Breast Reduction in San Antonio

Ideal candidates for breast reduction are women who are in good physical and emotional health, have realistic expectations, and are dissatisfied with the size, shape, or position of their breasts. Women with large, heavy, or pendulous breasts may experience physical symptoms such as neck and back pain, skin irritation, and posture problems, as well as emotional discomfort such as self-consciousness, insecurity, and embarrassment. Breast reduction can help alleviate these symptoms and improve quality of life.

The surgeon typically performs breast reduction under general anesthesia or intravenous sedation, and the procedure can take from two to five hours, depending on its extent. The most common technique involves an anchor-shaped incision that circles the areola, extends downward, and follows the natural curve of the crease under the breast. The excess tissue, fat, and skin are removed, and the nipple-areola complex is repositioned to a higher, more youthful position. The surgeon reshapes and sutures the remaining tissue to create a smaller, lighter, and more aesthetically pleasing bustline.

As with any surgical procedure, breast reduction carries certain risks and complications, including bleeding, infection, hematoma, scarring, loss of sensation in the nipple-areola complex, asymmetry, and dissatisfaction with the final result. You can minimize these risks by choosing a qualified and experienced plastic surgeon, following all pre- and postoperative instructions, and communicating openly and honestly with your surgeon about your expectations and concerns.

The recovery time after breast reduction varies from person to person and depends on several factors. These factors include the extent of the procedure, the patient’s overall health, and the surgeon’s instructions. Most patients need to take one to two weeks off work to rest and recover. They may also experience some swelling, bruising, and pain that can be managed with pain medication. Strenuous physical activity, including lifting and exercising, should be avoided for at least four to six weeks after the surgery to ensure proper healing.

Your consultation with Dr. Baumholtz involves a thorough examination of your breasts and a discussion about your medical history, including previous surgeries. You'll share your goals and expectations for the breast reduction procedure. Bring a list of medications, supplements, allergies, and health conditions. Dr. Baumholtz will explain various techniques, risks, and benefits, helping you choose the most suitable option. During the initial visit, expect a comprehensive medical history review, a physical exam, and a careful evaluation of breast tissue and skin. Dr. Baumholtz will take photos for surgical guidance. Provide detailed health information about yourself and close family members. If you smoke or take certain medications, cessation may be required weeks before surgery for optimal healing. Discuss weight loss or future pregnancies, as they can impact breast size and results. Depending on your age and health history, additional preparations like seeing your primary care doctor, an EKG, chest X-ray, mammogram, and blood tests may be necessary. Dr. Baumholtz ensures a holistic understanding of your health to tailor the breast reduction procedure to your unique needs.

After the surgery, your breasts will be smaller, lighter, and more aesthetically pleasing. The incisions will be closed with sutures, and you will be wrapped in bandages to help minimize swelling and support the new shape of your breasts. You should expect some swelling, bruising, and discomfort, which can be managed with pain medication and rest. Your plastic surgeon will provide you with specific postoperative instructions to follow, such as wearing a supportive bra, avoiding certain activities, and managing any pain or discomfort you may experience.

While breastfeeding after breast reduction is possible, it is not guaranteed. During the procedure, the surgeon repositions the nipple-areola complex to a higher, more youthful position and may partially or entirely remove the milk ducts and nerves controlling the sensation and function of the nipple-areola complex. The ability to breastfeed depends on factors such as the extent of the procedure, the patient's anatomy, and the surgeon's technique. If you plan to have children and breastfeed in the future, it is crucial to discuss this with your plastic surgeon and explore alternative options, such as breast reduction with nipple preservation. It's essential to recognize that any breast surgery may interfere with breastfeeding, and breast reduction poses a significant risk in this regard. If breastfeeding is a priority for your next child, it may be advisable to delay the procedure until after that stage of your life.

The results of breast reduction generally last long, but various factors like weight changes, pregnancy, hormonal fluctuations, and aging can affect them. To maintain the best possible results, it is important to follow a healthy diet, exercise regularly, and avoid exposing your breasts to the sun or other sources of ultraviolet radiation (such as tanning beds). If you experience any changes or concerns, it is important to contact your plastic surgeon and schedule a follow-up appointment.

