WEBVTT 1 00:00:00.400 --> 00:00:01.380 line:15% Welcome to your guide 2 00:00:01.380 --> 00:00:03.350 line:15% to breast reduction surgery. 3 00:00:03.350 --> 00:00:05.440 line:15% Take a few minutes to familiarize yourself 4 00:00:05.440 --> 00:00:06.273 line:15% with the procedure 5 00:00:06.273 --> 00:00:09.530 line:15% and what you can do to help improve your results. 6 00:00:09.530 --> 00:00:11.100 line:15% Remember, this presentation 7 00:00:11.100 --> 00:00:13.610 line:15% does not take the place of your consultation, 8 00:00:13.610 --> 00:00:16.220 line:15% and you should make sure to jot down any questions 9 00:00:16.220 --> 00:00:18.460 you may want to ask us later. 10 00:00:18.460 --> 00:00:22.010 line:15% Many women seek breast reduction or reduction mammoplasty 11 00:00:22.010 --> 00:00:24.220 because they are having back and neck problems 12 00:00:24.220 --> 00:00:27.300 caused by the excessive weight of their breasts. 13 00:00:27.300 --> 00:00:29.870 line:15% A breast reduction can help relieve some of the pain 14 00:00:29.870 --> 00:00:31.490 line:15% or soreness in your back 15 00:00:31.490 --> 00:00:33.460 line:15% or some of the pressure from bra straps 16 00:00:33.460 --> 00:00:36.090 line:15% that usually come with large breasts. 17 00:00:36.090 --> 00:00:38.350 line:15% It is sometimes performed in conjunction 18 00:00:38.350 --> 00:00:42.090 line:15% with liposuction of the under arm and upper back area. 19 00:00:42.090 --> 00:00:44.750 Physically healthy women at their ideal body weight 20 00:00:44.750 --> 00:00:46.070 and with realistic goals 21 00:00:46.070 --> 00:00:48.720 are good candidates for this surgery. 22 00:00:48.720 --> 00:00:52.600 Procedure: how will your breast reduction be performed? 23 00:00:52.600 --> 00:00:55.160 There are two main techniques that may be used, 24 00:00:55.160 --> 00:00:58.240 depending on the amount of correction desired. 25 00:00:58.240 --> 00:01:00.600 line:15% If your breasts are extremely large, 26 00:01:00.600 --> 00:01:03.530 line:15% the anchor or keyhole incision is often used. 27 00:01:03.530 --> 00:01:05.450 line:15% This technique uses incisions 28 00:01:05.450 --> 00:01:08.460 line:15% which roughly resemble an old-fashioned keyhole, 29 00:01:08.460 --> 00:01:11.200 line:15% circling around the areola, down the breast, 30 00:01:11.200 --> 00:01:13.570 line:15% and along the breast crease. 31 00:01:13.570 --> 00:01:15.210 line:15% The vertical incision technique 32 00:01:15.210 --> 00:01:18.070 line:15% is generally performed when a more moderate reduction 33 00:01:18.070 --> 00:01:20.180 line:15% or limited lift is necessary. 34 00:01:20.180 --> 00:01:23.690 line:15% This involves an incision that takes the shape of a lollipop 35 00:01:23.690 --> 00:01:25.530 line:15% with a circle around the areola 36 00:01:25.530 --> 00:01:28.280 line:15% and a straight incision down the center of the breast, 37 00:01:28.280 --> 00:01:31.290 line:15% ending at the crease beneath the breast. 38 00:01:31.290 --> 00:01:33.100 line:15% With each of these techniques, 39 00:01:33.100 --> 00:01:35.340 line:15% once the incisions have been made, 40 00:01:35.340 --> 00:01:38.390 line:15% excess breast tissue, skin, and fat are removed. 41 00:01:38.390 --> 00:01:41.440 line:15% The nipples are moved to their new higher locations, 42 00:01:41.440 --> 00:01:42.810 and the skin is tightened 43 00:01:42.810 --> 00:01:44.980 to give a new shape to your breasts. 44 00:01:44.980 --> 00:01:47.610 The incisions are closed using very fine stitches 45 00:01:47.610 --> 00:01:50.090 and then taped to help reduce scarring. 