Breast Reduction

What is Breast Reduction?

Reduction mammoplasty, commonly known as breast reduction, is a procedure which reduces the size of the breasts by removing excess breast tissue and skin. The areola (the pigmented skin around the nipple) may be reduced and repositioned as well. Breast reduction is one of the most common plastic surgery procedures.

Who is a good candidate for Breast Reduction?

Candidates must be in good health, have no active diseases or serious, pre-existing medical conditions, and must have realistic expectations of the outcome of the surgery. Many patients choose breast reduction in order to achieve a greater sense of freedom in their physical activities, clothing styles, and to improve self-confidence. Additionally, some patients choose breast reduction to alleviate chronic pain, including neck, back, and shoulder pain. Reduction mamoplasty may also reduce headaches, shoulder-grooving from bra-straps, and may help alleviate upper extremity nerve problems due to posture problems.

NOTE: You may not be a candidate for surgery if you smoke, have recently quit smoking, or if you are exposed to second-hand smoke. Primary and secondary smoking decreases blood flow to the body's tissues. This can result in prolonged wound healing, skin loss, infection, increased scarring, and a number of other complications depending on the kind of procedure performed. Click here for more information related to smoking.

How is the procedure performed?

The technique chosen for your breast reduction will be determined by your anatomy, your surgeon's preferences and your desired results.

The most common procedure involves a three-part incision. First, an incision is made around the areola. Another is made vertically, from the bottom edge of the areola to the crease underneath the breast. The third incision is made horizontally beneath the breast, following the natural curve of the breast crease. The excess breast tissue, fat and skin are removed, and the nipple and areola are shifted to a higher position. The areola is usually reduced in size. Skin from above the nipple is brought down and together to reshape the breast.

Options to Enhance the Procedure

Your surgeon may recommend combining liposuction with the procedure to improve body contour, especially on the sides of the breasts.