Breast Reduction


Women with very large, pendulous breasts may experience a variety of medical problems referable to the excessive weight of the breasts.  These might include back and neck pain, skin irritation, skeletal difficulties, and breathing problems.  Bra straps may leave indentations in the shoulder areas.  Unusually large breasts may make a woman or teenage girl feel extremely self-conscious, if not embarrassed by the disproportionate size of her breasts.  Breast reduction, technically known as Reduction Mammoplasty, is designed for such women.

Breast reduction is usually performed for both physical relief and aesthetic improvement.  Most women undergoing the surgery are troubled by large, sagging breasts that restrict their activities and cause physical discomfort.  In addition, large pendulous breasts limit the choice of clothing and swimwear.  In most cases, breast reduction is deferred until breasts are fully developed.  It may however be undertaken earlier if large breasts are causing serious physical discomfort or embarrassment.

Discussion between patient and surgeon prior to surgery will determine the amount of reduction thought to be aesthetically pleasing.  The procedure utilizes an anchor-shaped incision that circles the areola, extends downward towards the fold beneath the breast, and follows the natural curve of the crease beneath the breast.

The excess glandular tissue, fat and skin are removed, and the nipple and areola are moved into their new position. The skin is then brought together to reshape the contour of the breast. Dr. Wolf uses modern techniques of Reduction Mammoplasty, almost always preserving the sensation of the nipple and breast.

Reduction Mammoplasty is performed as an outpatient procedure in Marin County under a superficial plane of general anesthesia.  On the first postoperative day, the dressings are removed and the patient is allowed to shower and wear an ordinary bra.  Normal, non-athletic activities may be resumed after 3-4 days.  Athletic activities may be undertaken after 3-4 weeks.  Mild discomfort may be experienced for a few days following surgery, and is managed by oral analgesics.  Sutures are removed on the seventh postoperative day.  The patient may usually return to work one week following surgery.