46 00:01:50.090 --> 00:01:52.240 You will also be fitted with a support bra 47 00:01:52.240 --> 00:01:56.000 to help you heal and make you feel more comfortable. 48 00:01:56.000 --> 00:01:57.940 line:15% Together, we will select the technique 49 00:01:57.940 --> 00:02:00.550 that will provide the best result for you. 50 00:02:00.550 --> 00:02:02.410 When you meet with our patient coordinator, 51 00:02:02.410 --> 00:02:04.710 we will discuss fees and costs. 52 00:02:04.710 --> 00:02:05.690 Preparation. 53 00:02:05.690 --> 00:02:07.790 Every woman has a unique perspective 54 00:02:07.790 --> 00:02:10.490 on what may be the best shape for her breasts, 55 00:02:10.490 --> 00:02:12.070 and your goals will affect the way 56 00:02:12.070 --> 00:02:14.510 your breast reduction is performed. 57 00:02:14.510 --> 00:02:16.900 line:15% It is important to discuss your desires 58 00:02:16.900 --> 00:02:19.350 line:15% and listen closely during the consultation 59 00:02:19.350 --> 00:02:22.300 line:15% so that you can set realistic expectations. 60 00:02:22.300 --> 00:02:24.600 A great result can only be achieved 61 00:02:24.600 --> 00:02:26.920 when there is good communication between us. 62 00:02:26.920 --> 00:02:28.550 You also need to understand 63 00:02:28.550 --> 00:02:30.620 that the shape you have before surgery 64 00:02:30.620 --> 00:02:34.230 will partially determine the shape you have after surgery. 65 00:02:34.230 --> 00:02:37.760 line:15% Some suggestions to help you prepare for surgery. 66 00:02:37.760 --> 00:02:39.600 line:15% Your safety matters to us. 67 00:02:39.600 --> 00:02:43.120 line:15% You should be very open: provide all your medical history, 68 00:02:43.120 --> 00:02:47.050 drug allergies, list any previous surgeries or biopsies, 69 00:02:47.050 --> 00:02:49.620 medications, diet pills, vitamins, 70 00:02:49.620 --> 00:02:51.250 and herbs you are taking, 71 00:02:51.250 --> 00:02:54.140 even if you don't think they're important. 72 00:02:54.140 --> 00:02:56.330 line:15% Also, don't be afraid to be frank with us 73 00:02:56.330 --> 00:02:58.710 line:15% about your lifestyle, smoking, 74 00:02:58.710 --> 00:03:01.220 line:15% the strenuousness of the work you perform, 75 00:03:01.220 --> 00:03:02.710 line:15% your exercise habits 76 00:03:02.710 --> 00:03:05.360 line:15% and the importance of getting back to work. 77 00:03:05.360 --> 00:03:08.068 Here are some tips that may help you reduce scarring, 78 00:03:08.068 --> 00:03:10.070 shorten your recovery time, 79 00:03:10.070 --> 00:03:13.300 and decrease your chances of complications. 80 00:03:13.300 --> 00:03:17.350 line:15% Discontinue using Aspirin, Ibuprofen, Naprosyn, 81 00:03:17.350 --> 00:03:20.600 line:15% St. John's Wort, and Vitamin E for one week before 82 00:03:20.600 --> 00:03:22.870 line:15% and a few days after your procedure. 83 00:03:22.870 --> 00:03:24.330 line:15% These act as blood thinners 84 00:03:24.330 --> 00:03:26.733 line:15% and could cause problems with blood clotting. 85 00:03:27.880 --> 00:03:30.450 line:15% Stop smoking and drinking alcohol in excess 86 00:03:30.450 --> 00:03:32.730 line:15% well in advance of your breast reduction, 87 00:03:32.730 --> 00:03:34.643 line:15% and for one week after surgery. 88 00:03:35.850 --> 00:03:37.500 line:15% Drink lots of water in the days 89 00:03:37.500 --> 00:03:39.510 leading up to your breast reduction. 90 00:03:39.510 --> 00:03:42.053 Hydration will help you recover more quickly. 91 00:03:42.890 --> 00:03:44.460 To make your recovery easier 92 00:03:44.460 --> 00:03:46.723 and more comfortable, be sure to: 93 00:03:47.940 --> 00:03:49.990 arrange for someone to take you home 94 00:03:49.990 --> 00:03:53.273 and take care of you for at least the first 24 hours. 