Breast Lift and Reductions

00:00:07.574 --> 00:00:09.837 Lift and a reduction are cousins of the same surgery 00:00:09.910 --> 00:00:11.245 because either way you are lifting. 00:00:11.760 --> 00:00:13.770 You don't do a reduction and not lift. 00:00:13.840 --> 00:00:17.818 Typically, the nipple, along with the breast, 00:00:17.885 --> 00:00:19.186 if it's heavy, needs to be lifted. 00:00:19.253 --> 00:00:25.225 Breast lifts have 2–3 types of incisions you can do to lift the breast. 00:00:25.292 --> 00:00:26.560 If you're taking away breast tissue, 00:00:26.627 --> 00:00:29.596 then it's really about where are you taking away breast tissue? 00:00:30.040 --> 00:00:33.450 If you're taking away breast tissue, I tend to take it from the 00:00:33.520 --> 00:00:37.804 lower part of the breast because patients tend to want breast tissue up high. 00:00:37.871 --> 00:00:42.709 The biggest complications from a reduction would be some decreased sensation 00:00:42.776 --> 00:00:47.214 to the nipple or nipple loss or necrosis. 00:00:47.280 --> 00:00:48.982 As you take more breast tissue away, 00:00:49.049 --> 00:00:51.051 you're taking away blood flow to the nipple. 00:00:51.640 --> 00:00:55.676 If you overdo that or if you kink it too much, 00:00:55.742 --> 00:00:57.330 whatever you're doing, 00:00:57.400 --> 00:01:00.294 if you decrease blood flow to the nipple, that's how it dies. 00:01:01.200 --> 00:01:05.065 That's the most dreaded complication of a reduction. 00:01:05.520 --> 00:01:08.168 But certainly, as you take away breast tissue, also, 00:01:08.368 --> 00:01:10.537 you run into the risk of injuring some of the nerves 00:01:10.604 --> 00:01:13.273 that supply this sensation to the nipple. 00:01:13.340 --> 00:01:15.175 I've modified my technique to 00:01:16.877 --> 00:01:20.881 really keep the stay away from the area where the nerves come in. 00:01:20.948 --> 00:01:24.290 Any patient who has large breasts can be a candidate for a reduction. 00:01:24.360 --> 00:01:25.414 It's really just a question of, 00:01:25.480 --> 00:01:27.421 are we trying to get insurance to pay for it or not? 00:01:28.655 --> 00:01:34.094 Knowing how to do all those I think is important for how to choose your surgeon 00:01:34.240 --> 00:01:36.563 because if you can minimize a scar, great. 00:01:36.630 --> 00:01:40.367 It's one of the most common surgeries I do, along with lifts, breast lifts. 00:01:40.434 --> 00:01:44.638 I think it's very important how you do it, what pedicle you use, 00:01:44.905 --> 00:01:48.508 how you're doing breast suturing to help keep it up there. 00:01:48.575 --> 00:01:51.945 The only way to tell that is to ask or to do your research, 00:01:52.200 --> 00:01:56.049 and certainly to look at their before and afters in the patient's reviews.