Breast Reduction In Shreveport Louisiana

A breast reduction is designed to reduce the size of the breast and eliminate excessive weight that maybe causing symptoms of neck and shoulder discomfort or excessive sweating and rashes underneath the breast.

Who is a candidate for breast reduction?

The best candidates for breast reduction are women troubled by very large, sagging breasts that restrict their activities and cause them physical discomfort. Breast reduction is typically performed for physical relief rather than just a cosmetic improvement. A breast reduction usually shouldn’t be performed until a woman reaches age 18 – 20 and her breasts have fully developed; however, the procedure can be performed earlier if large breasts are causing significant physical discomfort or interferes with social engagement. It’s important the candidate is mature enough to fully understand the procedure and have realistic expectations about the results.

What could I expect from a Breast Reduction Consultation?

If you are a potential candidate for a breast reduction in Louisiana, a personal one-on-one consultation at our Shreveport office is the first step towards any procedure.  Dr Bridges will answer any questions and if you are interested in a breast reduction procedure he’ll assess your phyiscal and emotional health to ensure a procedure is right for you.  In this consultation you can also review the expected cost of a breast reduction and any financing assistance that is available.

You should arrive at the consultation prepared to provide complete information about:

  • Previous surgical procedures
  • Mammogram history
  • Past and present medical conditions
  • Family history of medical conditions, particularly about breast cancer and prostate cancer
  • Medications you are taking, including herbal remedies or nutritional supplements.

When examining your breast, Dr. Bridges will evaluate:

  • The quality of your breast tissue.
  • The location of any existing scars.
  • The degree of skin laxity and stretch marks.
  • The size of your breasts and differences between the two breasts.
  • The nipple size and location and the differences between the two.

Part of the consultation will include a breast examination and photographs may be taken for your medical file. Dr. Bridges will evaluate the size and shape of your breasts, the quality of your skin and the placement of your nipples and areolas (the pigmented skin surrounding the nipples). He may have other suggestions for procedures to improve your results. For example, liposuction of the chest wall just lateral to the breasts and above the bra line can improve the shape and lower the cup size.  Cup size is based primarily on the size of the base of the breast and not as much a total volume of breast tissue.  Understand you will probably not get a result that you see in a magazine or like you friends.  Everyone is different and “what you bring to the table will be different than what someone else brings to the table”.

Issues and complications associated with breast reduction.

The procedure will leave scars that are noticeable although they’ll be covered by your bra or bathing suit. (Poor healing and wider scars are more common in smokers.) It’s also possible to end up with slightly mismatched breasts or unevenly positioned nipples.

Breast reduction is not recommended for women who intend to breast feed. Breast feeding may not be possible after the procedure since many of the milk ducts leading to the nipples are removed. Other potential risks include the possibility of bleeding, infection, or reaction to the anesthesia. Rarely, the nipple and areola may lose their blood supply and the tissue will die. However, they can be rebuilt using skin grafts although the sensation will not return.

Planning your surgery

The initial consultation for your breast reduction in Shreveport, our office will allow you and Dr. Bridges to discuss specific goals and expected results from the procedure. Dr. Bridges will examine and measure your breasts and may take a photograph for your records and for processing insurance coverage.  (On occasion insurance companies will cover a portion of the cost of the surgery.  Please check with your insurance policy for coverage or restriction of this procedure.)  Dr. Bridges will discuss the procedure in detail as well as the variables that may affect it such as your age, skin condition, size and shape of your breasts. The type of anesthesia to be used for the surgery, the surgical facility and costs will also be discussed. Some insurance companies will pay for breast reduction if it’s medically necessary; however, they may require a certain amount of breast tissue be removed and may also require a “predetermination letter” from the office.

You may be required to have a mammogram prior to the surgery. You may be required to follow some specific guidelines prior to surgery such as diet and/or smoking cessation. Breast reduction typically does not require a blood transfusion.  Because the procedure is performed as an out-patient be sure to arrange for somebody to drive you home following the surgery and to help you out the next couple of days.

