Breast Reduction Surgery Questions and Answers Archive

Nov
2001

Q&A: Could I need breast reduction surgery if my back / shoulders are in pain as a result of a new, more physical job?

Question:

I'm a large breast woman. A few months ago I started doing another job at work that requires me to do alot of lifting. Now my shoulders and back are starting to bother me alot. At first when I felt the pain I would just take some Advil and it would go away, but lately the pain is getting unbearable. Could it mean that I may need to have my breast reduced?

- demetria

Answer 1:

 Gregory Caputy, MD, Chief Surgeon - LocateADoc.com

Dear Demetria, It may be that your heavy breasts are contributing to your pain. It may also be that the work is not being done in an efficient manner. I would suggest that you visit with your manager and see if there are any aids to your lifting which may be of help to you (like a weight belt, shoulder harness, etc.). It would be a shame to go throught the breast reduction surgery only to still have the problem.

-- Gregory Caputy, MD, Chief Surgeon
Honolulu, Hawaii

Answer 2:

David M. Metzner, MD - LocateADoc.com

Yes, breast reduction may be just the answer. I suggest you consult with a Board Certified Plastic Surgeon to get an evaluation. David M. Metzner, M.D. 504.885.9555 985.892.4675 866.298.5249 toll free

--David M. Metzner, MD
Metairie, Louisiana



Oct
2001

Q&A: Should I consider breast reduction surgery if I lost 60 pounds and my breast are still large enough to cause neck pain and posture issues?

Question:

I have always been a size DD since I was 18. Lately I have been concerned about my posture. My shoulders seem to slump forward, I have neck pains and pain between my shoulder blades. I've had people tell me to just lose weight and my breast size will shrink, well I have lost 60 pounds in 9 months and the only place that shrunk in my chest was around my ribs, not the cup size. Would you recommend I see someone about Breast reduction?

- Rebecca

Answer:

Gregory Caputy, MD, Chief Surgeon - LocateADoc.com

Dear Rebecca, I am certain that you would benefit from and truly love the result from breast reduction surgery. You should also look into the amount that your insurance will cover the procedure since you are having symptoms from your large breasts.

--Gregory Caputy, MD, Chief Surgeon
Honolulu, Hawaii



Oct
2001

Q&A: Can I use my medicaid card to pay for a breast reduction surgery?

Question:

Can I use my medicaid card to pay for a breast reduction surgery?

- vee

Answer:

Gregory Caputy, MD, Chief Surgeon - LocateADoc.com

Dear Vee, That depends on the surgery. If it is medically necessary, a medicaid provider may do the procedure for you. Usually this is considered a cosmetic procedure unless you are having health problems as a result of the large breasts.

--Gregory Caputy, MD, Chief Surgeon
Honolulu, Hawaii



Oct
2001

Q&A: Would breast reduction surgery help eliminate my back problems and yeast/boils under my extremely large breasts?

Question:

I am extremely large breasted. My doctor states that the majority of my back problems stem from that fact. For the past couple of years, I have also had many cases of yeast infections and boils underneath my breasts. Would breast reduction help alleviate both of these problems?

- Carolyn

Answer:

Gregory Caputy, MD, Chief Surgeon - LocateADoc.com

Dear Carolyn, Yes, these are reasons for breast reduction procedures. Your insurance should largely cover the cost due to your health problems resulting from your large breasts.

--Gregory Caputy, MD, Chief Surgeon
Honolulu, Hawaii



Sep
2001

Q&A: Can I avoid "capsular contraction" if I have my breast implants replaced?

Question:

I have some questions that I would really appreciate a response to. First, I had breast implants done approximately 16 years ago (silicon) I was 25 years old at the time. I now am faced with "capsular contraction" (I believe that is what it is called, hardening and discomfort of the breasts). I would like to know what the success rate is for successfully replacing the implants and not having the problem reoccur. Is it possible to have the upper and lower eye lids lifted at the same time as this replacement surgery? Also, one question that I am very embarrassed about since I have never heard of this problem before, is there any surgery that would alter the appearance of "extremely" long vaginal lips, I take the word "extremely" from an obstetrition who must have felt that since I was in labor that I would not be sensitive to his remark "she has extremely large vaginal lips". Please answer this question, it has made me very self concious even though my husband says its great!

