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Breast Reduction or Lift Reduction Orange County Breast Reduction or Lift Reduction Mammoplasty/Mastopexy

Few things make a woman feel more feminine, sexier and beautiful than attractive breasts.  Breasts that are perky and natural looking, size appropriate for the individual, can profoundly impact a woman’s self-confidence. A breast reduction or breast lift procedure raises and firms the breasts by removing excess tissue and/or skin and tightening the surrounding tissue to reshape and support the new breast contour.

The following information has been prepared to familiarize you with facts about the surgical procedures known as breast reduction (reduction mammoplasty) and breast uplift (mastopexy). You are requested to read this information thoroughly and to discuss any questions, which might arise with your surgeon before proceeding with either a breast reduction or an uplift procedure. You are also requested to keep this form as a reference in the post-operative period.

You may visit your surgeon as many times as you wish to have all of your questions answered. At your final preoperative visit, your final questions will be answered and you will confirm that you have understood the procedure to be performed, that this material has been explained to you, that you have read and understand these information sheets, and that you accept the risks by signing the informed consent forms. You will be given prescriptions for surgical soap that is used before surgery, as well as pain pills, antibiotics and instructions for their use. Certain laboratory tests will also be required about two weeks prior tosurgery. If you are over the age of 50 or have had any cardiac problems, you will have to obtain a cardiogram at your doctor’s office or any licensed laboratory. You may have blood drawn by our office nurse during your final preoperative visit, or, if you prefer, at your family doctor’s office or laboratory (e.g. Kaiser Hospital, etc.). All patients will be asked to stop smoking at least a month prior to surgery in an effort to maximize your body’s ability to heal the incisions following the operation. 

Mastopexy or breast reduction procedures are performed in an outpatient surgery center setting. In most cases, a light general anesthetic or deep sedative, along with local anesthetics, are employed to insure your comfort and safety. 

In a breast reduction procedure, breast tissue is resected in addition to the excess skin, thus reducing the final volume of the breast, and elevating the nipple/areolar complex. Any tissue resected during a breast reduction procedure will be examined by a pathologist and you will receive separate bills from the laboratory and the pathologist for these services. Occasionally, liposuction is utilized to remove some or all of the excess breast tissue. In an uplift procedure, skin alone is resected and tissues are shifted to position the nipple/areolar complex in a more elevated location.

Following the procedure, a light dressing will be applied and you will be sent to the recovery room where you will be kept until you are awake and ready for discharge.

Patients may choose in advance to spend the night after surgery with a nurse. Otherwise, after you have recovered to the point where you are awake and comfortable, you will be discharged home with a responsible adult. You are to leave the dressing dry and intact until your first post-operative visit to the office, which will generally be two to five days following the procedure. During these initial days, you will be requested to take an antibiotic tablet once daily and to limit your physical activity to avoid lifting or straining. 

Following your first dressing change, you will be allowed to begin showering and to increase your activity as tolerated. Most patients find that within the three or four days, they can function comfortable around a home or office setting, but that at least three to six weeks must pass before increased physical activity can be tolerated without discomfort. The best rule of thumb is to avoid any activities that cause you discomfort and to enjoy those that do not.

Every activity in life, whether driving automobiles or having surgery is associated with risk. The following inherent risks must be understood and assumed by the patient if we are to proceed with this operation. Although most patients have a very satisfactory result, complications may occur following any surgical procedure. The patient must understand that asymmetry (differences in appearance from one side to the other) is perfectly natural and that some will persist following even the most successful procedure. Likewise, visible and occasionally unsightly scars are an expected outcome of such an operation. 

Possible complications include infections, bleeding, alteration in sensation of the nipple/areolar area or elsewhere over the breast mound, breast tissue loss, skin loss (including the nipple/areolar area), which may delay healing, necessitate skin grafts or other subsequent surgical procedures or, if implants are employed, implant rejections. 

All fees will be discussed freely in advance by the office staff. Assistance will be provided if you desire financing. Your insurance company may cover at least part of the fee if an excess of 500 grams of breast tissue is to be removed. Payment of all fees, however, is the patient's responsibility; all fees are due prior to surgery and the proceeds of the insurance check will go to you when the check arrives (minus a 6% billing fee if you chose to use our billing service). If requested, the office staff will assist you with forms, but recovery of any insurance benefits is between you and your insurance company. Insurance companies never pay the entire fee for breast reductions or for any other procedures that are designed solely to improve your appearance. As such, you cannot expect the insurance carrier to cover the cost of a mastopexy procedure unless performed to correct a post mastectomy and reconstruction asymmetry. 

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