Breast Reduction (Cleveland Clinic)

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Do you have disproportionately large breasts that are causing neck pain, back pain or other physical symptoms? You may want to consider a breast reduction. Most women who undergo breast reduction will notice both physical and psychological benefits from the surgery. It is also important to note that this surgery isn't just for women, either. Men who have conditions such as gynecomastia (where male breasts are enlarged abnormally) also may seek a breast reduction.

Your consultation
Before getting breast reduction surgery, you will go in for a pre-operative consultation. During this time your surgeon will take a detailed medical history, including asking you what medications you are taking, what allergies you may have, your smoking history and any prior surgeries. Your surgeon will also need specific information regarding pregnancy and lactation, mammograms, personal or family history of any breast problems and any history of breast lumps or biopsies. You should be in good physical and mental shape in order to undergo this surgery.

It's important that you are completely honest during this consultation. That includes being completely open about your medical history. It also means being very open about why you're seeking a breast reduction. You should expect to discuss the emotional issues you've dealt with. That is, how you have felt dealing with your breast size. How has it made you feelphysically? What types of physical conditions have you experienced?

Your surgeon may take photos of your breasts, and measure your breasts. During this time, he or she also will discuss how much breast tissue should be removed to achieve the desired results. You also will learn about how to prepare for the surgery and how to plan for your recovery. Your surgeon also may prepare you for this procedure by performing a mammography and breast exam.

How is a breast reduction done?
Depending on your personal situation, the procedure can be performed in an outpatient facility, or you may have to stay at least one night in the hospital. In either case, you will be given general anesthesia, which means you will be put to sleep for the procedure. It's important to have someone with you who can drive you home and stay with you at least the first night if you're not staying in the hospital.

The surgery itself will take about three to five hours. Your surgeon will make an incision around your nipple, then downward on the breast, in a keyhole form. The excess skin, tissue and fat are removed, and your nipple is relocated to a more youthful position and the incisions are closed. Your surgeon may use drainage tubes. The incision site is then sutured, and a dressing applied; if required, you may also wear a surgical bra.

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Last Updated: 3/19/2008

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