ABSTRACT
In addition to the standard discussion of risks, benefits and alternatives of the procedure, the patient should know that there may be some loss of sensation, change in color, or even death/necrosis of the nipple-areola complex. Patients should also be warned that since some of the breast parenchyma is being removed, the ability to breastfeed might be altered with a breast reduction (although several studies show no significant differences in breast-feeding between women who have and haven’t undergone breast reduction). The patient should be shown where and how long the scars will be on her breasts. She should realize that although everything will be done to avoid it, there will likely be some asymmetry between the breasts. A complete history and physical exam should be performed, particularly focusing on any his tory of breast disease. If age appropriate, the patient should have a screening mam mogram within the past year.
