This lady has a high BMI and struggles with the rubbing of her breasts and the irritation and inflammation this creates. The excess breast weight has led to increased neck and shoulder pain. When nipples are very low and there is a significant amount of tissue to remove, it is often risky to try and keep the nipple attached to its blood supply. If one wishes to try and keep the blood supply, there is a limit in terms of size that can be created safely. This lady has opted to keep the blood supply to her nipple areola complex and the results are seen at 3 months when the scars have started to settle. Patients that opt for a significant reduction such as this must be aware that there are additional risks and that free nipple grafting is a valuable alternative.
When considering breast reduction it is important to consider the pros and cons of breast augmentation with breast implants and the use of autologous fat transfer. In this scenario, the main issue was related to the functional issues associated with excess weight and breast implants and fat transfer were not a priority.
At a consultation, it is important to run through all the pros and cons and the various options of breast rejuvenation surgery so that you can be empowered to proceed. Mr Ross will show you various preoperative and postoperative results so that you can understand what can be achieved and what is to be expected. IN this scenario patients must choose between the pros and cons of a traditional breast reduction and free nipple grafting.
Mr. Ross is a plastic surgeon that underwent specific training in plastic surgery. Mr. Ross successfully completed his FRCS (plast), obtained his CCT and is listed on the GMC specialist Register for Plastic surgery (Number 4220633). Mr. Ross has a vast training in aesthetic surgery throughout his plastic surgery training including the techniques utilized in “cosmetic surgery”. Mr. Ross is a full member of the British Association of Plastic, Reconstructive and Aesthetic Surgeons (BAPRAS); British Association of Aesthetic Plastic Surgeons (BAAPS), American Society of Plastic Surgeons (ASPS) Association of Breast Surgeons (ABS) and is regularly appraised on an annual basis. He has successfully revalidated and “cosmetic surgery” is an established part of his scope of practice. Mr Ross is the only plastic and cosmetic surgeon in Manchester, the North West of England and the United Kingdom in full time private practice, who is a full member of BAAPS, BAPRAS and ABS.