Breast reduction is a body contouring plastic surgery designed to reduce the size and volume of breasts to make them more proportionate to the rest of the body. At the time of pre-op consultation, the surgeon will educate the patient about various aspects of breast reduction, including the steps involved in the surgery.
Patients often feel more confident when they have a clear understanding of what the surgical procedure is going to entail.
They may even review some photographs or a video of the breast reduction procedure at the surgeon’s office, if required. Experienced and perceptive cosmetic surgeon Dr. Gary Motykie provides breast reduction to patients in Beverly Hills, West Hollywood, Los Angeles, and other suburbs and neighborhoods in this region of the nation.
Consultation
The breast reduction surgery process will begin with a comprehensive consultation with the surgeon. At this stage, the surgeon will determine the patient’s candidacy for breast reduction, assess her personal cosmetic needs and goals, and provide her pre- and post-surgical care instructions for a safe and successful surgery. A general health exam will be performed, and in some cases, specialized mammograms may also be ordered.
Anesthesia
General anesthesia is mostly used to perform a major plastic surgery procedure such as breast augmentation. However, local anesthesia with IV sedation may also be applied in some cases. Once the patient is brought into the operating room, she will be placed under anesthesia before the procedure begins.
The aspect of general anesthesia will be performed by an anesthesiologist or a registered nurse anesthetist. They will usually remain present throughout the procedure to monitor the patient’s response to anesthesia. The patient will be unconscious through the surgery and will have no recollection of it when she wakes up.
Incision Placement
The surgeon may typically perform breast reduction surgery using one of these incisions techniques: an anchor shaped incision, a vertical incision, or a scar-less incision. The anchor incision is made around the lower half of the areola border, going vertically down the breast, and then horizontally across the breast crease.
The vertical incision will be placed around the lower half of the areola, and proceeding vertically down the breast to minimize scarring. A scar-less incision will involve very small incisions made in discreet locations through which fat tissue can be removed via liposuction.
Fat and Skin Reduction
Through the incisions, the surgeon will remove loose skin and excess fat tissue from the lower part of the breasts. If the patient only has fatty tissue in the breasts, and no glandular tissue, this can be removed more easily using only the liposuction technique. This will reduce tissue trauma, and the patient will have a faster recovery and minimal scarring.
Repositioning of the Nipples
In some cases, the surgeon will reposition the nipples to a raised level to create a natural look of the breasts. The nipple will be detached from the breast and then grafted to a more youthful location. This step is often necessary when substantial breast reduction is involved.
Closing the Incision
Once the surgery is completed, the surgeon will carefully close the incisions with removable or dissolvable sutures. Focused and wonderful cosmetic surgeon Dr. Motykie receives patients from Beverly Hills, West Hollywood, Los Angeles, and other cities and suburbs in this part of SoCal for breast reduction.
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