If you are considering Breast
Reduction Surgery, you’ll want to do your research before proceeding.
Women with large breasts (Macromastia) often
complain of:
· Shoulder
and back pain
·
Infections under the breasts
·
Numbness or tingling in their hands and
fingers
·
Indentations of their shoulders from their
bra straps
They may also have trouble with:
·
Finding bras that fit and they can exercise
in
·
Balance issues
·
Low Self-esteem
The items in the first list support insurance
coverage of the procedure. Yet, insurance companies have been making it
difficult to get authorization for the procedure. In my experience, they have
been making unreasonable demands for the amount of tissue to remove. Removing
too much tissue can cause problems. I refuse to compromise blood flow to the
nipple or reduce the breast to an A cup. Insurance Companies may also ask for
months of physical therapy to correct shoulder and back pain before surgery.
Many have even eliminated Breast Reduction as a covered benefit in their plans.
The traditional Breast Reduction surgery
involves an anchor type incision. The resulting scar is around the nipple
areola, comes straight down and then across the bottom of the breast. The
technique called SPAIR reduction involves only a scar that goes around the
areola and comes straight down and to the outside of the bottom of the breast.
The main advantage of this technique is that the breasts stay up longer and
look fuller in the cleavage area. The other advantage is avoiding scars that
can be seen on the outside and inside of the breasts. With the traditional
technique, you will find the breasts reduced, but they are also droopy and flat
after about a year.
The operation is an outpatient procedure and
usually requires about a week off work. Drains are no longer used. Pain is
usually minimal, the ACE wrap seems to be more
uncomfortable than the actual surgery. Risks are generally minor, the most
common is a slight wound healing problem for which you may need to do dressing
changes. Smokers and the obese are at much higher risk for complications. You
should stop smoking for at least 3 months before the procedure and getting your
BMI under 30 before considering surgery.
Many studies have shown the beneficial
results of Breast Reduction Surgery. Patients, for the most part, get relief of
back and shoulder pain following the reduction. The infections underneath
disappear. The tingling in the fingers improves and, most important, women feel
better about themselves.
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