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Breast Reduction

Dr. Gene Moor has been performing breast reduction surgery in Birmingham, Alabama at ALABAMA PLASTIC SURGERY (formerly MOOR PLASTIC SURGERY) for more than 20 years. Breast Reduction Surgery reduces the size of the breast by removing excess skin and breast tissue. The desired result is smaller, lighter, better contoured breast that is in proportion to the rest of your body. The Breast Reduction incorporates a Breast Lift (repositioning of the nipple and breast on the chest wall) to give the better overall appearance and improve your physical symptoms. The indications for surgery include relief of physical pain and discomfort. Some women pursue breast reduction surgery in the absence of symptoms because of the difficulty of getting clothes to fit or they feel their breast are too large for their body frame or are painfully embarrassed when comments are made related to their breast. Many women choose to have breast reduction surgery in combination with a liposuction procedure or with a tummy tuck.

During your consultation Dr. Eugene Moor’s goal is for you to become as well informed as possible so that you will be able to form a decision about the prospective surgery, the objective and  the potential complications.

Breast Reduction surgery is one of the most patient-pleasing procedures Dr. Moor performs.  Heavy pendulous breasts are very often the source of chronic pain and discomfort. A lady may suffer from (quite often) back pain, severe neck strain, headaches, intertrigo (chafing) in the skin fold below the breast (sub-mammary crease), deep brassiere strap furrows, deep indentations on the shoulders, numbness of both little fingers, as well as chronic mastitis. Women with large breasts are often limited in their physical activities and daily activities are hampered. Dr. Moor receives many thank you’s from reduction patients who have been able to change their matronly tops for fashion outfits!

Dr. Gene Moor is adamant about the young female athlete to-be, who is quite often de-selected by coaches in sports try-outs because of her over sized breasts. An obviously unfortunate decision which may negatively affect her health, self-esteem and financial future for the rest of her life- if she is discouraged from playing sports in her youth. Large breast, even in adolescence, contribute to back pain, headache, shoulder pain and are the source of jokes and comments by other teenagers.  See: Breast Reduction in the Younger Patient

Surgical Techniques:

Dr. Gene Moor, at ALABAMA PLASTIC SURGERY, is experienced and well versed in a variety of different breast reduction techniques and he will review those with you to design an individualized plan for you.

Most techniques involve an incision around the areola, (the dark tissue around the nipple), with the incision going down to the breast crease, and possibly along the breast crease. The nipple-areolar complex is usually made smaller and elevated to the proper location.

Dr. Moor uses the free nipple graft technique when the breast is very large, ptotic, sagging or has compromised blood flow and the nipple areolar complex has to be elevated over a great distance.

Recovery from breast reduction surgery is usually quite prompt especially if the post operative instructions are followed. The patient can resume light, normal activities in several days. A surgical bra will be put on post-operatively to help support the healing breast in a stationary position during healing. This bra should be worn for several weeks. Drainage tubes may or may not be necessary but if so, are removed during the first post operative visit. Most patients feel they can resume regular activities in a week or two. The patient may return to work within 2-6 weeks depending upon their job duties. We recommend no heavy lifting and no strenuous activity for several weeks to encourage good wound healing and reduce the recovery time.

Most patients notice already an improvement in their symptoms in the hospital but it will take several weeks before the final breast shape and position have been reached. The desired result is a smaller, lighter, better-contoured breast that is in proportion to the rest of your body. The breast reduction helps improve back and shoulder pain, improve neck symptoms and often encourages physical activity and therefor a healthier lifestyle. 

The breast reduction is frequently combined with an abdominoplasty, Mommy Makeover, or other plastic surgery procedures. These additional cosmetic procedures are not covered by insurance while a breast reduction may or may not be covered by your insurance company, depending on your contract with them.

