In Dr. Murphy’s experience there are few patients who are more excited and pleased about their surgical result than those having had a breast reduction. Breast reduction surgery is one of those unique and impressive procedures where not only do patients typically achieve a significant improvement in their self esteem and self image, but also many have an improvement in the physical discomfort they may have been experiencing due to the size and weight of their breasts. Through an extensive breast reduction consultation Dr Murphy will assess the desires of each individual breast reduction patient to help assure that their expectations as far as the size and shape of their breasts are met.
Breast Reduction/ Reduction Mammaplasty Overview
Overly large breasts can be a considerable source of discomfort and a feeling of self-consciousness for many women. Breast reduction surgery or reduction mammaplasty is typically very fulfilling for the patient in these cases.
The goal of the breast reduction procedure is to remove excess tissue and sculpt the breast into a more pleasing and natural shape. The nipple is repositioned to the apex of the breast mound. The ultimate size and shape is balanced with the overall body build of the patient. Clothes are easier to buy and many breast reduction patients feel a great surge in self-confidence when out in public. Dr. Murphy has performed hundreds of breast reduction procedures over the years and he has frequently commented that these are some of the happiest patients he has had.
Dr. Murphy performs breast reduction procedures in his private office surgical suite under sedation with local anesthesia. In the majority of patients a vertical technique is the best choice. This minimizes the incision to around the nipple and down the middle of the breast. This newer vertical breast reduction technique also gives the breast a more natural contour. Larger breast reductions may require more involved procedures, but the goal is always the most natural profile that balances the patients figure.
Recovery time after a breast reduction surgery is typically only a few days to return to daily activities and 7 – 10 days to return to full exercising. Pain usually quickly resolves over the first day or two and is well controlled by the two prescribed pain medications. Drains are rarely used and sutures around the areola are removed after ten days. We recommend various modalities to help optimize the scarring, which typically is minimal though may take 12 -18 months to fully resolve.
Most breast reduction patients recover without complication, but there are some risks which need to be mentioned. Scarring is typically minimal but in rare patients it can be a bit more prominent. Dr. Murphy cannot think of any patient where the scarring was a major issue. The overall improvement in body image most patients experience after a breast reduction more than compensates for any noticeable scarring. Bleeding or infection are rare, although the occasional breast reduction patient may develop a small area of delayed healing along the incision, particularly in an area of high tension. This typically heals with no additional scarring over a week or two. Dr. Murphy advises all patients of the likelihood of the inability to breast feed following the procedure and possibility of nipple numbness. There is a very rare risk of nipple loss, which Dr. Murphy has never experienced in a routine breast reduction.
Gynecomastia surgery for prominence of breast tissue in male patients can offer great improvements in body image and self-confidence. The majority of these gynecomastia patients are younger men who are upset by the prominence of tissue in their breast areas which significantly limits their activities, particularly related to summer activities and sports. They hate the idea of taking off their shirts. They may have been told for years that it will go away but despite waiting they have seen no improvement. Although gynecomastia may be related to more deep-rooted medical issues or certain medications, this is rare. The vast majority of these gynecomastia patients simply have too much tissue, either breast tissue or fat in these areas, that needs to be removed.
In some gynecomastia patients, the prominence is simply due to an excess of fat in the area, and liposuction can take care of the problem. More commonly, the prominence is due to an excess of breast tissue and fat both, and a small incision along the border of the areola (flat part of the nipple) is needed to remove the extra tissue. This gynecomastia surgery is typically combined with liposuction to feather the edges of tissue removal.
Private Surgical Suite
The surgery is performed in Dr. Murphy’s private office surgical suite under sedation and local anesthesia. After about an hour in recovery patients are discharged to home. A small drain may be placed on each side to help minimize swelling and bruising. It is usually removed after two or three days. After a few days most patients have returned to normal daily activities but should wait for 10 – 14 days before resuming vigorous exercise.
Risks of gynecomastia surgery are minimal and include a very small incidence of infection or bleeding. Numbness over the breast area is typical early on but generally resolves over a few months. Permanent numbness in the area of the nipple is a possibility. Significant scarring in the area of the incision is very rare.
Some gynecomastia surgery candidates are so self-conscious about their appearance related to this condition that they may be reluctant to come in for a consultation. Be assured that Dr. Murphy is committed to making this as comfortable for you as possible. He can offer you a private consultation with him alone; no nurses involved. His private office suite offers you all the anonymity possible. Call today to discuss this surgery.