Breast Reduction in Washington DC
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Before & After Gallery
Breast Reduction Surgery
A breast reduction procedure, also known as a reduction mammaplasty, can help alleviate discomfort or pain that be part of having very large breasts.
With the purpose of having a beautiful end result, the procedure reduces and provides a more youthful appearance to the breasts. Dr. Feledy is a specialist who has performed the procedure countless times.
‘I’d had pain and discomfort because of my breasts for a long time. But I was also scared of getting a breast reduction. Finally I looked for the best breast reduction Washington DC had and found Dr. Feledy. He made me feel very comfortable and I felt understood. Now 6 months later, I feel like a new person! I wish I did this years ago!’ – R.R.*
Your Breast Reduction Consultation with Dr. Feledy:
Dr. Feledy will help establish what kind of candidates you are for breast reduction surgery. An ideal surgery candidate should possess good mental and physical health.
There are additional factors Dr. Feledy will take into consideration during your consultation such as:
- Medical history
- Breast size
- Size of reduction
- Breast condition
- Body type
- Skin quality
Using this information, Dr. Feledy can establish the best approach to your breast reduction and develop a tailored plan for your surgery.
“Helping a patient with a breast reduction and getting the best possible result is an exact process. I am going to listen to what your ideal result is. I am also going to explain in complete honesty how close we can get to that. Being detailed with a patient and having mutual understanding is essential to get you results.” Dr. Jules Feledy
Breast Reduction Before & After Photos
See Belmont Plastic Surgery’s breast reduction before and after results. It is important to look at before and after images to get an idea of what can be achieved with a surgery and to help guide the process with the doctor of determining the outcome you are going for.
Schedule your consultation with Belmont Plastic Surgery in Washington DC today
Breast Reduction in Washington, DC at Belmont Plastic Surgery
Large breasts that are proportional to a woman’s overall figure can be very pleasing to the eye, however, a woman who is struggling with extremely large breasts frequently experiences pain and/or feels embarrassed about the size of her breasts. Excessively large, disproportionate breasts can impact a woman’s life in many ways. A breast reduction (aka reduction mammoplasty) can be used to address the excess tissue in their breasts. Dr. Jules Feledy is a breast specialist who performs reduction mammoplasty procedures at his state-of-the-art surgery center.
Reasons Women Choose to Have a Breast Reduction Near Washington, DC
A woman with extremely large breasts (i.e., hypertrophy) who resides in or around Washington, DC, may find it extremely difficult to exercise or participate in other vigorous activities that she would enjoy. She may also suffer with neck, back, breast and shoulder pain. In addition, due to the unwanted attention her extremely large breasts receive, she might avoid wearing a swimsuit or a top that shows cleavage. Her self-confidence level may begin to decline and she may avoid going out because of how uncomfortable she feels around others.
Some of the activities that she may have to avoid because of her breasts include:
- Bike riding.
- Exercising (in general).
- Horseback riding.
- Participating in activities that require her to be physically active (e.g., volleyball, badminton, tennis, etc.).
- Certain carnival rides (e.g., roller coaster).
Although a breast reduction can be considered cosmetic because it provides patients with aesthetically-pleasing results, many women decide to have this procedure to reduce the symptoms associated with breast hypertrophy. whether they have macromastia or gigantomastia, women experience many of the same symptoms, however, there are some symptoms that only occur with gigantomastia.
Hypertrophy is categorized as either macromastia or gigantomastia:
– the total weight of the breast is less than 5.5 lbs.
– the total weight of the breast is more than 5.5 lbs.
Additional Issues that can result due to gigantomastia include poor posture, pain in the breast (i.e., mastalgia), chronic injury to the intercostal nerves at the T4, T5 and T6 levels of the thoracic spine: Injury to these nerves can result in a loss of sensation in the nipple. Furthermore, when gigantomastia develops during pregnancy, fetal growth may slow.
What Causes a Woman to Develop Gigantomastia or Macromastia?
