About Breast Reduction Surgery
Many women with large breasts (macromastia or gigantomastia) complain of neck pain, back pain, bra strap grooves, and/or intertriginous rashes. A well-performed breast reduction can eliminate these symptoms and result in more beautiful breasts. Women in the Reno and Tahoe, who are area experiencing pain and discomfort from large breasts, should schedule a consultation to learn more about breast reduction at our Charles P. Virden, MD plastic surgery office in Reno, Nevada. As an experienced breast surgeon, Dr. Charles Virden, a board-certified plastic and reconstruction surgeon, has helped hundreds of women improve their breasts and boost their body image through his specialized breast reduction technique. Dr. Virden's surgical approach results in fewer scars and provides long-lasting benefits so that patients can enjoy their new body for years to come. Breast reduction is one operation that can provide immediate relief. Coupled with a 95% satisfaction rate, breast reduction is a very rewarding procedure for the patient.
The term “reductive enhancement” may seem to be a bit of a conflict in terms; reduction meaning to make “smaller,” and enhancement meaning to “enlarge.” This procedure was developed to improve the appearance and result after a breast reduction. It’s usually applied when a breast enhancement is performed in conjunction with breast reduction. Essentially, extra tissue is removed so the volume can be replaced by an implant. This results in a smaller breast with better and longer lasting upper breast fullness.
Historically, most types of breast reduction procedures are prone to bottoming out and lack upper breast fullness. During this new procedure, additional native breast tissue is removed and is replaced with a silicone breast implant as in breast augmentation. In those patients who desire a smaller breast and also want upper breast fullness (an overall rounder breast), a reductive enhancement likely will provide a more aesthetically pleasing breast. The reductive enhancement procedure takes approximately 3 hours, and is performed on an outpatient basis. Most patients are up and about within 2 to 3 days after surgery.
Breast Reduction Reviews
"Best Choice Ever - Reno, NV - Dr. Virden is so professional. He made me feel like I was his only patient by giving me full attention and never rushing my thoughts or decisions. He was optimistic about the surgery and the outcome and did such a great job! I'm so happy, best descision ever. Great great docter! - - I had a breast reduction because I was unhappy about how I looked. It was so difficult to find clothes that fit. Exercising was diffult. My back hurt from the weight and my shoulders had permanent bra strap indentations. I decided to finaly do something about it. Dr. Virden was extremely helpful and positive. He made me feel great about my decision and helped me look forward to a better me. Since my surgery I've never looked back. It was the greatest choice I've ever made. The scars are barely visible and my breasts are beautiful. I'm so proud of the new me; and so grateful for Dr. Virden's expertise! I would highly recomend him to anyone looking for a cosmetic surgeon."- C. / RealSelf / Feb 16, 2012
"Active at 57, and Want to Stay That Way - Northern Nevada - The first visit, my consultation, I waited a long time. But they made up for it after that. Dr. Virden is very personable, yet professional, he puts you at ease and he instills confidence. I have a good friend who had Dr. Virden do a mini-face lift around the same time as my BR, and she looks fantastic. You can't tell AT ALL. I'm not doing that but I am going to his Renovation medical spa for a Trilogy to treat my sun-damaged face. It's BBL, micro-dermabrasion, and fractional resurfacing. That's a big deal to me, but I'm hoping to undo some of the damage and prevent more basal cell growth. In short, I like Dr. Virden, and his staff and would certainly recommend them. - - I've always been big busted, just found ways to manage it through exercise and dressing carefully. I'm 57, 5'7" tall and my weight has been between 135 (divorce stress in my 30's) and 160 (now), without ever going below a C-cup. I was my smallest after I breast-fed my two kids and now, 30 years later, my fibrocystic breasts are still growing and I am overflowing my 36DDD cups. I am gaining weight -- but it's all on top. I can't find clothes that fit, and shopping brings me close to tears.I never considered breast reduction; I just thought it was something you can't change and have to deal with, like being left-handed. I used to joke: "Thank goodness for breast implants! Now I don't get so much attention, because everyone has big boobs!"I also thought I was just in the upper range of normal size. Then my husband and I went to live in Abu Dhabi in 2011, and I began spending time with a lot of other women, swimming, golfing, shopping ... and I realized that virtually everyone was smaller, and better proportioned, than I am. I managed to find a bikini because I could buy a separate medium bottom and a top size 16E underwire cup! Then, I began to really look at the photos of myself on our travels and, unless I was very careful about my pose, I looked like I had two huge balloons hanging in front of my chest. Yikes!!So we are back in the US and I've decided to do it, and have been to two doctors in my area and have an appointment with another one next week, and another in July. One of the doctors has already sent into Cigna for approval, one doctor doesn't accept Cigna. Since I haven't complained of backaches enough, had rashes, taken pain medication, or been to a chiropractor, I will probably be denied. Either way, I will do this even if I have to self-pay.Everyone I talk to is very supportive and positive about this, except ... my husband. He doesn't like it. Not because he's such a "boob man," but because -- I thought -- he was just generally squeamish about surgery and seeing the scars before they are healed and fading. So I was thinking that maybe I should do it while he was away on travel. Finally, he told me that he's see three other women have breast reductions, and all of them were disasters. He wouldn't give me many details, and they were all over 20 years ago (we've been married 15 years) but I think he is worried, and it was a mistake to just try to do this on my own, without him (I'm kind of independent, to understate it.) Plus, once I decide on something, I always want to get right on with it, and he is more slow and deliberate. So my confidence is a little shaken, but I realize that there isn't any big hurry. I just want to get this done this year. I'm getting older, and more have more aches and pains each day. But I am using the time to try and get my core into really good