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Abdominoplasty Compression
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Question: I really don't know how to ask these question, but does anyone
recommend "breast reduction" surgery and a possible "breast lift" in
the future?
My problem is that my breasts sag a bit and I have unsightly stretch
marks. Would the result of a "breast lift" reduce the appearance of
stretch marks? Are there any creams on the market right now that would
minimize such "unsightliness"? When I where a bra, the marks do not
show only when it's taken off they sag to the floor (DD range). Is
there much (or is this indicative of) "tissue damage"? If so, what
does that mean?
Does "breast reduction" surgery elimate back pain?
Does insurance pay for reductions?
Answer: Very large breasts can give rise to the following problems
1. Breast pain (mastodynia)
2. Breast asymmetry
3. Shoulder pain
4. Neck pain
5. Upper back pain
6. Lower back pain
7. Intertrigo (breakdown of skin on the undersurface of the breast)
8. Thoracic outlet syndrome (compression of arteries &/or nerves just prior
to their entering the upper extremities)
9. Grooving & skin scar formation where bra straps come over the shoulder
10. Psychosocial problems especially in teenagers who wear oversized
clothing & avoid school activities.
Depending on your age & breast size it sometimes is not a good idea to get
an implant in the face of severe preoperative drooping. This is because
the cause of drooping is multifactorial:
* breast size
* genetic predisposition
* smoking history
* bra use history
* gravity
* age
*weight loss
If you are already large busted & get a lift with an implant your
problem will recur quite readily. The implant will move southward along with
the breast tissue over time. As it is a lift procedure alone may
have to be redone within 5 to 10 years because the procedure does not
affect aging, breast size, genetic makeup or gravity. You can help prevent
the recurrence of drooping by regularly using a bra.
In a fashion similar to an old over used elastic band collagen fibers under
the skin surface break when overstretched. The result is atrophy of the
deeper dermal layers of the skin & a grossly visible stretch mark.
The stretching can be caused by large underlying muscles or accumulations
of fat. This is very commonly seen on the abdominal skin of women after
childbirth. The only way to get rid of the stretch marks is remove the
involved skin as in an abdominoplasty/tummy tuck or thigh-buttock lift.
In some people a flashlamp laser treatment can make the stretch marks
less noticeable but will not completely erase them. It also does not work
for everyone but in those it does work on the best effect is seen in the
armpit area-I no longer perform this laser treatment on the abdomen because
the results did not justify the treatment.
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