Breast reduction surgery is performed to reduce the size of the breasts for a variety of medical and aesthetic reasons.
BEFORE & AFTER
What is Breast Reduction?
Breast reduction surgery removes excess tissue, fat, and skin from the breasts. Someone with large breasts might choose to have a breast reduction procedure to ease discomfort or to achieve a breast size more appropriate for their body.
Dr. Bray’s breast reduction surgery typically takes between 2-3 hours and involves two incisions. Once Dr. Bray removes excess breast tissue, skin, and fat, he shifts the nipple and areola to a higher position. Then he closes the incisions with multiple layers of sutures to further tighten and shape the breasts. Liposuction is also frequently performed to improve the contour of the breast and/or the side of the chest/bra line.
A breast reduction procedure is generally geared to women who have larger breasts. The procedure can reduce problems such as skin irritation or rashes under the breasts, back, shoulder, neck or nerve pain, unfit clothing, and restricted activity.
What are the Risks?
Like any other surgery, breast reduction surgery has risks, such as infection, bleeding, or an adverse reaction to anaesthesia. Other possible risks of the procedure include bruising, scarring, difficulty or inability to breastfeed, and complete or partial loss of sensation in nipples and skin surrounding the nipples.
What is Scarring Like?
Dr. Bray chooses his incision sites carefully. For breast reduction, he typically uses the newer vertical reduction “lollipop” technique, rather than the older “anchor” method. This allows the patient to easily conceal the scars. Proper post-operative care, which Dr. Bray involves himself heavily, helps heal and reduce the sight of the scar.
How are Dr. Bray’s Breast Reduction Surgeries Performed?
A breast reduction surgery is done under general anesthesia, rather than local anaesthesia. Dr. Bray uses a variety of techniques and technologies, including BodyTITE™ which not only liposuctions, but tightens the skin for a more youthful look. Dr. Bray may use other forms of liposuction, such as power-assisted lipo if required.
Dr. Bray removes excess fat, tissue, and skin in the breasts through liposuction, as well as reshapes the breasts. By reshaping the breasts, he also ensures the nipple and areola are in an appropriate position. Dr. Bray’s goal with all his patients is to create a natural-looking, symmetrical body; he is careful about how, and how much tissue he removes.
Although he will always work to create as symmetrical a shape as possible, some variation in shape and areola size is possible.
Who is a Good Candidate for Breast Reduction?
Patients undergo breast reduction surgery for a variety of reasons. Some of the most common are health concerns. Poor posture, difficulty sleeping or breast feeding, rashes or infections from skin chafing and an inability to participate in physical activities are just a few of these. Appearance-related reasons range from drooping, heavy breasts with downward-pointed nipples, to disproportionate breast size to body size.
If any of these symptoms trouble you, please consider scheduling a consultation with Dr. Bray.
Custom Options for Breast Reduction
Patients always have a say in how much of a reduction they are going to receive, although Dr. Bray will advise what he believes is best.
Additional liposuction to improve breast to body shape during surgery is possible. Flanks, abdomen, stomach, arms, and back are typical areas of need.
Preparing for Breast Reduction
Medical conditions, such as heart disease, hypertension, thyroid problems, diabetes or the regular use of certain medications might affect your surgery. If any of this applies to you, you should disclose all of these items in your medical questionnaire prior to your consultation with Dr. Bray.
No smoking of any sort of nicotine, vape or marijuana products for at least 6 weeks before your procedure. Failure to do so might adversely affect your surgical outcome. We also advise not consuming alcohol at least a week prior to surgery.
Follow Dr. Bray’s instructions concerning diet, hygiene and medications. Before any kind of surgery, your stomach should be empty, which is why you should not eat or drink after midnight the day before the procedure.
Make sure to wear comfortable clothes and shoes to allow easier change of clothes before and after surgery. Please arrive without any jewelry, makeup and nail polish on the day of the procedure. If you wear contact lenses, please switch them out for glasses.
Plan enough time for your recovery. Taking time off from work will be essential. The amount of necessary recovery time can vary dramatically between people depending on the extent of their surgery but also the physical demands of their occupation. Dr. Bray and his team will evaluate your personal situation and make recommendations regarding return to work.
By law, you are unable to drive after your procedure. Therefore, you must schedule a ride to and from your appointment.
In line with COVID-19 regulations, we have reassessed our cleaning and sterilization protocols. Upon arrival in our office we conduct symptom screenings with a questionnaire and check our patients’ temperature. We also require mask wearing for our staff and patients. COVID-19 testing before surgical procedures is mandatory in order to protect our staff. Please inform yourself regarding testing centers in your area and arrange for testing prior to your surgery.
We require a number of lab tests, diagnostic tests and medical evaluations leading up to your surgery. The nature of these tests will vary according to the procedure, your age, health, history, and other key health factors. Make sure to run all the necessary blood work and receive clearance before any surgical procedure. Necessary testing may change based on procedure, age, health, history and other factors.
Two weeks before surgery
It’s of utmost importance to follow all of your surgeon’s instructions regarding diet, supplements and medications. Stop drinking alcohol and smoking of any kind. Avoid exposure to sick people and quit taking blood thinning medications, such as Aspirin, Ibuprofen and a number of supplements. Post-surgery preparations should be made, such as arranging transportation, getting time off from work, stocking up on food and anything else you will need post-surgery and making sure someone will stay with you during the first two days after the procedure.
Day before surgery
Figure out what you are going to wear, follow your surgeon’s instructions regarding pre-surgery fasting and any other preparation measures. Go to bed early and get well rested before your big day. We also recommend getting your house in order and buying ice packs to help with swelling after the surgery.
What to Expect After Surgery
Directly after surgery, the incisions are covered with protective medical tapes (Steri-strips) and absorbent pads, followed by a surgical compression bra.
The first few days following the procedure, breasts are expected to be sensitive, swollen and bruised. Walking and light physical activity is fine but heavy lifting or strenuous activity must be avoided for 4-6 weeks. Most patients take about 2 weeks off work but those working from home can often take less. It is best to also avoid underwire bras for three months.
Dr. Bray is very involved in the post-operative care process. In-person and virtual follow-up meetings will be scheduled to assess the healing process, and address any concerns.
Complications from Breast Reduction
Potential complications for a breast reduction include, but are not limited to:
- Excessive swelling
- Excessive bruising
- Excessive scarring
- Change in nipple position
- Loss of sensation in the nipple
- Fat necrosis
RECOMMENDED SURGERIES WITH BREAST REDUCTION
*INDIVIDUAL RESULTS MAY VARY
Schedule a private consultation with Dr. Bray by submitting the form below or calling his offices directly at 416-323-1330.