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Surgical Procedures for Breast Reduction

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Contributing writer Alica Crawford is an expert on issues related to Health. She is a RN in a Clinic, New York and active volunteer in local community.
Contribution from Alica Crawford
By  Alica Crawford    
Surgical Procedure 
Breast reduction is a surgical procedure undertaken to make the breasts smaller. Reduction mammaplasty is rarely done for cosmetic purposes. In fact, most women's key objective is to seek relief from the physical symptoms cause by excessively heavy breasts. A significantly reduction in the weight of the breast is achieved by surgically reducing the amount of breast tissue. 

Done After Much Thought 
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. Making a decision to permanently change the shape and size of your breasts should be done after much thought and with a clear understanding of what is motivating you. North American culture has a very narrow and restrictive view of what breast size and shape is deemed attractive. Ideally, by questioning our own ideas of breast beauty we can help to expand the societal perspective of what is normal.

Breast Implants
 
Breast implants for 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. Women who have lived with very large breasts and who have undergone breast reduction claim a decline in self-conscious feelings and improvement in their overall health. The correct breast reductions technique still depends on the individual anatomy as well as the sagginess of the breast. For the BEST breast reduction choice for YOU, please contact us or email us your photos.

Covered By Insurance
 
Breast reduction surgery is sometimes covered by some insurance companies if it's medically necessary. However each company has its own criteria for what they will cover or not cover and more than likely require that a certain amount of breast tissue be removed. Check your policy for your particular case. Although in today’s society many women are trying to augment their breast, there is a group of women who already have large pendulous breasts.

Medical Symptoms 

These women may suffer from a variety of medical symptoms that are directly related to the size of their breasts. The symptoms can vary from chronic back and neck pain, to shoulder strap marks from the bra, inner arm numbness from nerve compression or chronic inner arm irritation from the breast and clothing rubbing up against each other, to skin infection or irritation underneath the breast from moisture and constant friction. Whatever the symptoms, the medical condition is real, very bothersome, and not to mention it can make many women or teenagers extremely self conscious.

Reduction Mammoplasty

The treatment for this is to remove excess fat, glandular tissue and skin, while at the same time lifting the areola and breast and reducing the size of the areola. The procedure is called a breast reduction or “reduction mammoplasty”. Most surgeons reduce and lift the breast using extensive t-shaped incisions, leaving very obvious, visible scars. Although these scars are sometimes unavoidable, Dr. Mendieta also uses techniques that originated in Brazil and Europe that minimizes scarring, restoring the breast to a more natural, rounded and youthful appearance while regaining lost cleavage.

Physical Discomfort

Breast reduction is for heavy breasts can lead to physical discomfort, a variety of medical problems, shoulder indentations due to tight bra straps, and extreme self-consciousness. Breast reductions are for women that are unhappy with their current breast size and desire smaller breast. The reasons for seeking the reduction are vast; it could be because of medical reasons, limitations to physical activities (like running, swimming, horse back ridding, etc,) to look better in clothing or simply because they want smaller breasts.

Breast Lift And A Breast Reduction

Even though the procedure may involve extensive scars, it is this procedure that has the highest patient satisfaction in plastic surgery. The operation creates such a relief of the constant discomfort and medical symptoms that patients are very happy they had the operation. Many patients ask the difference between a breast lift and a breast reduction, the main difference is that in a lift you don’t remove any breast tissue; you are simply reshaping the breast. However, the extent of scarring is usually the same.

What Type Of Scars?
 
The most important part of this evaluation will be your consultation. It is at this time that the breast size and shape, degree of droopiness (ptosis), and the skin quality will be evaluated. These three elements are the most important factors that will determine the extent of scaring you will require. In order to understand your options better, it is important to understand the history of breast reductions and the different philosophies that have evolved over the years.

Breast Tissue
 
Breast reduction techniques have been developed following three major principals:  In the traditional way of thinking we felt that the only way you could reshape the gland was to tighten and pull the skin in order to create support, contour and shape. The skin was like a brazier. This philosophy would encourage most of us to use the traditional anchor T-shaped scar because it was through this type of incision that we could remove breast tissue and manipulate the skin to contour and reshape the breast.

Skin Shape

The Brazilians and Europeans challenged this thinking because they felt that the skin was very elastic and like any elastic structure it could stretch. (i.e., much like when you gain or lose weight the skin stretches). Therefore, if we depended on the skin to maintain shape, it may not last since the skin would eventually stretch and create early recurrence of the ptosis. It was their feeling that most of the reshaping and glandular removal should be done independent of the skin, once the correct breast shape was attained then the skin was merely used as a cover for the work done.
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