If I’m not pregnant but have a high prolactin level, would that prevent me from being able to get a breast reduction?

Question

My TSH and T4 were within normal limits. I am a 32 year old woman and have regular periods. I have very large breasts and would like to consider a breast reduction due to neck and back pain associated with it. Thanks in advance!

Kenneth Hughes, MD · Answer

Your board certified PS would require clearance from your OB/GYN because a pregnancy test is administered the morning of surgery. If your test comes back positive, the breast reduction would have to be cancelled unless your OB/GYN can verify that it is a false positive.

Daniel Barrett, MD · Answer

Dear Ag2020,
you might need a clearance from your surgeon prior to surgery. Breast reduction is best suited for women who wish to decrease the size of their breasts. While there are different techniques used to perform this surgery, I prefer the vertical incision (lollipop pattern) breast reduction technique instead of the anchor scar pattern, which reduces more noticeable scarring than usual. I also use a SAFE liposuction technique to reduce additional fat around the stubborn axilla area and bra line. This way, my patients are achieving beautiful results with minimal incisions which reduces downtime and delivers an overall better breast shape long term.If you are considering breast reduction surgery, you should consult with a board certified plastic surgeon to discuss your options and make sure your surgeon understands your goals. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Chad Robbins, MD · Answer

Hello and thank you for your question .  Your plastic surgeon will ask for medical clearance most likely from your ob /gyn or pcp as well as negative pregnancy test the morning of surgery ,you should be okay to go ahead w a reduction.

Robert L. Kraft, MD, FACS · Answer

This would not contraindicate surgery but if it produces a positive pregnancy test, you would need gynecological clearance for the anesthesiologist.

If I’m not pregnant but have a high prolactin level, would that prevent me from being able to get a breast reduction?

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