 

  

"I had a breast reduction from Dr. Moor in December . Dr. Moor did a fantastic job. I have always been self-conscious about the size of my breasts, however Dr. Moor and his staff made me feel extremely comfortable when I went in for my first consult. I was so relieved that I decided to schedule my surgery as soon as possible. I am so glad the I did and I cannot thank Dr. Moor enough for the wonderful job that he did."

Breast Reduction Surgery Overview in Mountain Brook, AL

We would like to give you an overview of what to expect when you come to ALABAMA PLASTIC SURGERY for breast reduction surgery.  This is the surgery that most women are the most excited about. Breast reduction surgery is one of the most patient-pleasing procedures Dr. Moor performs. 

The reasons for a breast reduction surgery include relief of physical pain and discomfort.  Heavy pendulous breast are very often the source of chronic pain and discomfort. A  patient may suffer from (quite often) back pain, severe neck strain, headaches, chafing (intertrigo) in the skin fold below the breast (sub-mammary crease), deep brassiere strap furrows, numbness of the little finger, as well as chronic mastitis. There may be additional symptoms that may call for a breast reduction.

Women with large breasts are often limited in their physical activities and their daily activities are hampered. Sometimes they feel that they have to move more conspicuously and at much slower pace or are more sedentary than necessary.

Dr. Gene Moor points out that with large breasts there frequently is a significant size difference between the breasts. Dr. Moor chooses between different surgical ways to improve these asymmetries. This should make the fitting of a bra much easier.

In most cases the surgical procedure is performed on already fully developed breasts.  However, as noted, breast reduction surgery is not limited to the adult woman.  There are teenage girls who have extremely large breasts and suffer serious emotional and physical discomfort.  Large breasts can be a source of social embarrassment with the girl being ridiculed by her peers.  Breast reduction surgery is indeed a very satisfying surgery for both the teenager and the adult. Many women choose to have breast reduction surgery in combination with a liposuction procedure or with a tummy tuck (link to abdominoplasty)

The best candidates for breast reduction surgery are healthy, emotionally stable women who have realistic expectations about what this type of surgery can accomplish.  Breast reduction surgery may limit the amount of mother’s milk produced and therefore may not be recommended for women who intend to breast-feed. Breast Reduction surgery reduces the size of the breast by removing excess skin and breast tissue. Sometimes the size of the darkened tissue around the nipple (areola) is decreased. 

The desired result is a smaller, lighter, better-contoured breast that is in better proportion to the rest of your body.  This procedure can improve back and shoulder pain, can improve neck symptoms and often encourages physical activity and a healthier life style.

During the initial consultation, Dr. Moor will explain to you the actual surgery and listens to you and discusses your expectations with you:  this is very important because you will tell him exactly what you have in mind, so that you and he can decide what procedure he will use and what you can reasonably expect from the procedure.  His  goal is not only to improve your physical symptoms but to change your breasts  so that they are more proportional to the rest of your body. This should also make it easier and more satisfying for you to find clothes that fit better. It should make your daily activities more pleasant and should improve your self confidence.  It is important that you have a realistic understanding of the potential surgical results.  Again, we cannot stress enough that you should feel perfectly comfortable asking Dr. Moor or his staff any questions you may have about the surgery.  We recommend that you think about this in advance and make a list of questions you want to ask.

After your initial consultation, we at Alabama Plastic Surgery are happy to answer your telephone calls and to answer any other questions you may have.  Dr. Moor always makes a big effort to answer your phone calls personally. You are encouraged to ask him. He encourages you to come in for a consultation, meet his staff and become  well educated on the procedure.  Our practice provides a nice, pleasant, relaxing atmosphere to that goal.

Many patients pay for their reduction surgery on a private basis. Breast reduction surgery may or may not be covered by your insurance depending upon your insurance carrier.  Different insurance companies have different criteria for you to have to meet. Insurance companies have different requirements as to the amount of tissue to be removed at the time of surgery.  If too “little breast tissue” is removed, the requirement is therefore not met and the insurance company may not pay for the procedure.  Dr. Moor estimates approximately how much tissue he will take out of your breasts and will inform your insurance carrier in advance in order to obtain a pre-authorization.

