10 Questions You Must Ask Before Getting A Breast Reduction Surgery
Dr Siddharth Prakash, Cosmetic Surgeon
Breast reduction is one of the few surgeries that can serve both medical and cosmetic purposes. There are a few things you should know about the procedure, whether you want it to treat discomfort and improve your quality of life or you're merely unhappy with the shape and size of your chest. These are some of the most often asked and relevant issues about breast reduction, ranging from the impact on breastfeeding to insurance coverage.
1. WHEN CHOOSING A BREAST REDUCTION SURGEON, WHAT ALL SHOULD I CONSIDER?
There is no single criteria to consider when selecting a cosmetic surgeon for a breast reduction or any other operation. Instead, you must choose a provider who is both qualified and familiar with you. It is vital that you can speak openly and freely with the surgeon in addition to investigating board certification and expertise. This includes the capacity to openly voice your desires without feeling self-conscious or as if the surgeon is in control of the situation.
It's not just about bedside manner, though. It's also crucial to grasp the skill and aesthetics of a potential surgeon. Request before and after images of patients with similar breast proportions to you, as poor scarring is a potential problem.
2. DOES INSURANCE COVER BREAST REDUCTION?
It is a conditional statement. This is extremely changeable and is influenced by a number of things. Insurance companies, it turns out, may be rather directive, even trying to dictate the surgery's specifics. Even if the insurance company approves the treatment in advance, they must establish how many grammes of tissue the surgeon must take in order for the surgery to be paid, which usually ends in patients having breasts that are much smaller than they prefer.
Although excessively large breasts can create medical problems including neck and back pain, rashes in the breast folds, and difficulties with daily activities, a breast reduction treatment is also an aesthetic procedure that should be regarded as such. While breast reductions are unquestionably a medical surgery, they are also an aesthetic procedure that should result in appealing breasts for the patient.
3. HOW SAFE IS BREAST REDUCTION SURGERY?
The most prevalent risks connected with breast reductions are hematoma or blood clots, diminished nipple sensitivity, and wound healing difficulties. Although breast asymmetry isn't considered a risk because it's a natural feature of surgery on two of the same body parts, it's still something to talk about with patients.
4. SHOULD I DELAY A BREAST REDUCTION TO AFTER I HAVE KIDS?
Yes, in an ideal world. Patients as young as 18 years old, on the other hand, frequently choose to get a breast reduction surgery to reduce neck, back, and shoulder pain, according to both doctors' experience. Many patients in their late teens and twenties who are not yet ready to start a family but are suffering from excruciating physical discomfort as well as emotional and psychological distress as a result of their overly large breasts may benefit from reduction mammoplasty. While I always warn patients about the potential of losing their ability to breastfeed, in situations like these, the patient's quality of life and well-being must be considered.
If you can wait till after you've breastfed (assuming you choose to do that!). The quantity of milk ducts and milk producing glands that remain following breast reduction determines whether or not you can breastfeed. Reduction procedures that preserve more of the glandular tissue from the nipple to the chest wall, as well as those that keep the nipple intact, have a significantly better likelihood of preserving breastfeeding capability.
Doctors can't guarantee that you'll be able to breastfeed after a breast reduction because everyone's physiology is different. The more time that has passed since the operation, the more probable lactation will be successful.
5. HOW DOES THE BREAST REDUCTION RECOVERY PROCESS WORK?
Breast reduction is not the most difficult postoperative procedure, which is excellent news. Patients should wear a surgical or sports bra for six weeks after surgery and should not workout or carry heavy weights. Swim or engage in a physically demanding exercise.
6. WHAT KIND OF SCARRING SHOULD I EXPECT AFTER A BREAST REDUCTION?
In the initial postoperative phase, scars are quite noticeable, red, and elevated. Over the course of months, they do, however, flatten and lighten. It can take up to a year to observe how well scars have healed, and most of the time, he says, the damage is modest. Due to the lack of strain on the tissue, most patients, including those with a history of hypertrophic scarring, heal well after a breast reduction. The incisions are relieved by the post-operative bra. Three to four weeks after surgery, scar cream can be used, as well as sunblock while going outside or to the beach. If the scarring becomes bothersome, lasers and other therapies might be used to minimize it.
7. IF I AM OVERWEIGHT, DO I NEED TO LOSE WEIGHT BEFORE A BREAST REDUCTION?
As with any elective plastic surgery operation, patients are recommended to be at a healthy weight prior to surgery. Infection and wound breakdown are more likely in people with a higher BMI, according to study. Obviously, surgeons seek to lower patient risk.
Following surgery, it's also vital to maintain a balanced diet and exercise program. To avoid future increases in breast volume, it is vital to maintain an active lifestyle.
8. WILL THE RESULTS BE AFFECTED BY MY WEIGHT FLUCTUATION AFTER A BREAST REDUCTION?
This isn't a common occurrence, but it does happen. Due to the removal of skin, fat, and breast tissue, breast development is uncommon after a breast reduction. It commonly occurs as a result of hormonal changes such as pregnancy and menopause, weight increase, or medication.
9. HOW DO I KNOW HOW BIG MY POST-REDUCTION BREASTS WILL BE?
A candid and open discussion with your breast surgeon is required to determine the right size. Striking a balance between the patient's goals and what is best for their health is crucial. The size should fit the individual's frame while yet being tiny enough to be beneficial if it is intended to treat neck, shoulder, and back pain.
Is there anything I can suggest? Don't get too fixated on a particular size. Bra sizing is generally known to vary greatly; different firms and brands have their own sizing guidelines, so establishing a patient's size before to surgery is difficult. Furthermore, the majority of patients are wearing improper or ill-fitting bras, and they usually claim that their bra size does not accurately reflect their current breast volume.
According to her, because patients have various baselines, overall breast measurements, and tissue composition, there is no association between the amount of breast tissue removed and the resulting bra size.
10. CAN I CONTACT PREVIOUS PATIENTS OR VIEW BEFORE AND AFTER PHOTOS?
Absolutely! It can be difficult to contact past patients directly due to privacy rules and patients' wishes not to have their personal information shared. Patient testimonials and before and after images, on the other hand, are quite useful in guiding patients in selecting which plastic surgeon is the greatest fit for them and what their results might be. So don't be scared to ask for the information you need to make the best decision possible.