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Breast Reduction

Breasts that are disproportionately large for one’s frame can lead to a number of physical and/or emotional concerns for many women. Some of the most common issues experienced by individuals with overly large breasts include pain and/or discomfort, trouble finding tops or blouses that fit properly, and a general sense of self-consciousness about their appearance. Breast reduction is a procedure designed to remove extra tissue and recontour the breasts to create a smaller, more proportionate volume and enhanced shape. With this treatment, patients can achieve a renewed sense of confidence and an improved quality of life.

Breast Reduction

These after photos were taken only 2 months after surgery.

Houston plastic surgeon James F. Boynton, MD performs a number of breast reductions each week. These can range from the extremely large (gigantomastia) patient, to women that may just need a lift without much tissue being removed. Following a consultation in which he will listen to your aesthetic goals and evaluate your specific needs, Dr. Boynton can custom-tailor a breast reduction treatment plan to achieve a more desireable breast size, contour, and position with natural-looking results.

For more information about breast reduction surgery, we invite you to check out the educational videos and informative content provided below. If you have any additional questions, or if you wish to book a consultation with Dr. Boynton, please feel free to contact our office today.

Benefits of Breast Reduction

Breast reduction surgery can be incredibly rewarding from both a physical and psychological standpoint. Depending on a patient’s unique needs and concerns, this procedure can help:

  • Decrease the size/volume of the breasts
  • Create an improved breast shape and projection
  • Lift the position of the breasts on the chest wall
  • Resize/reposition the nipple-areolar complexes
  • Restore a more youthful, uplifted appearance

In addition to these aesthetic enhancements, breast reduction surgery can help:

  • Improve hunching and poor posture
  • Alleviate bra strap pressure responsible for deep skin indentations
  • Enable patients to finally exercise without pain or discomfort, which often indirectly facilitates weight loss for many individuals
  • Broaden the range of blouses, bras, and swimsuits that fit properly
  • Diminish one’s dependency on heavier brassieres worn for support
  • Greatly enhance how one feels about herself and her appearance

Candidates for Breast Reduction

Breast reduction can be an excellent solution for women seeking to decrease the volume and enhance the overall shape and position of their breasts. Good candidates for breast reduction are in good general health, do not smoke (or have quit smoking a minimum of six weeks before surgery, preferably with no plan to resume), and have realistic expectations for the results that can be achieved. Dr. Boynton will thoroughly discuss all candidacy requirements at the time of the consultation to make sure breast reduction is appropriate for interested patients.

Details of the Breast Reduction Procedure

Approximately 70% of plastic surgeons still utilize the old “inferior pedicle” technique in breast reduction, which removes the tissue mostly from the upper areas of the breast while preserving tissue in the central, lower area to support the blood supply of the nipple (a so-called “inferior pedicle”). Many patients that undergo this technique will eventually have some degree of “bottoming out” after the procedure that, in many cases, can require a “touch-up” or second reduction—or even a breast lift—to correct. Dr. Boynton commonly sees patients that have had a traditional reduction and require this secondary procedure.

At his practice, Dr. Boynton performs a medial pedicle breast reduction technique that removes most of the tissue on the bottom—the part that gravity affects the most—while preserving tissue on the top. This leaves patients with a very good shape and projection of the breast right after surgery, and the results as far as maintaining shape are much better than with the traditional, older technique.

Recovery from Breast Reduction

Immediately after breast reduction, the majority of patients will experience minor bruising, swelling, and/or tenderness in the breasts. These side effects are only temporary and should dissipate over time. Any discomfort that may be present is generally described as mild, and most women need only minimal—if any—pain medication. Showering is allowed the day after surgery, and non-strenuous activities like office jobs and running errands can typically be resumed within a couple days of the procedure. However, Dr. Boynton usually advises patients to avoid exercise, heavy lifting (anything greater than 10 pounds), and other strenuous physical activities for a minimum of two weeks to allow for proper healing.

Common Questions

  • How much discomfort and how long will I be in pain?

    Most women experience mild discomfort after surgery, and many don’t even need to take pain medicine. The majority of patients feel well enough to be up and about the next day, though strenuous activity, exercise, or lifting more than 10 lbs is prohibited for at least two weeks to facilitate healing and minimize any risk of bleeding.

  • When can I shower and resume activities, how long off of work, and when can I resume exercise?

    Showering is permitted the next day following surgery. Most individuals only need a day or two away from non-strenuous work, and exercise can generally be resumed after a couple weeks.

  • Do any sutures have to be removed?

    No, all sutures are dissolvable.

  • Does Dr. Boynton completely remove the nipple in larger cases?

    In my practice, I find that the “old fashion” nipple grafting method is rarely needed. I have considerable experience in performing the medial pedicle approach, which enables me to contour the breast in a way that creates a great shape without removing the nipple. Instead, the nipple is “moved” up to a desirable position on the medial pedicle.

  • What about scarring?

    Scarring is an inevitable aspect of breast reduction surgery. Scars form where the skin is “sewed” together, and their appearance will depend on the individual’s genetics, demographic, and heritage. For an idea of what to expect, view Dr. Boynton’s breast reduction photo gallery, which showcases the results of several patients approximately six weeks after their procedure. Even women who are genetically predisposed to keloid scarring have been thrilled with their results due to the physical and emotional benefits of breast reduction.

  • Nipple sensitivity changes?

    Approximately 10-20% of breast reduction patients will experience some degree of nipple sensitivity changes, though the majority of this often resolves about six to nine months after the procedure. There are individuals whose changes are permanent, but it is not generally a notable issue.

  • Will my breasts get large again? What if I get pregnant again?

    Younger patients that have a breast reduction prior to having children have some degree of possibly developing large breasts again after having children. This is fairly rare, but I have had a number of patients that required a “second” breast reduction—or a lift—after having children. It is impossible to predict what the breasts will do after pregnancy.

  • Will I have drains?

    No, drains are not used for breast reductions at my practice. This was common a long time ago, and although some plastic surgeons still utilize drains, I do not.

  • Will I be able to breastfeed after a breast reduction?

    Unpredictable.

  • Do I need liposuction of the armpit area as well?

    Many patients benefit from liposuction (liposculpting) of the “axilla” or armpit and lateral breast area. This ensures a comfortable fit in new bras and tops after surgery. It does not add much time to the procedure.

Schedule a Consultation

Dr. James F. Boynton can meet with you in an initial consultation to discuss all aspects of breast reduction. Please contact Boynton Plastic Surgery for more information, or if you would like to set up an in-person consultation with Dr. Boynton.