Breast hypertrophy may occur because the breast tissue is having an increased sensitivity to certain hormones. The hormones causing this increase may be the female sex hormones (i.e., estrogen and progesterone), the hormone that produces milk (i.e., prolactin), abnormally elevated hormone levels in the blood or growth factors. Hypertrophy can affect both breasts, just the patient’s nipple and the dark skin that surrounds it (i.e., nipple-areolar complex) or one of her breasts.
There are several issues that could accelerate the development of macromastia and gigantomastia:
- Extreme obesity.
- Penicillamine therapy, which is used to address the genetic condition Wilson Disease. This condition causes copper to accumulate in the liver, eyes and brain. This Penicillamine therapy is used to remove the excess copper from the bloodstream.
There are also cases of breast hypertrophy that occur for no particular reason, however, even if the cause is unknown, Dr. Feledy can perform a reduction mammoplasty to help the patient live a more fulfilling life with less pain and with the ability to participate in all the activities she previously had to avoid.
When Would a Washington, DC, Breast Reduction Be Considered Medically Necessary?
A reduction mammoplasty may be considered medically necessary if a woman is having the procedure to address the physical pain associated with her overly large breasts. These issues are addressed with a breast reduction because during this procedure, Dr. Feledy removes the excess breast tissue, skin and fat. This reduces the weight of the breasts, thus, alleviating the neck, back and shoulder pain she is experiencing.
During the reduction mammoplasty, Dr. Feledy also performs a breast lift so patients’ breasts will sit higher on their chests. A breast lift in Washington, DC, provides the patient with a more youthful-looking breast profile.
What Cosmetic Benefits Can a Reduction Mammoplasty Provide?
The cosmetic improvement achieved with a breast reduction and a lift is the enhancement of the patient’s overall figure. Dr. Jules Feledy uses his artistic vision and skill to shape the patient’s breasts, making them more proportional to the rest of her body.
Other cosmetic benefits include:
- Eliminating pendulous breasts (i.e., ptosis).
- Improving the size and appearance of the nipple-areolar complexes. Due to the weight of the breasts, they begin to droop. This causes the skin on the breasts to stretch. It is this stretching of the skin that increases the size of the nipple-areolar complexes. While performing a reduction mammoplasty at Belmont Plastic Surgery, Dr. Feledy can reduce the size of the nipple-areolar complexes to improve the way they look.
- Preventing brazier straps from making permanent dents in her shoulders.
What Can a Breast Reduction in Washington, DC, Accomplish?
Dr. Feledy performs reduction mammoplasties to improve his patients’ quality of life. Without their oversized breasts in the way, women can become more active, enjoy more functionality and prevent the development of a rash beneath their breasts. These rashes are typically yeast infections resulting from the continuous skin on skin contact that occurs when a woman has overly large breasts.
Who Should Consider Having a Breast Reduction Procedure at Belmont Plastic Surgery?
While a reduction mammoplasty can be performed at any age, the ideal candidate has breasts that are fully developed. A patient must be in general good health and have reasonable expectations about her results. She must not have a medical condition that would affect her ability to heal.
Patients who smoke must discontinue smoking, or using any type of product that contains nicotine (e-cigarettes, cigarettes, gum and the patch) at least four weeks before her procedure. The nicotine found in these products inhibits the body’s ability to heal itself because it narrows the blood vessels. Narrowed blood vessels affect how fast the nourishing blood can access the wounds as the patient heals, thus, slowing her recovery. Since these products also weaken the immune system, a slowed recovery may result in complications, including infection. If the incision becomes infected, there is a chance that the resulting scar will be more visible.
Women who may choose to have a reduction mammoplasty at Belmont Plastic Surgery, near Washington, DC, include those who:
- Have uneven breasts (i.e., asymmetrical), with one breast being larger than the other. Are uncomfortable due to the size of their breasts, resulting in decreased physical activity.
- Are hesitant about attending social gatherings.
- Have pendulous breasts that negatively affect their self-esteem levels.
- Develop rashes along the inframammary crease and underneath the breasts.
- Experience pain associated with the weight of their breasts.
- Have developed permanent indentions in their shoulders due to the weight of their breasts. These indentions result from the straps of the brazier.
