Women with very large, heavy, disproportionate breast often experience chronic back and neck pain combined with rashes and Candidas under the breasts and even breathing difficulties. Unusually, large breasts can make teenagers and women feel self conscience about their appearance which can lead to discomfort in social and business settings.
Neck and shoulder pain from the heavy breast and deep grooves from the bra straps are common complaints from my patients, said Dr. Marc Klein. The physical burden of large, heavy breasts continues to worsen because the patient is unable to exercise due to pain and mobility difficulties.
Patients who undergo breast reduction surgery frequently are seeking relief from these physical symptoms caused by the excessive weight of large breasts. Breast reduction can usually 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, clothes will fit better and you will feel more confident about your appearance, Dr. Klein said.
A diagnosis of macromastia is often made, provided documentation of these problems and physical evidence (measurements, weight or cc's of tissue and photographs) have been kept. Insurance frequently covers breast reduction surgery when the procedure is considered medically necessary.
There are several techniques and variations to the design of the incisions for breast reduction. The size and shape of your breasts, as well as the desired amount of reduction are factors that Dr. Klein will consider in determining the best technique for you.
The most common method of breast reduction involves three incisions. The first is made around the areola, another runs vertically from the bottom edge of the areola to the crease underneath the breast and the third follows the natural curve of the crease. In some cases, it may be possible to avoid the vertical incision that runs from the bottom edge of the areola to the breast crease or the horizontal incision underneath the breast.
After removal of the excess breast tissue, the nipple and areola are repositioned. Often, the areola is too large due to the stretching that occurs with large breasts and is reduced in size. The breast is reshaped and liposuction may be used to improve the contour and remove accumulated fatty tissue under the arms.
Usually, the nipples and areolas remain attached to the underlying tissue, and this allows for the preservation of sensation. The ability to breast-feed may also be preserved by using this method.