Why Breast Reduction?
Abnormally large breasts can become a source of physical discomfort due to their heaviness and stress on the upper body, which can result in aches, joint problems and other physical ailments. They can also be a physical burden and restrict movement, flexibility and cause discomfort when physically active or in motion, which can impact lifestyle, hobbies and professional demands.
Macromastia is even known to cause certain medical issues such as breathing problems, nerve pain, rashes and neck, back, shoulder and upper body stress. Excessively large breasts can impact mental health for those whose breast size affects their self-image, confidence and well-being and make some women feel self-conscious about how they dress and move. Dr. Michael Horn is a renowned board-certified Boca Raton cosmetic surgeon with more than 10,000 breast procedures performed over the course of his career and one of the most sought-after experts in the field of breast reduction.
Dr. Michael Horn strives to provide the best breast reduction surgery Boca Raton has to offer, and welcomes patients from all over the country and abroad to our state-of-the-art facilities, where patients can experience personalized treatment and breast reduction surgery that results in proportionate, comfortable and attractive breast shape and size for personal health and peace of mind.
Which Conditions Can be Treated with Breast Reduction?
Our Boca Raton Breast reduction surgery is designed to address abnormally large breasts (macromastia), as well as its physical, medical and mental health side effects.
This procedure is also a cosmetic solution to large breasts that may be disproportionate to your figure or affect your self-image, wardrobe desires or quality of life in any way. Conditions that can be treated with breast reduction include:
- Macromastia (abnormally large breasts)
- Neck, back or shoulder aches and pains caused by macromastia
- Joint or muscle issues caused by macromastia
- Nerve pain caused by macromastia
- Rashes caused by macromastia
- Breathing difficulties caused by macromastia
- Breast size disproportion or asymmetry
- Wardrobe concerns associated with abnormally large breasts
- Self-image concerns associated with abnormally large breasts
- Lifestyle, personal or professional concerns associated with abnormally large breasts
What Are the Benefits of Breast Reduction Surgery?
Breast reduction surgery offers numerous benefits for women with abnormally large breasts or anyone seeking to reduce their breast size for personal reasons. Benefits of breast reduction surgery include:
- Alleviation of physical side effects of macromastia
- Alleviation of medical side effects of macromastia
- Proportionate breast size and figure
- Improved breast shape and appearance
- Tighter, firmer breasts
- Symmetrical breasts and nipples
- Wardrobe flexibility
- Lifestyle flexibility
- Unrestricted physical activity and movements
- Enhanced self-image and confidence
- Relief from emotional or mental side effects of macromastia
Is Breast Reduction Right for Me?
Breast reduction surgery is a personal choice which can either be medical in nature, cosmetic in nature, or both. Those who elect to receive this treatment may have one or several of the following factors in common:
- Macromastia as a result of heredity
- Macromastia as a result of weight gain
- Sensitivity to estrogen
- Poor posture resulting from abnormally large and heavy breasts
- Inability to dress freely or comfortably
- Impacted lifestyle
- Restricted physical activity or comfort
- Personal or professional concerns
- Overall physical or mental discomfort associated with large breast size
- Physical side effects of macromastia, including neck, shoulder and back aches and pains
- Mental or emotional side effects of macromastia, including self-consciousness, depression and poor self-image or confidence
- Medical side-effects of macromastia including breathing difficulties, joint or muscle issues, nerve pain, rashes and numbness
How Does Breast Reduction Surgery Work?
A breast reduction surgery involves several incisions made to your breasts and the removal of excess fat, glandular tissue and skin along with a repositioning of breast features, such as the nipple and areola, to achieve a more proportionate breast shape, size, contour and appearance. This procedure typically takes 3 to 5 hours to complete and patients can usually go home the same day.
Dr. Horn may utilize different excision techniques, as well as liposuction in the case of excess fat. During your consultation visit, you will receive an examination of your breasts and be informed of the most suitable techniques for achieving your goals, which will be based on your breast tissue composition, skin elasticity, reduction desires and a recommended course of treatment. Prior to the procedure, Dr. Horn will use a surgical marker to outline the incision locations. Breast reduction surgery involves the following steps:
1. Sedation or General Anesthesia
You will be given a sedative medicine or general anesthesia for your safety and comfort during the procedure. Selection will be based on a review of your medical history and the safest option possible.
2. Surgical Incisions
Several incisions will be made to your breasts based on your surgical plan. The incision type and pattern may depend on the following factors:
- Your breast size
- Extent of breast sagging
- Location of areola and nipples
- How to minimize scarring
- Your breast reduction goals
Breast reduction surgery may involve the following incision types:
- Micro incision: a very small incision made for the insertion of a liposuction tube and excess fatty tissue removal.
