Breast Reduction Sacramento
Breast reduction is a very popular procedure. Many women suffer from breasts which are disproportionately too large for their frame. Large breasts can cause neck, back, and shoulder pain. Bra straps can create grooves in the shoulders that are painful. Some women can get a yeasty rash under their heavy breasts from the heat and moisture. Breast reduction is usually recommended for symptomatic women with a breast size which is DD or greater, that has not improved with conservative measures, such as wide-strapped bras, over-the-counter pain medication, or weight loss.
Surprisingly, many women describe almost immediate relief of their discomfort shortly after surgery. I’ve had patients tell me, in the Recovery Room, that they already feel 1000% percent better! Studies have shown that greater than 90% of women get full relief of their neck, back and shoulder pain after breast reduction.
Breast Reduction Surgery
However, breast reduction does create a lot of scar on the breast. Not only does the volume of the breast need to be made smaller, but the excess skin needs to be removed, and a new “skin bra” needs to be fashioned. The nipple is repositioned higher on the breast to a more youthful spot, and the breast is reshaped into a more youthful cone. The amount of scarring depends on the original “droopiness” of the breasts and how much tissue needs to be removed. Almost all breast reductions include a scar that goes around the perimeter of the areola. Most also include a vertical line heading from the 6:00 position of the areola down to the fold at the bottom of the breast. Some also require a side-to-side scar in the bottom fold of the breast. Your own anatomy will determine the extent of your scarring.
Take a Look at Breast Reduction Before and After Photos
The nipple/areola is left attached to the underlying breast tissue. This maintains the blood supply and sensitivity of the nipple. Because it remains attached, women are likely able to breast feed after a reduction. However, pregnancy and breast feeding may ultimately change the size and appearance of the breast. Some post-reduction patients return later on with a need for “maintenance work”: either because of the after-effects of pregnancy, weight gain or loss, or the aging process. However, the vast majority of my patients simply have the reduction performed, and then go on about their lives. They have an easier time finding bras and clothes that fit. They can more easily exercise. They are more confident that people are listening to what they have to say, and are not just staring at their large breasts!
What to Expect During your Initial Breast Reduction Consultation
Breast reduction begins with a consultation in my office. I will discuss the procedure with you in detail, and make sure you understand the pros and cons thoroughly. I will take measurements of your breasts, and give you an idea of what your bra size might be after reduction. I will take photographs to submit to your insurer to obtain authorization for the surgery. If you have any health issues, we will try to get those minimized. I do sometimes suggest that heavier women try and lose some weight prior to surgery, not only to achieve a more pleasing result, but also to minimize the risk of anesthesia and reduce post-operative complications. However, heavier women get just as much symptom relief as thinner women.
Once authorization is obtained, we will contact you to determine a convenient time for surgery. You will be seen for a pre-op visit, where I will listen to your heart and lungs, go over the procedure again, and answer any questions. Your post-op medications and office visits will be arranged.
How Much Does Breast Reduction Cost in Sacramento?
Breast reduction cost for Sacramento plastic surgery patients generally starts at $8,900. The cost includes anesthesia fees, facility fees, surgeon’s fee, and post-op fees such as prescriptions and hospital garments. Since breast reduction is considered to be a cosmetic procedure, health insurance typically does not cover the cost. However, depending on your insurance provider, proof of breast-related health issues can qualify you for insurance coverage. Schedule your consultation with Dr. Debra Johnson today to receive a personal breast reduction cost quote.
Breast Reduction Recovery
Most patients need about two weeks off work after breast reduction. But because the surgery is not terribly painful, it can be done on an outpatient basis. The surgery itself takes about 3 hours, but you usually need to arrive a couple of hours in advance, and stay a couple of hours after in the Recovery Room. We then see you back in the office in 2-3 days’ time, where we change your bandage and put you in a soft, stretchy bra. You wear this bra until the swelling is down to a dull roar and you can go shop for new bras. It takes 2-3 months for the breasts to really achieve their final shape, and 6-12 months for the scars to settle down. You can resume exercising usually within two weeks.
Why Choose Dr. Johnson for Your Breast Reduction?
Dr. Debra Johnson has an outstanding track record performing numerous face, breast, and body procedures. Dr. Johnson is highly regarded by her patients and peers in the cosmetic surgery field, having been elected Director of the American Board of Plastic Surgery and serving as President of the American Society of Plastic Surgeons. After seeing the incredible results of surgery performed by Dr. Johnson, many of her breast reduction patients regret not having undergone the surgery sooner.
“I recently had breast reduction surgery. Dr. Johnson did an incredible job. My results were above and beyond anything I imagined they might be. I’m so very happy with my results. I have a new outlook on life and I’m grateful to Dr. Johnson and her perfectionism and artistry when it comes to taking care of her clients. I look and feel fantastic! I would highly recommend her to anyone.”
– Vitals Patient, July 2018
Breast Reduction FAQs
Am I a candidate for breast reduction?
Disproportionately large breasts can limit a woman’s freedom, making some physical activities impractical or uncomfortable. Bra straps may chafe against the skin and put a strain on shoulders, potentially impacting circulation. The added weight of heavy breasts pulls the shoulders forward, often leading to chronic back pain and a slouch when walking or standing.
For patients with small frames, breast reduction can be a welcome solution to neck and back pain, poor posture and even social awkwardness. Trusted Sacramento plastic surgeon Dr. Debra Johnson is skilled in reshaping the size and proportion of breasts to dramatically improve your quality of life and end soreness, inflammation and pain.
Breast reduction surgery has a wide range of benefits, including adding symmetry to breasts and sculpting a more appealing shape. It can also adjust the nipple, compress the size of the areola, and generally create an elegant new profile. If there is sagging, Dr. Johnson can also lift each breast to renew the natural contour.
Is the breast reduction similar to breast lift?
In some ways, yes. During each procedure, the breast is reshaped, resulting in a perkier appearance. Although a breast lift does involve the removal of some tissue, its emphasis is on reclaiming a youthful profile by elevating the breast.
By contrast, during a breast reduction the surgeon makes a vertical incision, removes fat and skin, then tightens and reshapes each breast. The size of the areola may be reduced, and in the case of larger breasts the nipple and areola may also be repositioned.
Will there be scarring after the surgery?
Scarring is one of the trade-offs of a breast reduction procedure. The type of incision that is necessary will depend on the extent of the reduction in breast size. Significant reductions usually require a so-called “anchor shape” incision, which is made around the circumference of the areola and then vertically down and across the base of the breast. Smaller reductions can be performed using a “lollipop” incision that eliminates the necessity of cutting across the bottom of the breast. Although scars will be noticeable in the first months after surgery, they will fade with time.
Are the results permanent?
In the absence of future pregnancies or dramatic weight gain, the results of your breast reduction will be long-lasting. The procedure resets the clock on your profile, but cannot freeze time altogether. Some future sagging or loosening will naturally occur with aging. Except in rare cases, breast tissue will not grow back, so your reduction in volume and the many benefits you are enjoying from a more proportionate shape should indeed be permanent.