Your first consultation with a plastic surgeon is a good occasion to ask questions, get his opinion, and find out exactly what breast reduction surgery involves. Make certain you fully understand what you're about to go through and any possible complications. Your surgeon will also talk with you about your expectations of breast reduction surgery. The American Society of Plastic Surgeons lists a number of things you can expect when visiting your plastic surgeon, including: * A detailed description of the procedure and resultant scarring * Examination and measurement of your breasts * Photographs taken of your breasts for insurance pre-approval and for reference use during and after the surgery * Discussion of factors that may affect the surgery, such as age, size and shape of your breasts and skin condition * Discussion about the positioning of the nipple and areola — the circular, pigmented area around your nipple * Explanation of the type of anesthesia used * Determination of where the surgery will be performed * Costs and insurance considerations You'll also discuss your desired breast size. This, along with any requirements of your insurance provider, will factor into how much breast tissue the surgeon recommends to remove. Your insurance contributor might cover the cost of breast reduction surgery. Insurance providers specify that the procedure be not cosmetic but medically necessary. For example, some amount of breast tissue may need to be removed. Make decision to check with your insurance company in advance. If you've never had a mammogram, you may be required to get one before surgery, depending on your age and family history of breast cancer. If you smoke or use other nicotine products, you'll be asked to stop for a period of time before and after the surgery. Nicotine use damages blood flow to the tiny vessels that supply the nipple area. Your surgeon may oblige you to have a mammogram (breast x-ray) before surgery. You'll also get specific instructions on how to prepare for surgery, including course of action on eating and drinking, smoking, and taking or avoiding certain vitamins and medications. Some surgeons advise that their patients diet before the operation. Follow your surgeon's directions in preparing for surgery. This might include restrictions on eating, drinking or taking medications. Breast reduction doesn't frequently require a blood transfusion. Nevertheless, if a large amount of breast tissue will be removed, your physician may recommend you to have a part of blood drawn in advance. In this case, if a transfusion should be needed, your own blood can be used. Whereas you're making preparations, be certain to arrange for someone to drive you home after your surgery and to help you out for a few days if needed.
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