- Periareolar or “Donut” incision: a partial or circular incision around the areola.
- Keyhole or “Lollipop” incision: an incision around the areola followed by a vertical incision made down to the breast crease forming a “keyhole” or “lollipop” shape.
- Anchor incision: an “inverted T” shaped incision that merges 3 incisions together — comprising a circular incision around the areola, a vertical incision from the areola to the breast crease, and an incision along the breast crease.
3. Tissue Removal, Reshaping and Repositioning
Surgical instruments will be used to remove excess fat, glandular and skin tissue from your breasts while making modifications to the position of their shape and features. Depending on your surgical plan, the nipple and areola may be repositioned and reduced, if necessary, to achieve a more proportionate breast size, shape and appearance while retaining natural features and contour.
4. Sealing of Incisions
Following the completion of tissue removal, reshaping and modification, the surgical incisions are tightened and closed using medical equipment that include sutures, stitches, surgical tape and adhesives to promote healing, reduce scarring and achieve optimal cosmetic results.
Is Breast Reduction Surgery Covered by Health Insurance?
Some cases of macromastia may be considered a medical condition that results in harmful side effects. In such cases, your doctor may prescribe breast reduction surgery as a treatment for your condition. However, insurance companies typically require reports from multiple specialists regarding your condition, attempted treatments and documentation over the course of several months and up to one year. Please contact us for more information regarding medical insurance coverage for breast reduction surgery at The Michael Horn Center for Cosmetic Surgery.
What Should I Expect During My Consultation Visit?
Your consultation visit for breast reduction in Boca Raton will involve a discussion of your goals along with an evaluation of your breasts and physical health to determine if surgery is right for you. During this time, you will have an opportunity to tell us about any side affects you may be experiencing as a result of having abnormally large breasts or if your desires are simply cosmetic in nature.
We will also discuss your medical history, lifestyle and cosmetic goals, as well as all the steps you will need to take in preparation for your surgery. It is important to be completely open and honest with Dr. Horn during your consultation visit in order to ensure your safety and an outcome that reflects your best expectations within the full scope of our expertise. Feel free to come prepared with any questions, pictures or other references that can help us understand your desired outcome and create a personalized course of treatment.
Your consultation visit will involve a discussion of:
- The cosmetic or medical reasons behind your desire for breast reduction
- How much reduction you would like to achieve
- Your medical history, past surgeries and pre-existing conditions
- Allergies and current or past medications
- Use of herbal or mineral supplements
- Your general health and lifestyle
- Alcohol, drug or tobacco use
- Family history of breast cancer
- Mammogram or biopsy results
- Potential risk factors, complications or side effects
- An evaluation of your breasts, including measurements and an examination of size, shape, elasticity, skin quality and location of the nipples and areolas
- Photographic medical records of your breasts
- A discussion on the use of anesthesia or sedation
- A discussion on your ideal goals and best expectations
- The options available and a professional recommended course of treatment
- Preparatory instructions for surgery
How Do I Prepare for Breast Reduction Surgery?
All pre-operative and post-operative instructions for a safe and successful procedure will be provided during your consultation visit and follow-up visits with the patient coordinator. Prior to the procedure, you may be asked to:
- Get a baseline mammogram of your breasts
- Receive a medical evaluation with lab testing
- Stop smoking for a minimum of four weeks in advance of surgery to ensure healthy circulation during and after treatment
- Take medications or make changes to your current medications
- Avoid aspirin, anti-inflammatory medications and herbal supplements (these can increase blood flow and bleeding during the procedure and recovery process — a full list of medications and supplements to avoid will be provided)
- Create a meal plan for post-operative recovery to aid healing and achieve best results
- Minimize alcohol consumption in advance of treatment
- Make arrangements for post-operative care, assistance and recovery
Does Breast Reduction Surgery Have Risks?
Risks associated with breast reduction surgery are generally rare, however, it is important to know that all surgeries come with a small degree of risk to the patient. In order to make a fully informed decision, you will be advised of all potential risks, as well as any precautions and preparatory steps you can take to minimize associated risks, side effects and complications in advance of your surgery and during post-operative recovery.
Like any cosmetic treatment, breast reduction surgery is a personal decision that involves weighing risks against benefits and electing surgery as the optimal solution to your goals. All patients will be required to sign a consent form prior to the procedure stating that they understand and accept all risks involved with breast reduction surgery, which will be fully explained and may include:
- Hematoma and seroma (accumulation of fluid or blood underneath the skin)
- Allergic reaction to surgical instruments or materials
- Temporary or permanent changes to sensation
- Interference with future diagnostic procedures
- Partial or full loss of areola or nipple tissue
- Temporary or persistent pain or discomfort
- Asymmetry or malposition of breast features
- Changes in skin elasticity or firmness
- Complications with anesthesia
- Breast shape irregularity
- Breastfeeding inability
- Loss of skin tissue
- Improper healing
- Fat necrosis
- Skin discoloration
What Should I Expect During Breast Reduction Recovery?
