Breast Reduction - Dr. Danielle DeLuca-Pytell M.D. » Dr. Danielle DeLuca-Pytell M.D.

Breast Reduction

“Bigger isn’t always better.”

Common name – Breast Reduction. Technical name/also known as – Reduction Mammaplasty.

Benefits of a Breast Reduction

This surgery is for women with large breasts who would like smaller breasts. For some women, large breasts can cause pain in the back, neck, and shoulders and/or rashes below the breast. Some women may have always been large breasted. Others may note this change after pregnancy or other hormonal change. Their large breasts, in addition to causing discomfort, may contribute to the appearance of being heavy when they are not. Overly large breasts commonly lead to difficulty finding good fitting bras, bathing suits, and clothing. It may be difficult to participate in sports. Many women with large breasts report wearing multiple bras at once to control their breasts during exercise.

How it is done: How The Breasts Are Made Smaller

This surgery reshapes and resizes the breast by removing excess breast tissue and skin and repositioning the nipple and areola (the colored skin around the nipple) into a higher position on the chest (a breast lift is done with a reduction.) The inframammary fold, or the crease below the breast, is the reference point to determine where the nipple should be placed. The areola is almost always made smaller. In some cases, the nipple and areola are removed completely and reattached as a skin graft. Two types of reduction are offered: the inverted T/anchor scar or the vertical/lollipop scar. You will find which is right for you at your consultation.

Upside

For women suffering from pain in their back, neck, and shoulders, this operation gives almost instant relief from the strain of their overly large breasts on their body. Other benefits include better proportion, an easier time fitting bras, clothing, and bathing suits, and improved self-confidence.   Women have also reported improved balance and an easier time participating in sports.

Downside

Initially, drains may be used after surgery. The size improvement comes with a trade off for permanent scars. These are located around the areola (the colored skin around the nipple), vertically from the areola down to the fold, and may also include a scar in the fold itself. Nipple sensation may change or be absent after surgery. Women who want to breastfeed after this operation may be unsuccessful.

Who pays for this

Sometimes, this operation is covered by health insurance. It almost always requires precertification, meaning there is a list of qualifications that must be met in order to meet criteria the insurance company puts forth to meet medical necessity. This often includes documentation of pain not relieved by physical therapy, medication, or specialty bras. A minimum weight will need to be removed which is often determined by patient weight and height. This can only be determined by examination. If criteria are not met, cosmetic pricing is offered.

My Post-Operative Bra Suggestions

Please click this link for suggested bras to be worn after surgery.

What to expect

Length of operation

3-5 hours (depending on the extent of procedure).

Anesthesia used

General anesthesia, you will be asleep and monitored the entire time.

In or out patient

Usually an overnight stay is required.

Time until final appearance

6 months to one year.

Length of results

Should be long lasting, but breasts can increase or decrease in size with weight changes. Pregnancy or other hormonal changes can also increase breast size.

Side effects

Temporary swelling, bruising, and pain are common initial side effects. Nipple and skin sensation may be different initially.  The breast may appear boxy at first, but is expected to round out with time.  Dog ears or excess skin at the end of the scar may occur but can be removed in the office at approximately six months post surgery once swelling has resolved.

Risks of procedure

All surgery carries risk. I recommend patients carefully weigh the benefits of having surgery against the potential risks which may arise.  Risks include pain, infection, bleeding, damage to skin, nerves, blood vessels, inability to guarantee a bra cup size, dissatisfaction with the appearance of the breasts, breast asymmetry, unsightly scars, blood clots in the legs which can travel to the lungs (deep vein thrombosis and pulmonary embolism), wound healing delays, loss of sensation of the nipples, death of nipples, and death of skin. A complete list of risks will be discussed with you before surgery.

If you smoke, it is imperative that you quit six weeks both before and after surgery.  To better understand why, please click the following link:

Smoking and Plastic Surgery

“I love when patients come back after surgery and forget they ever had back pain! I also love hearing how excited women get shopping for bathing suits or off-the-rack bras. This is one of the most gratifying operations I perform.”

– Dr. Danielle DeLuca-Pytell

Your Next Step

Call or email us to schedule an appointment and find out if you are a suitable candidate for this procedure.

Our phone number

Give our office a call Monday to Thursday, 9am to 5pm, Friday 9am to noon.

248-273-7700

Our email address

You can also email us anytime with questions.

info@delucapytell.com

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Testimonials for Dr. Danielle DeLuca-Pytell

 

See what Dr. DeLuca-Pytell’s patients have to say about their surgical experience.

Follow the link to read some of the many letters received by Dr. Danielle DeLuca-Pytell.

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Before and After Gallery

When you come into the office for your appointment, you will be able to see more ‘before and after’ photos of this procedure including different options.

Breast Augmentation18

Side effects

Temporary swelling, bruising, and some pain are common early side effects. Sensation of the skin including the nipple may be different initially. Dog ears or excess skin at the end of the scar may occur but can be removed in the office at approximately six months post surgery to allow swelling to resolve.

Risks of procedure

All surgery carries risk. I recommend patients carefully weigh the benefits of having surgery against the potential risks which may arise. Risks include pain, infection, bleeding, damage to skin, nerves, blood vessels, inability to guarantee a bra cup size, dissatisfaction with the appearance of the breasts, breast asymmetry, unsightly scars, blood clots in the legs which can travel to the lungs (deep vein thrombosis and pulmonary embolism), wound healing delays, loss of sensation of the nipples, death of nipples, and death of skin. A complete list of risks will be discussed with you before surgery.

If you smoke, it is imperative that you quit six weeks both before and after surgery. To better understand why, please click the link here:  Smoking and Plastic Surgery

 

Recovery time

If healing proceeds as expected:

Rest at home (princess treatment) 2 weeks (no housework or exercise). Outsource housework and child care while you rest. Walk around the house, but do not work out.

Return to gentle exercise (casual walking, stationery bike) and household chores 2 weeks after surgery.

Return to full activity, including bouncing and lifting, 6 weeks after surgery.

Returning to Work

This depends on the type of work that you do.   Many women can return to sedentary work at two weeks, though not everyone is ready to return to work by then. Surgery affects different people differently. If your work is more strenuous, six weeks off work may be needed.

Time​ until final appearance

6 months to one year

Length of results

Should be long lasting, but breasts can increase or decrease in size with weight changes. Pregnancy or other hormonal changes can also increase breast size.

 

Other information

For the first two weeks or so, sleep with your back elevated to help with swelling and make it easier to get up. A surgical bra will be provided, and a bra sheet will be given in the office with a list of light support bras to be worn until you can be fit for a regular bra again, usually three months after surgery. A list of bras that can be worn after surgery are available here (insert hyperlink for bra sheet here). It will take time for the breast size and shape to settle.

Your appointment with Dr. DeLuca-Pytell

When you visit the office for your appointment, we will talk about the side effects and risks of this procedure. You will have the chance to ask any questions you might have.

Don’t forget: it is your body!  There is no such thing as a bad or silly question!

Contact us

Give us a call to schedule your appointment.

Our phone number

  • 248-273-7700