Breast Reduction

Women with large breasts can have a variety of symptoms related to the size of their breasts. Among the most common are upper and lower back and/or neck discomfort, bra strap indentation, and rashes under the breasts. Disproportionately large breasts can be aesthetically displeasing and may interfere with athletic activity as well. In older patients, large breasts can impede mobility and activities of daily living. A breast reduction performed by board-certified plastic surgeon Robert Rothfield, MD is a procedure that reduces the size of the breasts. At the same time, the breast and areola are repositioned (lifted) and the areola can be made smaller. By removing excess breast tissue and reshaping and lifting the breast to a more flattering and comfortable size, a more balanced body contour can be achieved.

This is a procedure that is performed across the age spectrum from teenagers to healthy women in their seventies. It is also a procedure with some of the highest patient satisfaction rates because not only does it alleviate discomfort, and improve aesthetics, it also makes patients look thinner.

• Breast Reduction Benefits
• Breast Reduction Candidates
• Breast Reduction Procedure
• Breast Reduction Recovery
• Breast Reduction Scars
• Breast Reduction Complementary Procedures
• Additional Breast Reduction FAQs
• Breast Reduction Patient Forms

What Are the Benefits of Breast Reduction Surgery?

Breast reduction surgery offers a range of benefits. Physically, this procedure can alleviate discomfort associated with large breasts, such as back, neck, and shoulder pain. It can also help reduce skin irritation under the breasts and improve posture. Breast reduction often makes physical activities easier, bettering a patient’s overall mobility and ability to exercise comfortably. It can also help boost a patient’s self-esteem and body image. Ultimately, breast reduction surgery aims to help patients achieve a breast size that is more proportionate to their body, which can ultimately enhance their quality of life.

Who Is a Candidate for Breast Reduction Surgery?

Candidates for breast reduction surgery typically include individuals who:

• Experience physical discomfort such as back, neck, or shoulder pain due to breasts that are too large for their bodies
• Suffer from skin irritations under the breast area or bra strap indentations
• Face difficulties with physical activities or finding well-fitting clothing
• Feel self-conscious about their breast size
• Are in good overall health, with a stable body weight and realistic expectations about the outcomes
• Are non-smokers, as smoking can complicate both the surgery and the healing process

A consultation with Dr. Rothfield can help determine breast reduction candidacy.

How Is Breast Reduction Surgery Performed?

Breast reduction surgery is typically performed under general anesthesia and begins with an incision made around the areola, down the front and under the breast. Through these incisions, excess breast fat, glandular tissue, and skin are removed to reduce the overall size of the breasts. The nipples and areolas can be repositioned higher up, and the remaining breast tissue is usually reshaped to create a smaller, lighter breast. Drains are placed in each breast and then the incisions are closed with dissolvable sutures.

Breast reduction surgery is typically an outpatient procedure and is performed at the Surgery Center of Weston, a fully accredited JCAHO facility. Breast reduction surgery is usually about 2.5 hrs to 3.0 hrs in length. All patients will have a post-operative visit to see Dr. Rothfield the next day.

What Does Breast Reduction Recovery Entail?

Patients may experience mild discomfort such as soreness, swelling, and burning during their initial recovery from breast reduction surgery. These effects can often be managed with over-the-counter pain medication. Patients will wear a surgical bra that is provided to them to help support the healing process and minimize swelling. In most cases, patients can return to work and driving after five days. Light exercise can typically resume after about two weeks, while full exercise should be avoided for the first month after the procedure. With this in mind, mobility during recovery is important for blood circulation. Dr. Rothfield will provide more detailed recovery guidelines and specific recommendations once your customized treatment plan is developed.

What Will My Breast Reduction Scars Look Like?

While breast reduction scars are permanent, they can significantly fade over time. The appearance and extent of scarring is largely dependent on the patient’s skin healing characteristics. The scars will be around the areola, down the center of the breast crease, and horizontally along the crease, resembling an anchor or inverted T-shape. Initially, scars may appear red and raised but should gradually become thinner and lighter in color. Proper post-operative care, such as avoiding direct sun exposure, can help improve scar appearance.

What Procedures Complement Breast Reduction?

Several procedures can complement a breast reduction by enhancing overall balance, comfort, and body contour.

For those seeking full-body rejuvenation, a tummy tuck can tighten loose abdominal skin and muscles, creating a more harmonious silhouette with the newly reduced breasts. Liposuction, especially along the bra line, flanks, or upper abdomen, can also be added to improve contour. Other surgical options such as arm lifts or back lifts, may be recommended to improve symmetry and further enhance surgical results.

Additional Breast Reduction Frequently Asked Questions

How can I maintain my breast reduction results?

You can maintain your breast reduction results by following healthy lifestyle habits and caring for your body long-term. Keeping a stable weight is key as significant weight fluctuations can change breast size and shape over time. Wearing properly fitted bras, especially during exercise, helps support breast tissue and prevent premature sagging. Additionally, protecting your skin by avoiding excessive sun exposure and using moisturizer can help preserve skin elasticity, while following post-operative guidance on long-term scar care can help keep incisions as faint as possible. Finally, continue regular self-exams and routine screenings to ensure overall breast health while enjoying your results.

Will breast reduction improve back, neck, and shoulder pain?

Yes, breast reduction surgery often significantly improves back, neck, and shoulder pain caused by overly large breasts. By removing excess breast tissue and lifting the chest into a more balanced position, this procedure reduces the weight pulling on the spine and shoulders. Many patients experience relief from muscle strain, grooving from bra straps, and posture-related discomfort shortly after recovery begins. While individual results can vary, breast reduction is often considered one of the most reliable procedures for alleviating chronic upper-body pain associated with large and heavy breasts.

Can I still breastfeed after breast reduction?

Breastfeeding is still possible after breast reduction surgery, and is successfully achieved in about 50% of patients. Breast reduction surgery is performed in a manner that preserves the nerve and blood supply to the nipple and the nipple’s connection to milk ducts. Some women produce a full milk supply, while others may need to supplement. If future breastfeeding is important to you, discuss this with Dr. Rothfield so he can use techniques that help maintain lactation potential.

Patient Forms

• Informed Consent – Breast Reduction
• Drains

For more information about breast reduction surgery or to schedule a complimentary consultation with Dr. Rothfield, please contact Weston Plastic Surgery.