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I am on a program to lose upwards of 75 pounds of extra body weight.

Posted by Dr. Alain Polynice in Breast Augmentation, Breast Reduction on October 3rd

Question: I am on a program to lose upwards of 75 pounds of extra body weight. I am concerned by breasts will sag and lose elasticity after the weight loss. To avoid this, should I get a breast reduction surgery before I begin losing weight?

Answer: Absolutely not. If you get a breast reduction before losing the weight and then go ahead and lose 75 pounds or more, the breasts will be completely deflated again after surgery and may even require additional surgery for revision. It is always preferable to lose the weight first and then get surgery on the breasts performed once you are closer to your goal weight.

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I have been thinking about breast reduction surgery just because it is so hard to find clothes.

Posted by Dr. Alain Polynice in Breast Augmentation, Breast Reduction on October 3rd

Question: I have been thinking about breast reduction surgery just because it is so hard to find clothes. What actually happens during the procedure? Is it like liposuction for breasts?

Answer: It is not at all like liposuction for breasts because the breast tissue is actually removed during the procedure. The excess breast tissue is removed but sufficient breast tissue is left so that the breast can be shaped and sculpted into a pleasing shape. The breast tissue is then lifted and resuspended so that it is in the proper position and shaped like a much more natural looking breast. The excess breast tissue is then sent off to Pathology where it is examined to make sure to weigh the specimen and also to make sure there is no evidence of any hidden breast cancer.

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My breasts are about two cup sizes different.

Posted by Dr. Alain Polynice in Breast Augmentation, Breast Reduction on October 1st

Question: My breasts are about two cup sizes different. Is it possible to get a breast reduction in just the larger breast? Will health insurance cover this?

Answer: If the breast is significantly larger and causing back pain or symptoms of bra strap digging into the shoulders or rashes under the breasts, then these are medical indications for breast reduction and should be covered by your insurance company. As always, predetermination and preauthorization will be obtained by your team here at the office prior to proceeding with surgery.

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I am overweight by approximately 30 pounds.

Posted by Dr. Alain Polynice in Breast Augmentation, Breast Reduction on September 28th

Question:

I am overweight by approximately 30 pounds. I would like to get a breast reduction, but do I need to lose weight first?

Answer:

If your goal is to lose 25-30 pounds, it is always best to achieve the weight loss before undergoing a breast reduction procedure. There are many reasons for this. First of all, losing the weight first would increase your chances of getting the procedure authorized by your insurance company. Second, from a purely cosmetic point of view, the overall results will be better if the weight is lost first. Also, imagine if a procedure is done such as a breast reduction and the patient were to lose 30 or 40 pounds after the surgery, the results could significantly be affected.

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I have 40-DD breasts that I will be getting reduced to a size C

Posted by Dr. Alain Polynice in Breast Reduction on March 26th

Question:

I have 40-DD breasts that I will be getting reduced to a size C. After the breast reduction procedure, will I have stretch marks.

Answer:

If you have stretch marks now before the procedure, then it is possible that you would still have them after the procedure. The procedure itself does not cause or accelerate the presence of stretch marks but stretch marks that were there preoperatively will still remain however they are sometimes much less noticeable because the remaining breast tissue that is lifted and sculpted does attenuate the appearance of stretch marks.

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Would you recommend that I get a breast reduction?

Posted by Dr. Alain Polynice in Breast Reduction on March 24th

Question:

My breasts are incredibly large and give me a significant amount of pain. Would you recommend that I get a breast reduction?

Answer:

A breast reduction is an excellent procedure to alleviate the pain and symptoms caused by large breasts such as back pain, the bra strap furrowing into the shoulders and the inframammary rashes or rashes in the folds under the breasts. This procedure involves removing a certain amount of breast tissue to alleviate the weight but also sculpting the remaining breast tissue to create a very pleasing shape and size to your breasts.

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Would you recommend that I get a breast lift to rectify this issue?

Posted by Dr. Alain Polynice in Breast Reduction on March 23rd

Question:

My breasts are incredibly large and have started drooping really low. This began after my first child and got slowly worse by the time I reached my fourth child. Would you recommend that I get a breast lift to rectify this issue?

Answer:

If your breasts are drooping but you still have a significant amount of breast tissue to work with, then it is possible to take that tissue, sculpt it and shape it and create a very pleasing breast shape. The breast tissue that you have can be sculpted and maintained in a certain position by creating an internal bra or hammock using your own tissues for support. This is the technique of breast lift that we use that provides excellent shape and projection to the breasts and if you are now done with childbearing, then now is the time to consider this procedure.

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I have heard of several techniques for breast reduction

Posted by Dr. Alain Polynice in Breast Reduction on March 20th

Question:

I have heard of several techniques for breast reduction such as anchor scar, vertical or keyhole scar and wise pattern. Can you explain what the different techniques are as well as the pros and cons?

Answer:

All of the different techniques for breast reduction all involve removing of breast tissue and sculpting the breast with different shaped scars. The anchor scar involves an incision that goes around the areola, a vertical scar and a large incision under the breast in the inframammary fold. This is not the technique that we use here. Here the incision is limited to a keyhole shaped or lollipop shaped incision eliminating the large scar under the breast in the inframammary fold thus making for a much nicer scar postoperatively. The other thing that is done is the pattern for the breast reduction is based on a vertical component meaning that the breast tissue that is preserved is based superiorly which also provides for more long lasting results since this eliminates somewhat the effect on gravity on the breasts. This is something that Dr. Polynice would be happy to discuss with you in detail since this is one of the areas that he focuses on in his practice.

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