I am 45yo with sagging, 40E breasts which cause neck pain, shoulder pain, and headaches. My mammogram tech always tells me I have the best breasts for mammos cause they are very low density. I have lost weight recently, but my breast seemed to have grown! I am still ~30lbs overweight at 5'8", and my PS believes reduction will help me be more active. Is the surgery "easier" depending on density? Is it quicker? I was told expect 4hrs, which is kind of scaring me, anesthesia-wise. Thank you
February 21, 2013
Answer: Density of the breast
Hi
thanks for the post. this has to do with the amount of breast gland vs fatty tissue. It does not affect the outcome. Generally, fatty or low density breasts recover well and generally bleed less than dense white glandular breasts. A typical breast reduction takes me about 2 and 1/2 hours. 4 hours is a little on the longer side, but is still considered perfectly safe from an anesthesia perspective.
I tell my patients to avoid aspirin / motrin due to bleeding. I also recommend a daily multivitamin and a sensible healthy diet high in fiber. The pain medication tends to cause constipation.
Best wishes.
Helpful
February 21, 2013
Answer: Density of the breast
Hi
thanks for the post. this has to do with the amount of breast gland vs fatty tissue. It does not affect the outcome. Generally, fatty or low density breasts recover well and generally bleed less than dense white glandular breasts. A typical breast reduction takes me about 2 and 1/2 hours. 4 hours is a little on the longer side, but is still considered perfectly safe from an anesthesia perspective.
I tell my patients to avoid aspirin / motrin due to bleeding. I also recommend a daily multivitamin and a sensible healthy diet high in fiber. The pain medication tends to cause constipation.
Best wishes.
Helpful
February 19, 2013
Answer: Breast reduction relieves musculokeletal symptoms best
Thanks for the question. Based on the symptoms reported and your current bra size, BR would definitely alleviate the neck and shoulder pain. Headaches may not completely resolve, unless there is a component of muscle tension. The terminology of "high" vs "low" density refers to the percentage of "glandular or fibrous" tissue vs fat, (i.e. high density is predominantly glandular). The mammographic appearance of fat is more uniformly dark. While radiographic imaging may be easier with low density or more fatty breasts, breast reduction shaping and longevity of the lift is more sustained with denser breasts. The recent "growth" of your breasts, despite weight loss is undoubtedly related to hormonal fluctuations, which typically "fluff out" around perimenopause. Try to loose some of your 30lb surplus; fat loss in the breast will result in loss of volume. If necessary, follow a medically supervised diet, so that the weight loss is gradual and sustained. The composition of breast tissue doesn't influence the ease of the procedure, although fatty breasts can occasionally develop post-op "lumps" known as fat necrosis, which eventually dissolve. The operating time of 4 hours is quite standard and should be well tolerated. Try to speak with other patients who have had the same technique with your PS. Good luck :)
Helpful
February 19, 2013
Answer: Breast reduction relieves musculokeletal symptoms best
Thanks for the question. Based on the symptoms reported and your current bra size, BR would definitely alleviate the neck and shoulder pain. Headaches may not completely resolve, unless there is a component of muscle tension. The terminology of "high" vs "low" density refers to the percentage of "glandular or fibrous" tissue vs fat, (i.e. high density is predominantly glandular). The mammographic appearance of fat is more uniformly dark. While radiographic imaging may be easier with low density or more fatty breasts, breast reduction shaping and longevity of the lift is more sustained with denser breasts. The recent "growth" of your breasts, despite weight loss is undoubtedly related to hormonal fluctuations, which typically "fluff out" around perimenopause. Try to loose some of your 30lb surplus; fat loss in the breast will result in loss of volume. If necessary, follow a medically supervised diet, so that the weight loss is gradual and sustained. The composition of breast tissue doesn't influence the ease of the procedure, although fatty breasts can occasionally develop post-op "lumps" known as fat necrosis, which eventually dissolve. The operating time of 4 hours is quite standard and should be well tolerated. Try to speak with other patients who have had the same technique with your PS. Good luck :)
Helpful