Breast Reduction

PATIENT 38-RED

  

  

  

This is a 55YO lady who originally saw us for consideration for a breast reduction.  She is 5’0” tall and weighs 140lbs.  Her breast size is a 36DD.  She had complained primarily of left-sided arm pain with tingling and weakness.  She has seen numerous orthopedic groups in the wiregrass area and undergone periods of physical therapy.  She had a MRI done to evaluate that did not demonstrate anything that matched her symptomatology.  On exam, she had large, dense, pendulous breasts with indentations across the leading edge of the trapezius (shoulders).  Deep palpation above the collar bone reproduced her symptomatology which is compatible with nerve compression from her breasts.  This is all related to the size of her breasts.  She underwent a breast reduction with free nipple grafting.  Post operatively, she has had complete resolution of her symptoms.  Her breast size is a C cup.  She is able to wear more appropriate and attractive fitted clothing.  She is thrilled with the results of her surgery and resolution of her symptomatology. 

PATIENT 37-RED

  

  

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This is a 30YO lady that has some asymmetry of her breasts and a lot of drooping of the breasts.  She underwent a small breast reduction with lifting and reshaping of the breasts.  Now her nipples point forward rather down to the floor.  She has more superior fullness in the breasts and the breasts now look good in clothes and without clothes. 

This lady was referred for consideration of her breast size and associated neck, back, and shoulder symptoms. She had been on anti-inflammatories and anti-muscle spasm pills which have not been very helpful. She is 5'2" tall and weighs 170lbs. and is a 36DD. Her complaints centered around interscapular back pain and some low back pain. She has painful shoulder indentations and posterior neck pain. She had numbness and tingling involving the right fourth and fifth fingers. She underwent a breast reduction using the superior medial technique removing between 600-700 grams from each breast. She is now a C cup and her breasts are back up on her chest. Her scars are soft and flat. She has upper pole fullness in the upper portion of the breast. It is an advantage of the superior medial reduction technique. Her symptomatology relating to her neck, back, and shoulders and tingling in the fingers have completely resolved.

 

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