Large, heavy, and disproportionate breasts can cause many problems for women during their everyday activities. Physical discomfort, including chronic neck and back pain, or rashes under the breasts, is common. In addition to chronic physical annoyances, self-consciousness about the size and shape of the breasts can lead to discomfort in social and business settings. Fortunately, there is a permanent solution: the breast reduction, a surgical procedure that is used to decrease the size of the breasts and make them smaller, firmer and more proportional. Dr. Kristin Boehm is a double board-certified plastic surgeon in Atlanta, GA who performs customized breast reduction procedures to provide patients with both physiological and psychological relief.
*Each patient is unique and individual results may vary.
A Breast Reduction Procedure with Dr. Kristin Boehm
Dr. Boehm performs breast reductions using intravenous (IV) sedation or general anesthesia. A board-certified anesthesiologist is responsible for the administration of sedation, anesthesia, and pain medications. The steps Dr. Boehm uses to perform the procedure are as follows:
- Incisions. Three incisions are usually made. The first is made around the areola (the skin surrounding the nipple), another runs vertically from the bottom edge of the areola to the crease underneath the breast and a third follows the natural curve of the crease. In some cases, it may be possible to avoid the vertical or horizontal incisions, greatly limiting the appearance of surgical scars.
- Breast reduction. Excess breast tissue is surgically removed and the nipple and areola are repositioned. Often, the areola is too large and is reduced in size before being repositioned. Liposuction may be used to improve the contour of the breasts and remove accumulated fatty tissue under the arms. The preservation of sensation and the ability to breastfeed are maintained by keeping the areolas and nipples attached to underlying tissues throughout the procedure.
- Closing and dressing. Incisions are carefully closed using sutures that will be removed at a later date. Dressings are placed over incisions to prevent infection and ensure healing. A support bra is worn to keep the breasts properly positioned during healing and prevent swelling and pain.
Patients are brought to the post-anesthesia care unit (PACU) after their procedure. While the effects of sedation or anesthesia medications wear off, anesthesia doctors and nurses monitor patients to ensure they are not in any discomfort or pain. If necessary, pain medications will be administered. Patients are allowed to be driven home by a family member or friend after they are completely awake and alert and their pain is controlled.
Tenderness, swelling, and bruising will occur during recovery. These symptoms can be managed by following Dr. Boehm’s post-procedure instructions. Patients are usually allowed to drive one week after their procedure. Patients can return to work after two weeks, on average. Total recovery time depends on the healing progress of the patient and the extent of surgical correction.
Patients who undergo a breast reduction procedure with Dr. Boehm receive long-lasting results that they love. The size and shape of the breasts are decreased and improved. Most patients feel much more confident and experience a boost in self-esteem. Neck, shoulder, and/or back pain decreases or is eliminated. Clothes fit better and different clothing styles may easily be worn.
Dear Dr. DeJoseph,
You are a master artist, and adept scientist and a soulful human being all bundled together with a big bow of love. Thank you for care, kindness and expertise.
I am so pleased with my new look! The experience exceeded my expectations although they were high to begin with.
When I look at the mirror now at the new ME, I am so thankful for you!
With great respect and deepest regard,
Patients who undergo breast reduction procedures frequently do so because they are seeking relief from physical symptoms caused by excessively large breasts. The physical burden of large and heavy breasts can cause pain and make it difficult to exercise or even sit up straight comfortably. In severe cases, it may be hard for patients to move. Patients who are having problems are often formally diagnosed with macromastia, a condition characterized by overly large breasts, prior to being recommended as a potential breast reduction candidate.
Candidates for a breast reduction with Dr. Boehm usually fall into the following categories:
- Eighteen years of age or older
- No serious medical conditions
- Realistic surgical goals and expectations
Patients who receive the best results are those that have a positive mindset. Patients who smoke will be asked to stop doing so before and after their procedure as smoking interferes with healing processes. Patients will need to attend an initial consultation with Dr. Boehm to determine their individual candidacy.
