“My visit with Dr. Hamawy was the most positive medical experience I’ve had in 10+ years. He was very thorough and knowledgeable. I wish more healthcare providers chose to provide such high quality care.” – C.S.
Large breasts often cause chronic neck and back pain, improper posture, rashes, and low self-esteem. Breast reduction is a surgery performed to make the breasts smaller and lighter by removing glandular tissue, fat and skin. The size of the areolas are also reduced and the breasts are lifted and positioned higher on the chest.
Dr. Hamawy is a plastic surgeon with significant experience in breast surgery, including breast reduction, breast lift, and breast augmentation in New Jersey. He is certified by the American Board of Plastic Surgery and the American Board of Surgery.
Before you decide to have a breast reduction, think carefully about your expectations and make sure you discuss them with Dr. Hamawy.
Your Breast Reduction Consultation
During your first visit, Dr. Hamawy will examine and measure your breasts considering factors such as the size and shape, the quality of skin, and the location of your nipples. Measurements are essential for surgical planning and may be required by your insurance. Be prepared to discuss any medical conditions you may have, allergies, prior surgeries including breast biopsies, and medications, vitamins or other supplements that you currently take. You will be asked whether anyone in your family has had breast cancer and about the results of any mammograms.
It is important for you to provide complete information. If you are a smoker, you will be asked to stop smoking at least 3 weeks before your surgery. Dr. Hamawy is concerned about your health and safety and, depending on your medical status, may ask for additional evaluations before proceeding with surgery.
You will learn about the procedure, its limitations and risks, and Dr. Hamawy will discuss your needs and concerns. He will explain which surgical techniques are most appropriate for you, based on your examination and factors such as the condition of your breasts and quality of skin tone. After your consultation, photographs will be taken for your medical record. Dr. Hamawy may recommend a baseline mammogram before surgery and another mammogram several months afterword to help detect any future changes in your breast tissue.
There are several different techniques that can be used to reduce the size of your breasts. The most common requires an anchor-shaped incision around the nipple and areola down to and around the natural crease below the breast. The nipples are repositioned higher and a new contour of the breast formed. Dissolvable sutures are usually located around the areola in a vertical line extending downward and along the lower crease of the breast. In some cases, techniques can be used to eliminate the horizontal part of the scar in crease, resulting in a “lollipop” shaped incision around the nipple and straight down. Occasionally in breast reductions, when only fat needs to be removed, liposuction only can be used to reduce the breast size, leaving minimal scars.
The Day of Surgery
Before surgery, you will be given medicine to lessen the anxiety and pain. General anesthesia is typically used, so you will be completely asleep for your breast reduction. You will meet your anesthetist before your procedure and he or she will answer any questions you may have about your anesthesia. The surgery usually takes 2 to 3 hours. After surgery, you will awake in a recovery area where you will be closely monitored.
Surgery may be performed as an outpatient procedure at our certified ambulatory surgery center or at one of several affiliated hospitals with an overnight stay. Whether you stay overnight or not, be sure to arrange for someone to drive you home and stay to help you the first few days while at home.
Before & After Photos
Some pain is normal following surgery, but it shouldn’t be severe. You will feel tired and sore and, depending on the extent of your surgery, your breasts will be bruised, swollen and uncomfortable for several days. When you are discharged, you will be given prescriptions for pain medication.
A surgical bra will serve as the dressing with gauze on your incisions for 2 days. A comfortable sports bra should then be worn day and night for four weeks and removed only to shower. You may shower two days after your surgery.
Most women return to work after two weeks, however, plan on having limited physical activity for at least four weeks. You may have drains that will require you to measure and record the fluid that your body expresses. These are usually removed in 1 to 2 days in the office.
Your follow-up visits will usually start within a few days following your surgery for a checkup and/or drain removal if necessary. During your postoperative visits, Dr. Hamawy will review activity limitations, incision care, and concerns you may have. Following this visit you will return in approximately 2 weeks, 3 months, 6 months, and one year.
LENGTH?: 2-3 hours
IN/OUTPATIENT: Outpatient or one night in hospital
SIDE EFFECTS: Bruising, swelling, and some pain
RISKS: Bleeding, infection, loss of nipple sensation, persistent symptoms
RECOVERY: Return to work: 2 weeks – Light exercise: 4 weeks – Swelling completely resolve: 4-8 weeks