It is vital that a woman who chooses to have a reduction mammoplasty understands the procedure and is dedicated to abiding by the recovery requirements. Breast reduction recovery requirements are set forth by Belmont Plastic Surgery, near Washington, DC. These requirements are designed to help the patient heal as quickly as possible without any complications. This improves the likelihood that her reduction mammoplasty results will be optimal.
Custom-Designed Breast Reduction Procedures Performed by a Top Washington, DC, Surgeon
Every patient is unique, which is why Dr. Jules Feledy creates each of his patients a personalized surgical plan. By creating a custom-designed plan, he can address each of the patient’s concerns.
The Importance of Choosing an Experienced, Board-Certified Aesthetic and Reconstructive Plastic Surgeon
A reduction mammoplasty is essentially three procedures in one, a breast reduction, a breast lift and a nipple-areolar reduction/placement surgery. For this reason, the surgeon you choose must specialize in performing each of these.
Your plastic surgeon must have experience with removing excess fat, tissue and skin from the breast, lifting the breasts to a higher position and using his or her artistic vision to sculpt breasts that will enhance your overall figure. Furthermore, your surgeon must have the skills necessary to reduce the size of your nipple-areolar complexes so they are the appropriate size for your breasts. These complexes must also be placed evenly so you can enjoy a natural-looking result.
Many patients request that Dr. Jules Feledy also perform liposuction on the breast area beneath each underarm during their reduction mammoplasty procedure. Having liposuction in these areas greatly enhances the results achieved with a breast reduction.
Your Consultation with Dr. Jules Feledy for a Breast Reduction Near Washington, DC
Scheduling an initial consultation with Dr. Feledy, who is an award-winning breast specialist in Chevy Chase, Maryland, near Washington, DC, is your first step towards attaining the smaller breasts you have always wanted. He and his staff are dedicated to helping people feel good about the way they look. As a board-certified, aesthetic and reconstructive surgeon with 15 years of post-graduate training, Dr. Jules Feledy has the experience, skill, artistic vision and caring demeanor necessary to provide you with the smaller, more youthful, natural-looking breasts you desire.
During your consultation, Dr. Feledy takes the time to find out what has caused you to seek a breast reduction. Please let him know if you are experiencing pain and the various ways that having gigantomastia or macromastia affects your life.
Dr. Jules Feledy needs to know your full medical history, including previous surgical procedures and medications you take on a regular basis (and why you take them). If you take herbal supplements and/or vitamins, please tell him about these products as well.
Let him know if you use products containing nicotine, drink alcoholic beverages or regularly participate in recreational drug use. It is important that you are candid with Dr. Feledy and his medical staff concerning these matters: Each question that is asked is vital to ensuring your safety during surgery so he can give you the optimal reduction mammoplasty results you deserve.
Once he knows what you would like to accomplish, Dr. Jules Feledy will examine your breasts. He will evaluate the quality of your skin, take photos of your breasts from various angles and he may also take several measurements. Dr. Feledy uses your photos and measurements as he creates your personalized breast reduction surgical plan.
After your breast evaluation, Dr. Feledy will recommend the procedure that he believes will provide you with the breasts you desire. Some women residing in and around Washington, DC, choose to have other plastic surgery procedures at the same time as their breast reduction.
Please do not hesitate to ask questions. Dr. Jules Feledy believes that when a patient is well-informed, he or she feels more comfortable on the day of the procedure.
Preparing for a Breast Reduction at Belmont Plastic Surgery Near Washington, DC
You should try to take two weeks off work or school. Many women only need a week; however, it is usually easier to return to school or work early than it is to ask for another week off.
Staying hydrated and eating well is essential as you recover, therefore, prepare healthy meals ahead of time so you can freeze them and have them readily available as you recover. If you drink bottled water, be sure to purchase some and have it on hand.
After your breast reduction, you will not be able to drive yourself home, consequently, on the day of your procedure, you need to arrive with a licensed driver. Please choose someone who is at least 18 years old that you trust implicitly. In addition, after your surgery, you need to have someone you trust remain with you for at least 24 hours. Ideally, Dr. Feledy prefers that patients have someone stay with them for 48 hours, but he understands this is not always possible.
