Reconstructive Surgery

Female Breast Reduction

Women with very large breasts suffer from chronic back pain, grooves in the shoulders from bra straps and rashes underneath their breasts. In addition, attractive clothing can be hard to find, as can a proper fitting bra. Large breasts also make breast exams difficult for the patient and the doctor, therefore limiting early detection of lumps or masses. Breast reduction surgery is often covered by insurance. Contact your provider for more information, but don’t be surprised if they deny coverage initially. If you are contemplating surgery in the future make your symptoms (back pain, etc.) known to your family physician now so that they can be documented. Insurance companies don’t look at how long you have suffered but at how long you have reported suffering. The surgery itself is done under general anesthesia and usually requires an overnight stay in the hospital. Excess tissue and skin are removed and the nipple is repositioned. The resulting size of the breast is carefully discussed with the patient prior to surgery. Patients with very large breasts may require nipple grafts. Patients who have had breast reductions are among the happiest. The increase in mobility, the decreased back strain, and the ability to wear flattering clothes improves self-assurance and poise. Complications of this surgery include decreased nipple sensation and possible inability to breast feed.

Male Breast Reduction

Male breast enlargement is medically referred to as gynecomastia. It affects 40% of males between 11-14 years of age and decreases to 15% by the age of 16. It is usually due to hormonal changes. One or both breasts may be involved. It is a condition that causes embarrassment, and if persistent can be treated surgically. The operation is performed on an outpatient basis. Excess fatty tissue is removed through an incision made under the nipple or extending onto the breast if very large. If a large amount of tissue is removed, a drain may be left in place for a few days. The patient usually wears an elastic pressure garment for 1-2 weeks. Work can typically be resumed in 2-4 days, but minimal activity is recommended for 3-4 weeks. Please contact Dr. Scherer for your personal consultation.

Carpal Tunnel Repair

Carpal tunnel syndrome occurs when there is pressure on the median nerve at the wrist. This pressure causes numbness of the thumb, index, long finger, and half of the ring finger. Carpal tunnel is caused by excessive bending at the wrist which leads to increased pressure on the median nerve. Patients often wake at night with pain and numbness of the hand. Once numbness is present all the time, surgery may or may not correct the problem. Initial treatment of carpal tunnel syndrome is wearing a splint twenty-four hours a day for two weeks. If symptoms improve, then it is only worn at night. If this treatment is ineffective, surgery may be required. Surgery is done with a scope through two small incisions at the wrist and the palm. The time one needs to be off of work depends on your job and your pain threshold, but it is usually two to four weeks. If you have symptoms of carpal tunnel syndrome, call Dr. Scherer for a consult.

Otoplasty

The ear has completed 85% of its growth by the age of three. Children with protruding ears usually become aware of this problem when they start school and classmates tease them. Some children can overcome this and others are scarred by it. Surgery for correction of protruding ears is usually done after age four. The problem with protruding ears is the lack of the outermost fold in the cartilage and or excess cartilage in the ear. Depending on the situation the excess cartilage is removed and the fold reconstructed if necessary. Surgery can take 1-2 hours and patients tolerate it well. Frequently otoplasty procedures are done on an outpatient basis, usually under general anesthesia. The incisions are made behind the ear where they are not visible. Most insurance companies do not cover this surgery.

Facial Fractures

Dr. Scherer treats all facial bone fractures and related deformities. Many facial fractures do not require surgery and can be treated non-operatively.

Skin Cancer Removal and Repair

We can treat all types of skin cancer. Some procedures can be completed in the office while others require an operating room.

Things to be suspicious about are spots that don’t seem to heal. If you have one of these spots on your skin, please see your doctor. Skin cancer can only be diagnosed through biopsy tests completed in a lab.