BREAST REDUCTION

Plastic surgery should look natural.

Breast Reduction Surgery San Antonio

Breast reduction surgery is for women who have large breasts and want to resolve one or more of the following associated problems.

  • Chronic back, neck and shoulder pain
  • Poor posture
  • Skin rash under the breasts
  • Deep grooves in the shoulders from bra strap pressure
  • Restricted levels of activity
  • Low self-esteem
  • Difficulty wearing or fitting into certain bras and clothing

Breast Reduction Before And After Photos

Breast Reduction Evaluation

Dr. Elizabeth Harris will spend ample time with each breast reduction patient at her San Antonio office discussing their individual needs and requirements.

You can expect the following during your evaluation:

  • A detailed description of the procedure and its results, including likely scarring will be provided
  • Expectations for breast size and appearance will be discussed
  • Dr. Elizabeth Harris will examine and measure your breasts
  • Photographs of your breasts will be taken for insurance pre-approval and for reference during and after the surgery
  • Factors that may affect the surgery, such as your age, the size and shape of your breasts, and your skin condition will be discussed
  • The positioning of the nipple and areola — the circular, pigmented area around your nipple will be discussed
  • Anesthesia use and effects will be discussed
  • Costs and insurance considerations will be discussed
  • The extent of surgery — specifically, how much breast tissue will be removed will be explained

Breast Reduction Procedure

There are five procedures that Elizabeth Harris commonly uses to rectify the problems caused by oversized breasts. However, there are also many variations within each technique. The essential facts regarding each technique are given below.

Inferior Pedicle Technique

The inferior pedicle is a section of the breast, which contains a blood vessel supply that reaches the nipple or areola. Reduction is performed via this area by making an incision along the border of the areola. Through this aperture, a surgeon can excise quantities of tissue and also move it around. Movement of the tissue allows a doctor to do more than simply lessen the weight of the breast. This technique also makes it possible to readjust the tissue so that the breast remains more elevated than it was previous to the surgery. Low hanging breasts are a common side effect of excess tissue surrounding the mammary glands.

Vertical Scar Technique

Maintaining the functionality of the nipple-areolar complex is one of the goals of the vertical scar technique. This technique typically results in short incision scars and a projected bust. This formation assists in keeping the breast ready for lactation and breast-feeding. However, this technique typically removes small quantities of internal tissues. The incision is known as the lollipop incision because it encircles the nipple and extends vertically beneath it.

This is the preferred incision type of Dr. Elizabeth Harris. She finds that results are much more pleasing to patients with fewer complications.

Horizontal Scar Technique

Surgeons make incisions along the inframammary fold as well as around the areola when they rely on the horizontal scar technique. This procedure works best for women whose breasts are too large for the vertical scar technique to work properly. Box-shaped breasts are potential drawbacks to this approach to breast reduction. However, it does not leave a vertical scar, which some women might consider unsightly.

Free Nipple-Graft Technique

This technique allows surgeons to remove very large amounts of tissue and create a dramatic reduction in breast size. Some patients will avoid this approach because it leaves the nipple without any functionality and because it affects the sensitivity of the area. This is a strongly recommended technique for certain women: those at risk of ischemia, those who smoke tobacco, those who are diabetic, and others who have macromastia to such an extent that massive amounts of repositioning are deemed necessary.

Liposuction-Only Technique

This is a mild intervention used for women who only need a medium quantity of tissue removed. It is also used for women who have some medical reason for avoiding general and extended anesthesia. It leaves less scarring than other techniques.

Potential breast reduction patients should consult with their physician about these breast reduction techniques. A patient has a right to input in the decision regarding surgical approaches to breast reduction. Issues both cosmetic and health-related are crucial factors for doctors and patients to consider.

Breast Reduction Recovery

Recovery times will vary by patient, but we will schedule follow-ups at the 3 day, 1 week, 3 week, 6 week, and 3 month marks. We require these check-ups to make sure there are no signs of infection and to help manage the recovery in full.

Some breast tenderness, bruising, and pain can be expected. One week off of work and school is requested after surgery. Medication for pain and other side effects will be discussed and provided before the surgery.

Breast Reduction Pricing

Pricing will vary on each breast reduction patient. Other variables such as combined procedures will affect the cost as well. Insurance and the total cost will be discussed during your in-depth evaluation with Elizabeth Harris.

Breast Reduction Surgery Details

  • Recovery Time: 10-14 days off work
  • When is post-op follow-up? 3 days, 1 week, 3 weeks, 6 weeks, and 3 months
  • Procedure Location: Fully accredited outpatient surgery center
  • Surgery Prep: Mammogram for people age 30+
  • Possible Scars: Vertical breast lift scars aka “lollipop” shaped scar (no “anchor” incision scars)

Breast Reduction FAQs

What’s a good age to have a breast reduction surgery?

You can have breast reduction surgery at any age, but it’s generally advisable to wait until you’re at least age 20, by which time your breasts are likely to be fully developed. However, sometimes surgery is performed in teens who suffer significant emotional and psychological effects of having too-large breasts.

Should I have a breast reduction before or after having children?

If you want children, consider postponing breast reduction surgery until you’ve had them. Changes to breast tissue during pregnancy could alter your surgical results. Also, after the surgery, breast-feeding may be difficult.

What kinds of incisions are used in a breast reduction?

Our doctors specialize in the vertical or ‘minimal scar’ incision. This incision is a scar around the nipple and another incision leading down in a straight, vertical line resembling a ‘lollipop’ shaped scar. Women with extremely large breasts would need the more standard incision which resembles an ‘anchor’. This means that the scar is around the nipple, a straight vertical line and a horizontal incision along the inframammary crease.

Is the nipple left attached during the breast reduction procedure?

In the vast majority of breast reductions, the nipple is left attached to the breast. In the minority of breast reduction patients in which the patients have extremely, extremely large breasts, occasionally the nipple would need to be removed and reattached as a “free nipple graft.”