If you have small children or pets to care for, you will need help. See if someone you trust will petsit for a few days. In addition, if you have an infant or a toddler, you may want to ask someone to stay with you a bit longer (several days)to help you care for your child.
Patients are not permitted to use ride-for-hire services or public transportation after any procedure that requires sedation. Dr. Feledy adopted this policy to ensure the safety of his patients.
Three to Four Weeks Before Your Washington, DC, Breast Reduction
If Dr. Feledy requested that you obtain surgical clearance from your primary care physician, four weeks before your procedure make your appointment. Your physician needs to perform an overall medical evaluation and order routine labs. If you have a family history of breast cancer and/or have had suspicious mammograms, Dr. Jules Feledy may want you to have a mammogram and/or be evaluated by a breast specialist before your procedure.
Two Weeks Before Surgery
At this point, you will have your pre-op appointment with Dr. Feledy at his plastic surgery office near Washington, DC. You will be able to review the reduction mammoplasty surgical plan that has been created for you. Additionally, please bring the individual who will be caring for you as you recover. Questions are welcome from either of you.
Dr. Jules Feledy’s goal is to provide you with the safest Washington, DC, breast reduction procedure that is followed by an uneventful recovery and an amazing, natural-looking result.
To reduce the likelihood of excessive bleeding and bruising, avoid taking medications, herbal supplements or vitamins that are known to thin the blood.
Some of these include:
- Prescription blood thinners.
- Nonsteroidal anti-inflammatory drugs (NSAIDs).
- Vitamin E.
- Fish oil.
- Alcoholic beverages.
If you need to take pain medication during this time, you can take non-aspirin (aka acetaminophen).
Go ahead and fill your prescriptions. These prescriptions may be for a pain medication to be used after your breast reduction and anti-nausea meds. Waiting until the last minute to fill your prescriptions is not advised because if, for some reason, these medications are on back order, you may have difficulty attaining them prior to your procedure. Since pain medication and anesthesia tend to cause constipation, purchase some type of laxative while you are at the pharmacy. Having the laxative ahead of time can make your recovery easier.
While picking up your medications, if you have any questions about how and when you should take your medications ask the pharmacist those questions now. You may want to jot down the answers so that you do not forget. It is imperative that you take all your medication as ordered.
Many patients find that keeping track of when they take their medications on a notepad is helpful in remembering when they are due again. In addition, with the smart phones used today, multiple alarms can be set on the same device. Take advantage of this technology as you recover by setting alarms and noting which medication should be taken at any given time.
All your preoperative requests (e.g., labs, surgical clearance, etc.) must be completed no later than two weeks before your procedure. If Dr. Feledy does not receive this vital information in time, your reduction mammoplasty will need to be rescheduled; Safety always comes first at Belmont Plastic Surgery.
One Week Before Your Breast Reduction Near Washington, DC
Verify who is going to help you for at least the first 24 hours after your surgery. Write down and then go over the instructions with your caregiver. Confirm who will be taking you to and from your reduction mammoplasty procedure and follow-up appointment.
Create your at-home recovery area. You will not be lying flat for about a week. If you have an adjustable bed, you can create your recovery area there, however, if you do not, consider creating it in an area where there is a recliner that you could sleep in.
In your recovery area, you will need to have extra pillows, blankets and throws. Place a tray next to your bed/recliner. This is where you will put all the items you think you may need the first few days of your recovery. Some of the items that patients place on their trays include the remote controls for their television, cell phone and charger, landline, facial tissues, baby wipes, medications, healthy snacks and plenty of water. Place anything else you think you may need on your recovery tray. All these items need to be within easy reach. You will also need to place a small trash can next to your recovery tray.
The Night Before Your Surgery
You can shower, however, avoid applying hair products, deodorant, lotions and perfumes.
You must not eat or drink anything after midnight, otherwise, to ensure your safety, your surgery will be cancelled. If you are taking any prescribed medications, you may take these with a sip of water.
Get plenty of rest: This helps prevent unnecessary stress.