shape, rowing, spinning, and taking Pilates classes on the reformer. Proving to myself that I will benefit from this, I will look great, and feel even better. I have never spent a night in a hospital, so I'm glad that this is outpatient. But still, I am a bit of a baby when it comes to the stitches. It seems like a lot of cutting and stitching. I never thought of myself as doing anything like this. I've never been ashamed of my breasts ; I always thought they were beautiful, even though they were too big. I think my husband is worried that I'll regret it. Maybe I'm a little worried about that, too. But I remember my grandmother groaning and showing me her shoulder welts -- just like I have now. The only difference is, she wasn't fit, and I am, and I want to stay that way. I don't think I can stay this active if I don't get some of this load off of my front - and back. I've been told, "It will change your life." I don't want to change my life, but I want to preserve the quality of life I have. I've been told, "You'll wish you'd done it years ago." Maybe, but I hope to not look back like that. I just want to do it, be happy with it, and keep living a great life."- S. / RealSelf / May 21, 2014
"10 Days Ago Had Reduction, Full Face Lift AND Mid-section Lipsuction! I Am a New Woman - Reno, NV - Since puberty I have been dealing with VERY large breasts and wanted a reduction but was afraid of the resulting pain. - - I am 58. I was tired of having a constant back ache and looking unproportional on top. I figured as long as I was "asleep" for the breast reduction, I might as well get everything done at once. I could not be more pleased with the results - unless,of course, it had been free! Dr. Virden and his staff are efficient, warm and confidence inspiring. They are all beautiful inside and out. I highly reccommend Dr. Virden for any procedure he offers."- L. / RealSelf / Feb 17, 2012
"I have been a patient of Dr. Virden for over ten years now. I have had breast implants removed, a facial scar removed and most recently a face lift with a chin reduction, which turned out perfect. I have never ever had a better Doctor, or medical staff. From the surgery center to his office you will be treated like family. He listens and is truly genuine every time. He is conservative. He had me wait until I was 60 to do my lift and I'm glad I did. Don't wait call for a consultation today!"- S.M. / Healthgrades / Feb 05, 2016
"Excellent experience all-around. Breast reduction covered by insurance, great referral. Staff was friendly and accommodating. Dr. Virden was very through during my two consults. He patiently answered all my questions and calmed my nerves. The surgery was far less painful than expected, lots of ice and Tylenol. My back pain has significantly decreased and the results are beyond fabulous. I'm now proportional, clothes finally fit well off the rack (time for a whole new wardrobe), and I'm sure it will improve my golf game ;) 6 weeks post op and I'm feeling great!!! Highly recommend scheduling a consult - you'll be won over for sure. Note: Appears one patient posted two negative reviews (each 1-Star), using two profiles. At first glance, skews the data negatively. Recommend you check out all web sources, the comments are overwhelmingly positive. Just passing on what I observed; reported to Yelp but no action taken."- E.Z. / Yelp / Nov 02, 2018
When your neck and back hurt, it reduces your quality of life. When you are in pain, your movements are limited, your posture is slumped, and you generally do not feel well. Women with large breasts experience this on a daily basis. Some women, through no fault of their own, cannot correct this issue with diet and exercise alone. If you experience the following symptoms from large, heavy breasts, you may be an ideal candidate for breast reduction surgery:
- Irritation and rashes on the skin underneath the bra
- Diet and exercise unsuccessfully decreasing the size of the breasts
- Disproportionate breasts to the body frame
- Weight of the breasts causes pain in the neck, shoulders, and back
- Bra straps grooves in the shoulders
- Limitations on activity because of the size of the breasts
- Poor posture
What to Expect
Using state-of-the-art surgical techniques that limit the risks of surgery, our plastic surgeon will skillfully remove excess skin and suction out tissue to reshape the breast. During surgery, it is common to use one of the following incision approaches:
- An incision around of the areola
- A vertical incision from the bottom of the areola to the breast line
- A horizontal incision on the breast line
Liposuction is generally used to safely remove fat tissues from within the breast. Excess skin will be removed, and then a breast lift is usually needed to attain a healthy looking result. It is common for women requesting this procedure to go down 1 – 2 cup sizes.
After a 2 – 4-hour breast reduction surgery, you will wake up in recovery and feel immediately lighter in the chest area. You will be instructed on how to properly care for your incisions to limit scarring. After being sent home wrapped in a surgical compression garment and special post-operative bra, it is advised that you take it easy for the first few weeks after the surgery. Expect to feel less sensation in your nipples, as they will take up to a year to recover and resume sensitivity. It is suggested that breast reduction patients not return to work for 7 – 10 days, and wait 6 – 8 weeks before resuming physical activities.
Breast reduction surgery can dramatically change the lives of our patients, resulting in smaller breasts that makes everyday activities easier. All patients will leave the surgical facility in a post-operative bra designed for breast surgery patients that is provided by our office. The bra offers compression to speed recovery and a front closure without underwires for patient comfort. Patients can purchase more of these bras from our office to prepare for their recovery. In the few months and weeks following the procedure, it is advised for you to continue wearing comfortable bras and limiting strenuous activity. Once exercise can be worked back into your day-to-day life, it is important to maintain a healthy weight. Breast reduction surgery is a long-lasting cosmetic surgery, however, the results can be negatively impacted by weight gain and/or pregnancy.
Plan Your Procedure
- Procedure Recovery Location
Life with Smaller Breasts
Picture what your life could look like free from pain, constant rashes, and stares from people because of your large breasts. Call today for a consultation. Our team will answer all of your questions and concerns, educate you on aftercare instructions, and help contact your insurance company as some will cover this as a medically necessary surgery.