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Breast Reduction

Large breasts can cause neck and backpain and can interfere with daily activities. Breast reduction "reduction mammoplasty" can help alleviate these chronic symptoms and improve the patient's quality of life.

Breast reduction can be generally performed using 2 approaches:

1- Surgery: This option involves placing incisions on the breast and around the areola, is frequently accompanied by breast lift (mastopexy)

2- Liposuction: This option involves placing liposuction cannulas and removing fatty tissue from the breast through very small hidden incisions.

Before and After Gallery

Breast Reduction - Patient #1

Breast reduction with lift - Reduction mammoplasty with mastopexy
Breast reduction with lift - Reduction mammoplasty with mastopexy

All before and after photos are of actual Akkary Surgery Center patients and are shown with permission. Please remember: these pictures are courtesy of patients who kindly agreed to share their experience on our website. The pictures are to be viewed only and not to be downloaded, copied, captured or used for any other purpose. Individual results may vary.

Additional Facts

Who is a good candidate for Breast Reduction?

Healthy patients with realistic expectations who desire smaller breasts for asymmetry, chronic neck, shoulder, back pain and skin irritation

What are Breast Reduction contraindications?

Severe or uncontrolled systemic diseases, connective tissue disease, malignancy, unrealistic expectations, local skin pathology and pregnancy.

Note: A contraindication is a condition or factor that serves as a reason to withhold a certain medical treatment due to the harm that it would cause the patient.

How is this procedure performed?

The procedure is commonly done under tumescence anesthesia with monitored sedation. Tumescence anesthesia consists of diluted Lidocaine with epinephrine in a crystalloid solution that is infiltrated into the operative area in calculated amounts based on patient’s body weight. This is then followed by making an incision around the areola and the undersurface of the breast. Commonly the incision is an anchor shaped one. The excess skin is removed as well as breast tissue. A drain maybe placed. The incisions are then closed in layers. Breast tissue is routinely sent to pathology to test for occult breast cancer. If Reduction is performed using liposuction then we place small incisions hidden under the breast where liposuction cannulas are used .to remove the fatty tissue without placing large incisions on the breast or around the areola.

How long does the effect last?

Breast reduction provides durable long term results, however, significant weight gain, pregnancy and other factors might affect the results of the procedure.

What should I expect during recovery?

Since the area is numb after the procedure, we routinely do not use narcotics for pain control and pain is easily controlled on acetaminophen (Tylenol). Also, since general anesthesia and narcotics are usually avoided, nausea and vomiting are very rare after the procedure. A soft bra or compression garment is usually worn postoperatively for 2-4 weeks or longer. Patients are usually discharged to the care of a responsible adult and recover at home. Light activity and early ambulation are encouraged after the surgery but we recommend avoid upper body exercise and arm lifting above the head. Activities are advanced gradually based on your healing.

Where is the scar?

1- If surgical reduction is performed, the scar is placed around the areola and the undersurface of the breast.

2- If Liposuction is performed, the scars are very small and hidden under the breast

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Great for anything in his speciality

If you are looking for a doctor who will listen to you and explain what & why he’s going to do something, you have found him. He has the added benefit of a wonderful bedside manner minus the arrogance found in doctors ( just because they are doctors, you have met a few if you’re reading this I’m sure). In all he’s a wonderful person who if you’re lucky enough to find him, give him a call. You will have an amazing doctor who is there for you without dodging your call’s no matter how silly you think the question or thought may be ( this isn’t a paid ad I promise, you have his cellphone number incase of anything no matter the time. Sorry, but I’ve never been able to reach a doctor 24-7 without going through a answering service and even then how many times do you get to talk to them? Not many from my experience and I’ve seen more doctors than I care to think about.) he’s always able to answer it or calm your pre surgery nerves. He’s great if you’re looking for anything in his specialty and if I could, he’d be my doctor for everything, but he’s only one person so I will settle for his specific fields.

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