanent loss of nipple sensation. Unfortunately, there is no relationship between the type of incision used and the development of this problem.
  • Loss of nipple. Loss of the nipple due to inadequate blood flow is a rare complication. With newer techniques of breast lifting, this complication has been virtually eliminated. However, if there is an extensive amount of surgery and lifting of the skin, the circulation to the nipple may be compromised. If this occurs, there are ways in which a new nipple can be reconstructed.
  • Chronic pain. A few patients in the literature have been reported to have chronic pain resulting from their breast reduction.
  • Minor asymmetries. Most women have minor asymmetries in their breasts, and this is completely natural. If there is a major difference between the two sides of the breasts, this can be corrected to a certain extent. Major problems of asymmetry cannot be completely corrected and may persist after an operation.
  • Disappointment with results. Some patients are disappointed with the results of their surgery. This is sometimes related to the fact that they had unrealistic expectations about the operation’s outcome.

When and where are Breast Reduction touch-up procedures done in Virginia?

Touch-ups are done after 3 months. These procedures are usually much simpler than the first breast reduction procedure and are not as painful. Dr. Marefat can perform them in the Virginia office with a small amount of local anesthetic, if it is a minor deformity or problem. If the problem or irregularity were more complicated or difficult to anesthetize, the procedure would be performed in the outpatient surgery center under general anesthesia.

When are the Breast Reduction sutures removed?

Breast sutures come out in 10-14 days. You may have absorbable sutures that do not need to come out.

How many visits do I have after Breast Reduction Surgery?

We like to see our patients frequently after surgery. You are seen by the doctor or nurse within 2-3 days of Virginia breast reduction surgery. Then the normal postoperative routine is 1 week, 1 month, 3 months, 6 months, and 12 months. Of course, if there is a need, you may be seen more often. After 1 year, we encourage our patients to come in for routine follow-up visits every 3-5 years.

When can I wear make-up?

You should be able to wear make-up if you have had breast reduction surgery in Virginia. We do not recommend putting make-up on your incisions. This may result in tattooing of the skin by the pigments in the make-up.

Am I a good candidate for Breast Reduction in Virginia?

You are a good candidate for breast reduction if you have large and heavy breasts, good general health, and realistic expectations. This does not mean that you cannot have a Virginia breast reduction if you do not meet these criteria. The best results are seen in individuals who have moderate to major enlargement of the breasts with good quality skin. Generally, the younger you are, the better a candidate you are for surgery. The physiologic age of a person is more important than the chronological age. That is to say, you may be 60 years old, but your skin and general health may be better than that of most 50 year olds.

How do I pay for Breast Reduction Surgery in Virginia?

You can pay for Virginia breast reduction surgery by certified check, credit card, or cash. Payment for cosmetic surgery is expected prior to any procedure. If you are scheduled for surgery several weeks in advance, you may pay by personal check.

Are there Breast Reduction scars?

Yes. Most of the scars are around your nipple and areola or under your breast. After several months, this scar fades and is less visible. The scars with Virginia breast reduction surgery need to be viewed as a necessary evil. There is no way that the nipple can be moved to a higher position on your breast without making an incision.

Does Breast Reduction hurt?

The pain involved in breast reduction is very tolerable. We have heard our patients describe it as “muscle aches” or just “soreness in the chest.” Many patients do not finish the pain medications prescribed to them for pain relief. Having said that, remember that pain is very subjective, and it is not easy to predict what degree of pain you will have.

Will I be awake during Virginia Breast Reduction Surgery?

If you are just having a small area of your breast removed, and this can be done in the office, then you will be awake. However, if you are having a normal breast reduction, you will most likely have the procedure performed in an outpatient facility under general anesthesia. Breast reduction can be a complicated and time-consuming procedure. If you want good results, it is better to let the surgeon concentrate on the procedure and not on your level of discomfort during the operation.

Where will the Breast Reduction Surgery be performed in Virginia?

Virginia breast reduction surgery is usually done in an ambulatory surgery center. Unless there are medical risk factors, Dr. Marefat does not perform this surgery in the hospital. Occasionally, the amount of reduction is so minimal that it may be possible to perform this operation in our offices in Virginia. However, this would be an exceptional circumstance and is not to be expected.

Are medical photographs taken of the Breast Reduction?

Yes. In all cosmetic and reconstructive cases medical photos are taken. Photographs are mandatory. This is the only way for us to compare you status before the operation to your results. Photographs in plastic surgery serve much the same role that x-rays serve in orthopedic surgery.

How do I get started with Breast Reduction in Virginia?

Dr. Marefat and the staff at Metropolitan Plastic Surgery would be happy to help you set up a private consultation to discuss breast reduction in Virginia. Schedule an appointment online or call one of our locations, our Arlington, Virginia office at 703-516-7600 or our Woodbridge, Virginia office at 703-560-9583.

Are there financing options for Breast Reduction in Virginia?

Dr. Marefat offers a number of financial assistance programs and payment programs to cover the cost of breast reduction in Virginia. Please visit the Patient Financing section of our website for more details or ask the staff at Metropolitan Plastic Surgery about these options so you can get started with breast reduction in Virginia today.