Recovery time after breast reduction surgery varies from person to person, but most people return to work and normal activities within a few weeks. You should expect some swelling, bruising, and discomfort in the days following the surgery, which can be managed with pain medication and rest. Your plastic surgeon will provide you with specific postoperative instructions to follow, such as wearing a supportive bra, avoiding certain activities, and managing any pain or discomfort you may experience. You should also expect follow-up appointments with your plastic surgeon to monitor your progress and address any concerns or questions you may have.

Yes, breast reduction surgery will result in scars. The location and size of the scars depend on the technique used, as well as the size and shape of your breasts. Some common incision patterns include the anchor-shaped incision, the vertical incision, and the circumareolar incision. Your plastic surgeon will discuss the options with you and choose the best technique for your needs and goals. With proper care, most scars will fade over time and become less noticeable, but they will not disappear completely.

Yes, breast reduction can be combined with other procedures, such as a breast lift, a tummy tuck, or liposuction. This is known as a Mommy Makeover, and it can help address multiple areas of concern in a single surgical session. However, it is important to keep in mind that combining procedures will increase the overall risk and recovery time, as well as the cost. Your plastic surgeon will discuss your options with you and help you choose the best plan of action to meet your goals and expectations.

The cost of breast reduction varies depending on several factors, such as the extent of the procedure, the surgeon’s experience and reputation, the location of the practice, and the specific techniques used. The cost typically includes the surgical fee, anesthesia fee, and any necessary medical supplies, but it does not include preoperative laboratory tests, postoperative garments, or prescription medications. Some insurance companies may cover the cost of breast reduction if it is deemed medically necessary, but it is important to check with your insurance provider and understand the specific requirements and limitations. Your plastic surgeon can provide you with a detailed cost estimate during the consultation.

Preparing for breast reduction surgery involves following your plastic surgeon's instructions. This may include quitting smoking or nicotine products 4-6 weeks before surgery, as smoking hinders healing. Avoid aspirin, NSAIDs, and blood-thinning medications two weeks pre and post-surgery to minimize bleeding risk. Abstain from alcohol 24 hours before and after surgery to support the healing process. Arrange for transportation home and someone to stay with you for the initial 24-48 hours post-surgery. Purchase recommended supplies, such as a supportive bra, gauze, sterile saline solution, and surgical tape. Openly discuss your goals and expectations with your plastic surgeon to ensure a successful outcome and minimize complications.

In certain cases, a non-surgical or minimally invasive solution may be appropriate. For women with fatty breasts and minimal sagging, desiring a modest reduction, liposuction alone might be sufficient. However, this option is suitable for those with resilient and elastic skin, without the need for nipple or areola repositioning. Liposuction results in fewer and smaller scars than a complete breast reduction but does not address sagging. Surgeons may also use liposuction for excess fat reduction along the torso and back. It's crucial to understand that liposuction can only reduce volume and won't change nipple position or skin, possibly leading to increased drooping.

Our practice does not participate with insurance but here’s what you might need to know... Insurance may cover breast reduction if they deem it medically necessary. Insurance companies typically consider breast reduction medically necessary if the patient experiences physical symptoms, such as back pain, neck pain, or shoulder pain, or emotional distress, such as self-consciousness or embarrassment, due to the size and weight of their breasts. To determine whether your insurance policy covers breast reduction, you should check with your insurance provider and provide them with a letter of medical necessity from your plastic surgeon. The letter should outline the medical indications for the procedure and explain how it will improve your quality of life.

Breast reduction, like any surgical procedure, comes with inherent risks and potential complications. These may include bleeding, infection, scarring, changes in sensation or numbness in the nipples and breast tissue, poor wound healing, asymmetry, or unevenness in breast size or shape, and the need for revision surgery. It's essential to have a detailed discussion with your plastic surgeon about these risks. They will guide you through steps taken to minimize complications and provide thorough explanations of postoperative care. Follow all preoperative and postoperative instructions, attend scheduled follow-up appointments, and communicate openly if you experience concerns, reducing the risk of complications and ensuring a smooth recovery.