Breast Lift / Reduction

Breast reduction or lift
Breast Lifting for saggy breasts is sometimes combined with reduction if the breasts are to large.

 

Conversely, If the breasts are lacking in volume, an implant may be placed in combination with lifting.

 

Either way the procedure and incisions are similar.

 

Dr Warfel specializes small scar, less invasive techniques for Breast lifting and reduction. 

 

 

 

 

 

 

 

      Standard scar                   Dr Warfel’s short incision

 

 

BREAST REDUCTION SURGERY

Patients who undergo breast reduction surgery frequently are seeking relief from physical symptoms caused by the excessive weight of large breasts. Breast reduction usually can solve these problems as well as improve the size and shape of your breasts. Following breast reduction, your breasts will be more proportional to the rest of your body, and clothes will fit you better.

 

BREAST LIFT SURGERY

You may be a good candidate for breast lift if your breasts are the size you want but just sagging. incisions similar to the ones in the above diagram are also used. If you desire a lift and more volume, an implant may be placed at the same time as the lift. Either way you can be sure that Dr Warfel will use the smallest incisions possible.

 

Am I a good candidate for breast reduction?

You may be a good candidate for breast reduction if you have one or more of the following conditions:

  1. breasts that are too large in proportion to your body frame
  2. heavy, pendulous breasts with nipples and areolas that point downward
  3. one breast is much larger than the other
  4. back, neck or shoulder pain caused by the weight of your breasts
  5. skin irritation beneath your breasts
  6. indentations in your shoulders from tight bra straps
  7. restriction of physical activity due to the size and weight of your breasts
  8. dissatisfaction or self-consciousness about the largeness of your breasts

Breast reduction can be performed at any age, but plastic surgeons usually recommend waiting until breast development has stopped. Childbirth and breast-feeding may have significant and unpredictable effects on the size and shape of your breasts. Nevertheless, many women decide to undergo breast reduction before having children and feel that they can address any subsequent changes later. If you plan to breast-feed in the future, you should discuss this with your plastic surgeon.

During the consultation, you will be asked about your desired breast size as well as anything else about your breasts that you would like to see improved. This will help Dr Warfel understand your expectations and determine whether they realistically can be achieved.

 

How will my plastic surgeon evaluate me for breast reduction surgery?

Dr Warfel will examine your breasts, taking measurements and perhaps photographs for your medical record. The size and shape of your breasts, the quality of your skin, and the placement of the nipples and areolas will be carefully evaluated. You should come to the consultation prepared to discuss your medical history. This will include information about any medical conditions, drug allergies, medical treatments you have received, previous surgeries including breast biopsies, and medications that you currently take. It is important for you to provide complete information.

You should tell the doctor if you plan to lose a significant amount of weight, particularly if you have noticed that your breasts become smaller with weight loss. It is recommend that you stabilize your weight before having surgery.

 

Will my insurance help cover the cost of surgery?

Insurance coverage is sometimes available for breast reduction surgery. Many factors determine your eligibility, including the specific terms of your insurance policy and the amount of breast tissue to be removed. A letter of predetermination may be required by your insurance company prior to surgery. A staff member in the office will discuss these matters with you.

 

Where are the incisions placed?

Individual factors and personal preferences will determine whether you are a candidate for Dr Warfel’s minimal scar technique of reducing the breasts which involves only 2 incisions. One incision is made around the areola. Another runs vertically from the bottom edge of the areola to the crease underneath the breast. In contrast to the usual method of breast reduction, the minimal scar technique eliminates the need for a large additional scar under the breast. After Dr Warfel has removed excess breast tissue, fat and skin, the nipple and areola are shifted to a higher position. The areola, which in large breasts usually has been stretched, also is reduced in size. Skin that was formerly located above the nipple is brought down and together to reshape the breast.

Liposuction may be used to improve the contour toward the armpit, but usually it is recommended to do this as a secondary procedure, several months after the initial breast reduction.

 

The nipples and areolas remain attached to underlying tissue, and this allows for the preservation of sensation. The ability to breast-feed may also be preserved by this method, although this cannot be guaranteed. Skin that formerly was located above the nipple is brought down and together to reshape the breast.

 

Fortunately, significant complications from breast reduction are infrequent. Every year, many thousands of women undergo successful breast reduction surgery, experience no major problems and are pleased with the results. Anyone considering surgery, however, should be aware of both the benefits and the risks.

 

I understand that every surgical procedure has risks, but how will I learn more so that I can make an informed decision?

The subject of risks and potential complications of surgery is best discussed on a personal basis between you and Dr Warfel.

Some of the potential complications that will be discussed with you include bleeding, infection and reactions to anesthesia.

