Breast Reduction

Many women are burdened by heavy breasts which cause them back, neck and shoulder pain with the bra straps grooving into the shoulders as well as rashes and sweating under the breasts.  Some women with large breasts do not suffer with such symptoms but wish to decrease the size of their breasts for cosmetic reasons only.  Most women with heavy breasts also note that their breasts are pendulous (droopy).  Dr. Samuel has performed reduction mammoplasties (breast reductions) on thousands of women over the years.

During the consultation visit Dr. Samuel obtains a thorough history, examines the patient and discusses the surgical plan, post-operative course and all the relevant potential complications.  He draws the incisions on the patient’s breast as well as the location of the residual scars.  He discusses the operation using surgical drawings that clearly explain the operation and gives the patient opportunities to have all questions and concerns addressed.

Most breast reduction operations involve decreasing the amount and weight of breast tissue, tightening the skin envelope and moving the nipple-areola to a higher position on the breast.  Thus the breast is both reduced in size, lightened and lifted.  If the woman has a fatty collection on the side of the chest which appears like an extension of the breast, this can be corrected during the same procedure with liposuction.

A breast that is simply large in volume but not droopy at all is rare but more likely to be found in young patients.  Such breasts may be slightly reducible with liposuction alone.  The skin in younger patients will shrink to some extent and therefore there are no scars generated from the removal of excess skin or the movement of the nipple-areola higher.  Such a liposuction procedure will not significantly improve the shape of the breast.

Most breast reduction techniques leave some scarring on the breast.  This depends on the technique utilized and should be discussed thoroughly with the patient during the consultation visit.  Following reduction mammoplasties the patient may lose sensation in the nipples and she may have difficulty breast feeding because some of the ducts carrying milk to the nipple are divided.  Every woman has some natural difference between one breast and the other.  Following surgery, although gross differences are significantly improved, there may still be some asymmetry in shape and size. All the relevant potential complications are discussed by Dr. Samuel with the patient during the consultation visit.  At that time the patient would be instructed as to the preparations before surgery, including avoidance of certain medications which may interfere with the normal clotting of blood.

Breast reduction procedures are performed on an outpatient basis under general anaesthesia.  The patient leaves the hospital wearing a padded dressing held on by her regular bra.  She can shower after 48 hours and is usually seen twice over 2 weeks in follow-up, barring any problems.

Patients, who have symptoms and require significant reduction in breast weight, may get coverage for such surgery from their provincial health plan (in Ontario OHIP).  Such coverage requires application by the surgeon and pre-authorization from the Ministry of Health and referral to Dr. Samuel must be made by the family physician in writing via fax.  Patients undergoing purely cosmetic surgery on the breasts are not approved by the Ministry Of Health for coverage.

If you are interested in consulting Dr. Samuel for breast reduction surgery (reduction mammoplasty) please have the referring physician fax a referral to the office at 416-630-7630 or contact the office by telephone at 416-630-2715 or e-mail His office staff will be pleased to assist you.

Disclaimer:  The explanations on this procedure are meant to provide only an overview of information on the subject.  This does not constitute ‘informed consent’.  Each case must be assessed   by Dr. Samuel individually.  This will include a proper history, physical examination and discussion of the proposed surgery, post-operative course including the relevant potential complications.  During the consultation and subsequently, the patient will have opportunities to ask questions and clarify any concerns he/she may have relating to any aspect of their care by Dr. Samuel and his staff.

This website is aimed at informing Canadian patients of the services provided by Dr. Samuel.  At no time is it intended for patients who reside outside Canada.

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