Fairfax Breast Reduction doctors
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Christopher L. Hess, MD
Fairfax Plastic Surgeon
3930 Pender Drive Suite 120, Fairfax |
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22 answers |
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Marwan R. Khalifeh, MD
Chevy Chase Plastic Surgeon
5454 Wisconsin Ave Suite 1710, Chevy Chase |
2 answers | |
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Adam Tattelbaum, MD
Washington DC Plastic Surgeon
3203 Tower Oaks Blvd 2nd Fl, Rockville |
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Rondi Kathleen Walker, MD
Washington Plastic Surgeon
3301 New Mexico Avenue, N.W. Foxhall Square, Suite 252, Washington |
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Haven J. Barlow, Jr., MD
Fairfax Plastic Surgeon
8501 Arlington Blvd. Ste. 420, Fairfax |
Recent Answers
I am a size 38 DDD/F. I would love to be a large C to a medium D. My PS insists upon a size D/DD. I was a DD before I had my son, and I do not want to be so large. The decreased weight in my chest will allow me to exercise without pain. Therefore, I plan to lose weight after my surgery. I do not tend to lose weight in my chest. Even when I lost weight and became a size 6, my breast remained at a DD. Are there any reasons that my breast have to remain larger?
I NEVER discuss cup size with patients. The reason is that different manufacturers use different algorithms to determine cup size. So while you may be a DDD in one, you may be an F or DD in others. So no surgeon can gurantee cup size and frankly shouldn't be discussing cup size.
If you were my patient and you told me you wanted to be a full C/small D I would understand that to mean you wanted your breasts to be proportionate with your body. I feel that it is more realistic to discuss proportion than cup size. I encourage my patients to either visit with me, call or email with their concerns, as much as they desire, before surgery. It's very important that the patient and surgeon be on the same page prior to surgery. If your surgeon isn't willing to spend the time with you then find one who will.
I have had several consults in the area, hearing from all of them that I would most likely need a free nipple graft. I'm 29 years old so this isn't particularly appealing. lol Wear 38I/J bras, would like to be 38D but would do 38DD if it would avoid FNG. Measurements: Notch to Nipple: 38L, 37R Fold to Nipple: 17L, 16R Est tissue removal: 1800-2000g per side Do you have any advice? Agreement? Disagreement? Thanks.
Yes, your surgery can be done without the free nipple graft. There are two parts to breast reduction surgery, the skin part and the pedicle. The pedicle is the tissue that remains after the excess is removed. It is the tissue that the nipple areolar complex gets its blood supply from.
The predominant breast reduction method used by plastic surgeons is the "inferior pedicle" method. In this procedure breast tissue is removed from the inferomedial, superior and inferolateral breast. The remaing tissue is 10-12cm wide, starts at the fold and extends superiorly to just above the nipple areolar complex. The biggest problem is that this pedicle has limited blood supply so a large reduction, such as yours, is impossible as the nipple would necrose.
I use the superomedial pedicle technique. In this procedure the breast tissue that bothers women the most is removed. This is all of the inferior and lateral tissue. The shape will still be the same and I argue better because the superior tissue is not removed. But the biggest advantage is the blood supply. The superomedial pedicle gets blood supply from each rib and vessels that come from the collarbone. It has such good blood supply that I have never worried about losing a nipple.
So look in your area for a surgeon that uses this technique and you will be rewarded.
I have a significantly larger breast. Yes just one. I am a 34 D and 5"2 weight of 138. Im hoping once i stop breast feeding the larger breast will shrink. But i dont want them both to shrink. But should i get the larger one reduced or the smaller one larger? Desperate for advice.
I feel that the most important question you should ask yourself, is size wise, which side do you prefer? do you see yourself as a larger breasted woman or smaller breasted woman? After you decide which side you prefer as far as size, then you can discuss surgical options such as reductions on one side or augmenations on the other to reach your desired look.