 

Following reduction, sometimes the breasts may not be perfectly symmetrical or the nipple height may vary slightly. If desired, minor adjustments can be made at a later time. Permanent loss of sensation in the nipples or breasts may occur rarely. Revisionary surgery is sometimes helpful in certain instances where incisions may have healed poorly. In the unlikely event of injury to or loss of the nipple and areola, they usually can be satisfactorily reconstructed using skin grafts.

You can help to lessen certain risks by following the advice and instructions of the doctor, both before and after surgery.

 

How should I prepare for surgery?

Depending on your age, or if you have a history of breast cancer in your family, a baseline mammogram before surgery and another mammographic examination some months after surgery may be recommend. This will help to detect any future changes in your breast tissue. Following breast reduction, you will still be able to perform breast self-examination. Breast reduction surgery will not increase your risk of developing breast cancer. If you are a smoker, you will be asked to stop smoking well in advance of surgery. Aspirin and certain anti-inflammatory drugs can cause increased bleeding, so you should avoid taking these medications for a period of time before surgery. Dr Warfel’s staff will provide you with additional preoperative instructions.

Breast reduction surgery may be performed on an inpatient or outpatient basis. If you are to stay in the hospital, it will most likely be for only one night. Whether you are released the day of surgery or the following day, you will need someone to drive you home and to stay with you for the next day or two.

The goal of Dr Warfel and his entire staff is to make your surgical experience as easy and comfortable for you as possible.

 

What will the day of surgery be like?

Your breast reduction surgery may be performed in a hospital, or our certified office-based surgical suite.

Usually, a general anesthetic is administered, so that you will be asleep throughout the procedure. When surgery is completed, you will be taken into a recovery area where you will continue to be closely monitored. Occasionally, small drain tubes will have been placed in your breasts to help avoid the accumulation of fluids. Gauze dressings will be placed on your breasts and covered with an elastic bandage or surgical bra.

 

How will I look and feel initially?

The day after surgery, you will be encouraged to get out of bed for short periods of time. After several days, you will be able to move about more comfortably. Straining, bending and lifting must be avoided, however, since these activities might cause increased swelling or even bleeding. You may be instructed to sleep on your back to avoid pressure on your breasts.

Any surgical drains are usually unnecessary, but if placed will be removed a day or two after surgery, at which time your dressings may also be changed or removed. You will be instructed to wear a support bra for a few weeks, until the swelling and discoloration of your breasts diminishes. Generally, stitches are all internal or dissolving without need of removal. The doctor may debride the remains of any dissolving sutures a week or 2 after surgery

You may notice that you feel less sensation in the nipple and areola areas. This usually is temporary. It may, however, take weeks, months or even more than a year before sensation returns to normal. Your breasts may also require some time to assume a more natural shape. Incisions will initially be red or pink in color. They will remain this way for many months following surgery.

 

When can I resume my normal activities?

After breast reduction surgery, it is often possible to return to work within a week or two, depending on your job. In many instances, you can resume most of your normal activities, including some form of mild exercise, after several weeks. You may continue to experience some mild, periodic discomfort during this time, but such feelings are normal. Severe pain should be reported to your doctor.

Any sexual activity should be avoided for a minimum of two weeks, After that, care must be taken to be extremely gentle with your breasts for at least the next six weeks.

 

How long will the results last?

Unless you gain or lose a significant amount of weight or become pregnant, your breast size should remain fairly constant. However, gravity and the effects of aging will eventually alter the size and shape of virtually every woman's breasts. If, after a period of years, you become dissatisfied with the appearance of your breasts, you may choose to undergo a breast "lifting" procedure to restore their more youthful contour.

 

Results of Breast Reduction

Breast reduction surgery will make your breasts smaller and firmer. Without the excessive weight of large breasts, you may find greater enjoyment in playing sports and engaging in physical activity.

The incisions from your breast reduction surgery will heal and fade over time. It is important to realize, however, that the incision lines will be permanently visible, more so in some individuals than others. Fortunately, the incisions for breast reduction are in locations easily concealed by clothing, even low-cut necklines.

Breast reduction often makes a dramatic change in your appearance. For this reason, it may take some time to adjust to your new body image. Most women, however, eventually become comfortable with their smaller breasts and feel very pleased with the results of surgery. In fact, the level of patient satisfaction resulting from breast reduction is among the highest of any plastic surgery procedure.

 

Maintaining a Relationship with Dr Warfel

You will return to the WARFEL INSTITUTE office for follow-up care at prescribed intervals, at which time your progress will be evaluated. Once the immediate postoperative follow-up is complete, Dr Warfel encourages patients to come back for periodic checkups to observe and discuss the long-term results of surgery.

Please remember that the relationship with your doctor does not end when you leave the operating room. If you have questions or concerns during your recovery, or need additional information at a later time, you should contact Dr Warfel.