Birmingham Breast Reduction doctors

Michael S. Beckenstein, MD Michael S. Beckenstein, MD
Birmingham Plastic Surgeon
800 St. Vincent's Drive Suite 610, Birmingham
6 answers
James C. Grotting, MD James C. Grotting, MD
Birmingham Plastic Surgeon
One Inverness Center Parkway Suite 100 , Birmingham
6 answers
William J. Hedden, MD William J. Hedden, MD
Birmingham Plastic Surgeon
140 Village Street Greystone Cosmetic Center, Suite 100, Birmingham
Michael Clinton, MD Michael Clinton, MD
Birmingham Plastic Surgeon
7191 Cahaba Valley Road, Hoover
Grady B. Core, MD Grady B. Core, MD
Alabama Plastic Surgeon
2100 16th Ave. South Ste. 111, Birmingham

Recent Answers

Breast Reduction from 36DD to an A?

My 29-yr-old daughter is a 36DD and wants to have reduction down to an A cup. Is that feasible? She would rather have a double mastectomy than have breasts larger than A. She has been planning on this surgery for many years.

A: Not a Good Idea!

This magnitude of a change is drastic and would probably not be proportional to her body. She should consider being reduced to a size that is in proportion to her body and maybe slightly smaller. This will alleviate her symptoms and make her look much better.

Pondering mastectomies instead of being larger than an A cup is alarming. There may be some issues here that need to be explored!

Michael S. Beckenstein, MD
Birmingham Plastic Surgeon
Fat Removal Volume for Breast Reduction and Liposuction?

I'm getting a Breast Reduction of 1 kg done at the same time of Liposuction to upper and lower abs, flanks, and outer thighs. I'm supposed to be under general for 5 hours. Based on the max volume for Liposuction, should my doctor remove less fat from my areas if she is already removing 1 kg from my breasts? Should I split the surgeries to be in a safer side and get more fat removed with the surgery for Liposuction alone? Thanks.

A: Breast Reduction with Multiple Area Liposuction

I agree with your surgeon's goal of trying to limit the duration of surgery to 5 hours. The amoun of fat removed refers only to the volume of lipoaspirate. 5 liters is the at the upper end of what is generally considered safe for a single anesthetic.

Although with proper overall patient management, especially fluid management, lipoaspirates of greater than 5 liters can safely be remove at one setting. The amount of tumescent fluid infiltrated should not exceed the maximum safe dose of the lidocaine component (generally accepted to be around 35 mg/kg).

There have been some laws enacted which impose stricter regulations on patient management after liposuction. For example, the state of Florida requires all patients who undergo liposuction of greater than 3 liters to be admitted to an ambulatory surgery center or hospital and observed overnight.

Your sugical risk is affected by your current body weight and overall state of health. Assuming these are normal and good to begin with, it sounds like combining the procedures you mentioned should be perfectly safe. MH

James C. Grotting, MD
Birmingham Plastic Surgeon
Asymmetrical Breasts Due to Breast Reduction

I have breasts that are completely asymmetrical as a result of a breast reduction. The right nipple is 2cm too high and the shape of both is unnatural. Is there a surgeon who's experienced in complex breast reduction revision cases?

A: There are many capable surgeons who can help you with this problem.

Photos of your breasts would make anwering this question much easier. Any answers without actually analyzing your photos are purely speculation.

Correcting a nipple that is "too high" can be a difficult problem to fix, but the fact that this nipple is too high must first be differentiated from asymmetry that has resulted from the opposite nipple being "too low."

Only photos and a physical exam can make these distinctions. Don't fret. The solution to correcting your asymmetry may be simpler than you think.

The timing of revision surgery is also important. How far out you are from surgery timewise is an important factor to consider, as the shape and appearance of the breasts can continue to change dramatically over time.

Go see your plastic surgeon or have him refer you to a colleague who can evaluate you and help you with your concerns.

James C. Grotting, MD
Birmingham Plastic Surgeon
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