In the event you are on the borderline regarding the volume of breast tissue to be removed, you and Dr. Moor must have a good understanding as to how to proceed with surgery.

At Alabama Plastic Surgery, the staff and Dr. Moor personally go to great lengths and make every effort (sometimes this takes a little while longer) to obtain pre-authorization from your insurance. Sometimes your insurance carrier’s policy does not cover breast reduction surgery, and that is why Dr. Moor negotiates on a regular basis with Brookwood Medical Center and Grandview Medical Center for  special financial arrangements for your breast reduction surgery so that we can give you a package price. Or, if the insurance company requires the removal of more tissue than you want to have removed (which would result in breasts smaller than you desire) Dr. Moor negotiates on a regular basis with Brookwood Medical Center and Grandview Medical Center for special financial arrangements for your breast reduction surgery outside your insurance policy.

Breast Reduction techniques:

Dr. Gene  Moor is experienced and well versed in a variety of different surgical techniques and he will review those with you to design an individualized plan for you. Dr. Moor prefers a Vertical Mammoplasty or “Short Scar” Mammoplasty if you have good skin elasticity, usually if you are younger and if you have relatively small amounts of tissue to be removed.  This ‘short” scar is then limited to the peri-areolar area (around the nipple) and goes down to the breast crease.  The incision usually stops at the breast crease right under your breast (infra-mammary fold) but occasionally it may have to be extended into the crease.     

Dr. Eugene Moor often uses the Superior Pedicle technique if you need only minimal breast incisions to move up the nipple areolar complex (the nipple and the darker, circular shaped  skin around it) to the proper location. He uses the Superior Medial technique when more breast incisions are needed to provide enough mobility to take the nipple areolar complex and move it up into the new position. The Inferior Pedicle technique is appropriate for women with larger breasts and the nipple areolar complex needs to be moved up at a greater distance. He also chooses this technique for breasts where the nipple areolar complex mobility is harder to achieve. The Free Nipple Graft technique is used when the breasts are very large, ptotic, sagging, or have compromised blood flow and the nipple areolar has to be moved a great distance.

Liposuction can be used as the sole reduction technique when there is mild volume excess, normal skin elasticity, minimal sagging and when the breasts are fatty, not fibrous. Young women have more fibrous breasts and may not respond well to this technique. Liposuction can be used as an adjunct to the other breast reduction techniques. The drawback of liposuction (the sucking out of fat) for breast reduction is that it is difficult to determine pre-operatively how much fat can actually be removed and this technique is not covered by most insurance companies.

The surgery will be done under general anesthesia and will take around two to four hours depending. Before surgery while you are awake, Dr. Moor draws markings on you to define nipple position (areolar complex position) and the width of the central breast area as well as the infra-mammary crease. Following surgery you will have stitches that form a line around your nipple areola. These stitches go vertically down to the lower crease of your breast, as well as possibly stitches along the crease; the sutures will usually dissolve on their own. 

Dr. Eugene Moor’s operating room nurses will apply a surgical bra in the operating room while you are still asleep.  The surgical bra will need to be worn for several weeks  after surgery, for support of the breast. Dr. Moor may place a drain in each breast.  These will usually be removed in about one to five days following surgery.  The average time for recovery is two weeks, during this time you will be advised against performing any strenuous activity.   Slight pain, usually soreness, may be felt initially after surgery and should decrease over the next ten days. 

At the time of your consultation Dr. Eugene Moor’s goal is for you to become as well informed as possible, so that you are able to form a decision about the prospective surgery, the procedure, the objective and potential complications.

Patients often ask if Dr. Moor would do a breast lift together with the breast reduction?  Yes, with every breast reduction procedure he does perform a breast lift.  Many women choose to have breast reduction surgery in combination with a liposuction procedure or with a tummy tuck.  Mommy Makeover frequently includes a breast reduction. These additional cosmetic procedures are not covered by insurance.

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