dr. jugenburg

Breast Reduction

While some think that large breasts are an asset, many women who have them find they are uncomfortable and awkward. The breasts are often out of proportion to the rest of the body, and can also cause back, neck and shoulder pain, skin irritation and difficulty breathing.

Breast reduction surgery, or reduction mammoplasty, not only reduces the size of the breasts, but makes them firmer, lighter and more proportioned to the rest of the body as well. The procedure not only helps improve your appearance, but can also improve how you feel as well.

Please note Dr. Jugenburg performs only Cosmetic Breast Reductions.

expert breast reduction toronto

Reasons for Having Breast Reduction Surgery

There are many reasons why women choose to have breast reduction surgery. They help women:

  • Feel more comfortable.  That’s because large breasts are heavy, and can cause neck pain, back pain, skin irritation and posture problems.
  • Avoid painful shoulder indentations and back pain. Heavy breasts cause a constant pull of bra straps that leave painful indentations in a woman’s shoulder and are responsible for back pain.  These symptoms tend to improve significantly or even resolve completely with a breast reduction, which is why this procedure has one of the highest satisfaction rates of any surgery.
  • Participate in sporting activities.  Large, heavy breasts often place limits on women and keep them from participating in sports and other activities. Large breasts often make physical activities painful and can be awkward for some women.
  • Avoid embarrassment.   When breasts are out of proportion to a woman’s height and weight it can be embarrassing. This is especially true for teenagers and young women, who often feel self-conscious wearing swimsuits or other forms of revealing clothing. It’s also hard to find clothing that actually fits well.

Breast Reduction surgery is one of the most common procedures Plastic Surgeons perform, which comes as a surprise to many people.  They do not understand why women would want to have breast reduction surgeries.  So here is a great little video put out by Cosmopolitan magazine and Lindsey Pelas.  Take a look!

Face photo gallery

Are You A Candidate for Breast Reduction Surgery?

For women with large, heavy breasts, breast reduction surgery is a safe and effective way to reduce the size of their breasts. The surgery will help enhance their body image, and eliminate the physical pain and discomfort, bra strap indentations, skin irritation and poor posture. Candidates for breast reduction surgery include women who:

  1. Breasts that are too large in proportion to your body frameª
  2. Heavy, pendulous breasts with nipples and areolas that point downward
  3. One breast is much larger than the other
  4. Back, neck or shoulder pain caused by the weight of your breasts
  5. Skin irritation beneath your breasts
  6. Indentations in your shoulders from tight bra straps
  7. Restriction of physical activity due to the size and weight of your breasts
  8. Dissatisfaction or self-consciousness about the largeness of your breasts

The best way to determine if you are a good candidate for breast reduction surgery is to have a consultation with Dr. Jugenburg.

What Can You Expect With Breast Reduction Surgery?

The process begins with an initial consultation with Dr. Jugenburg.

How the Surgery is Performed

The breast reduction surgery is performed under general anesthesia.

Dr. Jugenburg uses the new, “vertical breast reduction” technique. This technique provides many benefits over the traditional approach, including:

  1. Minimal scar technique
  2. Better breast shape
  3. Lower risk of abnormal sensation to the nipple
  4. Lower risk of blood supply problems to the nipple
  5. Lower risk of bottoming out
  6. Significantly decreased blood loss during surgery
  7. No need for drains
  8. No need for overnight hospital stay

All excess skin, tissue and fat are removed. If the breasts are extremely large and pendulous, the nipple is repositioned for the best cosmetic appearance. The incisions are placed together to reshape the new, smaller breast. Sutures are placed in layers, deep within the tissue, in order to support the newly shaped breasts. Finally, bandages will be placed over the incisions. The procedure will take 41-2 hours, depending on the amount of surgery required.

It should be noted that in addition to the cutting out of the excess fat and breast tissue, Dr. Jugenburg also performs liposuction to sculpt the breast and remove excess fat from the side of the chest which the government health plan doesn’t consider part of the breast (and therefore is not covered under the provincial health plan) but is unsightly if left behind after the breasts have been reduced in size.

Following your surgery you will be able to leave the hospital as soon as you are fully awake, which can take about 1-2 hrs after the surgery.

You will see Dr. Jugenburg the following week at the clinic for a reassessment.

