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Breast Reduction Procedure Details
What is Breast Reduction Surgery?
Breast reduction surgery is usually performed through incisions made on your breasts with the surgical removal of the excess fat, glandular tissue, and skin. The technique used to reduce the size of your breasts will be determined by your individual condition, breast composition, amount of reduction desired, and your personal preferences. Breast reduction surgery takes two to three hours to perform.
The night before your breast reduction surgery, you will be asked not to eat or drink for eight hours before a general anesthetic. On the day of your operation, your nurse will explain how you will be cared for during your stay, and may check your heart rate and blood pressure, and test your urine to rule out smoking and pregnancy. Dr. Agha will then mark you for your breast reduction. This ensures proper incision placement and symmetry. He will also review the entire operative technique of your breast reduction surgery with you, including incision location, and potential complications. You will then be given a dose of intravenous antibiotics as a precautionary measure.
Where Will Your Procedure Be Performed?
Dr. Agha has been granted staff privileges at several local hospitals and outpatient surgery centers. In the interest of the safety of his patients, he only performs surgery in fully accredited facilities with the proper services and staff.
Step 1 – Anesthesia
Medications are administered for your comfort before the breast reduction procedure. The choices include intravenous sedation and general anesthesia. Your doctor will recommend the best choice for you.
Step 2 –The Incision
Incision options include:
A circular type incision around the areola only.
A lollipop type incision around the areola and vertically down on the breast.
An inverted T or anchor-shaped incision that starts around the areola and vertically down on the breast as far as the breast crease where a second incision is placed along the crease.
The type of the incision is dependent on the amount of the breast tissue that needs to be removed. For areolar incision, only a small amount of the breast tissue is removed. This is best for those who require minor breast size correction for uneven breasts. The lollipop incision offers a small to medium size breast reduction. On the other hand, the anchor-type incision offers medium to large breast reductions.
Step 3 – Removing breast tissue and repositioning
After the breast skin is incised over the markings, typically the areola is reduced by excising areolar skin at its perimeter. The breast skin and a layer of underlying fat is then lifted off of breast tissue and gland. The nipple and areola is left attached to the underlying breast tissue. At this point, the excess breast tissue is excised according to the planned breast size. Most of the central breast mass with its attached nipple areola is preserved while the adjacent breast tissue excess is removed. In this manner, the nipple and areola retain their own blood vessels, milk duct attachments, and sensation.
In the standard anchor-type breast reduction technique, the central breast mass is then lifted via the closure of the breast incisions. Dr. Agha employs the dermal-bra suspension breast reduction and lift technique for breast reshaping. With this method, the breast mass is lifted and secured at a higher position with sutures to the chest muscle. Furthermore, the breast tissue itself is recreated into a breast mount with internal breast sutures.
Occasionally, for extremely large pendulous (sagging) breasts, the nipple and areola may need to be removed and transplanted to a higher position on the breast (free nipple graft).
Step 4 – Closing the incisions
Sutures are then placed to close the breast reduction incisions in multiple layers. Incision lines are permanent, but in most cases will fade and significantly improve over time.
Step 5 – See the results
The results of your breast reduction surgery are immediately visible. Over time, post-surgical swelling will resolve and incision lines will fade.
More about Breast Reduction with Dr. Agha in Newport Beach
Dr. Siamak Agha is a renowned board certified plastic surgeon in Newport Beach who has extensive experience in breast plastic surgery and body contouring procedures. Dr. Agha specializes in primary and secondary breast reduction surgeries, correction of uneven breasts, various types of breast lift, breast implant removal and replacement with fat,breast fat transfer, breast reshaping after massive weight loss, as well as breast reconstruction. Schedule a consultation today by calling 949-393-4213.
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