Breast reduction consultation will play a critical role in patient satisfaction. This gives the patient the opportunity to describe her goals in precise detail, express her concerns, and assess the qualifications of her doctor.
On the other hand, breast reduction consultation allows the surgeon to explain the benefits, limitations, and potential risks of the surgery. Nonetheless, he must be able to allay the concerns of his patients by describing the preparation guidelines, surgical techniques, medications, and postop care that will reduce if not eliminate risk of complications.
Oftentimes, the initial breast reduction consultation lasts 45 minutes to an hour, allowing the surgeon to listen to his patient’s input, goals, expectations, and medical information, particularly relating to current medications, family history, previous surgery, and medical condition, if there is any.
Afterwards, the surgeon may proceed with breast examination to determine its dimension, shape, nipple position, and skin quality, which will all determine the “best” incision pattern. To some extent these anatomical details will also dictate the final results and so the right patient should have realistic goals and expectations.
Then, the surgeon or his staff will take photographs of the breasts. This is particularly important when the patient is seeking insurance coverage. (Note: Many insurance issuers in Los Angeles plastic surgery require at least 500 gram of breast tissue removed from each side of the breast before they pay the surgery’s cost.)
It is not uncommon for patients to feel uncomfortable during breast exam. However, a good plastic surgeon will make every effort to create a more relaxed atmosphere.
The breast exam will allow the surgeon to determine the most helpful incision pattern. In general, patients with overlarge, pendulous breasts will need the standard anchor technique in which the scar goes around the areola, down to the midline, and across the base.
The anchor breast reduction is aptly called this way due to the resulting shape of its scar—i.e., like a nautical anchor. Over time, the scar is expected to fade into the background that most patients are not bothered by its appearance after 1-2 years.
Most surgeons will show the before-and-after photos of their actual patients to would-be patients to help the latter set realistic goals and to further improve the discussion.
At the end of consultation, surgeons typically provide a written material about breast reduction and possibly all the costs involved in the surgery.
Should the patient decide to go ahead with the surgery, a second consultation is scheduled so her doctor can tell her what medications to avoid and the lifestyle changes she needs to adopt to avoid or at least minimize risk of complications. Lab screening is also required to ensure that she is physically fit for the surgery.