This patient had a bilateral breast reduction to lift her breasts and reduce volume and skin excess.
Breast reduction surgery uses well placed scars around the nipples and the underside of the breasts to allow reduction of skin that has sagged due to large breast volume over time. Through these incisions, the desired amount of breast tissue excess is removed and the remaining tissue is rotated up into a higher position to create an internal 'lift' that repositions the breast volume to a higher place on the chest so that the breast can look more youthful and in appearance.
For this particular patient, the breast reduction was performed in preparation for a future skin and nipple preserving prophylactic mastectomy procedure due to her genetic risk for breast cancer. With the breast size and shape improved, the breast tissues will be removed from within and replaced with fat from a DIEP flap transfer from her abdomen to replicate the natural tissues that are lost.
This patient suffered from bilateral large, pendulous breasts causing significant neck, shoulder and back discomfort for many years.
In patients with ptotic, low and enlarged breasts, the increased weight of the breast and the low positioning can cause a constant strain on the back that can lead to postural changes and chronic pain that may be alleviated by reduction of breast weight and repositioning of the weight to a higher position on the chest.
Post operative photos are shown at 4 weeks post op with significant reduction in volume and improved breast shape. The patient reported immediate relief of her chronic neck and back discomfort and was very happy with her results