Breast Reduction in Manchester, NH
Leading Breast Reduction Surgery and Consults
by Daniel A. Sterling, MD, FACS
Also known as reduction mammaplasty, breast reduction surgery removes a combination of excess fat, glandular tissue and skin to achieve a breast size in proportion with your body and to alleviate the symptoms associated with overly large breasts. It is one of the most commonly performed plastic surgery procedures and provides vast numbers of women relief from the problems associated with large breasts. The discomfort caused by excessively large breast is known as symptomatic macromastia and includes neck and upper back pain, shoulder notching, chronic irritation of the fold under the breasts, and poor posture. Many women have suffered for decades with these symptoms and their lives are changed dramatically after removing the pendulous, excessive weight that they have been carrying around for so long.
There are different surgical techniques that are selected depending on how large a woman's breasts are and her desires in terms of the amount of reduction. Some women wish to be as "small as possible" while most would like to reduce their breast size so as to be in proportion and also reduce the symptoms of macromastia. In almost all cases, the nipple and areola are left attached to the breast and sensation to the nipple preserved. Only in cases involving massive breasts are alternate techniques considered. Liposuction is also an option for women that have excellent skin and only a modest amount of breast hang. The goal is to provide you with a pleasing shape and size that also eliminates the symptoms mentioned above.
At the time of your consultation, your breasts will be examined for nipple position and skin quality as well as to make a determination of the amount to be removed. If you are seeking insurance coverage for your procedure it helps to have seen your regular doctor before hand. Most insurance companies require that you have attempted to alleviate your symptoms by seeing a physical therapist or chiropractor before authorizing surgery. I do not feel that either of these provide lasting relief of your symptoms however since you are still carrying around excessive weight on your chest. All of the details of the procedure will be discussed including the location of your scar, the routine on the day of surgery, what to avoid immediately before and after surgery, and things you can do to optimize your result.
Many photos are available for you to view as are past patients to whom you can speak for support if you desire. If you decide to have surgery, you will receive paperwork detailing pre- and post-operative instructions, consents, prescriptions and everything else you might need to make the procedure as stress-free as possible. Together we will plan your procedure so as to restore the form and function you are seeking.
Breast Reduction FAQs
How long does the procedure take and do I have to stay overnight in the hospital?
A breast reduction usually takes about two hours to complete. You then spend several hours in the recovery room until you are drinking fluids, walking around, and are able to go to the bathroom. A bra will be in place to help maintain gentle pressure and provide comfort during the early portion of your recovery. Unless you have a pre-existing medical issue, you will not be required to stay overnight in the hospital, although it can be arranged if you desire to do so. Virtually none of my breast reduction patients over the last 8 years have needed a hospital stay and our safety record has been outstanding. Patients that live more than an hour away stay in a local hotel and are seen in the office the following morning prior to your departure for home.
What type of anesthesia is used?
Breast reduction is performed under general anesthesia. This is the safest method and allows you to receive medications to minimize your pain and any anxiety you may have surrounding the time of surgery. Multiple agents are administered to prevent nausea and vomiting so you should not be concerned about that being an issue postoperatively. You will wake up gradually and sleep in the recovery room for several hours and before you know it you will be up and able to walk to the bathroom.
Will I have a lot of pain afterward?
You will have a very modest amount of discomfort the first few days, but it improves quickly as you begin to become more active. Since only skin, fat and breast tissue are resected the only pain you feel afterward is a low-level burning sensation along the incisions. A combination of medications will be provided and I encourage you to take whatever you need during those first two or three days to be comfortable. The most important thing to remember is to take what you need prior to the onset of pain. Most patients are able to manage their pain with Tylenol or Advil within a day or two after surgery.
How active can I be after surgery and what are the restrictions?
I require you to walk several times the evening of surgery. The most important thing you can do to minimize pain and decrease the risk of complications is early ambulation and keeping yourself well-hydrated. I tell my patients to act as if they had a bad cold, meaning you still remain active but get as much rest as you can. I encourage you to resume light exercise within a few days and even allow you to walk around outside or on a treadmill if you desire. After six weeks I remove all restrictions and you can do as many sit-ups or run a marathon if you wish. You will be required to wear a bra with excellent support for the first 3-4 weeks for most of the time every day. You will be permitted to remove it for several hours a day while relaxing at home but are advised to wear it while sleeping and when out and about.
