Daytona Beach Breast Reduction doctors

Breast reduction is a topic that patients and doctors often have difficulty communicating effectively about.  The degree of ptosis or droopiness is often confused with 'too big'  Breast reductions often leave patients with flat unaesthetic and heavily scarred breasts.  For patients with very large breasts that have descended, I prefer to use a technique that allows restructuring the breast tissues into an aesthetic form up high with superior pole fullness instead of removing large amounts of volume from the breast.  Depending on the shape of the breasts, I prefer to use a modified vertical reduction with a pectoral sliing to create this support.  In longer breasts, I use a technique that I call the 'FEMMA-S' that allows me to use the tissue that is usually thrown away in an augmentation to create a projecting round breast.  Focus on form not size.  In my opinion a wise pattern breast reduction which creates an anchor scar should be used rarely to never.  I hope this helps!

All the best,

Rian A. Maercks M.D.

While you can put an implant in a stretchy bra and get a good idea as to how much larger the patient would like to be, it is very difficult to actually show the patient the resultant size expected after a reduction mammoplasty. There are a number of different types of reduction mammoplasty but all make the breast smaller and elevate the nipple position. There is science to the design of the different types of reductions with understanding the blood supply and nerve supply. When it comes to the right size it becomes more of an art. It requires an in depth discussion between the surgeon and the patient. I always ask the patient if they were to be unhappy after surgery would they prefer to be left too big or made too small. This guides me in my surgical approach to the breast.

Now you are post operative and unhappy with the size of your breasts. There will definitely be a settling of your breast over the next 6 months which will actually let your breasts look a little larger. If at that time you are still unhappy and feel you need to be bigger, there are a couple of choices. You could have implants which should work out great because you now have the new shape of your breast with your nipple areolar complex elevated and in a better position. If you want to be just a bit bigger you could have fat grafting to fill out your breasts. If you want to have even bigger breast with out an implant you could elect to use a Bravo Bra and greater fat grafting.

I would recommend waiting for 6 months before you make any decisions. 

Women with excessively large breast are best treated with a reduction mammoplasty only. The problem you describe of the breast looking good right after surgery and then flattening out and loosing their shape with time is a real problem. this is usually caused by the surgeon not correctly shaping and positioning the breast underneath the skin before closing the skin. In these cases the skin shapes the breast but only as long as the skin takes to stretch out. Get your surgeon to show you some late 6 month to a year post op photos to confirm that the surgeon is using a technique to shape the breast tissue and not use the skin to shape the breast.