Dr. John B. Barnett
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Reduction Mammaplasty (breast reduction)

So far we have discussed increasing the size and/or fullness of breasts with augmentation or reconstruction. But there is the opposite end of breast size to consider.

Some women have overly large, heavy, sagging breasts which cause pain, discomfort and emotional stress. There are surgical procedures available to correct this problem. Although there are different approaches, determined by the doctor and explained to the patient during the consultation, breast size and shape can certainly be corrected.

Reduction mammaplasty is a bigger surgery than a breast augmentation, therefore takes much longer. Depending on how much fat and tissue must be removed, this surgery can take three to five hours.

The reduction mammaplasty is accomplished by making a round incision above the nipple areola complex and downward on either side to the inframammary crease, in a pattern that resembles a slender keyhole. Another incision is made horizontally at the inframammary crease. The extra fat, tissue and skin are removed. The nipple areola complex and skin below are moved upward (without detaching) into the upper round incision.
The lower area is pulled together and sutured into place.

Complications include scarring, which normally isn't obvious and fades out in time. As with any surgery, there is always the risk of infection. And of course, achieving assymetry in the size and shape of the breasts is always the ideal result. The best way to minimize the possibility of complications is to follow the doctor's instructions carefully.

There are some insurance companies that will pay for, or pay a part of, a reduction mammaplasty. Their requirements vary from company to company, as does the percentage of payment. We will be glad to check on pre-certification and/or file an insurance claim for you. However, our fees must be paid in advance.

Before/After Photos

 Before #1  Before #2  After #1  After #2 
"Dr. Barnett was great. He reminded me of our family doctor I used to see growing up. He really seemed to care and his work was very good."
– Maria G.