Breast reduction patients are our happiest group of patients in our practice for breast surgery and breast augmentation. They have lived with the burden of heavy, dense breasts for most of their adult life. They have difficulty finding bras that fit comfortably and often suffer skin irritation. It is very gratifying working with this group of patients because the results are so rewarding. They immediately feel the weight lifted from their chest following breast surgery. The removal of the patient’s bandages is often followed by tears of joy as they look down at their new breasts, and for the first time, love this part of their body. They are now free to pursue physical activity, such as running and aerobics, and to shop for lingerie at “Victoria’s Secret”.
Breast reduction not only improves the size, but also the shape of large breasts. The surgery is done under general anesthesia and takes about four hours. It is an outpatient procedure and is often covered by insurance. A portion of the glandular tissue is removed and the loose skin is tightened to support and shape the reduced breast. The resulting scars are located around the nipple and in front of and under the breast, and in the breast crease.
After surgery you are put into a comfortable sports bra. There is minimal pain associated with the surgery and patients usually return to work or school in about 10 to 14 days after surgery.
A breast reduction is a procedure to reshape sagging breasts, and to reduce volume and size of the areola (or darkened area surrounding the nipple).
Procedure: An incision is made outlining the area of skin to be removed and the new position for the nipple. The two most common incision shapes are anchor or doughnut shaped. If desired, a breast implant may be inserted (see breast augmentation). The incision is closed, producing firmer, higher breasts.
Scarring: Breast lifts produce noticeable scars. However, they are placed so that they are hidden in low-cut tops and bathing suits.
Reduced sensitivity: Partial or total loss of feeling in the breasts may result from the procedure. This will usually disappear in weeks to months.
Infection: Relatively uncommon with a breast lift, infection may cause scars to be more noticeable.
After Surgery: Patients are generally able to return to work after a week or more. Scars will become gradually less prominent as time passes, often eventually fading to thin lines. Although patients may expect a dramatic difference in the appearance of their breasts, gravity will continue to affect their shape. The insertion of breast implants may help the results of surgery to last longer to achieve shapely breasts.
COSMETIC SURGERY FROM A WOMAN’S PERSPECTIVE
Since Jane was 16 she has been unhappy with the size of her breasts. Unlike many women today, she wanted them to be smaller. “You just don’t know what it is like to have to carry them with you wherever you go. Whether it is running with two bras or trying to find a bathing suit that makes them look inconspicuous, they have caused me pain for many years” confessed Jane Epstein, 36. Finally, after twenty years she mustered the courage to seek help for her problem. She went to see Dr. Beverly A. Fischer, one of the few woman plastic surgeons in Baltimore, to discuss her problem.
“I couldn’t even imagine going to a man for this advice” Jane said. “I don’t think any man could understand how tough mentally, physically, and emotionally this can be on a woman.”
After consulting with Dr. Fischer, one of the best plastic surgeons in Baltimore, Maryland, Jane decided to have a breast reduction. “I feel liberated, I am able to wear backless dresses for the first time and go jogging with my friends without fear of embarrassment, what a wonderful gift I have been given.”
Dr. Fischer, who works from her office in Timonium complete with its own operating room, twenty four hour recovery suite, and all-female staff, has a passion for plastic surgery. Dr. Fischer’s patients are not only grateful for the womanly attention they receive, but have often compared her relationship to that of a close friend. She takes patient care to the next level. Some patients also choose to have a body lift or lip augmentation.
“Feeling good about the way you look can give you greater confidence and self-esteem,” Dr. Fischer explains. “It is gratifying to see the change in people’s self-confidence and to get thank-you notes from patients saying how the surgery has changed their lives.”