Breast Reduction

Breast Reduction combined with Vaser Liposuction

 Some of the most satisfied patients Dr. Kaczynski has ever had at Advanced Concepts in Plastic Surgery have been breast reduction patients.  For breast reduction patients it’s as much about feeling better as looking better.  Large breasts can cause severe back neck and shoulder pain as well as deep grooves in the shoulders.  Some of these patients and had large uncomfortable breasts for 10, 20, 30 or 40 years.  That’s a long time to be miserable.

 For a standard breast reduction the new nipple position is determined and is marked at a much higher level than it currently is, usually at the level or just above the breast fold.  Additional markings to unfold the breasts are drawn.  In most cases the nipple stays attached to the chest.  The breast is unfolded and the extra tissues are removed.  The breast is then sutured back together in a smaller and higher position.  The new smaller perkier breast is much more comfortable and for the vast majority of patients the back, neck and shoulder pain goes away.

 Because most people have breast reduction for functional reasons it is often covered by insurance.  Years ago the insurance companies were much more liberal about who was covered.  But the insurance companies have gotten much cleverer about hanging onto their money.  They have set height and weight restrictions so that many people who are only modestly overweight have to lose considerable amounts of weight to even qualify.  They also have increased the amount that has to be removed up to 500g, about 1 pound.  For many women, who have legitimate complaints of a pound per side, is a lot to remove leading them with minimal breast tissue left.

 Other forms of breast reduction included liposuction, periareolar, (only one scar around nipple), or vertical using the lollipop scar.  Individual patients may be better candidates for one or the other of these breast reductions.  Some doctors preferred to do only one type of reduction whereas Dr. Kaczynski is comfortable with several.  If the patient’s breasts are very large and very saggy only the standard anchor scar procedures can take up enough of the excess to get a good result.  For smaller reductions many techniques work very well.

 Scars have been a problem in the past.  With the introduction of a new quill barbed sutures which grab a hold tissues better longer scars have become finer and much less likely to stretch out.

 Breast reduction surgery changes people’s lives.  Besides making them feel good and look better it can alleviate chronic pain.  Dr. Kaczynski has seen two patients who have avoided major back surgery because of this.  He has also had two other patients who had an incidental breast cancer removed at the very earliest stage, something that never would have happened without surgery.

Do you have questions or need more information? Please contact us!

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Location Info

  • Andrew Kaczynski, MD

  • Advanced Concepts in Plastic Surgery
  • 77 Cadillac Drive, Suite 170
  • Sacramento, CA, 95825
  • or

  • 9719 Village Center Drive, Suite 110
  • Granite Bay, CA 95746
  • (916) 925-5522