If you are considering a Breast Reduction
Women with very large,
pendulous breasts may experience a variety of medical problems
caused by the excessive weight — from back and neck
pain and skin irritation to skeletal deformities and breathing
problems. Bra straps may leave indentations in their shoulders.
And unusually large breasts can make a woman — or a
teenage girl — feel extremely self-conscious. Breast
reduction, technically known as reduction mammoplasty, is
designed for such women. The procedure removes fat, glandular
tissue, and skin from the breasts, making them smaller, lighter,
and firmer. It can also reduce the size of the areola, the
darker skin surrounding the nipple. The goal is to give the
woman smaller, better-shaped breasts in proportion with the
rest of her body.
The best candidate for a Breast Reduction
Breast reduction is
usually performed for physical relief rather than simply cosmetic
improvement. Most women who have the surgery are troubled
by very large, sagging breasts that restrict their activities
and cause them physical discomfort. In most cases, breast
reduction isn't performed until a woman's breasts are fully
developed; however, it can be done earlier if large breasts
are causing serious physical discomfort. The best candidates
are those who are mature enough to fully understand the procedure
and have realistic expectations about the results. Breast
reduction is not recommended for women who intend to breast-feed.
All surgery carries some uncertainty & risk
Breast reduction is
not a simple operation, but it's normally safe when performed
by a qualified plastic surgeon. Nevertheless, as with any
surgery, there is always a possibility of complications, including
bleeding, infection, or reaction to the anesthesia. Some patients
develop small sores around their nipples after surgery; these
can be treated with antibiotic creams. You can reduce your
risks by closely following Dr. Asaadi's advice both before
and after your surgery.
The procedure does leave noticeable, permanent scars, although
they'll be covered by your bra or bathing suit (poor healing
and wider scars are more common in smokers). The procedure
can also leave you with slightly mismatched breasts or unevenly
positioned nipples. Future breast-feeding may not be possible,
since the surgery removes many of the milk ducts leading to
Some patients may experience a permanent loss of feeling in
their nipples or breasts. Rarely, the nipple and areola may
lose their blood supply and the tissue will die. (The nipple
and areola can usually be rebuilt, however, using skin grafts
from elsewhere on the body.)
Planning your Breast Reduction surgery
Dr. Asaadi will examine
and measure your breasts, and will probably photograph
them for reference during surgery and afterwards.
He will discuss the variables that may affect the procedure
— such as your age, the size and shape of your breasts,
and the condition of your skin. You should also discuss
where the nipple and areola will be positioned; they'll
be moved higher during the procedure, and should be approximately
even with the crease beneath your breasts. Dr. Asaadi will
describe the procedure in detail, explaining its risks and
limitations in order to be sure you understand the scarring
that will result. Dr. Asaadi will also explain the anesthesia
he will use, the facility where the surgery will be performed,
and the costs.
Contact Dr. Asaadi:
Request an Appointment
Request Additional Information
Preparing for your Breast Reduction surgery
Dr. Asaadi may require
you to have a mammogram (breast x-ray) before surgery. You'll
also get specific instructions on how to prepare for surgery,
including guidelines on eating and drinking, smoking, and
taking or avoiding certain vitamins and medications. Some
surgeons suggest that their patients diet before the operation.
Breast reduction doesn't usually require a blood transfusion.
However, if a large amount of breast tissue will be removed,
your physician may advise you to have a unit of blood drawn
ahead of time. That way, if a transfusion should be needed,
your own blood can be used. While you're making preparations,
be sure to arrange for someone to drive you home after your
surgery and to help you out for a few days if needed.
Breast Reduction surgery
Techniques for breast
reduction vary, but the most common procedure involves an
anchor-shaped incision that circles the areola, extends downward,
and follows the natural curve of the crease beneath the breast.
Dr. Asaadi will remove excess glandular tissue, fat, and skin,
and move the nipple and areola into their new position. He
then will bring the skin from both sides of the breast down
and around the areola, shaping the new contour of the breast.
Liposuction may be used to remove excess fat from the armpit
In most cases, the nipples remain attached to their blood
vessels and nerves. However, if the breasts are very large
or pendulous, the nipples and areolas may have to be completely
removed and grafted into a higher position (this will result
in a loss of sensation in the nipple and areolar tissue).
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 Breast Reduction surgery
After surgery, you'll
be wrapped in an elastic bandage or a surgical bra over gauze
dressings. 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. Asaadi will prescribe medication to
lessen the pain. The bandages will be removed a day or two
after surgery, though you'll 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.
View Dr. Asaadi's Breast Reduction Before & After Photos
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. Asaadi 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'll have much less stamina for several weeks,
and should limit your exercises to stretching, bending, and
swimming until your energy level returns. You'll 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 Dr. Asaadi.
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. Asaadi 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, and then gradually become less obvious,
sometimes fading to thin white lines. Fortunately, the scars
can usually be placed so that you can wear even low-cut tops.
Of all plastic surgery procedures, breast reduction results
in the quickest body-image changes. You'll 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'll need time to adjust to
your new image-as will your family and friends. Be patient
with yourself, and with them. Keep in mind why you had this
surgery, and chances are that, like most women, you'll be
pleased with the results.
Dr. Asaadi and his staff will be happy to discuss this procedure with you. Please feel free to call for a private consultation or Schedule an appointment online @ either our New York or New Jersey offices.