Breast Reduction in Tampa
Breast reduction surgery or reduction mammoplasty is a common procedure that is done at Marcadis Plastic Surgery and Medical Spa. Reasons for choosing a breast reduction include neck, shoulder and back pain caused by the heaviness of breasts, desiring a more proportionate breast size, and better symmetry with both breasts. Other reasons include bra strap shoulder grooves, sweating and irritation under the breasts, difficulty exercising or wearing certain clothing, and social embarrassment.
Breast sag can be corrected with breast reduction surgery (reduction mammoplasty). A breast reduction (reduction mammoplasty) is typically done after the age of 17. Although the reasons vary, the goal is always the same: feeling more confident about the way you look and feel. At Marcadis Plastic Surgery and Medical Spa, Dr. Marcadis and his team offer the experience, compassion and professionalism to provide the look you want and we know that the best reasons to have a breast reduction (reduction mammoplasty) is a personal one.
Surgical Breast Reduction Consultation:
During your consultation, Dr. Marcadis will listen to your concerns and the outcome you want to achieve with a breast reduction (reduction mammoplasty). Dr. Marcadis will also discuss the advantages and disadvantages of a breast reduction (reduction mammoplasty) and the incision site of the procedure. We know that having a breast reduction (reduction mammoplasty) is a very personal decision therefore, it is important that Dr. Marcadis understand your goals, desires, and expectations during your consultation. He will discuss the procedure and risks of undergoing breast reduction surgery (reduction mammoplasty).
At Marcadis Plastic Surgery and Medical Spa, we take our patient’s health very seriously. During your pre-operative appointment, we will go over what we have discussed about your breast reduction surgery to make sure that Dr. Marcadis understands your goals and expectations. At this appointment, we will review your medical history and will perform routine preoperative laboratory testing.
Breast reduction procedure:
Breast reduction (reduction mammoplasty) is a procedure that reduces the size of the breasts to improve physical symptoms and appearance of a woman’s breast by removing excess breast tissue, fat and skin. Incisions are placed around the areola, down to the crease, and sometimes along the lower breast crease. Some patients may opt to reduce the size of their areola during this procedure. The scars vary from person to person but usually improve significantly after the initial period of forming. The procedure is performed under light general anesthesia in our Joint Commission (JCAHO) accredited surgical facility and takes about 3-4 hours to complete. Anesthesia is provided by board certified anesthesiologists with many years of experience and on staff at major local hospitals.
Recovery after a breast reduction/ reduction mammoplasty:
Immediately after surgery, a support bra is placed on you. Pain usually subsides rapidly after the first day. You may resume all your normal non-strenuous activities as soon as discomfort allows. Most of our patients resume to their work about 3-5 days post surgery. Most swelling will gradually dissipate over 6 weeks. We will continue to see you during your follow-up until healing is assured. All recovery expectations will be discussed during your initial consultation and at your pre-operative appointment.
Call (813) 878-0089 to schedule your consultation with Dr. Marcadis to determine if a breast reduction (reduction mammoplasty) is right for you. At Marcadis Plastic Surgery and Medical Spa, we pride ourselves with over 20 years of experience, professionalism and personalized patient care. Dr. Marcadis is one of the most experienced board certified plastic surgeon in the area; he is well known in the Tampa Bay area including Clearwater, St. Petersburg, Sarasota, and Orlando.
Procedure, Risks and Limitations
To reduce the size of the breasts to improve symptoms and appearance.
To reduce and reshape breast tissue to produce breasts that appear natural, symmetric and in better proportion to the rest of the body, and to improve symptoms due to heavy breasts. Your goals should reflect realistic expectations as to what is possible to achieve with surgery.
Breast enlargement usually develops at puberty and may increase with pregnancy and aging. Medical symptoms can develop due to the weight of the breast and includes poor posture, curvature of the spine, pain in the neck and back, shoulder grooving, and irritation in the skin creases. In addition large breasts may be more difficult to monitor for breast cancer. Psychological effects of large breasts may affect enjoyment of life and lead to restricted activities and clothing styles. Large breasts may also have an unpleasing appearance because of sagging, low nipple position and abnormal shape. Reduction mammoplasty can alleviate many of the symptoms of large breasts and give the breasts a more pleasing appearance allowing one to feel more confident about their body.
General anesthesia. – Procedure- takes about 4-5 hours, usually outpatient or overnight stay.
Incisions around nipple/areola, down to crease and under breast (T shaped).
Pedicle technique leaving nipple/areola attached or free nipple graft. Excess breast tissue, fat, and skin removed.
