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Breast Reduction Surgery
... Would Like Your Advice Please
Canadian Jane
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Canadian Jane
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Date: 2/20/13 11:08 AM

I am having my BR surgery next week. The cost of the surgery itself is covered by our Alberta Health Care (AHC) plan. However, it only covers the actual breast reduction.

My surgeon indicated to me that sometimes women develop sort of a "fat flab" under their arms - in part because they have to stop where the breast ends. Of the women that do get this "fat flat", some actively HATE it, others are not bothered by it.

He offers to me that I can elect to have liposcution under the arms to avoid this all together. The cost to do this as part of the BR surgery $4,000, otherwise if I want to do later it will be $9,000. This cost is NOT covered under our AHC; nor is it covered under our additional insurance DH has through work.

A few problems. First is that it is a lot of money for such a seemingly small area. I have the money as I saved for it and put it aside... but still. Next, it will prolong my recovery even more. Third, the thought of liposuction just grosses me out. As does the idea that I might be too sore to keep that area clean and apply antiperspirant.

Yes, I am leaning towards "no thanks" but I sure don't want to regret it after the fact and have to pay twice as much to get it fixed later.

Any experience with this??

I greatly appreciate your feedback.



Julia C
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Julia C  Friend of PR
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In reply to Canadian Jane <<


Date: 2/20/13 11:41 AM

If it is anything like the ugly piece of fat left after a mastectomy sometimes, get rid of it. It looks like the doctor was too lazy to taper the end of the scar.

Elona
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In reply to Canadian Jane <<
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Date: 2/20/13 12:21 PM

The post-reduction, underarm 'fat flab' issue is apparently quite common, and really disagreeable. It is discussed extensively on this excellent site where lots of plastic surgeons weigh in with their opinions about various procedures. There is a LOT of info about this flab, sweetly called the 'Tail of Spence.' (I wonder who 'Spence' was...)

After reading the opinions of the many plastic surgeons at realself.com, you may want to talk a bit more with your doctor.

Canadian Jane
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Canadian Jane
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In reply to Elona <<


Date: 2/20/13 4:31 PM

Thanks!

Good link. Anyone I know that had this surgery done never mentioned having lippo too. They aren't close enough friends that I feel I can just call them up and ask them - in fact more aquaintances than friends.

I have very little back fat - amazingly enough - and not much under my underarms so I am not certain I need it. (All of it is in my upper arms - that could definitely use some lippo - )

I wish I could find pictures of what they mean. That might help me decide. Also, if I continue to loose weight I wonder if it goes away or diminishes at all? Or does it all shrink and you end up with same but smaller distortion?

Elona
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In reply to Canadian Jane <<


Date: 2/20/13 5:33 PM

Several of the doctors in that extensive link mentioned a positive relationship to weight loss.

I've found very few pictures of the problem, but
here is one, and here is another, connected to a discussion at the first website I mentioned.

There is also quite a bit of discussion of this subject on this page of makemeheal.com (another good site concerned with plastic surgery).


-- Edited on 2/20/13 6:05 PM --

Canadian Jane
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Canadian Jane
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In reply to Elona <<


Date: 2/20/13 7:02 PM

Elona, thanks so much. Now I am understanding it better. I have never really noticed having a lot of fat above my bra band in my underarm area- it is probably the only place on my body that doesn't have a lot of fat :). But where the bra band itself is I have both tissue and fat. I have often said I thought my breasts wrapped right around to my shoulder blades.



JTink
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Date: 2/20/13 7:08 PM

Well, for what it's worth, I'm a super chicken when it comes to stuff like this. I know when I had a lumpectomy, I was so sore from that, I couldn't even think of more discomfort being added to it. I have a friend who had a mastectomy and reconstruction. She had more pain and complications from the reconstruction than the mastectomy. I realize your situation is different, but I've heard that Lippo can cause a lot of bruising and bruising is painful. Please keep us up-dated on your progress

Elona
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In reply to JTink <<
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Date: 2/20/13 8:46 PM

In my experience, pretty much any surgery is going to involve bruising and pain for a time. After all, we're talking about actual injury here. However, in the case of elective surgery (sinus work, oversized chest, etc), if you know the general outcome will be better than what you've lived with for years and years, then it's just part of the price.

I don't know many people who have had breast reduction done, but I also have not heard even one sigh of regret from anyone. Kudos to you, Canadian Jane, for the guts to take action.

AdaH
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Date: 2/20/13 10:30 PM

I had breast reduction many years ago and know about 5 other women who also had the surgery. None of us had a problem with that lumpy thing under the arm. We did all have the same doctor so that might account for it.
I know everyone is different but for what it is worth I didn't have a great deal of pain after the surgery, some but nothing like what I thought it would be. Oh and I had one stitch that bothered me. I was go glad when that got taken out. The worst part was a tape burn. Up to that point I had no idea there was such a thing.

The very best thing about the surgery was I no longer had the neck pain. The only regreat I have is I wish I had it done sooner.

How many cup sized are you gong down? I went down 2 cup sizes. Buying bars that fit is a wonderful thing.

------
Ada

beauturbo
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In reply to Canadian Jane <<


Date: 2/21/13 7:23 AM

Not had that surgery as not enough breasts to ever do that even. But it seems to me, that maybe the cost of $4000 now or $9000 sometime later, might be changeable or debate-able even. Sometime in the future. Maybe you even have to ask around to find out? Because I think lots of people get liposuction for lots of things, and for other than that, and maybe you would not even have to get it from the exact same place if some day ever in the future you wanted it. Of course I don't know either. So, I have no idea, but maybe check it out. I don't think surgery of any kind or liposuction (which the thought of is kind of scary to me) should be done for just the lowest price or bidder at all though, as way better to pay more probably and get a really good person that was very adept at either, than pay less and not of course.

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