S.SEAN YOUNAI, MD,FACS Board Certified Plastic, Cosmetic, & Reconstructive Surgeon
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Breast Reduction 
 
Breast Reduction Beverly Hills, or Reduction Mammoplasty, is the surgical procedure to reduce breast size and weight through the removal of excess breast tissue, fat and skin. The plastic surgeon not only makes the breasts more proportionate to a woman’s figure, but also lifts them. 
 
According to the American Society of Plastic Surgeons, 114,250 Breast Reduction Beverly Hills surgeries were performed in 2005 on women who had excessively large breasts, a condition also known as Macromastia, Mammary Hypertrophy and Mammary Gigantism. Some girls develop breast overdevelopment (Mammary Hypertrophy) during puberty, while some women develop very large breasts (Gigantomastia) during pregnancy. 
 
Who Would Benefit from Breast Reduction? 

Women who suffer from the following symptoms are good candidates for undergoing Breast Reduction Surgery:

A woman with size F cup breasts is carrying approximately six pounds more than a woman with a D cup of extra weight. This additional weight is sustained by the neck, upper back and shoulders. Imagine constantly carrying a two-liter Coke bottle by a strap around your neck. You would definitely develop neck, shoulder, and upper back pain within a short time. This makes Mammary Hypertrophy a physical disability; one that is a severe health problem and yet is being increasingly disregarded by the health insurance companies. 

 

Disproportionate Breasts

Some women develop breasts that are disproportionate to their overall size. For example a petite woman with triple D cup breasts will be very "top heavy," and would have an extremely difficult time finding clothes that properly fit her.

Inability to Exercise

Many women with very large breasts or Mammary Hypertrophy have difficulty engaging in any kind of exercise routine. The mere weight of their breasts limits their ability to jog, climb, bend, or jump. Therefore, they seek Breast Reduction surgery so that they can lead a healthier lifestyle, while enjoying sports and other activities along with their peers and their loved ones.  

Skin Rashes rand Chronic Skin Infection Beneath the Breasts

Large and pendulous breasts cause excessive sweating in the folds beneath them. This results in constant skin irritation (chronic dermatitis) and even fungal and bacterial skin infections in the Inframammary fold. The wires in most support bras further irritate this area, resulting in long-term disintegration of the skin and agonizing pain. Breast Reduction can easily eliminate this disabling and tormenting medical condition  

Painful Shoulder Grooves

Women with very large breasts must wear full support bras with tight straps at all times, even to sleep. This causes them to suffer perpetually from painful and uncomfortable indentations over their shoulders where the straps are situated  

Breast Ptosis and Sagging

Often women with large breasts have a pendulous breast shape, with nipples and areolas (the colored area around the nipple) that point downward. Their heavy breasts sag to a point that they must always wear a bra and cannot wear revealing clothes. These women not only would like to have smaller and more proportionate breasts, yet would like to have them lifted so that at times they can choose to be "braless  

 

Is Macromastia or Overly Large Breasts Hereditary?

While this is often the case, it is not always true. For example, some women who had a relatively small breast size before pregnancy experience a dramatic and uncomfortable increase in their breast size following childbirth.  

How would you be evaluated for Reduction Mammoplasty?

Your cosmetic surgeon will evaluate a number of factors at your first appointment. These include your measurements, the size and shape of your breasts, and the placement of the nipples and areolas. He or she will also take photographs so an accurate record of your progress can be kept. Your plastic surgeon will also give you an estimate of how much breast weight that can be removed.

Can I Have Breast Surgery if I Plan to Lose Much Weight After the Surgery?

You should postpone Breast Reduction surgery until you have lost weight and your breasts size and weight have stabilized. Excessive weight loss after reduction mammoplasty can cause dramatic sagging of your breasts, requiring further surgery  

Are There Options Besides Surgery for Breast Reduction?

Obese women who have large breasts may consider losing weight before embarking upon Breast Reduction. This initial weight loss will first reduce their risk for surgical complications; second it will make their recuperation easier, and third will bring their breasts to their stable weight and size before proceeding with reduction Mammoplasty. Also, women who have back and neck pain along with large breasts should first try physical therapy and weight loss before considering surgery.

Is There A Minimum Age for Breast Reduction?

It is recommended that you don’t have breast surgery until you have reached adulthood and until after your breasts have stopped growing. Exceptions may be made for girls who have a rare and extreme kind of breast overgrowth known as "virginal hypertrophy." These girls develop gigantic breasts during adolescence that become a physical and psychological predicament for them. After having undergone reduction mammoplasty during adolescence, these girls often have further Breast Reduction surgery at a later age when their breast size stabilizes.  

   
 
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