Incisions sutured and surgical tape applied. Bra, dressings placed.
Limitations of procedure: Results of a breast reduction may be limited by factors we cannot change.
Asymmetry is present to some degree in everyone before and after surgery. Breasts will never be identical in size or shape.
Scars associated with reduction mammoplasty are large, permanent and possibly may be quite noticeable out of clothing. Scar thickness is unpredictable.
Final breast size cannot be guaranteed and may not be the exact size you desire.
Cannot eliminate stretch marks.
Your goals for breast size may only be partially met.
Alternatives to Reduction Mammoplasty:
Breast reduction surgery is an elective procedure. After considering the risks/benefits you may decide that breast reduction is not for you.
Weight reduction may decrease breast size and improve symptoms somewhat. A change in clothing styles or support garments may make your breasts appear smaller and give you the desired appearance in clothing. (Will not alleviate symptoms).
Tradeoffs and Side Effects: Normally expected to occur to varying degrees with every breast reduction surgery:
Discomfort, bruising, and swelling.
Decreased or absent nipple sensation.
Large scars – thickness unpredictable
Ability to breast-feed may not be possible after surgery.
Smaller nipple areola diameter and possibly nipple size.
Firmness may be noted within breast tissue and usually improves.
Cost, restricted activities, potential for complications.
There is no known increase or decrease in your risk for breast cancer after breast reduction.
Mammograms may be recommended before or after the operation to establish a baseline for later reference.
After surgery you should continue to have cancer checkups with your primary doctor.
Risks and possible complications:
Although the complications associated with breast reduction are uncommon, all surgery carries some uncertainty and risk. In extremely rare instances this may even include death, disability and deformity. Most complications that develop will improve without treatment or are treatable.
Some complications may require additional surgery and cost to you.
The complications most specific to breast reduction include but are not limited to:
Anesthesia risk – Administering of any type anesthesia required for surgery involves risk.
Delayed bleeding – New bleeding can occur for up to 10 days after surgery causing a pocket of blood (hematoma) to collect under the skin. This may require an immediate procedure to evacuate the blood. Late bleeding is associated with high blood pressure, anti-inflammatory medication (including aspirin), alcohol intake, exertion or straining after surgery.
Infection – Not common but teatment with antibiotics or additional surgery may be necessary.
Delayed healing / skin necrosis – Incision separation or poor blood supply to the skin can cause delayed healing and increased scarring – requires frequent dressing changes and rarely grafting. Fat necrosis may result in prolonged drainage and frequent dressing changes. Smokers have a greater risk of skin loss and wound healing problems.
Large and thickened scars – Thickness of the scars are unpredictable. Occasionally very thick hypertrophic or keloid scars can form requiring scar revision, scar injection, or other treatment with varying degrees of improvement.
Asymmetry – One breast will always be different than the other breast before and after the operation. Occasionally additional surgery may be desired for improved results.
Nipple-areola changes – Loss of nipple/areola because of poor blood supply would require replacement by graft technique or reconstruction. Decreased nipple projection and pigmentation occurs more commonly with free nipple graft. Nipple sensation may be lost and ability to breast-feed may not be possible after surgery
Unhappy with breast size and shape – Breast size or shape may not be exactly what you desired preoperatively. This may be due to inherent limitations caused by your anatomy, undercorrection or overcorrection or to unrealistic expectations about what surgery can accomplish. Sometimes additional surgery can improve the result. Keep broad goals for the most successful outcome.
* It is very important that during the preop consultation you are certain about the expected result and ask for additional information if you are uncertain.
* Even though the risks and complications noted above occur infrequently they are the ones that are specific to breast reduction or are of the greatest concern. Other unforeseen risks and complications can occur.
* Any complications that develop can result in additional surgery, time off work, hospitalization, and expense to you. Additional surgery including touchups, revisions or complications requiring an operating facility would incur additional facility fees.
* Insurance may cover breast reduction and complications. Preauthorization may be required prior to surgery.
* No guarantee – the practice of medicine and surgery is not an exact science; although good results are expected, there cannot be any guarantee, or warranty, expressed or implied, by anyone as to the results that may be obtained.
* Breast cancer screening after surgery remains the responsibility of your primary care physician.
Do not take anti-inflammatory medications such as aspirin, ibuprofen, naproxin, herbal medications or diet pills for at least 2 weeks before and after surgery to help avoid bleeding problems. Tylenol (acetaminophen) is permitted. If you are unsure about your medication, please check with us.
NO SMOKING or other tobacco or nicotine products for at least 2 weeks before and after surgery.