An Initial Breast Reduction Consultation with Dr. Boehm
A thorough initial breast reduction consultation is an important part of the process. Initial consultations consist of the following:
- A medical history review that includes any previous surgeries
- A physical examination that includes taking measurements and pictures for comparative purposes
- A discussion of goals and desired outcomes
During the consultation, customized treatment solutions are created to provide patients with results that match their body type and aesthetic goals. Before-and-after photos are used to give patients an idea of the type of results they can expect. Before concluding initial consultations, Dr. Boehm invites patients to ask any questions or state any concerns. She patiently listens and then appropriately answers or addresses each. Patients can then make their treatment decision with complete confidence.
Frequently Asked Questions (FAQs)
Can a breast reduction be used to correct breasts that have been affected by excess weight loss?
One of the most common reasons breast reduction procedures are performed is to improve the appearance of the breasts after dramatic weight loss. Patients who have lost weight and are not happy with the way their breasts look are encouraged to arrange an initial consultation with Dr. Boehm.
What types of incisions are used to perform breast reduction procedures?
An important part of a breast reduction procedure is the incisions. There are several techniques and variations. The size and shape of the breasts and the desired amount of reduction are factors that are considering in determining which incision technique is best. Dr. Boehm explains which incision technique will work best for patients during initial consultations. The most common incision pattern is the three incision method that is described above.
Will I have noticeable scars after my procedure?
Dr. Boehm strategically places incisions along natural skin creases and folds. Scars that form after surgery will not be noticeable and will not limit the types of clothing or swimwear patients can wear.
Can my breasts grow back after my procedure?
Procedure results are long-lasting. Normal aging processes may cause the size and shape of the breasts to slowly change over time; however, patients can expect to have smaller and more proportionate breasts throughout the course of their lifetime.
Will I be able to breastfeed if I have a breast reduction procedure?
Because Dr. Boehm takes great care to keep the areolas and nipples attached to underlying tissues, patients are still able to breastfeed after having their procedure.
Will it be easier for me to exercise if I have a breast reduction procedure?
Patients who have breast reduction procedures find exercise to be much easier. Their breasts do not get in the way during walking, running, jumping, or other movements. They also do not have to wear special bras or clothes to help hold their breasts in place.
When can I have sex after my procedure?
Patients may find it difficult to have sex for the first 1-2 weeks after their procedure. This is usually due to tenderness, swelling, and discomfort. Patients who follow Dr. Boehm’s recovery instructions are able to resume sexual activities in the shortest possible time frame.
Are there ways to maximize my results?
Patients who wish to maximize their results are encouraged to follow all of Dr. Boehm’s recovery instructions as closely as possible. Also, patients should eat a well-balanced diet, regularly exercise, and apply sunscreen to surgical incisions and the areas around them.
Are there risks associated with a breast reduction procedure?
There are risks associated with all surgical procedures. Dr. Boehm takes great care to reduce all of the risks associated with a breast reduction. She carefully explains risks and the measures she takes to reduce them to patients during initial consultations. The overwhelming majority of patients find the potential results associated with a breast reduction greatly outweigh the risks associated with the procedure.
Do I need to stop smoking to have a breast reduction procedure?
Smoking interferes with the body’s natural healing processes and thus puts patients at an increased risk of infection and anesthesia complications. Patients who smoke will be asked to stop doing so before and after their procedure.
My daughter is under the age of eighteen. Can she be considered for breast reduction candidacy?
Girls under the age of eighteen with overly large breasts that are causing problems may be candidates for breast reduction surgery. Mothers are encouraged to contact Premier Image Cosmetic and Laser Surgery to discuss their daughter’s unique condition and the possibility of scheduling an initial consultation with Dr. Kristin Boehm.
How do I know if a breast reduction is right for me?
Patients with overly large breasts that are causing physical and/or emotional problems may benefit from a breast reduction procedure. The definitive way for patients to determine if the procedure can benefit them is to attend an initial consultation with Dr. Boehm
What should I bring to my initial consultation?
Patients are asked to bring a list of the medications and herbal supplements they are currently taking to their initial consultation. Patients are encouraged to write a list of questions and concerns and bring that as well. If patients would like to bring pictures for Dr. Boehm to review, they may do so.
How do I schedule my initial consultation with Dr. Boehm?
Patients who are ready to schedule their initial breast reduction consultation with board certified body surgeon Dr. Kristin Boehm may contact Premier Image Cosmetic and Laser Surgery in Atlanta, GA at 770-457-6303.