Breast Reduction Mammaplasty
All surgery carries some uncertainty and risk
Breast reduction is not a simple operation, but it's normally safe when performed by a qualified plastic surgeon. Nevertheless, as with any surgery, there is always a possibility of complications, including bleeding, infection, or reaction to the anesthesia. Some patients develop small sores around their nipples after surgery; these can be treated with antibiotic ointments. You can reduce your risks by closely following Dr. Bermant's advice both before and after surgery.
The procedure does leave noticeable, permanent scars, although they'll be covered by your bra or bathing suit. (Poor healing and wider scars are more common in smokers.) The procedure can also leave you with slightly mismatched breasts or unevenly positioned nipples. Future breast-feeding may not be possible, since the surgery removes many of the milk ducts leading to the nipples.
Some patients may experience a permanent loss of feeling in their nipples or breasts. Rarely, the nipple and areola may lose their blood supply and the tissue will die. (The nipple and areola can usually be rebuilt, however, using skin grafts from elsewhere on the body.)
Planning your surgery
This website is a good introduction to what we offer. Patients can then continue with our in office evaluation or with our Preliminary Remote Discussion to minimize travel to Virginia. In your initial consultation, it's important to discuss your expectations frankly with Dr. Bermant, and to listen to his opinion. Every patient-and every physician, as well-has a different view of what is a desirable size and shape for breasts.
Dr. Bermant will examine and measure your breasts, and will probably photograph them for reference during surgery and afterwards Dr. Bermant will discuss the variables that may affect the procedure - such as your age, the size and shape of your breasts, and the condition of your skin. You should also discuss where the nipple and areola will be positioned; they'll be moved higher during the procedure, and should be approximately even with the crease beneath your breasts.
Dr. Bermant will describe the procedure in detail, explaining its risks and limitations and helping you understand typical scarring. We also will explain his Tumescent Technique Anesthesia for Breast Reduction, where the surgery will be performed, and after surgery care. Jane can help explain Breast Reduction Surgery Costs and what time we have available.
Preparing for your surgery
Dr. Bermant may require you to have a mammogram (breast x-ray) before surgery. You'll also get specific instructions on how to prepare for surgery, including guidelines on eating and drinking, smoking, and taking or avoiding certain vitamins and medications. Some surgeons suggest that their patients diet before the operation.
Breast reduction doesn't usually require a blood transfusion. However, if a large amount of breast tissue will be removed, your physician may advise you to have a unit of blood drawn ahead of time. That way, if a transfusion should be needed, your own blood can be used.
While you're making preparations, be sure to arrange for someone to drive you home after your surgery and to help you out for a few days if needed.
Where your surgery will be performed
Breast reduction can done in a hospital or Dr. Bermant's Accredited Surgical Center.. In either case this is usually an ambulatory procedure. The surgery itself usually takes two to four hours, but may take longer in some cases. We do our general anesthesia cases in the hospital. Dr. Bermant's Tumescent Technique can lessen the bleeding, bruising, and discomfort after surgery. Patients can take advantage of our hospital 23 hour stay package, where they can relax during their initial recovery.
Type of anesthesia
Dr. Bermant's Breast reduction is usually performed under local anesthesia with heavy sedation with his Tumescent Technique. You'll be asleep through the entire operation waking at the end with the breast still comfortable from the tumescent anesthesia.