Aesthetic breast surgery and breast reduction is a sub-specialization of Dr. Wanzel's. He completed additional training after his seven year residency in aesthetic and reconstructive breast surgery.
Large breasts can cause pain, improper posture, rashes, breathing problems, skeletal deformities, and low self-esteem. Breast reduction surgery is usually done to provide relief from these symptoms.
The procedure removes fat and glandular tissue and tightens skin to produce smaller, lighter breasts that are in a healthier proportion to the rest of the body. It is often covered by provincial health plans (eg. OHIP) and is performed under a general anesthetic, usually as an outpatient.
The Breast Reduction Procedure
Breast reduction is performed under general anesthesia. In general, there are two types of breast reductions and the particular technique utilized often depends on your overall current size and/or how small you desire to be after the operation. For small to moderate reductions, a "lollipop" incision (ie. a circle around the areola and a vertical scar from the areola down to the fold) is used. For very large reductions, an "anchor" incision (ie. the lollipop plus a scar in the fold) is often required.
After the incisions are made, breast tissue is either removed, reorganized and reshaped to achieve the desired breast size and contour. The nipple and areola are moved higher on the breast and are often also resized.
Recovery from Breast Reduction
The surgery is performed as an outpatient and under general anesthesia. You will awake with your bra on and small dressings over the incisions. Most people are sore and a bit swollen for a few days after surgery.
In general, moving around and walking is permitted and encouraged early on. Walks for exercise are possible at about the 2 week mark. Jogging and more vigorous exercise is allowed at about 4 weeks. At 6 weeks, there are essentially no restrictions. However, Dr. Wanzel will guide you through a customized recovery depending on your exact surgery and how the recovery process is progressing.
risks of Breast Reduction
Complications following a breast lift are thankfully quite rare. The most common complication (and happily it is exceedingly rare) in the first day or two is a hematoma (ie. a collection of unwanted excess blood). Other complications include, but are not limited to infections, a decreased sensation of the nipple and/or areola, a decreased potential for lactation and future breast feeding, and asymmetries.