Breast Reduction


 


These are before and after photographs of a young lady who was referred from her orthopedic surgeon for consideration for a breast reduction.  She is 5’6” tall and weighs 200lbs.  She is a 42H breast size.  She has been large breasted all of her life but over the last couple of years, she has had increased problems with neck, back, and shoulder symptomatology as well as pains and headaches in the back of her head.  She has shooting pains that extend from her neck into the left.  The scan of her neck revealed some disc disease.  She was hopeful that a breast reduction would diminish the symptomatology to ward off the need for neck surgery.  In addition to the above, she had pain between her shoulder blades and some low back pain.  Rashes were treated with prescription medications especially in the summer.  She had prominent pain with palpation across her shoulders, back of her head, back of the neck, and in between her shoulder pains.  She had faint indentations across the leading edge of her shoulders and the trapezius muscle.  She was felt to be an excellent candidate for a breast reduction.  She underwent a breast reduction with removal of 1,490 grams from the right breast and 1,695 grams from the left.  She has near complete improvement and resolution of her symptoms other than the pain that radiates from her neck into her arm.  This pain has markedly improved to the point that although it remains present it is tolerable and she is not considering neck surgery anymore. 

 

 

This is a 45YO lady from Florida.  She has large breasts that are pulling on the neck and shoulders and causing grooves in her shoulders.  She would like to have the breasts uplifted as well as reshaped.  This should make her feel better and look better. 

She underwent a bilateral breast reduction.  At the time of the reduction, the breasts were uplifted, shaped, and suctioned in the lateral chest area. 

Fat grafts were placed in the upper pole of the breasts in order to fill out the deficiency in tissue in the upper pole of the breast which occurred from the descent of the breasts. 

This procedure is done as an overnight admission at the hospital.  Usually patients can return to sedentary type work in 1 week or less.  You can drive a car in around 3 days or so if no longer taking any pain medication.  You will be able to shower the next day.

Insurance will usually pay a significant portion toward this procedure.

 

 


This is a lady that has had marked asymmetry in her breasts for her entire life.  Her bra size is a 40C which fits primarily the larger, right breast. She has firm rigid breast tissue and constricted lower pole of the left breast commonly called a snoopy deformity.  She underwent surgery with a reduction of the right breast and an augmentation with mastopexy on the left breast.  This gained considerable better symmetry between the breasts.  The breasts have remained soft.  She suffered a small amount of pigmentation loss on the medial aspect of the right areola which could be addressed with tattooing per her desires.  The tightness of the left breast is a limiting factor on the size of the breast implant that can be used.  Over time this would stretch out and facilitate putting larger breast implants in.  Other options include fat grafting. 

 

 


This is a 25YO lady from Enterprise, Alabama.  She is having chronic neck and shoulder pains due to her large breasts.  Also, she has been unable to do the activities she desires because of her large breasts.  She is also developing some early grooving where the bra straps go across her shoulders.  These are common complaints for people that have large breasts.  She desires to have a breast reduction performed. 

Shown below you will see the pre-op and post-op pictures of the breasts.  We have uplifted the nipple areolar complex and reshaped the breasts.  Also, we have made her significantly smaller so her clothes fit much better.  She went from a DD to full C cup. She has already noticed that she can do many activities that she couldn’t do before.  Her neck and shoulder pain have resolved.  This procedure is usually covered by major reputable insurance companies. The procedure is done as an overnight admission to the hospital. Usually, you may resume driving in a couple of days and take a shower the next day prior to leaving the hospital.

 

 


This is a young college student who I saw for consideration for a breast reduction.  She is 5’9” tall and weighs 200lbs.  She wore a 40DD.  She had complaints consisting of painful shoulder grooving, interscapular back pain, and neck pain.  She had treated this with over the counter medications and tried numerous support bras to no avail.  She is broad-shouldered and statuesque with large, dense, pendulous breasts.  Her breasts were fairly equal in size.  She underwent a breast reduction using the superior medial technique.  I removed about 700 grams from the right and 600 grams from the left.  This technique facilitates arrangement of breast tissue to gain some upper pole fullness.  This is not obtained by using any of the other reduction techniques.  She is a large C.  Because of her smaller breasts, she has been able to exercise more effectively and has lost almost 30lbs.  She has maintained nipple sensation on both sides.  She has gotten near complete resolution of her symptomatology and has gotten a very nice cosmetic result.

 

 


This is a 150lb. lady with 36DD breasts. She was referred by her OBGYN for consideration for a breast reduction.  She had longstanding back pain and spasms.  This occurred in her back, neck, and shoulders.  She had occipital headaches as well and frontal migraines.  She had numbness and tingling in the digits of both hands.  She underwent a breast reduction.  In addition to making her breasts smaller, her breasts were lifted up off her abdomen and back up on her chest.  I was able to address the asymmetry between the breasts also.  The breast reduction was done using a superior medial technique which is a more modern method for doing this surgery.  It facilitates better contouring of the upper pole of the breasts.  Afterwards, she has had near complete resolution of her symptomatology. She has maintained most of her nipple sensation.  She is a C cup in most bra lines.  Her breasts are nicely shaped and symmetrical.  The scars are flat and soft.  The redness will continue to improve over time.  The shoulder indentations can be addressed with liposuction and fat grafting.  She is shown pre and postoperatively with photographs that were taken about 2 months after her surgery.

 

 

This is a middle aged female that is here for consideration for a breast reduction to treat long standing posterior neck, back, and shoulder pains. She is about 5’5” tall and weighs 150lbs. Her bra size is a 34DD. She complained of painful shoulder grooving, headaches, posterior neck pain, and pain between her shoulder blades. Preoperatively she had large, dense, pendulous breasts. She had prominent indentations across the leading edge of her shoulders that were quite tender. There was moisture and secondary skin changes beneath the breasts from chronic rashes. She underwent a breast reduction. We were able to maintain nipple sensation on both breasts. Post operatively she has had near complete resolution of her symptoms. She is a C cup.

