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Dr. Jesus Dominguez

Paseo Marinos esq. Porta aviones, Colonia Chamizal,
San José del Cabo, B.C.S. C.P. 23400

Breast Reduction

Procedure

A breast reduction, also referred to as a reduction mammoplasty, is a surgical procedure to reduce the size and improve the shape of the breasts. Typically, women who are candidates for this procedure have physical symptoms related to the weight or shape of their breasts. These symptoms include back pain, neck pain, and bra strap grooves. The incisions vary based upon the breast size before the operation and the final post operative size.

An incision is made around the nipple and areola accompanied by a vertical incision below the areola with or without a horizontal incision made in the crease below the breast. Short scar techniques are frequently applicable in breast reduction surgery and allow excellent reduction of size with improved shape while limiting the extent of the incisions.

For reduction of very large breasts, in some cases the nipple and areola may need to be surgically removed and reapplied as a graft. Removing and reapplying the nipple/areola tissue will result in the loss of nipple sensation and the inability to breastfeed.

Length

The procedure usually requires 2-4 hours of operating time depending upon the technique chosen and the size of the breasts.

Anesthesia

The procedure is typically performed under general anesthesia supplemented with local anesthesia. Smaller reductions can be performed under intravenous sedation without the need for general anesthesia.

Inpatient or outpatient

Depending on the size of the breasts, type of anesthesia selected, and length of the surgical procedure, patients may return home on the same day as their surgery or spend the night at an aftercare facility or hospital.

Possible side effects

Prolonged swelling and delayed healing.

Risks

Risks associated with breast reduction include: unfavorable scarring, loss of nipple sensation, loss of ability to breastfeed, loss of nipple and breast tissue, unsatisfactory shape, and failure to achieve aesthetic goals.

Recovery

Typically one to two weeks is required for recovery. Most patients return to normal activities in that period of time. Strenuous physical activities are discouraged for three to six weeks after the operation.

Results

Most patients who undergo a reduction mammoplasty are pleased with the size and the shape of their breasts and are delighted with the improvement and lessening of the symptoms of pain and discomfort that they experienced due to the weight of their breasts. Breast reduction makes physical activities easier and patients enjoy their new appearance and ability to wear clothing that was uncomfortable or unattractive before the surgery was performed.

Male Breast Reduction

Procedure

Reduces enlarged, female-like breasts in men using liposuction and/or surgically removing excess glandular tissue.

Length

Approximately one and one-half to three hours

Anesthesia

Either general anesthesia is used or intravenous sedation and local anesthesia are used.

Inpatient or outpatient

This is an outpatient procedure

Possible side effects

Temporary bruising, swelling, numbness, soreness, and/or a burning sensation are possible.

Risks

Infection, fluid build-up, injury to the skin, rippling or looseness of the skin, asymmetry, pigmentation changes, excessive scarring if tissue was cut away, loss of nipple sensation, contour irregularities and in some instances the need for a second procedure to remove additional tissue is required.

Recovery

The patient may go back to work after seven days. More strenuous activity may be resumed after two to three weeks. Most of the swelling and bruising will disappear after three to six months.

Results

Permanent, although weight gain may cause the breast area to once again become larger.

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