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Breast Reduction

Breast Reduction Photo GalleryWomen with large, pendulous breasts maybe unhappy with their appearance and experience a variety of problems caused by the excessive weight. Breast reduction is designed for such women. The procedure removes fat, glandular tissue, and skin from the breasts, making them smaller, lighter, and firmer. The goal is to give the woman smaller, better-shaped breasts in proportion with the rest of her body. Breast reduction can be performed for cosmetic improvement or relief of physical symptoms. Many women who have the surgery are troubled by very large, sagging breasts that restrict their activities and cause them physical discomfort.

Dr. Shuster specializes in a variety of breast reduction techniques and places an emphasis on short scar methods. Dr Shuster tailors the procedure to the particular patient's body type and needs.


The Surgery

Techniques for breast reduction vary, but the traditional procedure involves an anchor-shaped incision that circles the areola, extends downward, and follows the natural curve of the crease beneath the breast. Dr Shuster removes excess glandular tissue, fat, and skin, and moves the nipple and areola into their new position. He then brings the skin from both sides of the breast down and around the areola, shaping the new contour of the breast. Dr. Shuster also specializes in shorter scar techniques for breast reduction.

Stitches are usually located around the areola, in a vertical line extending downward, and along the lower crease of the breast. In some cases, techniques can be used that eliminate the vertical part of the scar. And occasionally, when only fat needs to be removed, liposuction alone can be used to reduce breast size, leaving minimal scars.


After Your Surgery

After surgery you will be in a surgical bra . A small tube may be placed in each breast to drain off blood and fluids for the first day or two. You may feel some pain for the first couple of days-especially when you move around or cough-and some discomfort for a week or more. Dr. Shuster will prescribe medication to lessen the pain. The bandages will be removed a day or two after surgery, though you will continue wearing the surgical bra around the clock for several weeks, until the swelling and bruising subside. Your stitches will be removed in one to three weeks. If your breast skin is very dry following surgery, you can apply a moisturizer several times a day, but be sure to keep the suture area dry. Your first menstruation following surgery may cause your breasts to swell and hurt. You may also experience random, shooting pains for a few months. You can expect some loss of feeling in your nipples and breast skin, caused by the swelling after surgery. This usually fades over the next six weeks or so. In some patients, however, it may last a year or more, and occasionally it may be permanent.


Getting Back To Normal

Although you may be up and about in a day or two, your breasts may still ache occasionally for a couple of weeks. You should avoid lifting or pushing anything heavy for three or four weeks. Dr. Shuster will give you detailed instructions for resuming your normal activities. Most women can return to work (if it's not too strenuous) and social activities in about two weeks. But you will have much less stamina for several weeks, and should limit your exercises to stretching, bending, and swimming until your energy level returns. You will also need a good athletic bra for support. You may be instructed to avoid sex for a week or more, since sexual arousal can cause your incisions to swell, and to avoid anything but gentle contact with your breasts for about six weeks. A small amount of fluid draining from your surgical wound, or some crusting, is normal. If you have any unusual symptoms, such as bleeding or severe pain, don't hesitate to call the office.


Your New Look

Although much of the swelling and bruising will disappear in the first few weeks, it may be six months to a year before your breasts settle into their new shape. Even then, their shape may fluctuate in response to your hormonal shifts, weight changes, and pregnancy. Dr. Shuster will make every effort to make your scars as inconspicuous as possible. Still, it's important to remember that breast reduction scars are extensive and permanent. They often remain lumpy and red for months, then gradually become less obvious, sometimes eventually fading to thin white lines. Fortunately, the scars can usually be placed so that you can wear low-cut tops. Of all plastic surgery procedures, breast reduction results in the quickest body-image changes. You will be rid of the physical discomfort of large breasts, your body will look better proportioned, and clothes will fit you better. However, as much as you may have desired these changes, you will need time to adjust to your new image. Be patient with yourself, keep in mind why you had this surgery, and chances are that, like most women, you will be pleased with the results.

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