Breast Reduction Scottsdale Phoenix
Breast reduction surgery (reduction mammoplasty or reduction mammaplasty) is a very effective and successful procedure for women who have disproportionately large breasts. Among our happiest patients are those who have undergone this procedure. In over twenty years of practice, Dr. Turkeltaub has never had a patient indicate that they regretted their decision. Many have expressed the realization that they should have pursued the procedure years ago and could have avoided all the untoward issues associated with their large breasts.
- Could You Benefit From a Breast Reduction?
- Insurance Coverage or Private Pay?
- Breast Reduction Procedure
- Recovery from a Breast Reduction
- Breast Reduction Before-and-After Photos
- Breast Reduction Patient Testimonial Videos
- Additional Information About Breast Reduction from Dr. Turkeltaub
Could You Benefit From a Breast Reduction?
At many levels, enlarged breasts (macromastia) can be quite debilitating physically and emotionally. They are frequently associated with neck, back, and shoulder pain, skin irritation, rashes, infections and grooving of the shoulders from bra straps. Women often face real challenges and restrictions in the type and amount of physical activities they can participate in due to the associated discomfort. Trying to find comfortable, properly fitting bras that provide well needed support and alleviation of discomfort can be a daunting task. Searching for attractive, complementary clothes that fit is another real problematic area.
There are many reasons why a woman would want to seek a breast reduction. Listed below are situations that may make one a candidate for the procedure:
- Breasts that are disproportionately large for one’s body
- Massive, pendulous breasts that hang down and over the abdomen
- Neck, back and shoulder pain related to the weight and traction effect of the breasts
- Chronic irritation and indentation of the shoulders caused by pressure from the bra straps
- Infections and skin irritations beneath the breasts
- One breast significantly larger than the other
- Limitations in sports and other physical activities because of associated breast pain
- Self consciousness and low self esteem related to the enlarged breasts being a focal point
- Difficulty finding bras that fit, are supportive and are not causing persistent pain
Insurance Coverage or Private Pay?
Many insurance companies will offer coverage for breast reduction though it is a frequent exclusion in many policies. To determine whether you may be eligible for coverage, your specific policy must be checked. Even when the benefits are offered, there usually are a few criteria or requirements that need to be met in order to obtain the insurance approval for surgery. These do vary among the different insurance companies and the particular policies. Some of these issues include:
- exceeding a specific weight of breast tissue to be removed per breast, the amount of which is frequently determined by one’s weight and height index
- specific symptoms including neck, back and shoulder pain; skin rashes or infections; shoulder grooving; headaches
- duration of symptoms
- failed response to pain medications, nerve blocks, etc.
- failure to respond to a course of physical therapy that may need to be at least six months duration
- documentation of symptoms by a primary care physician
- opinions rendered by other specialists including orthopedic surgeons, chiropractors, neurologist, and neurosurgeons
- meeting the above as well as not exceeding a certain body-mass index (BMI) – that is a particular weight for one’s height
Dr. Turkeltaub’s staff will assist you in obtaining pre-authorization from your insurance company for coverage of your breast reduction. If you are denied insurance coverage for any reason, we do offer affordable package pricing that may allow you to pursue your breast reduction surgery.
Breast Reduction Procedure
A breast reduction involves decreasing the size of the breasts by removing excess skin and breast tissue as well as recontouring and elevating the remainder of the breast. The nipple-areola area is reduced in size to be more proportionate and elevated to an ideal, natural position while still remaining attached to the breast tissue. This technique allows for the possibility of breast feeding in the future and for maintaining some sensation and sensuality of the nipple-areola complex.
In some breast reductions, the nipple-areola complexes are physically detached and then replaced as skin grafts in the appropriate locations. This approach, which does have some significant advantages, is called the free nipple graft technique. Some of the indications for its usage include massively enlarged or elongated breasts, heavy smokers, medically higher risk patients, individuals who are or at risk for impairment of the blood flow within the breasts, and those who want to be extremely small. Disadvantages of this technique include loss of sensation and sensuality, inability to breast feed, depigmentation of the areola, and lack of any nipple projection.
The most common design for incisions used in a breast reduction are in the shape of an inverted T or anchor, extending from around the nipple, down to the crease at the bottom of the breast and then along the crease. Over time and when performed with meticulous technique, these scars can become relatively inconspicuous though they are permanent.
There are other less common incision configurations with the goal being to reduce the overall scar length. Unfortunately, these approaches not infrequently result in a less than ideal breast shape, abnormal or asymmetrical nipple positioning, or scars that can extend below the breast fold and be visible when wearing more abbreviated clothing.
Liposuction breast reduction is a niche procedure that employs liposuction to reduce the breast size. Because liposuction does not remove glandular breast tissue, the only tissue that is being removed is fat which, therefore, limits its applicability. Furthermore, there is no skin resection that would be needed to recontour and elevate the breast so that droopy breasts will remain that way. The touted advantages of this technique are the few short incisions (1/4 to 3/8 inch) that are employed to insert the cannulas to facilitate the suctioning.
Breast reduction surgery is usually done as an outpatient procedure under general anesthesia. It can be performed in conjunction with many other cosmetic procedures such as tummy tucks, liposuction and facial cosmetic surgery for a more extensive and cost effective improvement. A minimally compressive dressing designed for comfort, support and protection is placed.
Recovery from a Breast Reduction
The surgical dressing is removed at around two days at which time you are to wear a sports type bra day and night for at least 1 week. After that, a supportive bra should be worn on a regular basis so as to help maintain your breast shape and slow down the rate of drooping over time. When your incisions are well healed and non-tender, you may be able to wear an underwire bra if you so desire. For more on this, read the blog: Wearing an Underwire Bra After a Breast Reduction. If you have drains (which are used very infrequently) or any external sutures, these are removed at around one week.
Postoperative discomfort is quite tolerable and easily controlled with pain medication. In fact, many patients take little or no pain medication and indicate an immediate improvement or resolution of symptoms resulting from the reduction. Initially, your breasts will be moderately swollen, firm and may appear larger than you were anticipating. It may take several weeks to a few months for most of this swelling to disappear.
You can resume full aerobic activity or sports at around three to four weeks. Most patients return to school or work within five to seven days.
Please read our FAQs (frequently asked questions) section to learn more about reduction mammoplasty.
Breast Reduction Before-and-After Photos
Breast reduction has an extremely high satisfaction rate among patients. Many women with significantly large breasts find that the procedure resolves most, if not all, of their symptoms. In fact, they are among the happiest, most satisfied and most appreciative of our patients.
Breast Reduction Patient Testimonial Videos
For additional helpful information on a variety of issues related to breast reduction, you can visit Dr. Turkeltaub’s Blog.
Find Out How a Breast Reduction Can Benefit You
There are many important reasons to consider a breast reduction procedure if you are bothered by large breasts. Contact our plastic surgery center to learn how you can benefit from a breast reduction.
Dr. Steven H. Turkeltaub is an experienced plastic surgeon who performs a large number of breast reductions, helping women who are affected by these issues associated with large breasts.