Following breast reduction surgery, the incision sites will be covered with protective dressings and bandages to help prevent infection and ensure proper healing. You will be advised to wear assistive bandages or a sports bra for a specified period of time following surgery, typically several weeks. Swelling, soreness and tenderness are common for several days and up to 2 weeks following breast reduction surgery, for which pain medication will be prescribed.
Patients will be allowed to go home on the same day after surgery but will be required to have a personal contact drive them home from our surgery center (for your safety, there will be no Uber, public or commercial transportation services allowed). You will be advised to have assistance for one to several days following surgery to ensure that all of your needs are met, and you are comfortably able to avoid physical tasks during the initial stages of recovery. You will be provided with complete post-operative instructions, which may include:
- Post-operative care of surgery sites and incision areas
- Medication instructions and prescriptions for pain, recovery and to prevent infection
- Topical medication instructions
- Post-operative appointment for the removal of bandages and dressings
- How to bathe during healing and recovery
- How to massage surgery sites to reduce scarring and promote healing
- Post-operative garment and clothing instructions
- Post-operative sleeping positions
- Recommended health and lifestyle adjustments for optimal healing and cosmetic results
Patients will be scheduled for a follow-up appointment before leaving the surgery center, which will take place within 1-3 days and involve the removal of bandages, along with an initial evaluation of results. After surgery and for a specified time during recovery, you may be advised to:
- Avoid strenuous physical activity for up to 6 weeks or as advised by your surgeon
- Avoid driving for several days or as advised by your surgeon
- Take medications as prescribed by Dr. Horn
- Consult with our offices before taking new medications or supplements
- Observe all post-operative instructions for optimizing recovery
- Avoid lifting heavy objects as advised by your surgeon
- Avoid tanning for several weeks after surgery
- Avoid letting pets in the bed for up to 2 weeks following surgery to prevent infection of surgery sites caused by pet dander
- Avoid sexual activity for 1-2 weeks after surgery
- Make plans to have help around the house and with daily tasks, such as driving, laundry, cleaning and traveling during the initial stages of recovery
- Schedule a follow-up visit for 6 weeks after surgery
When Will I See the Results of Breast Reduction Surgery?
Breast reduction surgery will have immediately visible results with noticeably smaller breast proportions in accordance with your treatment plan. Initial results may also include swelling and bruising, which will begin to subside after several days and should be gone within around two weeks following surgery. Because the shape, contour and proportions of your modified breasts will take some time to settle, patients should expect final results to be achieved at around 2-3 months following surgery.
How Long Will a Breast Reduction Last?
Breast reduction treatment is designed to provide long-lasting results with a smaller breast size that brings relief from symptoms of macromastia and accommodates a more physically active lifestyle, flexible wardrobe and proportionate figure.
It is important to note that, while a breast reduction may last a lifetime, this procedure cannot prevent future outcomes of weight fluctuations, aging, pregnancy, hormones and natural skin processes which may affect the size, shape and elasticity of your breasts. Make sure to talk to your surgeon about any plans for future pregnancies, weight loss or other lifestyle changes and if a breast reduction surgery would be better performed now or in the future.
Will There be Scarring?
Any surgery which requires skin surface incisions will leave a small degree of scarring, which can be mitigated with proper post-operative care of incision sites as advised by your surgeon. Dr. Horn utilizes professional surgical techniques designed to minimize scarring during the procedure and promote rapid healing that fades to near-imperceptibility over time.
Who is the Ideal Candidate for Breast Reduction Surgery?
The ideal candidate for breast reduction surgery is someone who feels physically or otherwise inhibited by their large breast size and is experiencing negative symptoms associated with abnormally large breasts. You may be the ideal candidate for breast reduction surgery if you:
- Are physically healthy
- Do not smoke
- Have physical, emotional or medical symptoms associated with macromastia
- Feel like your breast size affects your self-image, confidence or lifestyle
- Are physically limited by your breast size
- Have realistic expectations about what breast reduction surgery can achieve
- Have fully developed breasts
- Are not breastfeeding or planning a near-future pregnancy
- Do not have a family history of breast cancer
- Do not have a history of irregular mammograms or undiagnosed lumps or breast conditions
Schedule a Consultation
If you live in or near Boca Raton and have questions about breast reduction surgery, click here to request a consultation online at our downtown Boca Raton plastic surgery office. Alternatively, you can Call our practice and one of our helpful staff members will schedule your appointment.