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There are several techniques available for breast reduction. The method used depends upon the size of your breasts and amount of reduction to be performed. The surgery is performed with you under a general anesthesia in either a hospital or outpatient surgery center. Some women go home the same day. For large reductions I usually use a technique that leaves a scar around the areola, then down to the breast crease and extends horizontally in the breast crease. This technique allows removal of a large amount of breast tissue and skin safely. The breast will be firmer with a nice shape and the nipples in a more youthful position. The nipples are left attached to the breast tissue beneath them and most patients do not lose sensation. The size of the areolas can also be reduced. The ability to breast-feed is also usually preserved. Smaller reductions can be performed without the horizontal incision beneath the breast. The only scars are around the areola and the vertical scar down to the breast crease. I have been using this minimal scar (SPAIR) technique with increasing frequency with very satisfied patients. The majority of patients have no complications. The most common is delayed healing of an incision and this rarely occurs unless a patient smokes. It is very important to not smoke at least 2 weeks before and after the surgery.
WHAT
CAN I DO TO PREPARE FOR MY SURGERY?
-Do not smoke for two weeks
before and after your surgery
-Avoid medications that can cause bleeding (aspirin, ibuprofen, Advil,
Nuprin, etc) for about 10 days before the surgery.
-Arrange for help or special care following surgery.