 

 

This is a 45YO lady from Enterprise, AL. She has been having chronic neck and shoulder pains due to her heavy breasts. She desired a breast reduction. She underwent a bilateral medial pedicle breast reduction. This is a technique where you do not have to take the nipple off and just move it superiorly. The breasts are now a nice size and reshaped. She will have redness in the scars for around 9 months and they will eventually fade over time.

 

This is a young lady that is 5’2” tall and weighs 206lbs.  Her bra size is a 40H.  She had two pregnancies and had a breast reduction after her 1st pregnancy.  Her breasts had gotten increasingly large and problematic with painful shoulder grooving, posterior neck pain and parasthesias in the digits of the right hand.  The right breast was larger than the left breast and about 1cm higher.  She had well healed wise pattern mastectomy scars from her prior surgery.  She underwent a breast reduction with free nipple grafting.  We suctioned the lateral chest to give a more pleasing contour.  I removed 1,000 grams from the right side and 1,100 grams from the left side.  She has gotten complete resolution of her symptoms.  She has good breast contour with some upper pole fullness.  The shape and size are symmetrical.  The scars are flat, soft, and beginning to lose the darker coloration.  She has some depigmentation in the nipple which will probably resolve itself over the ensuing year.  She is a large C post operatively.  She is not contemplating an abdominoplasty which will compliment her new breasts. 

 

This is a lady that was referred by her OBGYN for consideration for a breast reduction.  She is 5’5” tall and weighs 200lbs.  Her bra size was a 40DD.  She complained of upper and low back pain, painful shoulder grooving, and a bent posture.  She had rashes beneath the breasts.  She had been on prescription physical therapy and prescription anti-inflammatories to no avail.  Custom bras have not been helpful.  On exam, her breasts were large, dense, and pendulous.  There was a 1cm difference in the crease height and the right breast was about 100 grams larger than the left.  Nipple sensation was important to her.  I used a superior medial technique which facilitates sparing of the breast to maintain some upper fullness.  It also gives a very good chance that the patient would maintain nipple sensation, as she did on both sides.  She got 100% resolution of her symptomatology.  Her breast size is a large C.  She has gotten a very nice result.  She is quite happy with the improvement in her lifestyle and her new shape.

These are before and after pictures of a young lady referred by her OBGYN for consideration for a breast reduction.  She is 5’9” tall and weighs 240lbs. Her bra size is a 42H. Prior to her children, she was very large breasted. She complained of painful shoulder grooving, posterior neck pain and occipital headaches weekly.  She had actually seen chiropractors in the past for these symptoms which were controlled as long as she continued the treatments. She had problematic rashes during the summer. She underwent a breast reduction. We were able to maintain nipple sensation on one side but not the other.  She is a C cup. She has nice fullness in the upper poles and good projection. She has gotten near complete resolution of her symptomatology. She is thrilled with the results of her surgery.

This is a lady that came to see me for consideration for a breast reduction.  She is 5’9” tall and weighs 175lbs. Her bra size is a 36G. As a teenager, she weighed about 130lbs. and was a DDD.  Her breasts did not get appreciably larger with pregnancies. She complains of painful shoulder grooving, posterior neck pain, and occipital headaches.  She had actually been treated for migraines with Imitrex. She had numbness and tingling in her hands and fingers. She had rashes beneath the breasts that were treated with over the counter preparations.  The size of her breasts hindered her ability to exercise. She underwent a breast reduction with free nipple grafting removing 800-900 grams from each breast. Photographs are 2 months post operative. She has had complete resolution of her symptoms.  Her bra size is a C cup. The breasts are symmetrical and nicely shaped. They are soft. Her scars remain flat and soft and are beginning to fade. She now has smaller more appropriately sized breasts, which has facilitated a more active lifestyle.

This is a lady that is referred by her neurosurgeon for consideration for a breast reduction.  She had anterior cervical fusions which initially were successful. She got near complete resolution of her symptomatology following that surgery.  Over the years, she developed further problems related to her neck disease above and below the prior fusion. She had developed some neck pain, upper and lower and back pain, and rashes beneath the breasts.  She had numbness and tingling involving the ring and little fingers. This was worse when she raised her hands up over head to wash her hair and when she drove. This was better when she took her bra off. She sought chiropractic care which gave some resolution as long as she continued the treatments but promptly recurred when her therapy was finished.  We felt that a breast reduction would help her symptomatology and potentially stave off any future neck surgery. She underwent a breast reduction. In addition, we removed some of the fullness and fold on the lateral chest. Photographs are 3 months afterwards. She said that on a scale of 1 to 10, she is an 8 as far as improvement. The numbness and tingling in her fingers have improved.  The posterior neck and interscapular region of her back and shoulders are improved. She maintained nipple sensation. She is a C cup. She has gotten a very nice result and a significant improvement in her neck, back, and shoulders. At least for now, she is not contemplating any further neck surgery.

 


This is a lady from Panama City Florida. She is having significant neck and shoulder pains due to her heavy breasts. She has developed grooving in the shoulders from her heavy bra straps. She desires a breast reduction. She underwent a superior medial breast reduction. This has helped uplift and reshape the breasts. It has significantly helped her neck and shoulder pains. This procedure is usually covered by major insurance companies.

 

Location
Feagin and Owen Cosmetic Plastic Surgery Center
4300 West Main Street, Suite 43
Dothan, AL 36305
Phone: 334-203-5925
Fax: 334-793-5425
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334-203-5925