Over the years, Dr. Jose Perez-Gurri has earned a reputation as one of the more accomplished Miami cosmetic surgeons. He offers a complete range of procedures for the face and the body, including sophisticated breast enhancement treatments. One of the breast procedures his patients request more often is breast reduction. When performed by an experienced surgeon such as Dr. Perez-Gurri, this treatment can enhance the appearance of the breasts, reduce the tension in the upper back, and enhance the patient’s self-confidence. If you would like to learn more about breast reduction in Miami with Dr. Perez-Gurri, please explore the paragraphs below.
A breast reduction can be performed under local anesthesia with intravenous sedation or general anesthesia. We have found that our Miami breast reduction patients are most comfortable undergoing general anesthesia. The breast reduction procedure is performed as an outpatient allowing you to go home afterwards. Depending on your exact procedure, the incisions will vary. However, most patient will undergo their breast reduction through what is commonly termed as an “anchor” or “inverted T incision” This means that the incision will be around the nipple/areolar complex then extend straight down from the six o’clock position until it meets the inframammary fold (the normal breast fold, inferiorly).
The incision then extends within the limits of the inframammary fold, from the center of the chest to out laterally. Every attempt will be made to make the scars less conspicuous. However, you need to understand that every patient will be different. Because the basic problem is that there is too much glandular tissue and skin, the incisions described above allow our cosmetic surgeon Dr. Perez-Gurri to remove the necessary breast tissue and be able to tuck the breast tissue, redistribute the glandular mass and reshape the breast. The incisions are closed, a surgical bra is placed and you are taken to the recovery room. After allowing time for recuperation, you will be discharged to go home.
You will be allowed to go home after your breast reduction surgery. You will need to wear the surgical bra for the first few days. We then suggest that you wear a sports bra. Some custom surgical bras are available from different manufacturers and our office will be happy to assist you in this purchase.
You will experience some pain in the first 24-48 hours and a feeling of tightness. This is normal. Pain medication will be provided for you and we suggest that all your post-operative medications be purchased prior to surgery. You should not be the person controlling the meds to avoid self-medication. At home, it is suggested that you rest. You will be asked to come to the office the next day. At this point, some bandages may be removed. You will have “steri-strips” or small tapes around all incisions that will come off by themselves within the first 10-14 days post-op. If they need to be changed, it will be done in the office.
We will need to see you within another week for possible suture removal or to change the steri-strips. Frequently, the sutures used are absorbable and will not require suture removal. Check with us in your particular case. Most Miami breast reduction patients require 7 days recovery before returning to work and/or driving their car. If your work requires strenuous activity you may need 3 weeks to recover. Exercise may be continued after 6 weeks. Always check with us. Household chores may be started within the second post-operative week. Every patient is unique and will recuperate differently. If you feel great, don't over do it.
Although complications from breast reduction surgery are not frequent and percentages will vary, you need to be aware that the following complications may occur:
PROMINENT VISIBLE SCARS, POSSIBLE LOSS OF TISSUE &/OR NIPPLE, ALTERED NIPPLE/SKIN SENSATION (EITHER INCREASED OR DECREASED), CONTOUR IRREGULARITIES, ASSYMETRY, INABILITY TO BREAST FEED, INFECTION, HEMATOMA, FAT NECROSIS
Some of these breast reduction surgery complications if severe enough, may delay recovery time, require further surgery for correction at additional costs and may involve other specialists within the medical field. Please be aware that smokers, diabetics and overweight individuals have a higher incidence of complications when compared to those who don’t smoke, have diabetes and/or are overweight. You should also note that patients undergoing combined procedures (i.e. breast reduction and tummy tuck) also have a higher complication rate than those undergoing a single cosmetic surgery procedure.
These breast reduction procedures are considered body contouring and enhancing in nature. It is more probable than not that the breast reduction will alleviate your symptoms. They are not meant as a substitute for weight reduction. If you were overweight prior to your surgery, you will be overweight following your surgery.
Although our cosmetic surgeon Dr. Perez-Gurri will limit the extent of your incisions, please understand that the incisions are usually as wide as your breast. We have found that one of the key factors in achieving patient satisfaction is patient expectation. No guarantee implied or in writing is given regarding the eventual bra cup size that you will wear. A suggestion is made by Dr. Perez-Gurri based on his professional experience as to the size. Remember that many things are taken into consideration but the one limiting factor is the skin and availability of good tissue.
There seems to be an inverse relationship with expectation and satisfaction regarding breast reduction surgery. That is, the higher the expectation, the lower the satisfaction breast reduction surgery. Body image is unique and what the patient frequently sees may not be what is seen by the surgeon. Therefore, it is important that you become keenly aware of your expectations for the procedure, know its limitations and fully discuss any concerns that you may have regarding the breast reduction procedure with Dr. Perez-Gurri. We encourage questions and have allowed ample time to answer them personally and with our literature and videotapes. Please realize that the results obtained through a breast reduction are not permanent. Gravity continues to have an effect on the tissues and the aging process and laxity of tissues continue at the same rate as before. Every patient is different and will have a unique experience.
What if I get pregnant?
Your breasts will grow under hormonal influence just as they would without surgery. However, if you are left with excess skin, the breast may sag once again.
Can I breast feed?
Probably not. You need to fully understand that some women cannot breast feed regardless of surgery. However, after undergoing a breast reduction many of the milk duct connections are interrupted, therefore preventing the normal flow of milk to the nipple.
Will the breast reduction surgery increase the chances of cancer?
No. There is no current scientific data that relates a causal relationship between breast reduction surgery and breast cancer.
Is mammography more difficult to interpret?
Yes. Frequently, your breasts heal with scar tissue that may become calcified and mimic an abnormality. It is important that you inform your mammogram technician of your breast surgery so that the radiologist reading the mammogram may take this into consideration.
Will I lose nipple sensation?
Maybe yes and maybe no. There are techniques that have been developed to preserve nipple sensation. However, even using these techniques it is possible to lose sensation.
Are my results from breast reduction surgery permanent?
No. The normal processes of aging & gravity that cause continued laxity of the tissues eventually lead the breast to sag again. There is no sure way of predicting how long this process takes in any particular individual. As you gain weight, your breast will enlarge.
Will my stretch marks go away?
No. There are no permanent cures for stretch marks. Different creams and remedies exist that temporarily hydrate the skin making the stretch marks less visible but they do not remove stretch marks. Lasers have been utilized to treat stretch marks but are only effective in reducing the color intensity of red/bluish ones. By stretching the skin as a result of the implants, the stretch marks may become less visible.
The above information has been compiled as a benefit to you. We hope that this document has served to better inform you on the proposed procedure. We encourage dialogue. Dr. Perez-Gurri and his staff at Imagos Institute of Plastic Surgery, Inc welcome your questions.
It is our sincerest wish that your surgical experience at IMAGOS INSTITUTE OF PLASTIC SURGERY, INC. be a pleasant and informative one. We recognize that all patients will experience pre-operative anxiety and fear of elective cosmetic surgical procedures is normal. Our trained professional staff and doctors are here to serve your needs and answer your questions. We can discuss with you our third party financing options to help finance the cost of breast reduction surgery.
Breast reduction is one of the plastic surgery procedures that rank especially high in terms of patient satisfaction. Other procedures that consistently deliver highly rewarding aesthetic results include breast augmentation and breast lift. Dr. Perez-Gurri has performed numerous breast enhancement treatments, and he is regarded by his patients and peers as a top Miami breast lift and breast implants provider.
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Imagos Plastic Surgery
9955 N. Kendall Dr., 2nd Floor
Miami, FL 33176