Breast reduction and Thoracic Outlet Syndrome - have you perform a reduction for a TOS patient? What were the results?

 I recommend an in-office examination as well as a detailed discussion with a surgeon who you are comfortable with.   Finally, make sure your surgeon is a Double-Board Certified Plastic Surgeon certified by the American Board of Plastic Surgery (ABPS), a member of the American Society of Plastic Surgery (ASPS), a member of the American Society of Aesthetic Plastic Surgery (ASAPS), and a fellow of the American College of Surgeons (FACS).Best,Dr. DesaiBeverly Hills Institute for Aesthetic Plastic SurgeryHarvard Educated, Beverly Hills & Miami Beach TrainedDouble Board-Certified, Double Fellowship-Trained Beverly Hills Plastic Surgeon

TOS anatomy is quite separate from the breast, accordingly a BBR will not impact on the anatomy that causes TOS. You may find that following a BBR that your posture improves which may take pressure off your neck and shoulders and possibly give you some relief from your TOS.

Dear Mandy,
Hello and thank you for your excellent question. Breast reduction surgery, when performed correctly, should greatly improve your back and neck pain. While TOS and symptoms can be separate, there may be overlap in some patients. It is not unreasonable to expect improvment in your TOS symptoms after a breast reduction. You should be evaluated for a No-Vertical-Scar breast reduction. There are a number of no-vertical scar breast lift techniques, but my preferred technique is the Bellesoma Breast Lift technique. Our technique provides an exceptional breast lift, upper pole fullness, relief from neck and back pain, and no vertical breast lift scar. It uses a woman’s OWN breast tissue to produce an internal suspension technique and breast augmentation, without the need for a breast implant. It does not disturb the nipple, areola, or breast glands, so sensation and the ability to lactate is preserved. It uses 3D scanning of your breasts and body to design a procedure specifically designed for YOU, and you alone. Finally, for patients who desire breast enlargement, it can be combined with fat grafting. It is best to answer your question during a face-to-face evaluation, when you can discuss your goals and expectations for the procedure, and you can have a physical examination to evaluate for that procedure. Preoperative visualization with Crisalix can simulate what your body will look like after surgery and can help you make your decision. I recommend that you find a board-certified, or board-eligible plastic surgeon with whom you are comfortable. Be sure to have all of your questions answered during a face-to-face meeting with your surgeon, and review before and after pictures of similar patients whom have had this procedure. Good luck!

Best,

Jon Ver Halen, MD FACS

Harvard educated plastic surgeon

Double Board Certified Plastic Surgeon

Texas “Top Doc” 2017, 2018

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America’s Top Plastic Surgeons, Consumer’s Research Council, 2010 – 2018

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