What are the risks and complications associated with breast reduction surgery?
The incidence of major complications from breast reduction in my practice is exceedingly low and certainly below 1%. The risk of nipple-loss is present but has not happened in my hands to date. Minor complications include small areas of skin breakdown, infection and bleeding but are, as I mentioned above, exceedingly infrequent. As with all of my procedures, we make sure you are cleared by your regular physician and check all pertinent lab work that may be indicated.
Where is my surgery performed?
The majority of my procedures are performed at the Bedford Ambulatory Surgery Center (BASC) located just off Rte. 293 on South River Rd. in Bedford. The BASC is known for being a very comfortable and convenient setting, and has an outstanding reputation for patient safety.
Certain procedures are done at The River’s Edge facility located adjacent with the Queen City Bridge in Manchester, NH.
The staff at both locations is highly trained to care for my cosmetic surgery patients and almost all comment on how well they were treated.
When do I see you after surgery?
We see you in the office the morning after surgery to exam you and answer any questions you may have. Then you are seen at 1, 3, 6 and 12 months, all included in the cost of surgery.
Please visit the gallery for photos (many more photos are available in the office):
Several friends have gotten breast augmentation with other surgeons, but none of them experienced the professionalism and comfort that I received. From the call from Dr. Sterling the day before surgery to all of the check-up appointments afterwards, I have felt grateful and very comfortable. Thank you!
I am a 49 year old woman who had breast augmentation done with Dr. Sterling in June 2013. After nursing 3 babies and with gravity taking its toll due to my age, I needed help in this department! I chose to go with a small size (275cc) as I was striving for a conservative and very natural look for my age and my body size. I could not be more thrilled with my results!… read more
I have wanted a breast augmentation and labiaplasty since as far back as I could remember. Once a co-worker of mine took the plunge to get a breast augmentation. I knew this dream of mine was not impossible and was actually quite common. I did endless amounts of research on every plastic surgeon from Massachusetts to Miami. I had finally narrowed down my choices to five surgeons… read more
I was referred to Dr. Sterling. The individual was very pleased and benefitted greatly from his expertise in performing breast reductions. My experience was extremely positive as well. Dr. Sterling’s office staff was courteous, knowledgeable and helpful. Dr. Sterling provided me with his cell number and called me at my home after discharge from the hospital to be sure I was recouping without complication… read more
As I sit and write this letter, a testimonial long overdue considering the daily gratitude I feel for Dr. Sterling, I can say I am perfectly happy with my body and I feel confident and beautiful. I am tall and thin and my body was never an issue for me before I had children. We all find flaws in ourselves, but I knew I was pretty darn lucky. I had twins in 2007. Having any child is detrimental to a woman’s body, but having twins is complete body trauma… read more
Just wanted to take a moment to thank you for the awesome experience you and your office provide. Never, in three years as your patient, have I felt anything less than important. Every question was answered and clarified if need be. There were no surprises during the entire process, it all ran like silk. Can’t thank you enough for your excellent service… read more
Caring, compassionate, kind & skilled are adjectives that just begin to describe Dr. Sterling. Let me briefly tell you my story to better understand the depth of what I have suggested. When I was diagnosed with the BRCA2 gene mutation I immediately decided to have bi-lateral Mastectomy & Hysterectomy…read more
I was born into a small breasted family and always knew I wanted to do breast augmentation. I had researched several plastic surgeons when Sterling Plastic Surgery was recommended to me by two friends that had their surgery done there and were highly satisfied I went for my first consultation and the staff was incredibly friendly and knowledgeable, made me feel completely comfortable. I met with Sarah, Dr. Sterling’s medical assistant and she was very knowledgeable and answered all my questions, explained the procedure, and the differences between saline and silicone, what fits best with my body as well as with what I wanted…. read more
I can’t thank Dr. Sterling and his staff enough! I did a lot of research before driving over an hour to visit Dr. Sterling. I loved his before and after pictures more than any other doctor that friends recommended. His staff is super friendly and personable….read more
From the moment I walked through the doors at Sterling Plastic Surgery I felt comfortable. The office staff is warm and friendly and even when I called many times with questions they returned my calls quickly and again with much friendliness. They deal with many patients and phone calls so I know keeping up is no small tasks but they do it with smiles on their faces… read more