Board Certified Plastic Surgeon
Dr. Reilly built his reputation on trust and personalized care in Trumbull, Connecticut and Bedford, New Hampshire as well as surrounding areas. His expertise in plastic surgery is the reason he was appointed as Chief, Section of Plastic Surgery at the Griffin
Asked By: kevquestion123
ANSWER
Hello, It is difficult to judge from the photos, since one was taken from a very high angle and the other from a very low angle with shadowing. Based on your age, I think it is best not to have the skin removal. It adds a wider scar, and the scar can often misbehave because of tension across the chest, which can cause it to widen. It is reasonable to see how the skin behaves on its own; your age gives you that advantage. If a skin tightening procedure is needed, it can be done later. How much the skin contracts cannot be controlled and depends on its elasticity. Best of luck.
Asked By: drake122
ANSWER
Hi, From the photo alone, there does not appear to be any excess skin, but there is a fair amount of excess volume. That would be consistent with Grade 2 gynecomastia if the volume is due to breast tissue. If some or all of the fullness is fat, it is not true gynecomastia, and the treatment differs. When the fullness is fat only, liposuction alone is usually enough. When there is dense fat or breast tissue, it is removed through a small incision along the lower half of the areola, the darker skin around the nipple. An exam by an experienced gynecomastia surgeon, and if needed an ultrasound, can determine how much of the fullness is fat and how much is breast tissue. Best of luck.
Asked By: Exuberant917998
ANSWER
Hi, I cannot confirm a glandular component from a photo. If there is a defined amount of glandular tissue, which is best determined by an exam with an experienced gynecomastia surgeon and/or an ultrasound, that tissue can be removed discreetly while the surrounding fat is left in place to preserve the contour of the chest. It is unlikely you would need micro fat grafting, although it is always a possibility. Best of luck.
Asked By: Powerful347008
ANSWER
Hi, Weight loss should realistically reduce the fullness of the chest, depending on whether that fullness is extra fat, breast tissue, or both. The questions are whether the skin will shrink to fit the smaller chest after reasonable weight loss, and whether any breast tissue will remain. An exam by a surgeon who performs this surgery often will help determine how much is fat and how much is breast tissue. An ultrasound can also confirm whether breast tissue is present. Best of luck.
Asked By: Idontwannto
ANSWER
Hi, Thank you for sending the photo. To start, let's accept that there is something extra in this area that you do not like. That is readily fixable by removing that tissue. Excess fat can be removed with liposuction. Firm breast tissue does not come out with liposuction, so it is removed through a small incision along the lower half of the areola, the darker skin around the nipple. I recommend seeing a surgeon who performs this surgery often, as the results are likely to be better.
Asked By: Imaginative674265
ANSWER
Hello, yes you can be brought to a small B as long as there is some realistic expectation of what a b cup is. Do you buy bras at JCPenney or Victoria's Secret? Patients will buy bras based on the comfort of the cup, the strap size etc., not necessarily what properly fits the breast mound. As long as there is a reliable blood supply to the nipple and areola based on an experienced plastic surgeons' technique, you can have a small breast of your choosing. Best of luck
Asked By: Stephaniel1990
ANSWER
Hi, sorry to hear about your accident I hope you don't have many limitations from that surgery. When it comes to your breast surgery you have to decide what you're trying to achieve. Many patients will have a combination of some symptoms as well as some dissatisfaction with the aesthetic appearance of their breasts. The aesthetic appearance of the breasts are more reliably addressed by an experienced plastic surgeon. Whether the size of your breast is contributing to your pain is another story entirely due to your neck injury. From the photos, your breasts do not appear overly large for your frame. That doesn't mean they're not causing symptoms but I would be cautious in telling patients that their back, neck or shoulder pain will get better from doing a relatively small breast reduction. Aesthetically your breasts have "bottomed out" where the lower part of the breast has stretched which also rotates the nipples upwards and so you can improve that component by reducing the skin in the crease under the breast thereby rotating the breast downwards and repositioning the nipple more centered on the breast mound .Best of luck.
Asked By: mel11x
ANSWER
Hello, I think a simple answer would be to think about your recovery. If you get a BBL you can't lay on your back or sides, you would have to lay on your newly reduced breasts! Not the best scenario perhaps. Best of luck.
Asked By: kmsmith2027
ANSWER
Hello, when considering insurance covered breast reductions it is not the size of the bra you wear it is the size of the breasts. That means volume or weight not the length of the breast. Longer, flatter breasts are not necessarily too large for your body, they're too long for your satisfaction. With insurance, there is a big difference. They will use certain criteria to assess whether you're a candidate for an insurance covered procedure. Photographs of your shoulders to show bra strap notching is an indication your breasts are heavy. You may also want to look into something called the Schnur scale which many insurance companies use as the amount of breast tissue that needs to be removed from each breast in order to be covered under your policy. Your numbers would tell us that 500 grams of breast tissue needs to be removed from each breast. From the photos and my experience I don't think you have that much to remove without making your breasts too small and disproportionate. You may be a better candidate for a mastropexy with a small amount of reduction of your choosing. That would be an out-of-pocket expense. Good luck.
Asked By: Peaky_binders
ANSWER
Hello, I think you can have some very nice changes if you're considering a breast reduction. Volume will be reduced, nipple diameter will be reduced to be proportionate to the smaller breast and nipple position can be centered on that new mound. The previous abscess drainage should not play a significant role for an experienced plastic surgeon. Loss of nipple sensation in a breast reduction of your size should be exceedingly rare. Good luck.
Dr. John Reilly is highly regarded for his expertise in various procedures, particularly , , , , and . Patients consistently praise his thoroughness in consultations, clear communication regarding procedures and recovery, and his attentiveness to patient concerns. His caring nature and the supportive environment of his office are also highlighted.
