Breast reduction is a cosmetic surgery procedure to reduce the size of the breasts. The procedure can be performed with a number of different techniques, each designed to optimize results for the individual patient. The general idea is to remove excess breast tissue and reshape the breast into a natural form. Las Vegas plastic surgeon, Dr. Christopher Khorsandi, offers breast reduction surgery for patients who suffer symptoms due to heavy, large breasts. This surgery can greatly improve their quality of life and allow them to become more mobile, wear tighter fitting clothing, and feel confident and self-assured.
Is Breast Reduction For Me?
Breast reduction surgery is performed for both medical and cosmetic reasons. The goal is to create a smaller, more pleasing shape. A woman may choose to undergo breast reduction surgery for a variety of reasons. These include chronic back and neck pain, hygiene or self-consciousness about body image. Some women also suffer from painful rashes that develop under the breasts. Many of these patients have tried unsuccessfully to reduce their discomfort with pain medications, physical therapy, and special bras. If the breasts are too large, a surgical reduction is often the only way to alleviate symptoms.
The Initial Consultation
The breast reduction consultation with Dr. Khorsandi will take approximately 45 minutes, and will require a detailed history and physical exam. Dr. Khorsandi will address how the breasts have affected the quality of life for the patient, and goals for surgery will be discussed. During this exam, Dr. Khorsandi will perform the following:
- Current cup size will be recorded.
- The width of the breasts will be measured.
- The skin will be examined for scars or stretch marks.
- The size, shape and position of the nipple will be noted.
- The breasts will be examined for any masses or irregularities.
- The amount of tissue to be removed will be assessed.
- Photographs will be taken to help document the process.
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"Dr. K is the best!! - If you want the best, go to the best. Dr. Khorsandi is on another level talented. Went to several doctors for my rhinoplasty and breast aug revision. He was genuine, honest and passionate. Two years later I am so happy I chose him for these procedures. I'm turning 40 this year and need some body lipo and skin tightening done... Thank you kids:) I am scheduling in the next month. It's a no..."- J.S. / RealSelf / Mar 09, 2018
There are several different approaches to breast reduction surgery. While the technique used may vary, each surgery will involve both skin and tissue reduction. The pattern of skin removal and tissue reduction will be determined based on the amount and size of breast tissue to be removed. Techniques include vertical breast reduction, wise pattern rest reduction, and breast reduction using liposuction.
Vertical Pattern Reduction
Women who have a small to moderate amount of excess breast tissue may benefit from having a vertical scar breast reduction. In this type of surgery, the incision is made around the nipple and down the central part of the breast. Through this incision the breast tissue in the middle of the breast is removed and the excess skin is removed to tighten the breast envelope. This type of reduction is sometimes referred to as having a lollipop type scar because the incision goes around the nipple and down. The advantage to this type of surgery is that it eliminates the scar that goes horizontally underneath the breast. Not all patients are candidates for the vertical pattern breast reduction. Patients with large to extremely large breasts will need to have a wise pattern breast reduction.
Wise Pattern Reduction
The Wise pattern is one of the oldest types of breast reductions performed. The scar is in the form of an anchor in which there is an incision made around the nipple, down the central part of the breast and across from side to side underneath the breast. The name, Wise pattern, comes from the surgeon who developed the technique many years ago and the technique has stood the test of time. The reduction allows for strong lifting of the breast tissue with reduction of both the skin and excess breast mass.
Liposuction is a relatively newer technique for breast reduction, which uses smaller incisions, and the tumescent liposuction technique to remove the fatty parts of the breast tissue without the need for significant lifting. This technique can be used in both men and women. Patients with good skin tone and elasticity can expect contracture of the breast tissue after liposuction. This technique is reserved for only select female patients who are candidates based on slightly oversized breasts and good skin quality. In men, liposuction is often combined with glandular excision to remove hard glandular tissue characteristic of gynecomastia.
What to Expect
Breast reduction surgery is performed as an outpatient procedure under general anesthesia. The surgery usually takes about 2 to 4 hours. During the recovery, the breast may initially appear to be very constricted and either cone shaped or high. This is a normal part of the postoperative process and the breasts will settle over the course of the next 3 to 4 weeks. The scars will soften over the course of 6-8 months. Many women often comment on the immediate relief that they experience from back and neck pain following breast reduction surgery. Furthermore, patients benefit from improved self-esteem with the ability to wear normal clothing appropriate for their body type.
The average cost for breast reduction surgery is $8500. Patients with larger breasts have tendencies to experience physical problems, which sometimes allows this surgery to be covered by medical insurance. In order to apply for insurance coverage, Dr. Khorsandi will write a letter to your insurance carrier requesting preauthorization. This will require your medical history, as well as details that are relevant to the surgical case. Photographs of the breasts are helpful for obtaining approval and may be included with permission. It often takes several weeks and up to several months to obtain authorization from the insurance carrier.
Plan Your Procedure
- Average Cost
- From $8,500
- Recovery Time
- 1-2 Weeks
- Average Procedure Time
- 2-4 Hours
- Post-op Follow-up
- 1 Week
- Procedure Recovery Location
Breast Reduction FAQs
Will Results Last?
Breast reduction is a long-term solution for patients who are affected with excessively large breasts. In cases when there is significant weight gain, the results may be compromised just like any cosmetic procedure that modifies body shape. Naturally, aging and gravity will take their toll over time and will still affect the breasts with or without the reduction. It is important to maintain a good health routine so that the enhancement lasts for a long time.
For women with larger breasts, the areola is also excessively large. In a breast reduction surgery, an areola reduction is also considered. As an incision is made surrounding the areola, the excess skin will also be trimmed so that it is proportional to the breasts’ new shape.
How Much Reduction?
This varies depending on the doctor’s initial evaluation and the patient’s preference. Often, the reduction results in a cup or two smaller from the original breast size.
What About Scarring?
With any procedure incisions will heal with varying degree of scar tissue. Generally the scarring around the breast is minimal and several steps can be taken to help improve the appearance of scars. Dr. Khorsandi recommends silicone sheeting be applied to the incisions once the incisions have fully healed, approximately 10 the 14 days after surgery. It is especially important to avoid tanning and prolonged sun exposure to the scars for at least six months postoperatively. T-shirts and bathing suits provide some protection however if you plan on being in the sun Dr. Khorsandi recommends barrier protection or titanium oxide sunblock that provides complete protection to the incisions. In this way you allow your incisions to heal with the least amount of discoloration.