95 00:03:54.110 --> 00:03:56.560 line:15% Fill your prescriptions prior to surgery 96 00:03:56.560 --> 00:03:58.310 line:15% and place them within easy reach 97 00:03:58.310 --> 00:03:59.773 line:15% of where you will be resting. 98 00:04:00.910 --> 00:04:03.350 Place plenty of pillows and a bed wedge nearby 99 00:04:03.350 --> 00:04:05.743 so that you can keep your back elevated. 100 00:04:06.610 --> 00:04:09.120 Have several loose fitting, button-down blouses 101 00:04:09.120 --> 00:04:11.373 ready to wear in your new breast size. 102 00:04:12.490 --> 00:04:14.730 line:15% You will also want to avoid raising your arms 103 00:04:14.730 --> 00:04:15.800 line:15% above shoulder level 104 00:04:15.800 --> 00:04:18.203 line:15% during the first few days after surgery. 105 00:04:19.230 --> 00:04:20.710 Recovery. 106 00:04:20.710 --> 00:04:22.910 You should expect some bruising, swelling, 107 00:04:22.910 --> 00:04:25.360 and pain for the first week or two. 108 00:04:25.360 --> 00:04:27.560 Stitches will come out or be absorbed on their own 109 00:04:27.560 --> 00:04:29.460 between a week and 10 days. 110 00:04:29.460 --> 00:04:33.060 Swelling may linger for as long as one to two months. 111 00:04:33.060 --> 00:04:34.860 Pain medication will be prescribed 112 00:04:34.860 --> 00:04:36.670 to control any discomfort. 113 00:04:36.670 --> 00:04:38.810 However, if you begin to have severe pain, 114 00:04:38.810 --> 00:04:40.363 contact us immediately. 115 00:04:41.260 --> 00:04:43.980 line:15% The recovery process is different for everyone, 116 00:04:43.980 --> 00:04:45.990 line:15% but within a day of your breast reduction, 117 00:04:45.990 --> 00:04:48.330 line:15% you should be up and walking around. 118 00:04:48.330 --> 00:04:49.510 line:15% For the first week or two 119 00:04:49.510 --> 00:04:51.280 line:15% you should plan on being out of work 120 00:04:51.280 --> 00:04:53.890 line:15% and away from your usual activities. 121 00:04:53.890 --> 00:04:56.060 line:15% Over the next two or three weeks your breasts 122 00:04:56.060 --> 00:04:57.680 line:15% may be very sensitive 123 00:04:57.680 --> 00:05:00.773 line:15% and strenuous physical activities should be limited. 124 00:05:01.870 --> 00:05:04.250 line:15% In particular, you should avoid jogging 125 00:05:04.250 --> 00:05:07.340 line:15% and bouncing activities for up to six weeks. 126 00:05:07.340 --> 00:05:09.060 line:15% You will need to wear a support bra 127 00:05:09.060 --> 00:05:11.100 line:15% for about one to two months. 128 00:05:11.100 --> 00:05:12.310 line:15% Following this period, 129 00:05:12.310 --> 00:05:14.440 line:15% you may gradually return to activities 130 00:05:14.440 --> 00:05:17.330 line:15% such as lifting, exercise, and sex. 131 00:05:17.330 --> 00:05:20.420 line:15% These precautions will help you avoid stress to your scars 132 00:05:20.420 --> 00:05:23.433 line:15% and allow time for your breast tissue to heal and recover. 133 00:05:24.540 --> 00:05:26.350 line:15% While there will be permanent scars, 134 00:05:26.350 --> 00:05:29.110 line:15% they should be well hidden when you're wearing clothing, 135 00:05:29.110 --> 00:05:32.020 line:15% even when you're wearing a swimsuit in most cases. 136 00:05:32.020 --> 00:05:33.540 line:15% The scars are usually small 137 00:05:33.540 --> 00:05:36.770 line:15% and become difficult to see as they heal over time. 138 00:05:36.770 --> 00:05:38.260 line:15% The appearance of your breasts 139 00:05:38.260 --> 00:05:41.023 line:15% should improve over a period of several months. 140 00:05:42.190 --> 00:05:45.730 What are the risks of breast reduction surgery? 