- DONNA

Answer:

Gregory Caputy, MD, Chief Surgeon - LocateADoc.com

Dear Donna, The capsular contracture is a difficult problem and recurrence is common (at least 50% from published studies. It is reduced by the use of textured implants and also by placing the implants under the muscle (a less natural position but one which better "hides" the implant. Eyelid surgery can very safely be performed at the time of explantation, removal of the capsules and replacement surgery. The vaginal lips question is very common. Often women are uneven on the two sides and require evening of the lips. The labia minora (proper term) reduction is commonly performed in my practice (about once or twice per month) with excellent results. Make certain that they are not over reduced, your husband won't appreciate it.

--Gregory Caputy, MD, Chief Surgeon
Honolulu, Hawaii



Sep
2001

Q&A: What sort of problems would I need to have with my 42DDD breasts to get insurance to cover a breast reduction?

Question:

In order for Breast surgery(Breast reduction) to be covered by insurance, what sort of health problems would a person go through? I suffer from rashes under my breast, Sore shoulders, back and neck pain. I am a size 42DDD. please reply .Thank you

- Kimberly

Answer:

Gregory Caputy, MD, Chief Surgeon - LocateADoc.com

Dear Kimberley, That varies with the insurance company and your individual policy. Many policies have a minimum amount of tissue that must be removed in order to provide coverage. Your local plastic surgeon would be able to contact your insurance company in order to see about coverage.

--Gregory Caputy, MD, Chief Surgeon
Honolulu, Hawaii



Sep
2001

Q&A: Am I a candidate for breast reduction if I have DDD size breasts, I weigh 190 pounds and I have back pain?

Question:

I am 19 years old and I have been thinking about having a breast reduction because I've been having back problems. I wore a C cup starting at the age of 11 and through junior high school, then all during high school I wore a DD cup and my weight was 170. Now my weight is 190 and my cup size now is DDD and I've been this size for two years. My question is do you think I could be a canidate for a breast reduction? My OB said that I was too young and that My breast aren't that large for me to have serious back problems.

- Amanda

Answer 1:

Jonathan Ross Berman, MD - LocateADoc.com

I concurr with Dr. Caputy. Go to a board certified plastic surgeon in your community.

--Jonathan Ross Berman, MD
Boca Raton, Florida

Answer 2:

Gregory Caputy, MD, Chief Surgeon - LocateADoc.com

Dear Amanda, Your OB is wrong. I would suggest that you visit with a qualified plastic surgeon in your area to discuss breast reduction surgery. You sound like a perfect candidate for this excellent procedure.

--Gregory Caputy, MD, Chief Surgeon
Honolulu, Hawaii



Aug
2001

Q&A: How will my nipples be relocated in a breast reduction surgery and can the stretch marks be removed?

Question:

I had a breast reduction consultation about 10 years ago. If you have a 36DD breast size, how is the nipple moved up to reduce the breast to 36B? Also, can anything be done about stretch marks on the breast?

- Joan

Answer 1:

Gregory Caputy, MD, Chief Surgeon - LocateADoc.com

Dear Joan, The nipple and areola (dark area around the nipple) is moved up into a keyhole type of pattern. The lower portion is then closed in order to lift the breast. Tissue is removed from each side but carefully so as to maintain blood supply to the nipple and areola through the skin and also from the chest wall. Many stretch marks on the lower central portion of the breast would be removed with such surgery but stretch marks on the upper breast would remain.

--Gregory Caputy, MD, Chief Surgeon
Honolulu, Hawaii

Answer 2:

Jonathan Ross Berman, MD - LocateADoc.com

It is hard to describe a breast reduction via this format. I recommend that you go to www.plasticsurgery.org and click the info on breast reduction.

--Jonathan Ross Berman, MD
Boca Raton, Florida