James L. Pertsch, MD

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Breast Reduction

 

Women with very large, sagging breasts tend to have neck, back, and shoulder pain. Therefore, patients find breast reduction surgery to greatly improve their life. These individuals not only have relief from their symptoms but also the ability to exercise better and wear more fitting clothes. Many have even gain psychological benefits. Of all surgeries that plastic surgeons perform, breast reduction ranks among the highest in patient satisfaction.

 

Patients of almost any age may have breast reduction surgery; however, they are highly urged to wait until after the breasts have fully developed. Breast reduction surgery is not recommended for those women who intend to breastfeed.

 

The first step when considering breast reduction surgery is to meet with Dr. Pertsch at one of his facilities in Mountain View or San Mateo. During this time, a thorough examination is performed, the procedure is discussed in detail and your questions/concerns are addressed. As each patient has a unique anatomy and desired outcome, every procedure is personalized to meet her needs.

 

You may be a good candidate for breast reduction if you have any of the following problems:

  • Neck, back or shoulder pain
  • Shoulder notching / furrowing from you bra strap
  • Heavy, sagging breasts
  • Breasts that are too large for your body size
  • Irritation and rash beneath your breasts
  • Difficulty with exercise and physical activities due to large heavy breasts One breast that is larger than the other creating a significant asymmetry

 

During breast reduction surgery, fatty tissue in the breast, along with glandular tissue and excess skin are removed. By removing these elements, the breast can be pulled tighter making them lighter, smaller, and firmer. Breast reduction surgery is generally performed under a general anesthesia, and usually takes between two to four hours to complete. Incisions can be made around the areola and vertically down the breast in order to remove the necessary tissue and reshape the breast.

 

After your surgery, you will be wrapped in an elastic bandage or have to wear a surgical bra over gauze for two to three days. You may have a drain placed in to allow excess fluid and or blood to drain from the incision. You can expect a recovery period of about two weeks. During the recovery period, patients are urged to refrain from lifting heavy objects and participating in any strenuous activity to ensure proper healing.

 

San Mateo and Mountain View patients may schedule an appointment with Dr. Pertsch to further discuss their breast reduction options.

BEFORE

AFTER

BEFORE

AFTER

Breast Reduction

DESCRIPTION: 45 year old was cup size B in high school-> size C early 20’s-> remained size D after first child-> remained size DDD after 2nd childbirth -> measured 32G 3 years ago. She has neck and back pain, and pain between her shoulder blades. There was pain at the base of her neck as well as pain in her shoulders R worse than L. her back always felt as though it needed to ‘crack”.


Before surgery exam consistent with 5'1" height and 143 lbs weight and brassiere size 32G. Grade II ptosis on both sides. R side was larger than L. Preoperative estimation of tissue to be removed 500-550 Gms on larger R and 450-500 Gms on smaller L. Insurance paid for surgery to reduce symptoms.


Surgery consisted of the "short scar" vertical technique. On the right 573 Gms was resected and 100 cc of liposuction contouring of the outer breast and to reduce chest wall fullness next to the breast totaled 673 Gms removed. On the Left 476 Gms of breast tissue was surgically removed and 100 cc of liposuction from the outer breast and lateral chest wall for a total of 576 Gms removed totally 2 ¾ pounds removed.


After surgery she had complete relief of her back, neck shoulder blade and shoulder discomfort. Her old brassiere under wires hurt even though the cup is real loose. Her current 36C brassiere is too loose. She thinks a 32 or 34C will fit best but is going to be sized for the best fit. She has some numbness remaining on the left side but realizes it takes up to 2 years for it sensation to maximally improve.


After photos taken only 3 ½ months after surgery. Scars will continue to improve for another 2 years and in most cases become pale thin barely perceptible lines. She now weighs 130 Lbs.

She very happy she had it done and very happy with the result.


Click HERE to see more Before & After photos.

 

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