What Should I Consider Before Having DDD Breast Reduction?
- Asked by hellomimi in Michigan
- 3 years ago
I am 20 yrs old and I'm seriously looking into having breast reduction. I have always had very large breast but now that I've had a child and breastfed my bra size is 34DDD. I am 5'3 and I weigh about 140 lbs. I have been hunching more than ever and now it hurts to sit up straight in addition to severe back pain at the end of the day. My husband is worried about me regretting the surgery and I do not know anyone who has had breast reduction.
What should I consider before having the surgery? What questions should I ask my doctor? Any information is welcomed and thank you in advance!
Important facts about Breast Reduction
If you have excessively large breasts, you may consider breast reduction surgery if you have the following symptoms:
1) Back pain
2) Bra strap grooving on your shoulders
3) Severe rashes of the skin in the lower breast folds
Things to consider that may affect your breast reduction results:
1) Weight gain or weight loss can affect your breast results over time.
2) Sagging can occur after breast reduction over time.
3) Nipple sensation can be reduced after breast reduction (Although some women have improvement).
4) You may lose your ability to lactate after surgery, should your decide to become pregnant again.
Breast Reduction for 20 year old?
Thank you for the question.
It sounds like you are dealing with juvenile breast hypertrophy along with the physical and psychosocial consequences of this diagnosis. In other words, the breasts are too large for the frame causing both physical and psychological distress.
As you think about breast reduction surgery make sure you do your homework and understand the potential risks and complications associated with the procedure. Unsatisfactory scarring is one of the potential complications. Make sure you also understands that further surgery may be necessary in the future (for example if the breasts were to grow in size again).
On the other hand, breast reduction surgery is one of the most patient pleasing operations we perform and I think that for the right teenager (enough symptoms) it may be an excellent option (regardless of the age).
Sometimes breast reduction surgery is covered through health insurance. The best way to obtain insurance coverage for breast reduction surgery involves some “hoops” to jump through. The more documentation you have (for example, from your primary care doctor, physical therapist, chiropractor etc.) the better when it comes to obtaining insurance “authorization” for the procedure. This documentation and letter/pictures from your plastic surgeon will help you obtain authorization.
Make sure you are working with a well-trained/experienced board-certified plastic surgeon.
I hope this helps.
Things to consider when planning a breast reduction
I would discuss your concerns with your gynecologist or internist first and obtain recommendations from them based on their knowledge of practitioners in the community. Alternatively, you can call them with a list of plastic surgeons from the American Society of Plastic Surgeons (plasticsurgery.org).
Then you should schedule a consultation with at least 2 if not 3 and proceed based on the information provided.
Recent Breast Reduction Reviews
Breast Reduction Photos
Before breast reduction, consider the resulting scars.
Breast reduction patients are generally quite happy to be relieved of excess weight on the chest. The operation is safe and the convalescence is pretty easy. Most patients maintain nipple sensibility and the breasts look more youthful. However, because skin removal is a requirement of the procedure, incisions proportional to the amount of skin removed result. Make sure you understand the resulting incisions.
Find the board certified surgeon for you
There are a lot of things to keep in mind when it comes to breast reduction surgery. You want to make sure you consult with several board certified plastic surgeons to find the one that is best for you. Bring pictures of what you want to look like after surgery and ask to see pictures of the surgeons past patients and their results. Look into whether your insurance company would any of the procedure and if they do, find a surgeon in your network and in your area. Be advised of what the scars will look like and the recovery time.
What to consider before having a breast reduction
If you are having significant back pain and problems with your posture, you may benefit from a breast reduction surgery. This procedure may also be covered by your medical insurance since it would be considered a reconstructive and not cosmetic surgery. You should discuss this with your health insurance carrier and plastic surgeon as policies vary significantly.
As far as the surgery itself, you should be aware that you may have changes in your nipple sensation and your ability to breast feed in the future may be decreased. You will also have permanent scars on your breast , sometimes these are noticeable and sometimes they are not; this depends on your skin tone and type of incision used for the breast reduction.
Consult with a board certified plastic surgeon to determine if you are a good candidate for breast reduction.
Web reference: http://www.williambrunomd.com
What ToConsider Before Having Breast Reduction Surgery
It sounds like you are an ideal candidate for breast reduction since you've been hunching more than ever and now it hurts to sit up straight, not to mention suffering from severe back pain at the end of the day.
Because it's used to relieve medical problems, breast reduction is considered a reconstructive surgery and is often covered by insurance. So why are so many women still reluctant to undergo the procedure?
The short answer is that most are turned off by the large amount of scars (“anchor” or “T” shaped scar) and flattened breast shape after reduction. You will definitely want to ask your board certified plastic surgeon about the technique that will be used for your breast reduction surgery.
I use the Vertical Scar technique, or “lollipop” scar, which eliminates the horizontal scars under the breast used in other techniques. The vertical incision also gives a more youthful and perky shape to the breast. Read more about why I feel the single vertical scar technique is superior to the traditional Weiss breast reduction technique in my blog article web reference noted here.
Considerations before undergoing breast reduction
Breast reduction surgery may be of great benefit in alleviating back and neck pain and improving posture. However, there are many issues that need to be addressed, including scars, potential impact of future pregnancies, and other complications. Seek out a board certified plastic surgeon with expertise in this field before making any decisions.
Breast reduction considerations
Prior to consulting with a PS, ask your friends if they can refer you to women who have had breast reduction. Find out about their experiences, both good and bad aspects. Ask your mother and 1st degree female relatives about their breast health, including any history of breast cysts, biopsies and cancer. Optimize your health. Many insurance companies will deny coverage of breast reduction if you are over the recommended weight for your height. You can find the Body Mass Index charts on the internet, so it can motivate you to weight reduction, if indicated.
Think about the nonsurgical activities which you have done to address your heavy breasts and document these as fully as possible. Letters from the chiropractor, physical therapist, primary care physician can support your preauthorization letter. Keep a track of the heavily engineered bras, which you have used to try to offload the weight on your chest, as well as the visits, if any to the dermatologist because of heat rash under your breasts. Insurance companies need to be presented a complete case of why conservative therapy has failed, prior to authorizing surgery.
Figure out where you are in your family cycle, i.e. if you have finished having children for the following reason: pregnancy with its subsequent weight gain/loss and lactation can change the results of breast reduction. Moreover, you may not be able to lactate, depending on what technique is used. Discuss the possibility of scars with your spouse, to ensure that he is on board with this.
Finally, interview 2-3 PS. Look at their best and worst scars/results. Ask to speak to some of their patients. Choose a practice where you feel your care will be optimized. Oh yes. Do make sure that you have adequate help for your child and duties in the post-op period. Good luck.
I think the first thing that you would need is to have a good consultation so that all your questions are answered. You should be informed of the procedure, the potential scarring, the complications, etc.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.