Frequently Asked Questions
WHAT TO EXPECT IN A REDUCTION MAMMOPLASTY SURGERY?
The procedure usually takes about 2 to 3 hours. Although there are many techniques available for breast reduction, the most common procedure uses an anchor-shaped incision around the areola, that follows the natural curve of the breast. Along the incision, the doctor will remove fat, skin, and glandular tissue. Then move the nipple and areola to their new positions, likely in a higher point. Lastly, the skin is brought down from both sides of the breast and around the areola, shaping the new curve of the breast.
The sutures in this procedure will dissolve under the skin and do not need removing. If you have good skin, the horizontal part of the scar can be avoided with a vertical scar breast reduction pattern.
WHY CONSIDER BREAST REDUCTION SURGERY?
If you experience any sort of hassles caused by large breasts, if they are out of proportion or don’t suit your overall figure, breast reduction can be a life-changer procedure. Symptoms and problems to be investigated can include:
● Feeling pain in the back, neck, shoulder, and breast itself;
● Grooving in your shoulders caused by bra straps;
● Reddened or inflamed skin under your breasts;
● Having difficulty finding suitable a bra that supports the breast correctly;
● Needing much larger size tops compared to bottoms, or just clothes that fit your body properly;
● Experiencing pain and discomfort caused by the movement of your breasts when exercising;
● Losing confidence in your appearance or a constant feeling that people are staring at your bust.
If you experience more than one symptom listed, bear in mind that breast reduction surgery may help to overcome or control these problems.
HOW'S THE PREPARATION FOR A MAMMOPLASTY?
On the day of your surgery, the anesthetist will examine you and explain the sedation process. You will be advised not to eat for a minimum of 4 to 6 hours or drink for a minimum of 2 hours before your surgery. After that, the surgeon will see you and mark the new position for your nipple and draw the area of skin and breast tissue to be removed. Once you are set for the operation, you'll go under general anesthesia and the surgery will take place.
WHAT IS THE BREAST REDUCTION SIZE CHART?
To be covered by insurance, your breast reduction must be considered "medically necessary." A usual tool is the breast size chart, also known as the Schnur Sliding Scale. With the chart guidelines, you can check if your body surface area and weight of breast tissue to be removed will fall below the lower 22nd percentile. If so, your surgery is deemed not medically necessary. Above that percentile, your condition can qualify as a necessity by your insurance provider.
ARE THERE WEIGHT REQUIREMENTS FOR BREAST REDUCTION SURGERY?
It is common for some insurance companies to deny breast reduction surgery unless you have under 30 body mass index (BMI) or, in some rare cases, under 35 BMI. This requirement is based on surgical safety and because breast size is likely to decrease with weight loss.
Exceptionally, you may be eligible for surgery under conditions other than these demands. Even though it is not a guaranteed route, you can provide documentation stating that you have already attempted to lose weight in the past through diet, exercise, or even weight loss surgery, and have not succeeded.
IS BREAST REDUCTION PAINFUL?
During the procedure, you'll be fully unconscious, under general anesthesia, so there’ll be no pain. However, when coming around there is likely to be discomfort. Mostly because after surgery you’ll still have drainage tubes to remove excess fluid and blood, as well as dressings. Your breasts will be swollen and feel a bit lumpy. Your doctor will prescribe painkillers and run careful wound management, to help with your discomfort throughout the recovery journey.
HOW IS BREAST REDUCTION RECOVERY LIKE?
Even though you’ll be able to return to normal functioning within 2-3 weeks following your surgery, the overall swelling and bruising will take a few months to completely settle. You can experience painful breasts during this time and require over-the-counter pain relief.
Your previous sporting activities can be resumed within a few weeks, depending on your current shape, but more vigorous training with significant upper body movements should be avoided for a month or so. To look after good results from your breast reduction surgery, a supportive sports bra is vital during the recovery process.
WHAT WILL MY BREAST REDUCTION SCARRING LOOK LIKE?
Residual scars vary a lot from patient to patient, but eventually, the red and raised aspect will fade into white lines within a year. Scarring can be affected by several factors including your age, skin tone, genetics, and overall skin condition and elasticity. Depending on the type of surgery you have, you can have scars around your nipples, a vertical scar running down your breast, or a horizontal scar across the crease and below the breast (anchor-shaped). Sometimes, you may even only have a vertical scar running down your breast.
WHERE CAN I GET BREAST REDUCTION SURGERY IN NYC?
In StudioMD we understand how sizable breasts can truly limit a woman’s quality of life. Fortunately, breast reduction surgery can ease back and neck pains and redesign your silhouette. So you can live your life to the fullest and enjoy every activity you desire. Dr. Sharon Giese and our team will steer you in every step of the procedure and draw a customized plan on the best technique based on your breasts’ size, shape, and scarring.
Take comfort in the fact that you’ll be in great care. Dr. Sharon Giese is a breast specialist, completing a fellowship in breast and aesthetic surgery at Georgetown University. As a leading authority on plastic surgery, Dr. Giese has been featured in many broadcasts, including CBS’ The Early Show, The Dr. Oz Show, FOX, ABC’s Good Morning America, and NBC's Today Show. Dr. Sharon Giese and StudioMD staff will be happy to schedule a consultation about your breast reduction surgery.