Robert T. Buchanan, M.D.
I had breast reduction surgery four weeks ago and I love the new me! I want the rest of my body to look as good as my chest. I'm not sure how long I should wait before I start exercising and running again.
Exercising after Breast Reduction
I generally allow any exercise (as soon as you feel like it) except those that will cause downward movement of the breasts, such as running. By four weeks, I allow return to any activity as long as you are wearing a good supportive sports bra. This does not mean one of the ones with the stretchy fabric, but one with solid, non stretchable construction. To be sure, however, since there are many types of reductions, you should ask your own surgeon.
I'm 20 years old, 5 ft. 7 inches tall and wear a bra size 36DDD. Recently I have been getting horrible head aches to the extent that I can't even function. My primary care physician attributes this to muscle tightness starting in my shoulders, most likely being caused by the pulling on my shoulders from my large breasts. Do you agree and would a breast reduction solve this problem?
Breast Reduction to reduce Headaches.
Large breasts can cause headaches by causing spasm of the trapezius muscles that attach to the back of the skull. If this is the case, then a breast reduction will alleviate the symptoms. Concentrate on exactly how the headaches start and where the pain is before seeing a Plastic Surgeon so you can adequately explain your symptoms. This will allow him/her to determine if your headaches are, indeed, due to your breasts or something else.
I am 25 years old. When I was 15, a surgeon approved me for a breast reduction but my mother declined it. Now I am 25 and a mother of three and I have some changes in body size. I have horrible neck and back pain, and cannot go without wearing a bra. I am a size DD pushing whatever would be the next size. Due to the heaviness of my breasts, they hurt when I am not in a bra. Do you think my doctor will advise/approve me to have a breast reduction and will my insurance company approve coverage for the procedure?
Approval and Insurance Coverage for Breast Reduction
Your symptoms and apparent breast size make you what we, as Plastic Surgeons, consider a good candidate for Breast Reduction. Each insurance company has their own requirements before they will approve payment for breast reduction. You could start by asking your company what their requirements are. If this looks promising, see a Plastic Surgeon. He/she will write your company with your specifics, and ask if they will approve your surgery. You will then know if they will pay for the surgery, or what you need to do to become eligible, if anything. If they deny coverage, you can always pay for the procedure yourself.
If a woman's breasts are very large, is it better to have liposuction of the breasts or a complete breast reduction?
Breast Reduction vs Breast Liposuction
Both these procedures will reduce the size of the breasts. Liposuction, however, has its limitations and may not reduce very large breasts enough if you wish a significant reduction in size. Also, Liposuction cannot lift the nipple and restore a "perky" appearance to the breasts. Only a surgical reduction can do that. In fact, you will usually have more breast droop after liposuction, since you are deflating the skin further and there is less breast tissue to hold the nipple up. Therefore, if you wish to have relatively small breasts, you will need a surgical reduction with "very large" breasts. Additionally, if you wish your breasts to have the nipples in their youthful position, no matter how much reduction you desire, you will need a surgical reduction.
I am seven months post op for Breast Augmentation (Mentor Gummy 300cc HP inframammary crease incision) and my implants seem to have never fully "dropped" resulting in breasts that have more upper than lower pole fullness and nipples that seem slightly low which point slightly down. Would moving the nipples up so that they sit at the apex of the breasts adequately address this? I don't want to have a complete re-do to pull the implants down 1/2" or so, or replace them unless absolutely necessary. I think I can live with the fact that my breasts are a bit rounder and higher than I planned if the nipples are centered. I am 5'5" and weigh 125 pounds. Thank you for any thoughts you might share.
Nipple position after Breast Augmentation
In my experience, if the implant is too high after breast augmentation, it is because they were not placed low enough or there was some breast droop before surgery. Leaving the implant high is easy to do while trying not to release the inframammary crease. If there was a mild amount of droop before the augmentation, the implant may lift the nipple occasionally. However, it is just as likely that the surgery accentuates the problem. To solve the problem, you may need a small lift or revision. Discuss this with your surgeon.