Arriving at Belmont Plastic Surgery for Your Breast Reduction Near Washington, DC
Wear comfortable, loose-fitting clothing and slip on shoes. Keep in mind that pulling a top over your head after surgery may be difficult, therefore, wear a shirt that zips or buttons up.
Do not wear jewelry, deodorant, makeup, nail polish, sunscreen or cosmetic creams on the day of your procedure. In addition, if you have any piercings, these need to be removed as well.
Bring your driver with you.
A Breast Reduction Procedure at Belmont Plastic Surgery’s State-of-the-Art Surgery Center Near Washington, DC
A reduction mammoplasty is performed as an outpatient procedure, so patients do return home the same day. This procedure can last up to three hours. Patients who choose to have multiple procedures during this surgical session will spend more time in the procedure room.
A Reduction Mammoplasty with Top Washington, DC, Breast Specialist Dr. Jules Feledy: The Procedure
Patients receive medications that put them to sleep (i.e., general anesthesia).
2. Dr. Feledy Creates the Incisions
Dr. Feledy creates an Inverted-T (aka anchor) incision. This incision encircles the nipple-areolar complex, then runs down the center of the breast until it reaches the inframammary crease at its base. He creates another incision that runs along this natural crease.
3. He Removes Excess Skin and Tissue
Dr. Feledy carefully removes the excess fat and glandular tissue. Once these tissues are removed, he excises the excess skin.
4. Reconstruction and Repositioning of the Nipple-Areolar Complex
When necessary, Dr. Feledy resizes and reshapes the nipple-areolar complex before moving it to another location on the breast.
5. Incision Closure
To provide the patient with less-noticeable scarring, Dr. Jules Feledy meticulously and delicately closes the incisions using dissolvable sutures.
6. The Compression Bra is Placed
The patient receives a compression bra. This bra provides support for her smaller, newly-shaped and uplifted breasts. The patient wears this bra for the first week of recovery.
Recovering from Your Breast Reduction
As you recover, refrain from using products that contain nicotine for at least four weeks. Using these products increases the likelihood of the patient experiencing some type of complication, including infection.
Walk through your house periodically. As you rest, move your ankles and legs around. These actions can help reduce the likelihood of blood clot formation.
You can keep your lungs clear by frequently taking deep breaths.
You will be sleeping on your back; however, your head needs to be elevated approximately 40 degrees, which translates into three pillows. Keeping your body in a more upright position helps to reduce inflammation. You need to continue with this modified sleep position for a week.
Take your pain medication as prescribed. If you are not experiencing very much discomfort after your breast reduction, you can switch your prescription medication out for non-aspirin. Do not take these medications together because most pain medications already have non-aspirin in them. Moreover, you should never exceed 4,000 mg of non-aspirin within a 24-hour time frame.
Remember to take your medications with food, this helps minimize the likelihood that you will experience nausea.
For at least two weeks post-op, do not take any of the medications, vitamins or herbal supplements that are known to thin the blood. In addition, do not drink caffeinated or alcoholic beverages during this time frame.
If you are nauseous, take your nausea medication.
One of the side-effects people experience when they take narcotic pain relievers is constipation. Take the laxative before you become constipated. Begin your laxative protocol at the same time you start your narcotic pain reliever.
Your arm movement limitations are based on your pain, if it hurts, do not do it.
Your compression bra must be worn continuously, except for while you shower. This bra helps to reduce swelling, which assists with the healing process. Your compression bra needs to fit snugly, but it should not affect your ability to breathe.
Sexual activity can resume once your incisions have healed and you feel that you are ready.
You can take a shower, with assistance, the day after your surgery. Your incisions are covered with a waterproof dressing, but you will need to remove your compression bra. Do not forget to put the bra back on directly after your shower.
No baths, hot tubs or swimming pool activity is permitted until your incisions have completely healed and Dr. Feledy has given you his approval. Typically, you can take a bath in two weeks’ time, but you will still need to avoid hot tubs and swimming pools for about a month.
Your breast reduction stitches will dissolve on their own.
Common physical side-effects after a reduction mammoplasty include:
- Bruising is likely: Most heal within three weeks.
