
Breast Reduction in New Jersey
Breast reduction may give women
with large pendulous breasts relief from a variety of problems,
from back and neck pain and irritated skin to skeletal
deformities and breathing difficulties.
These patients often complain of painful grooves in
their shoulders produced by their breasts. In these cases
the ideal procedure is a reduction mammaplasty in which
the surgeon will not only reduce the size of the breast,
but will sculpt it to give the best possible shape.
In some patients the problem is mostly stretched skin
with looseness of the whole breast in which the problem
is confined to the shape and form of the breast. In these
cases a breast lift is the ideal procedure and Dr. Hazen
will create a better shaped breast without necessarilyy
reducing the size of the breast. In fact sometimes this
procedure is performed in conjunction with breast augmentation,
depending on the size of the breast.
Of all plastic surgery procedures,
breast reductions and breast lifts result in the quickest
body-images changes. Having a cosmetic breast procedure can
greatly improve the way a woman sees herself, resulting in
an enhanced self-esteem.
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Depending on the size of the breast there are several variations
of techniques to choose from.
The most common technique is the classic Pitanguy
technique which is used for larger and/or very flaccid
breasts. In these
cases incisions are placed circling the areola, extending
downward, and following the natural curve of the crease
beneath the breasts.
The areola is reduced in diameter if needed and excess
glandular tissue, fat and skin are removed. Subsequently
the areola
is placed in the new higher position even with the inframammary
crease or
a little higher. The remaining tissues are reshaped around
the areola to achieve the desired contour.
For cases in which there is no, or little excess mammary
tissue, a variation of the Pitanguy technique may be
employed. In this
case the incisions are placed surrounding the areola
extending downward onto the natural crease of the breast
without
an horizontal extension. A pedicle or tissue base is
created from the lower
pole of the breast and is transferred to the upper
pole, so the breast
adopts an harmonic conical shape. Then the incisions
are sutured and a dressing is applied.
One of the most important questions in regard to the
technique employed is your goals and expectations of
the surgery.
Items like size and shape of the breast will be fully
discussed prior to your
surgery.
Breast reduction and breast lifts surgeries are usually done
as an outpatient procedure, but a one night stay may be
recommended in individual cases.
This procedure is carried out under general anesthesia.
You may feel some discomfort during the first couple
of days, but this will easily be controlled by the use
of
oral medication.
For the first few days following breast surgery, you
will wear surgical dressings and a special post-surgical
bra.
You should
avoid excessive lifting of your arms or pushing anything
heavy for the first three to four weeks. With the support
of your
surgical bra, you should be able to increase your activity
level at a
steady pace. You should be able to return to your desk
job in seven to ten
days.
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