Leawood Breast Reduction doctors

Eric Swanson MD Eric Swanson MD
Leawood Plastic Surgeon
11413 Ash, Leawood
7 answers
Richard Bene, MD Richard Bene, MD
Kansas City Plastic Surgeon
5401 College Boulevard Suite 203, Leawood
Daniel Bortnick, MD Daniel Bortnick, MD
Kansas City Plastic Surgeon
5401 College Boulevard Suite 203, Leawood
J. Douglas Cusick, MD J. Douglas Cusick, MD
Leawood Plastic Surgeon
4601 College Boulevard Suite 222, Leawood
Keith Hodge, MD Keith Hodge, MD
Kansas City Plastic Surgeon
5401 College Boulevard Suite 203, Leawood

Recent Answers

I'm Taking 7 1/2 Mgs of Coumadin Daily, Could I Be a Candidate for Laser Breast Reduction?

I am 57yo female. I take 7 1/2 mgs of coumadin a day for a past DVT. I would like to know if I could be a candidate for laser breast reduction? Very interested in this procedure.

A: "Laser" breast reduction is a gimmick. Need to be off Coumadin

A laser is simply a tool.  It really offers no advantage when it comes to a breast reduction.  So you should not view this as a logical alternative.  You would be well advised to have a vertical reduction instead of a traditional inverted-T, inferior pedicle procedure because the results are better and there is less bleeding.  But be sure to go to someone experienced in this technique.

However, whatever procedure you have, you need to be off Coumadin for at least several days.  This would be coordinated with the physician who is prescribing your anticoagulant.

Today, most operators perform breast reductions as an out-patient.  At my facility, we use intravenous anesthesia, avoiding paralysis, and use compression devices to help prevent DVTs.  With these precautions, the risk of DVT may be reduced to an acceptable level.  In fact, I've never had a patient develop one after breast surgery.

Patient satisfaction is very high after this procedure.  I've attached a reference if you would like to read more.

Eric Swanson MD
Leawood Plastic Surgeon
Play Sports And Was Wondering If Having A Second Breast Reduction Is An Option.

Hello, 14 months ago I underwent a breast reduction and went from a double DD in my right breast and DDD in my left breast down to a full C small D in both. I play a lot of sport and still get terrible groove marks from my bra straps and feel weighed down by the weight of my breasts. I really wanted to be a small B cup and had envisioned wearing small sports bras and the freedom it would afford me playing sport. I am considering getting a further reduction, is this possible? Many thanks

A: Yes, you can have it redone - vertical technique is best

Yes, it is not that unusual for me to perform "secondary" breast reductions.  It is important that the surgeon use the vertical technique for the best breast shape.  If you have an inverted-T ("anchor") incision, your breasts will look very deflated and boxy.  There is a risk of losing some areolar tissue, but an experienced surgeon will preserve as much blood supply to the nipple and areola as possible, so any skin loss should be minor.  I've attached a link to my website, which shows patients treated using the vertical technique.

Eric Swanson MD
Leawood Plastic Surgeon
What Can You Do when Your Nipple is Gone After a Breast Reduction

I had a breast reduction about a month ago and they skin graft my areolas and nipples and when the dressing was remove from my areolas and nipples I had to put antibioic cream and a nonstick bandage on it,and when I change my bandage it would pull the burn looking skin off my nipple and areola and now it has pull off all the skin including my nipples.The skin is pink in color with black spots coming.So do this mean I want have any nipples and what can I do to have nipples again.I am african amer

A: Not a good situation. You will likely need nipple/areola reconstruction.

I am sorry to hear that.  It is not good news at all, I'm afraid.  Today, we try to use techniques that preserve the nipple attachment to the underlying tissues.  It sounds like you had your nipples grafted, which leaves them without feeling or function, and jeopardizes their survival. 

There are techniques to reconstruct nipples, but they are never as good as what you had and do not have function and only minimal sensation.  This involves folding the skin in the area where your nipple should be and grafting some pigmented tissue around it.  You can still get a cosmetic result that is at least better than having no nipples.

Eric Swanson MD
Leawood Plastic Surgeon
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