Breast Reduction

With the growing popularity of breast augmentation surgery, you may wonder why a woman would choose instead to have her breast size reduced. Back pain, neck pain, tingling hands, or migraine headaches can be some of the possible reasons. Having overly large natural breasts can be a burden. They’re heavy, leading to numerous health problems. They get in the way, precluding participation in many sports and exercise options.

Breast reduction surgery with the Drs. Carlotti can reduce the breasts to a more proportional size, making them more manageable physically and mentally. If you have questions, or would like to learn more about exploring the option to have reduction surgery, call (512) 688-8000 to schedule a consultation.

What Is Breast Reduction Surgery?

Breast reduction surgery, also known as reduction mammaplasty, removes excess breast fat, glandular tissue, and skin to reduce the size of the breasts. The procedure also removes the sagging and returns the breasts to a higher profile on the chest. Having overly large natural breasts, a condition known as hypermastia, can negatively dominate a woman’s life. Reduction surgery at Austin Cosmetic Surgery can really change the patient’s life.

Who Is a Good Candidate for Breast Reduction Surgery?

Overly large breasts, especially if they are largely due to glandular tissue, can be very heavy. This can lead to a host of health problems:

  • Back pain
  • Neck pain
  • Spinal nerve compression
  • Tingling hands
  • Carpal tunnel syndrome
  • Headaches/migraines
  • Balance problems

If you experience any of the problems listed above, you could be an excellent candidate for breast reduction surgery with Dr. Michelle Carlotti and Dr. Albert Carlotti at Austin Cosmetic Surgery.

How the Drs. Carlotti Perform Breast Reduction Surgery

Generally, the Drs. Carlotti have two options for incisions with this procedure: the traditional incision or the vertical incision. During your consultation, they will discuss which method they think would work best for your unique situation. This procedure is performed with the patient under general anesthesia.

  • Traditional incision method — For women with extremely large breasts where a good deal of sagging skin and tissue need to be removed, the traditional incision allows the most access. The incision, also called the “anchor incision,” circles the areola, runs down to the breast crease, and then follows the breast crease a few inches in each direction.
  • Vertical incision method — This incision follows the same path as the anchor incision, without extending along the breast crease. The shape of this incision is more like a lollipop. It can work for women with moderately large breasts.

In both methods, excess glandular tissue, fat, and skin are removed. The nipples and areolae are usually moved to a higher position on the chest. The areolae can also be reduced in size.

Breast reduction patient before and after photos

Breast reduction before and after photos.

Benefits of Breast Reduction Surgery for Women

There is a dual set of benefits with reduction surgery — both physical and mental, even emotional. As noted above, there are many physical benefits, from a decrease in neck pain and back problems to removing the constant pain of having bra straps dig into your shoulders.

Beyond the physical benefits, many women with large breasts can be very self-conscious about their breasts and overall body image. They may tend to wear clothes that hide their body. They may avoid activities that may require less clothing. Exercise and activities where their breasts get in the way are ruled out.

After we decrease patients’ breasts, they often gain an entire new degree of self-confidence and look at their figure in a much healthier way. They feel more open to engaging in new exercise classes or regimens, without fear of attracting unwanted attention. They feel comfortable wearing clothing that now complements their figure, rather than seeking to cover it. This can really be life changing, and that’s an awesome outcome.

Breast Lift With Breast Reduction

There is some misunderstanding here because breast reduction with Drs. Carlotti is basically like a breast lift. Yes, we are removing more breast tissue and probably more skin, but the end goal is the same — to bring sagging, low-hanging breasts back up to a higher position on the chest. The only difference is that breast reduction also makes the breast size smaller.

Recovery After Reduction Surgery

This procedure involves lots of tissue repositioning, and this results in bruising, swelling, and soreness. When you return home your breasts will be fully bandaged and in a surgical bra. You’ll have to take it easy for the first one to two weeks, and avoid strenuous activity for probably six weeks. You’ll need to take at least one, and more likely two, weeks off of work. One of the most important aspects of your recovery is wearing your surgical bra at first, then transitioning to a support bra, and ending with a strong sports bra. These should be worn 24 hours a day for at least one month. These can seem tedious, but it’s necessary to avoid placing any stress on your incisions. By being diligent with this your scars will stay as thin as is possible and will heal better. We usually need to move the nipples with this procedure, but we make every effort to maintain nipple sensation and breastfeeding function after breast reduction, but this is not always possible.

Will I Have Scarring After Surgery?

There is no way around the scarring that results from this procedure. Incisions are long and incisions create scars. These are necessary to gain the access necessary to be able to remove as much breast tissue and skin as is needed. The scars will be pink for up to a year, but will then begin to fade quite quickly.

Breast Reduction and Breastfeeding

You cannot have this procedure while you are breastfeeding. First off, recovery would certainly interfere with breastfeeding. Second, your breasts need to return to their natural size before you can have this surgery. When you are breastfeeding your breasts are larger than normal.

As for the future potential for breastfeeding, this surgery can impact your ability to breastfeed. With the extensive tissue removal and repositioning, along with relocating the nipples, there is a good chance your ability to breastfeed will be impacted. We try to ensure nipple sensation and the ability to breastfeed, but this isn’t always possible. If you are planning on having more children, waiting to have the procedure can be a better option.

Can I Have My Breast Size Reduced if I Have Breast Implants?

Some women decide they no longer want the larger breasts they opted for with augmentation. Although not quite the same as reducing natural breasts, the end goal is the same. The implants may either be completely removed, or more often removed and replaced with smaller implants that are more in line with the patient’s overall body. Excess skin will be removed, as with natural breast reduction.

What Are the Risks Associated with Breast Reduction Surgery?

This is major surgery, so all of the risks involved with surgery apply to reduction: infection, excessive bleeding, poor healing, and the like. The main risk specific to reduction mammoplasty is loss of nipple sensation or overall changes in breast sensation. This is because the nerves can be impacted by the relatively extensive changes in the breasts. Also, the ability to breastfeed will likely be impacted.

Schedule a Breast Reduction Consultation

You don’t have to deal with the pain, discomfort and psychological effects of having breasts that are too large for your body. The Drs. Carlotti can masterfully reshape the entire chest area using breast reduction techniques that minimize scarring and downtime. Call (512) 688-8000 to schedule a consultation.

REQUEST A

CONSULTATION

  • Which location will you be visiting?
  • This field is for validation purposes and should be left unchanged.