Breast Reduction Risks & Complications

Although complications following breast reduction are infrequent; the following may occur:

  1. Bleeding, which in rare instances could require hospitalization and blood transfusion. Blood clots may form under the skin and require drainage.
  2. Skin irregularities, lumpiness, hardness and dimpling may result; some problems disappear with time and from massage, but skin irregularities, hardness, lumps, dimpling or other problems may persist and additional treatments may be necessary.
  3. Infection is rare but may occur and, treatment with antibiotics and/or drainage may be required.
  4. Infection of loss of blood supply can lead to partial or complete nipple/areola loss, requiring reconstruction.
  5. Wound dehiscence (wound opening) may occur and is generally allowed to heal on its own.
  6. Outpatient nursing may be required to assist with the wound care.You may be required to travel to a local clinic for daily wound care.
  7. No patient has perfectly symmetrical/identical breasts. I understand that the surgery will not create two identical breasts. The asymmetry has been shown and explained to me before the surgery.
  8. Numbness or increased sensitivity of the skin over treated areas may persist for months. Localized areas of numbness or increased sensitivity may be permanent.
  9. Objectionable scarring is rare because of the small size of the incisions used in breast reduction surgery, but scar formation is possible.
  10. Dizziness may occur during the first week following breast reduction surgery particularly upon rising from a lying or sitting position. If this occurs, extreme caution may be exercised while walking. Do not drive a car if dizziness is present.
  11. Deep Venous Thrombosis, Pulmonary Embolism and Fat Embolism may occur. If left untreated they may be fatal.
Breast reduction toronto scars

The Recovery Process

You will be able to see the results of your surgery immediately, but there will be some swelling and bruising that may last for 3-4 weeks. Using a cold compress will help reduce the swelling, especially during the first 48-hours. A good rule is 20 minutes on the swollen area, and then 40 minutes off. There will also be some discomfort, which you can control with the pain medication Dr. Jugenburg prescribed for you.

Recovery may take several weeks to several months, but it can take a total of 6 or more months for complete healing from your surgery. Most of the swelling will dissipate during the first month or so after your surgery. You will be given a special surgical support bra to wear after for 4-6 weeks after surgery.

While it varies from patient to patient, you will be able to return to work or school in about 1 week. Avoid bending over or lifting anything above 5 pounds. That includes kids! You will be able to resume regular exercise in about 4-6 weeks.

breast reduction clinic
brast lift and reduction

Breast Reduction Surgery FAQs

  • Our fee for a cosmetic Breast Reduction is $7500 - $9500.

    Due to limited availability of OHIP (Hospital) operating time, Dr. Jugenburg now reserves hospital time for breast cancer patients and now performs Breast Reductions only at our private facility where OHIP coverage does not apply.

  • There is no need for a referral for a cosmetic breast reduction.  Referrals are only required for OHIP procedures.

  • Patients who have large, heavy breasts that cause shoulder, back or neck pain along with skin irritation and posture problems are good candidates for breast reduction surgery. You should also be in good health and have good skin elasticity.

  • Breast reduction surgery takes from 1-2 hours, depending on the amount of surgery required.

  • An incision is made in each breast, and all excess skin, tissue and fat are removed. If the breasts are extremely large and pendulous, the nipple is repositioned for the best cosmetic appearance. The incisions are placed together and sutures are applied.

  • Insurance coverage is sometimes available to help with the cost of Breast Reduction Surgery.  Check with your insurance provider.

  • A study published in 2007 looked at the ability of women to breastfeed after a breast reduction procedure. They compared different types of breast reduction surgery and found that there was no difference in the outcome, nor was ability to breast feed different from other women with large breasts who did not have a breast reduction surgery

  • Most patients return to work within 1-2 weeks after breast reduction surgery. You should avoid bending over, and avoid lifting anything above 5 pounds for several weeks. You can resume your regular activities in about 4-6 weeks.

  • Surprisingly, breast reduction surgery is not that painful. The pain and discomfort is managed by the pain medication prescribed by Dr. Jugenburg, but most patients use over the counter pain medication after the first several days. Cold compresses help with the swelling and discomfort, and sleeping in an upright position with pillows for the first week or so will help with the pain.

  • Breast Reduction (non-OHIP): $8 500 – $ 10 500

Breast Photo Gallery