Women who have
over-sized, pendulous breasts often
experience not only some of the social
stigma of having overly large breasts
but also the physical discomfort from
the sheer weight of heavy breast tissue.
These individuals often have associated
neck and back pain, rash and hygiene
problems in the fold underneath the
breasts, and painful grooving at the
shoulders from bra-straps.
A breast reduction
can dramatically change the size,
shape, and feel of over-sized breasts
by taking away the excess breast tissue
and repositioning the sagging nipple
and areola (the pigmented area surrounding
the nipple) to a higher more normal
position. A breast reduction not only
helps to relieve neck and back pain,
it can restore balance to the overall
shape of the upper body, enabling
you to exercise and wear different
sized clothing.
A breast reduction
is performed using an incision around
the areola, down the middle of the
breasts beneath the areola and also
underneath the breast fold. (Figure
A,B,C,D)
Of all the procedures
that plastic surgeons perform, breast
reduction ranks among the highest
in patient satisfaction.
Figure
A
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Figure
B
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Figure
C
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Figure
D
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Dr. Lee's postoperative
instructions for breast reduction
- Your breasts
are wrapped with an ACE wrap. Leave
the wrap on for 72 hours after you
get home. If the wrap is too tight,
you can undo the ACE bandage and
rewrap it more loosely. But, the
ACE bandage should be snug and provide
support for your new breasts. Also,
the ACE bandage should cover the
entire upper, middle, and lower
breast. DO not wear it like a tube-top
with cleavage showing up top. After
72 hours, you can take the ACE wrap
off and shower. There is surgical
tape over the incision line and
these should stay on even in the
shower. After the shower, you should
wrap your breasts with the ACE bandage
again. Absolutely no baths or swimming
for 3 weeks. Showering is OK after
72 hours.
- Take medications
as directed. Do not take aspirin,
anti-inflammatory medications (Motrin,
Ibuprofen, Alleve) or Vitamin E
supplements for 2 weeks after surgery.
- No driving while
under narcotic medications for pain.
- Ask Dr. Lee in
your first follow-up visit regarding
going back to work.
- You should sleep
on your back for 2 weeks following
surgery.
- Avoid alcohol
or cigarette smoking for at least
3 weeks following surgery.
- Call and make
a follow-up appointment for 7 days
following surgery.
- Do not raise
your arms over the level of your
shoulder for 3 weeks. Do not pick
up objects heavier than a phone
book.
- Bring a sports
bra to your first follow-up visit.
You will be able to wear a sports
bra after Dr. Lee examines you in
the office. NO underwire bras for
3 weeks.
- Do not apply
a heating pad over your breasts.
Portions of your breasts will be
numb and you may get a burn from
the heating pad. Cold packs in the
first 48 hours following surgery
is OK and may help to keep the swelling
down. Apply cold packs over the
ACE wrap, not directly over the
breasts and nipples.
- Scar therapy
for your incisions will start at
2 weeks following surgery. Dr. Lee
will instruct you regarding scar
creams.
- Keep your incision
out of the sun. Sun exposure will
make your scars red, raised, and
persistently irritated for a long
period of time. Make every effort
to avoid the sun for up to 1 year
following surgery. You can cover
up the incision with sun screen
(SPF 15 or above) or clothing.
- You may return
to normal activity and exercise
at 3 weeks following surgery.
- You may feel
“funny”, tingling sensations
over your breasts a few weeks after
surgery. It may affect one breast
more than the other. This is normal
recovery of some sensory nerves
in your breasts.
- If you are constipated,
take over-the-counter laxatives.
You do not want to strain over the
toilet. This may lead to your blood
pressure rising and cause bleeding.
- Call with any
questions or concerns. Dr. Lee is
available through the office phone
number 24/7. Don’t ever feel
badly about calling.
- Report to
Dr. Lee immediately if: A temperature
of 100 degrees or above, excessive
bleeding, excessive pain, enlargement
of one breast associated with increased
pain, bruising, and/or tightness.
Should you experience any of these
symptoms after normal business hours,
call the office number and ask to
have Dr. Lee paged immediately.
Otherwise, call the office at (949)
548-9312.
For a breast reduction in Newport Beach California contact this board certified plastic surgeon.
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