Nipple Reduction Questions and Answers
Q&A: Should I have breast reduction surgery if my 34DDD size breast are causing me strain and what are the costs, recovery time, extent of scaring and insurance coverage?
Hello, I am 28 years and have never had any children. I have always had very large breasts (32 DD)but not had many problems with them. Recently they have grown to 34 D--DD. I had to discontinue using birth control pills as they were becoming excessively large and painful (34DDD). Now they also sag slightly. I have gained 10 pounds in the last three years, but I am still considered extremely light for my size (5'10") Most people wouldn't know that I have large breasts because I have adjusted my posture to hide them. Unfortunately, I was recently involved in a car accident and injured my neck. While recovering from the trauma, I placed increased strain on my upper back. Radiographs have shown osteophyte formation along several of my thoracic vertebrae. I am concerned that the excess weight of my cleavage is harming my back permanently. I have been seeing a chiropractor, physical therapist, and working on ergonomics, but am still having problems with my posture as well as severe back aches. I would like to have a breast reduction, but have a few concerns: 1. length of recovery, 2. extent of scars 3. cost 4. feasibility--is this really a size that should be reduced. 5. would insurance even consider paying for this procedure??? Thank you your time- Tonia
Dear Tonia, In your case I would certainly encourage you to seek breast reduction surgery. The recovery time will be about two weeks and the discomfort is rather minimal. Depending upon your insurance, a large portion of the procedure (which costs about $6000 or so) should be covered due to the physical problems that your large breasts are causing you. The scarring in your case would be around the areola (the dark area around the nipple), down the center portion of the breast and along the crease under the breast to a variable extent. I would suggest that you visit with a plastic surgeon in your area for input and to determine exactly the breast size that you would like following the procedure.
-- Gregory Caputy, MD, Chief Surgeon
Q&A: Where should the breast augmentation incision go to avoid loss in nipple sensation and limit the risk of capsule contracture?
Hello. I would like to know the best place of insicion for a breast augmentation, which limits the risks of a capsule contracture and loss of sensation in the nipples.- Jenny
Placement of the incision does not effect capsular contracture. Putting the implant under the muscle will reduce the likelihood of capsular contracture. An incision around the areoa is most likely to interfere with nipple sensation; putting the implant behind the muscle is also less likely to interfere with nipple sensation. Good luck Carmen Paradis M.D.
--Carmen Ann Paradis, M.D.