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Board Certified by the American Board of Plastic Surgery |
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A
woman with very large pendulous breasts may experience a variety of medical
problems caused by the excessive weight, such as back and neck pain, skin
irritation and shoulder grooving.
Techniques
vary, but the most common involves an anchor-shaped incision that circles the
areola, extends downward and follows the natural curve of the crease beneath the
breast. Dr. Padgett removes excess granular tissue, fat and skin, and moves the
nipple and areola into their new position. She then brings the skin from both
sides of the breast down and around the areola, shaping the new contour of the
breast. Liposuction may be used to remove excess fat from the sides. If the
breasts are very large or pendulous, the nipples and areolas may have to be skin
grafted into a higher position. (This will result in a loss of sensation in the
nipple and areola tissue).
If
breast-feeding is important to you, wait until after having your children to
have this surgery.
Dr.
Padgett may require you to have a mammogram before surgery. You’ll also get
specific instructions on how to prepare for surgery. Guidelines include stop
smoking, avoid Vitamin E, Aspirin, Diet Pills, any Herbal Supplements, and
Anti-inflammatory, such as Advil, Alieve, Motrin, etc., for 10 days before
surgery.
You
will stay overnight in the hospital. You may feel some pain for the first couple
of days. You will be given prescriptions and antibiotics. You should avoid
lifting more than 10 pounds for 6 weeks.
After
the surgery, you will be wrapped in an elastic bandage over gauze dressing. The
bandages are removed a day or two after the surgery and then you’ll continue
to wear a sports bra for a month. (Buy a sports bra that hooks in the front)
Poor
healing is more common in smokers and people with diabetes. Dr. Padgett will
make every effort to make your scars as inconspicuous as possible. However, the
scars will remain lumpy and red for months, then gradually become less obvious,
sometimes eventually fading to thin white lines. The procedure does leave some
permanent scars, although they will be covered by your bra or bathing suit. Stop
smoking at least one month before surgery.
Breast
reductions usually require an overnight stay.
Some
insurance companies will reimburse you for breast reduction if it is medically
necessary; however, they may require that a certain amount of breast tissue be
removed. Check your policy and have your surgeon write a “predetermination
letter” if required. Dr. Padgett is not on any insurance plans and does not
accept assignment.
If
your reduction is a free nipple graft, you will have numbness of the nipples.
With a pedicle technique, there is a small possibility of numbness.
More questions? Please give me a call at 405-755-5115.
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