Type of Anesthesia

Breast reduction is nearly always performed under general anesthesia. You’ll be asleep throughout the entire procedure.

The Surgery

The most common procedure involves an anchor-shaped incision that circles and reduces the areola, extends downward, and follows the natural curve of the crease beneath the breast.  Excess  breast glandular tissue, fat, skin are removed and then the nipple and areola moved into their new position.  The nipple areolar complex is not typically removed.  The skin on either side of the breast is brought down and around to create the new shape. Liposuction may be used from the armpit area to remove excess fat.

Typically the nipples are still attached to their blood vessels and nerves. However, if the breasts are very large, the nipples and areolas may have to be completely removed and grafted into a higher position (extremely rare). In this case the nipple and areola tissue will lose sensation.In most cases stitches are located around the areola, in a vertical line extending downward and along the lower crease of the breast. In some cases, techniques can be used to eliminate the vertical portion of the scar. In all cases the breast is reduced in size and the remaining tissue lifted and the nipple areolar complex made smaller and more proportionate.

After your surgery

After have surgery for your breast reduction in Shreveport at our offices, you’ll have a surgical bra over gauze dressings or elastic bandage wrapped around. A small tube may be inserted in each breast for the fluids to drain in the first day or two. In these first few days after surgery you may feel some pain, especially when moving around or coughing. Some mild discomfort may continue for a week or more. The bandages will be removed a day or two after surgery.  You’ll continue wearing the surgical bra around the clock for several weeks, until the swelling and bruising subside. The stitches will be removed in one to three weeks. If the skin on and around your breast is exceptionally dry following surgery, moisturizer can be applied as long as the suture area is kept dry.

Your first menstruation cycle following surgery may cause your breasts to swell and ache. It’s possible you may experience random shooting pains for a few months. Swelling may cause some loss of feeling in the nipples and the skin on your breast. This typically recedes over the course of six weeks or thereabouts. Sometimes the pain may last a year or longer, and in rare cases, the pain may be permanent.

Getting back to normal

You should feel able to get up and about in a day or two, but your breasts may still ache occasionally for a couple of weeks. You should avoid lifting or pushing anything heavy for three to four weeks. You will receive detailed information for resuming your normal activities. Most women can return to non-strenuous work and social activities in a week or two. You’ll still have a little less energy so you should limit your exercises to stretching, bending, or swimming until you regain your full strength. You’ll also want a good athletic bra for optimal support. You may be instructed to avoid sex for a week or more, since sexual arousal can cause your breast to swell, and to be as gentle as possible when coming into contact with your breasts for about six weeks. A small amount of fluid draining from your surgical wound or crusting is normal. Any other unusual symptoms such as bleeding, fever or severe pain should be made known to Dr. Bridges.

Your new look

Of all plastic surgery procedures, breast reduction results in the quickest body-image changes. You’ll no longer have the physical discomfort of large breasts and your body will look more proportional, and clothes will flatter your figure more. However, you’ll need time to adjust to your new image. Even after the swelling and bruising subside, it may still take up to six months for your breasts to conform to their new shape. As well, your breasts are still prone to normal fluctuations in shape due to hormonal shifts, weight changes and pregnancy. Every effort will be made to make the scars as inconspicuous as possible, but breast reduction scars are extensive and permanent. They sometimes remain lumpy and red for months, then gradually become less obvious. Be patient in the months following your procedure, remember why you had the surgery in the first place, and chances are, like most women, you will be very satisfied with the results. After the operation your tissue will continue to remodel.  Most of the times some sagging of the breast tissue can return, nipple position usually does not change much.  Avoid weight gain because the breasts can get big again.

For a breast reduction in Alexandria as well as the ARKLATEX region, call Bridges to Beauty today to book a consultation for your breast reduction in Shreveport at our offices.