Breast Reduction

Breast reduction surgery (Reduction Mammaplasty)

A woman with excessive breast development may experience significant physiological and psychological distress. Large breasts may become an impediment to a woman's ability to perform her job, exercise, or to wear certain fashions due to undesirable attention. The excessive weight of overly large breast development may cause major neck and back pain as well as grooving in the shoulders from brassiere straps. At times, grooving may lead to nerve compression and result in numbness of the hands and arms. Chronic skin irritation or infections in the breast folds may occur due to maceration of the skin beneath the breasts. Skin ulceration can occur in patients with massive enlargement. Because exercise may be difficult, weight gain is common in women with enlarged breasts. Breast reduction surgery has great power to improve these problems and over 90% of women surveyed following breast reduction reported that they would undergo the procedure again.

Breast reduction surgery is performed under general anesthesia. During the procedure, the breast tissue is reduced in volume and moved into a higher position on the chest wall. The nipple and areola are re-centered on the breast mound. There are several surgeries that can be used to perform a breast reduction. Depending on the degree of breast enlargement, the incision necessary to perform this may be one that surrounds the areola and crosses the front of the breast (vertical reduction), or surrounds the areola, which crosses the front of the breast and is positioned in the breast fold (wise pattern reduction). Breast reduction is a well-suited procedure for an accredited outpatient SurgiCenter. In some patients with extensive surgical needs or other medical problems, it will be performed in the hospital. Most patients are able to go home the same day, which allows them to recover in the comfort of their own home.

There is usually not as much pain as one would expect following breast reduction surgery. Fortunately, the discomfort that does develop can be treated with an oral pain medication. The recovery period varies with each patient; however, the majority of patients are able to resume most normal activities including returning to work within one week of surgery. Following surgery, breast incisions will undergo a period of maturation that typically lasts a year or more.

Breast reduction surgeries are frequently performed each year without any complications, although you should be aware of the potential risks associated with breast reduction surgery. Postoperative complications are usually uncommon, but delayed healing, infection, nerve damage, or localized collections of blood may occur. Some of the other problems that may develop after breast reduction surgery include unattractive scarring, asymmetry, and loss of the nipple or breast skin. Smokers should be aware that smoking is not allowed four weeks prior to and four weeks after surgery. This is due to the risk for nipple and areolar loss or skin loss. To help minimize risk of complications, it is important to closely stick to Dr. McKane's advice on follow-up care during the healing process.

Breast AugmentationBreast Liftbreast reconstructionBreast Reduction


Texas Plastic Surgery Associates

7777 Forest Lane, Suite C-504
Dallas, TX 75230

Office:  972-566-3939
Fax:      972-566-3999