breast reduction

in Washington D.C.

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  • breast Asymmetry
  • Tuberous breasts
  • inverted nipples

Breast reductions involve far more than simply making the breast smaller. Dr. Sailon views breast reduction surgery as a way to not only make the breasts lighter, but also to recontour the breasts to make them visually pleasing. He always seeks to approach concerns regarding your breasts with sensitivity and compassion.

Am I a candidate for a
breast reduction?

Large, heavy, or low-hanging breasts can cause numerous problems, such as:

  • Back, neck or shoulder pain
  • Poor posture
  • Pain or grooving in the bra strap area
  • Difficulty finding bras that fit well
  • Rashes or skin infections in the lower breast fold
  • Trouble with exercise or sports
  • Embarrassment or self-image concerns

If any of the above describe symptoms you are having from large breasts, you may be a candidate for a breast reduction.

What are the benefits of a breast reduction?

The primary goal of a breast reduction is to reduce the size and weight of the breasts. Dr. Sailon sees this as a chance to do more however and approaches this surgery with an artistic eye. The youthful perkiness can be restored by lifting the breast. The nipple position is usually brought upwards to a more aesthetically pleasing position. If desired, the size of the areola can be reduced.

All of these factors can have a profound impact. Many who undergo surgery report feeling a dramatic change immediately after surgery. Posture can improve. Back, neck or shoulder pain may be relieved. Self-confidence can be boosted from better harmony between breast and body.

When should I do a breast reduction?

Determining the right time in your life for a breast reduction hinges on many considerations that Dr. Sailon will review with you carefully. Your weight should be stable to ensure that your breast shape does not change after surgery. Gaining or losing a large amount of weight can impact your results.

Child-bearing should also be considered if you are planning to breastfeed since breast reductions can impact the amount of breast milk produced.

Am I too young for a breast reduction?

It is common for young women to seek a breast reduction. Although there is no specific age cut off, a number of factors must be considered. Prior to surgery, weight and breast size should be stable for at least one year. Growth should be completed as well. Teenagers and their parents do need to be aware of the potential effects of surgery on future lactation. There are rare exceptions to the above where there is uncontrolled growth of the breasts from an early age (known as benign virginal hypertrophy).

Will insurance cover my breast reduction?

The answer depends much on your insurance carrier. Our office will do everything possible to get your breast reduction covered by insurance if it is medically necessary. Providing documentation from other health care providers (doctors, physical therapists, chiropractors) can be beneficial. Most insurance carriers will require a minimum amount of weight be removed based on your height and weight.

Breast reduction techniques

Dr. Sailon has significant experience with many different types of breast reduction techniques and decides which to use based on your anatomy
and goals.

  • Liposuction only – very few patients are candidates for this approach since no skin is removed. With this technique, very small access incisions are made that allow Dr. Sailon to remove some of the fat and breast tissue.
  • Circumareolar – A “donut” incision is made resulting in a scar limited to around the areola (the pigmented skin adjacent to the nipple). This allows for minor elevation of the nipple as well as some tightening of loose skin.
  • Circumvertical – here the resulting scar goes around the areola and then vertically down from the areola to the breast fold as a straight line. This results in a “lollipop” scar. This provides greater nipple
    elevation and more skin tightening.
  • Wise pattern – the scar goes around the areola, down as a vertical line and then horizontally hidden in the breast crease. This is the most powerful technique for nipple repositioning, reducing the size of the breast, and skin tightening.

If any of the above describe symptoms you are having from large breasts, you may be a candidate for a breast reduction.

What can I expect the day of surgery?

In healthy individuals, breast reduction surgery has an excellent safety track record. Dr. Sailon takes care to provide the best care possible and performs surgery only in a fully accredited operating room at a surgery center or at a hospital. The surgery is done with you asleep (general anesthesia) and generally takes 3-4 hours. After surgery, you will stay briefly in the recovery room. A friend or family member will then need to accompany you home.

What is the recovery after a breast reduction like?

It common to experience some soreness after surgery. Walking and light household activities are permitted immediately after surgery based on how you feel. Dr. Sailon generally recommends taking 7 days off from work or school to recover. Light exercise may resume 2 weeks after surgery with progressively increasing effort.

As with any surgery, swelling and bruising is normal and an expected part of the recovery process. Most of the swelling subsides within the first few weeks, however, you must wait several months before seeing the final result. The scars will continue to improve and fade over the course of a year.

CONTACT

McLean & Woodbridge, Virginia

6801 Whittier Avenue, Suite 301
McLean, Virginia 22101

2200 Opitz Boulevard, Suite 250
Woodbridge, VA 22191

Office: 703-832-4000
Fax: 703-832-4001

Chevy Chase, Maryland

5530 Wisconsin Avenue, Suite 711
Chevy Chase, MD 20815
Office: 301-232-3000
Fax: 301-232-3333