1801 Inwood Rd, Dallas, TX 75390 | (214) 645-2353

Breast Reduction

Breast Reduction


Breast reduction, also called reduction mammaplasty, is a surgical procedure that removes breast tissue and skin to reduce the size of the breast. The goal of breast reduction is to reduce the size of the breasts to alleviate the discomfort associated with overly large breasts while leaving the patient with an aesthetically pleasing shape to the breasts that are proportionate to their body.

DERDERIAN’S GOALS FOR BREAST REDUCTION SURGERY:

Dr. Derderian’s goal for breast reduction is to achieve resolution of functional symptoms associated with large breast size while achieving a natural appearance with minimal visible scarring.

AM I A CANDIDATE FOR BREAST REDUCTION SURGERY?

Overly large breasts can cause pain, particularly in the neck, upper back and shoulders. Having overly large breasts is also a frequent source of unwanted attention, particularly for younger patients. Having large pendulous breasts is also a source of self-consciousness that affects the patient as much as the physical symptoms. In addition to self-image issues, patients frequently report that they can not participate in the sports or work out activities that they want to secondary to pain.

Am I a Candidate for Breast Reduction:

In general, the ideal patients for breast reduction are healthy, do not some and are close to their ideal body weight. If you have shoulder grooving, neck and/or back pain and skin irritation in the crease beneath the breasts due to the large size of the breasts you will likely benefit from a breast reduction. If you are age 40 years or older you should have an annual mammogram. Women should also perform self examination of their breasts monthly.

WHAT HAPPENS AT CONSULTATION?

During the consultation Dr. Derderian will perform a detailed history and examination. Measurements are taken of the breast dimensions and standardized photographs are obtained. It is important to disclose any family or personal history of breast cancer, previous breast surgery, medications and allergies during the consultation.

HOW IS THE SURGERY PERFORMED?

Breast reduction surgery is performed through incisions on the breasts that are designed to allow removal of the excess breast tissue and skin. The principles of breast reduction require keeping the nipple areola complex alive and sensate while removing enough skin and breast tissue to achieve the goals of smaller size and improved breast shape. There are many approaches to breast reduction that may be used to reduce the size of your breasts and can achieve a good result. In some cases, additional excess fat may be removed from the flanks using liposuction in addition to the breast reduction. It is important that the procedure is tailored to your anatomy and goals for size.

Despite the variety of available techniques the patterns of closure are fairly consistent.  The scar patterns from the pattern of skin excision are:

  • A circular scar around the areola and a scar in the breast fold
  • A circular scar around the areola and a vertical scar extending to the breast fold
  • A circular scar around the areola and a vertical scar extending to the breast fold commonly called an inverted T or anchor-shaped pattern

WHAT IS THE RECOVERY PERIOD?

Dissolvable sutures and skin glue are commonly used for closure. A surgical bra is worn in the immediate time after surgery. In the majority of cases drains are not used, however, in a minority of cases drains may still be used. These drains remain in place for 3-5 days. There is considerable swelling after surgery that peaks at 2-3 days after surgery. Patients should not work or attend school for one week after surgery. No vigorous activity for 3-4 weeks.

WHEN IS THE FINAL RESULT APPRECIABLE?

The majority of the swelling resolves after 6-8 weeks. The final result is appreciable at 6-12 months after surgery. It is important to remember that time, weight gain and loss and pregnancy will affect the breast shape over time.

WHAT DOES BREAST REDUCTION COST?

Breast reduction is frequently covered by insurance, but not always. If your insurance does not cover breast reduction your out of pocket expense include:

  • Anesthesia fees – cover the anesthesiologist, their staff and medications
  • Hospital or surgical facility costs – covers the operating room, staff and equipment
  • Surgeon’s fee

Why Choose Dr. Derderian?

Dr. Derderian had extensive training in breast reduction during his residency at New York University. After completing his residency, Dr. Derderian did a fellowship in craniofacial surgery at the University of Pennsylvania, and he joined the faculty at UT Southwestern in Dallas in 2011. Dr. Derderian is board certified by the American Board of Plastic Surgery. Dr. Derderian frequently performs breast reduction in his practice in Dallas. He is an expert in both short scar breast reduction and tradition anchor-pattern breast reduction techniques.

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