- You should expect to experience pressure, tightness, soreness and fatigue after your procedure. These symptoms can last just a few days or several weeks.
- It is normal to experience itching at the incision sites. This itching may last for several days.
- Drainage from the incision sites is expected for the first 24 to 72 hours.
- Inflammation can last for months, however, wearing the compression bra and resting intermittently can help reduce swelling.
- You might have a heightened or reduced sensation at your incision sites, in your breast tissue and in your nipples. These symptoms usually subside after a few weeks or several months.
- Your final results should be visible at some point during the next three to six months.
Your Follow-Up Appointment with Dr. Jules Feledy
At your post-op visit, Dr. Feledy removes the dressing from your breasts and applies a special silicone tape that is designed to assist with scar healing.
At some point after your breast reduction, Dr. Feledy will recommend that you start using a silicone-based gel on your scars. This gel improves healing and helps minimize scarring. For the first 12 months after your surgery, you must not expose your scars to UV rays. If this recommendation is disregarded, patients may find that their scars are more prominent due to hyperpigmentation (darkening). This darkening may be permanent. You need to use sun protection that has an SPF of at least 30.
It is an emergency and you need to seek assistance if you experience:
- Difficulty breathing.
- Shortness of breath.
- Chest pain.
- Severe vomiting.
- Leg swelling that is not symmetrical.
- Severe pain.
Potential Risks and Complications
To reduce the likelihood of complications, patients need to choose a plastic surgeon who is board certified and experienced in performing reduction mammoplasty procedures.
Potential risks and complications include:
- Excessive bleeding and bruising.
- A negative reaction to the general anesthesia.
- Poor incision healing, which leads to unsightly scarring.
- Discoloration or other changes in the skin of the breasts.
- Changes in nipple sensation.
- Development of a seroma, which is fluid accumulation.
- Numbness on the skin or nerve damage.
- The need for a reduction mammoplasty procedure.
- Fat necrosis, which refers to the death of fatty tissue.
- Breasts that are not symmetrical.
- May impact the patient’s ability to breastfeed.
How Much Will My Reduction Mammoplasty Cost?
Each patient is unique. You can find out the cost of a Washington, DC, breast reduction by scheduling an appointment with Dr. Jules Feledy. Your medical insurance may cover a portion of your reduction mammoplasty procedure, therefore, Dr. Feledy encourages patients to speak with their insurance provider to find out if a reduction mammoplasty would be covered. Although your insurance may not pay for everything, this can substantially reduce the amount you will be required to pay. Furthermore, at Belmont Plastic Surgery, Dr. Jules Feledy offers his patients the opportunity to apply for CareCredit. This financing company that allows patients to have their medical procedures and then pay for them over time.
If you are interested in learning more about how Dr. Jules Feledy can provide you with the physical characteristics you desire, call Belmont Plastic Surgery at (301) 654-5666 today. Since Dr. Feledy is a breast specialist and one of the top plastic surgeons in Washington, DC, you know he has the experience, skill and artistic vision to provide you with the smaller, more youthful-looking breasts that you desire. Belmont Plastic Surgery is located at 5530 Wisconsin Avenue, Suite 818, in Chevy Chase, Maryland.
Breast Reduction FAQs
What is a breast reduction procedure?
What are the main reasons someone decide to get breast reduction surgery?
- The breasts are overly large for the size of the woman’s body
- Larger breasts are causing neck, back or shoulder pain
- Larger breasts may cause skin irritation
- Breasts that are too large can cause skeletal deformities as one grows through puberty
- Large breasts can cause significant psychological discomfort by causing emotional and social anxiety
There may be other reasons you decide to get a breast reduction surgery but these cover a large majority of why some women want to get the surgery done.
Is breast reduction surgery covered by insurance?
What happens during breast reduction surgery?
What happens after breast reduction?
What are some of the risks associated with breast reduction?
Breast Reduction Results
If you're looking for the best breast reduction Washington DC has available, look no further. Dr. Feledy is a breast specialist with over 20 years of experience. Take the first step to getting a breast reduction surgery. Contact Belmont Plastic Surgery and schedule your consultation today.