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All you need to know about breast reduction

What is a breast reduction?

Breast reduction, also known as mammoplasty, is a surgical procedure that reduces the overall size of the breast by removing excess fat, glandular tissue, and skin to achieve a well-proportioned size and to alleviate the discomfort associated with excessively large breasts (macromastia).


Most patients may suffer from emotional distress or more significant mental health problems as a result of their large breasts.


Other patients simply are not happy with their breast size and seek an aesthetic solution, usually after breastfeeding or giving birth.


After removing excess breast tissue and fat, your plastic surgeon can make the breasts smaller, lighter, and firmer, and also improve breast symmetry and eliminate sagging.

Your breast will be lifted and firmer, helping you look more youthful.

What are the benefits of breast reduction?

Breast reduction surgery has a 95% satisfaction rate.


The benefits of this procedure include:


  • More comfortable and attractive fit on the bras.

  • An improved, balanced, and attractive overall contour.

  • Reduction of aureolas helps you look and feel better.

  • Sports gear, swimsuits, and fit clothes look better, helping boost your confidence.

Who is an ideal candidate for breast reduction?

Overly large breasts cause health and emotional issues, back pain, and discomfort.


An ideal candidate for a breast reduction surgery meets the majority of the following criteria:


  • Overall good healthy

  • Self-conscious about the size of your breast

  • Your breast limits your outdoor activities

  • Have realistic expectations

  • You experience back, neck and shoulder pain that requires pain medications

  • You have skin irritation under the breast crease and shoulder indentations from the bra straps

  • Difficulty fitting into bras and clothing


Breast reduction surgery generally isn't recommended if you:


  • Are a smoker

  • Have certain conditions such as diabetes or heart problems

  • Are morbidly obese or plan to lose a substantial amount of weight

What are the risks of breast reduction surgery?

The following risks are associated, but not limited, with breast reduction:


  • Bleeding

  • Bruising, usually temporary

  • Infection

  • Adverse reaction to the anesthesia.

  • Scarring

  • Removal of or loss of sensation in the nipples and the aureola, which may be temporary or permanent

  • Breast-feeding issues

  • Blood clots

  • Slow healing

  • Breast contour and shape asymmetry

  • Allergies to tape, suture materials, and glues, blood products, topical preparations or injectable agents

  • Possibility of revisional surgery


While a breast reduction procedure can be performed at any age, it is best done when your breasts are fully developed.

How is the breast reduction surgery process 

Before breast reduction surgery, patients are encouraged to stop taking over-the-counter anti-inflammatory medications, such as aspirin and ibuprofen, as these can increase bleeding.


Also, smoking should be stopped several weeks before the procedure as it increases the risk of the nipple or areolar damage, tissue necrosis, and other complications.


Breast reduction surgery is usually done under general anesthesia, either in a hospital or outpatient surgical facility.




Your plastic surgeon will make an incision around the areola and down each breast.




Then, he will remove excess breast tissue, fat and skin to reduce the size of each breast.




Following fat and tissue removal, your plastic surgeon will reshape the breast and repositions the nipple and areola, which usually remain attached to the breast though there is a possibility of removal and reattachment at a higher position.




The surgeon will close the remaining skin with sutures and surgical tape. Also, the breast is wrapped in gauze bandages. The insertion of small tubes into the breasts is a must to drain excess fluid and reduce swelling after the operation.

What should I expect right after breast reduction surgery?

Patients are prescribed pain medication and antibiotics, to decrease swelling and the risk of infection, respectively.


Expect your breast to feel tender, sensitive, and bruised.


A follow-up visit is needed to remove stitches and check recovery.

What should I expect in a breast reduction recovery?

Expect to feel tired and to have breast pain. Some patients experience an emotional reaction, such as feeling depressed.

Your recovery needs a minimum of two weeks off from work. While you recover, you'll need to stop physical activity for at least one month after surgery.

The recovery time depends on your natural healing rate, the extent of the surgery, and your self-care.

Expect a limited range of motion of your arms. Asking for help to get dressed or shower is encouraged.

You may resume exercising after a minimum of four weeks. Walking is beneficial for proper healing.

Make sure you follow your cosmetic surgeon’s guidelines regarding work, physical activity, breast care, and medications.

What results should I expect after a breast reduction?

Breast reduction surgery is one of the most rewarding cosmetic surgery procedures. A successful procedure can relieve pain and increase your overall health.


You can expect smaller, lighter breasts for a lifetime as long as you maintain a stable weight and do not have any more children.


It may take anywhere from six months to a year for the final results to show up.

Is breast reduction covered by insurance?

If your breast size carries other health-related issues like severe back pain, some insurance companies may cover part or all of the cost of a breast reduction surgery.


Your surgeon can help you gather the necessary information and measurements to send to the insurance company before surgery.

How much breast reduction cost?

In the Dominican Republic, breast reduction surgery costs range between 4,400 and 4,700 dollars for an all-inclusive package that includes hospital and surgeon's fees, local transportation, recovery house, basic medication, and lab test. 

Air fare, insurance,and compression garment is not included in this cost. 

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