Patients who desire a breast reduction may have symptoms caused by the excessive weight of large breasts. Breast reduction usually can solve these problems as well as improve the size and shape of your breasts. Following breast reduction, your breasts will be more proportional to the rest of your body, and clothes will fit you better. Such factors may boost an individual's confidence, leading them to seek breast reduction. Breast reduction can be performed at any age, but plastic surgeons usually recommend waiting until breast development has stopped. Childbirth and breast-feeding may have significant and unpredictable effects on the size and shape of your breasts. Nevertheless, many women decide to undergo breast reduction before having children and feel that they can address any subsequent changes later. If you plan to breast-feed in the future, you should discuss this with your plastic surgeon. During the consultation, you will be asked about your desired breast size as well as anything else about your breasts that you would like to see improved. This will help your plastic surgeon to understand your expectations and determine whether they realistically can be achieved. Once your goals have been determined you will set a date for this procedure and will be given instructions about how to prepare. When the date for your breast reduction has arrived, you should plan on the surgery taking several hours or more. The most common method of reducing the breasts involves three incisions. One incision is made around the areola. Another runs vertically from the bottom edge of the areola to the crease underneath the breast. The third incision follows the natural curve of the breast crease. After the plastic surgeon has removed excess breast tissue, fat and skin, the nipple and areola are shifted to a higher position. The areola, which in large breasts usually has been stretched, also is reduced in size. Skin that was formerly located above the nipple is brought down and together to reshape the breast. Liposuction may be used to improve the contour under the arm. Usually, the nipples and areolas remain attached to underlying mounds of tissue, and this allows for the preservation of sensation. All procedures are performed with anesthesia to minimize any discomfort or pain. Other factors such as weight loss, pregnancy and breast-feeding ultimately affect the shape and firmness of your breasts. Patients who are generally satisfied with the size of their breasts can have a breast lift to raise and firm them, resulting in a more youthful breast contour. Such factors may boost an individual's confidence. Some patients may be unhappy that they have lost a significant amount of breast volume over time. In such cases, implants inserted in conjunction with a breast lift can increase breast size at the same time as the shape and position of the breasts are enhanced. This not only helps to restore the physical appearance of the patient, but also restores self-confidence and respect to the patient. A breast lift is a very individualized procedure in which your goals should be realistically determined and discussed with your plastic surgeon. Together you will determine what specific procedures will be performed. A breast lift is often performed in conjunction with other procedures such as breast augmentation. Once your goals have been determined you will set a date for this procedure and will be given instructions about how to prepare. Incisions When the date for your breast lift has arrived, you should plan on the surgery taking several hours or more depending on which procedures you are having performed. A common method of lifting the breasts involves three incisions. One incision is made around the areola. Another runs vertically from the bottom edge of the areola to the crease underneath the breast. The third incision is horizontal beneath the breast and follows the natural curve of the breast crease. After the plastic surgeon has removed excess breast skin, the nipple and areola are shifted to a higher position. The areola, which in a sagging breast may have been stretched, can be reduced in size. Skin that was formerly located above the areola is brought down and together beneath it to reshape the breast. The nipples and areolas remain attached to underlying mounds of tissue, and this usually allows for the preservation of sensation and the ability to breast-feed. All procedures are performed with anesthesia to minimize any discomfort or pain.
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