Dr. Boynton performs a number of breast reductions each week. These can range from the extremely large (gigantomastia) patient, to patients that may just need a lift without much tissue being removed. Approximately 70% of the plastic surgeons still utilized 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 this procedure that in many cases can require a “touch up” or second breast lift, reduction, or mastopexy to correct. Dr. Boynton commonly sees patients that have had a traditional lift and require this secondary procedure.
These after photos were taken only 2 months after surgery.
Dr. Boynton performs a medial pedicle 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 to the breast right after surgery and the results as far as maintaining shape are much better than with the traditional older technique.
Finally Dr. Boynton is also trained to perform an “auto autologous” breast lift that is a way to lift a patient and preserve the tissue that is typically discarded in some lifts in a way similar to a “small implant”. This can really add volume in the right place and lift together for enhanced appearance.
How much discomfort and how long will I be in pain?
The surgery takes about 3 hours typically. Most patients have mild discomfort and many don’t even require pain medication. Patients are up and about the next day and have a rapid recovery with the exception of strenuous activity or exercise or lifting over 10 lbs which is avoided for 2 weeks following surgery to minimize any risk of bleeding.
When can I shower and resume activities, how long off of work and when can I resume exercise?
You can shower the next day after surgery. Exercise can be resumed 2 weeks after surgery. Most patients are off work for a day or so, maybe several days at the most depending on their job requirements.
Do any sutures have to be removed?
No. The sutures all dissolve.
Does Dr. Boynton completely remove the nipple in larger cases?
The “old fashion” nipple grafting technique is rarely necessary in my practice. I have vast experience with the medial pedicle technique which allows me to cone and shape the breast and give a very nice shape to the breast without removing the nipple- instead it is “moved” up into place on the medial pedicle.
What about scarring?
All patients form “scars”. Scars are simple the lines where skin is “sewed” together. The thickness, width, character, and pigmentation of those lines can vary with respect to patient’s demographics, their heritage and genetics. Representative examples of many results at approximately 6 weeks after surgery are available for viewing in Dr. Boynton’s photo gallery of cases. Even patients that have a genetic risk of keloid scarring have been happy with their results because they routinely feel better, are able to find clothing, resume and participate in exercise and feel good about themselves.
Nipple sensitivity changes?
10-20% of all patients with breast lifts or reductions may get some degree of nipple sensitivity changes. Most of this resolves by 6-9 months after surgery. Some patients may have some permanent changes but it is not usually an issue that they notice.
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 lift after having children. It is impossible to predict what the breast will do after pregnancy.
Will I have drains?
No. I do not use drains on breast reductions or lifts (as was common many years ago and still can is common with some plastic surgeons).
Will I be able to breast feed after a breast lift or reduction?
Do I need liposuction of the armpit area as well?
Many patients benefit from liposculpting of the “axilla” or arm pit and lateral breast area. This ensures a comfortable fitting in new brassieres and bras after surgery. It does not add much time to the procedure.
Will my insurance cover or pay for my procedure?
The answer really is- it depends. Insurance companies in general have gotten stricter with their “requirements” for breast reduction over the years. Larger breast reductions are seen as “reconstructive” and almost always are covered, smaller and medium breast reductions are typically seen as “cosmetic” by the insurance companies. Dr. Boynton has to see each patient, examine them, take measurements in order to determine that. The good news is that all patients that undergo a breast reduction (either cosmetic or reconstructive) feel better after surgery. This procedure has ranked for more than 50 years as one of the highest satisfaction ratings of any elective 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 our practice for more information, or if you would like to set up an in-person consultation with Dr. Boynton.