141 00:05:45.730 --> 00:05:48.540 This information is not intended to frighten you, 142 00:05:48.540 --> 00:05:51.040 but will help you make an informed decision. 143 00:05:51.040 --> 00:05:54.460 No question or concern is silly or insignificant. 144 00:05:54.460 --> 00:05:55.920 We will be happy to discuss 145 00:05:55.920 --> 00:05:58.780 the full range of potential complications, 146 00:05:58.780 --> 00:06:00.730 and answer any questions you might have 147 00:06:00.730 --> 00:06:02.173 regarding this procedure. 148 00:06:03.230 --> 00:06:04.870 line:15% Although reduction mammoplasty 149 00:06:04.870 --> 00:06:07.650 line:15% is a well-established surgical procedure, 150 00:06:07.650 --> 00:06:10.070 line:15% there are risks of complications. 151 00:06:10.070 --> 00:06:13.360 line:15% Just as in any operation, bleeding, infection, 152 00:06:13.360 --> 00:06:15.560 line:15% and scar formation can occur. 153 00:06:15.560 --> 00:06:17.520 line:15% Other complications may include: 154 00:06:17.520 --> 00:06:20.350 line:15% asymmetry in size, skin loss, 155 00:06:20.350 --> 00:06:22.770 line:15% decreased or loss of nipple sensation, 156 00:06:22.770 --> 00:06:24.793 line:15% and inability to breastfeed. 157 00:06:25.840 --> 00:06:27.260 line:15% Breast reduction surgery 158 00:06:27.260 --> 00:06:29.720 line:15% does not normally interfere with pregnancy, 159 00:06:29.720 --> 00:06:31.750 line:15% but if you are planning to have a baby, 160 00:06:31.750 --> 00:06:33.310 line:15% your breast skin may stretch 161 00:06:33.310 --> 00:06:35.543 line:15% and offset the results of the reduction. 162 00:06:36.430 --> 00:06:39.360 All women should start routine mammogram screening 163 00:06:39.360 --> 00:06:41.600 by the age of 40 or earlier 164 00:06:41.600 --> 00:06:43.980 if there is a family history of cancer. 165 00:06:43.980 --> 00:06:45.700 Be sure to let your technician know 166 00:06:45.700 --> 00:06:47.870 that you have had a breast reduction. 167 00:06:47.870 --> 00:06:51.300 You should also continue monthly breast self-examinations 168 00:06:51.300 --> 00:06:53.623 and annual physician examinations. 169 00:06:54.760 --> 00:06:56.590 As with all medical procedures, 170 00:06:56.590 --> 00:06:59.150 be sure to choose your surgeon wisely. 171 00:06:59.150 --> 00:07:00.570 It is important to choose 172 00:07:00.570 --> 00:07:03.000 an experienced surgeon you can trust 173 00:07:03.000 --> 00:07:04.880 and develop a good rapport with, 174 00:07:04.880 --> 00:07:08.510 so you can openly discuss your concerns and particular needs 175 00:07:08.510 --> 00:07:10.740 throughout the process of consultation, 176 00:07:10.740 --> 00:07:12.493 surgery and aftercare. 177 00:07:13.660 --> 00:07:15.330 Should you decide to move forward 178 00:07:15.330 --> 00:07:16.820 line:15% with your breast reduction, 179 00:07:16.820 --> 00:07:19.000 line:15% a surgery date will be scheduled. 180 00:07:19.000 --> 00:07:22.080 line:15% Prior to surgery, you will be given complete preparation 181 00:07:22.080 --> 00:07:23.970 line:15% and recovery instructions. 182 00:07:23.970 --> 00:07:26.530 line:15% Remember to keep your follow-up visits, 183 00:07:26.530 --> 00:07:28.310 line:15% as we are here to help make this 184 00:07:28.310 --> 00:07:30.970 line:15% a wonderful experience for you. 185 00:07:30.970 --> 00:07:34.490 line:15% Feel free to review any part of this presentation you like, 186 00:07:34.490 --> 00:07:37.500 line:15% and be sure to take a look at our before and after gallery 187 00:07:37.500 --> 00:07:40.363 line:15% to get a better idea of the results you may achieve.