Breast reduction surgery, also known as reduction mammoplasty, is a procedure that removes excess breast fat and tissue. Many women decide on doing a Breast Reduction Surgery because they feel that their chest or breasts are out of proportion with their body.
We also offer male breast reduction surgery in NYC, also known as Gynecomastia. For more information, read our Gynecomastia page. This procedure addresses the needs for patients with macromastia, or excessively large breasts, that may experience both physical and emotional side effects from the extra weight. Due to macromastia, patients may suffer from self confidence issues, emotional distress, back pain, and struggle with daily activities. Patients who do not have macromastia may also go through with this procedure if they are not happy with their breast size and would like to achieve a breast size proportionate to their body and also ease any discomfort from large breasts. A breast reduction can offer patients a numerous amount of benefits. It can bring back the patient’s self confidence as well as diminish back pain or any other physical pain the patient was previously feeling. It can also give back the ability to patients to participate in daily activities and exercise and reduce and lift the bust line. Lifting the bust line will create a more balanced body proportion and curves and help with the concerns of heavy weight that comes from larger breasts. Furthermore, receiving a breast reduction surgery can address wardrobe concerns and give patients more clothing options as well as balance out body proportions.
If you think that a breast reduction would help you live a more active and healthy lifestyle, then consider having this procedure done. At Millennial Plastic Surgery, Dr. David Shokrian can help you achieve the results you want and improve your quality of life through breast reduction surgery in NYC. To learn more about breast reduction surgery costs and how to get started with your procedure, please contact our office at 212-421-7123 or fill out an Electronic Consultation linked on the home page of our website.
Preparation for Breast Reduction Surgery
In order to ensure proper healing following your procedure, you must be in good health and physical shape. Dr. David will discuss with you on how to make your surgery and the entire process comfortable for you. After surgery, plan ahead to have someone to drive you home after surgery. We recommend you to wear loose, comfortable clothing and get plenty of sleep and rest to recover. For about two weeks following surgery, avoid lifting heavy objects or anything that will strain you. This can include heavy groceries, large boxes, furniture, etc. After surgery, you may continue your normal food diet while drinking plenty of fluids everyday such as water. Lifting heavy objects too soon after surgery can worsen the scars of the incision. It is important to stay in good health and taking care of your body in order to have a stable and fast recovery from your surgery.
During the initial in-person consultation, Dr. David Shokrian will examine your breasts, discuss with you about your medical history, health concerns, and the desired results that you want from this procedure. He will also help you to find the right method for your procedure that aligns with the results you want. Breast reduction costs can be discussed during your visit with one of our patient coordinators.
Breast reduction surgery is performed under general anesthesia. Once the patient is under anesthesia, Dr. David will make incisions in the appropriate areas on the breasts. The incision method used will depend on the breast size and the desired outcome. A breast reduction through liposuction may be possible for some patients if their breast tissue is comprised of fat. Dr. David Shokrian explains all options during the consultation to patients to ensure that they are aware of the procedure prior to surgery.
After the incisions are made, the nipple will be repositioned in a more centered position. If necessary, the areola will also be reduced and moved to a higher position. The excess tissue is then removed and the breasts will be reshaped so that the breasts are symmetrical. After the breasts are adjusted and reduced, the incisions are sutured.
There are multiple incision techniques that can be done during this procedure. Scarring after the surgery is inevitable, however with the multiple methods and techniques open to breast reduction, it can be minimized depending on the method. Furthermore, after a year and onwards from the procedure, several of the scarring will be faded and hardly noticeable. There is also the option for liposuction for some patients. Depending on the amount of fat present in your breasts, liposuction can also reduce the size without a more visible scar.
Here are the 3 Methods that we offer at Millennial Plastic Surgery for Breast Reduction:
Traditional/ Anchor Incision Method
This type of method requires three separate incisions on the breasts. One that is around the edge of the areola, one that is vertical from the areola to the breast crease, and finally, one that is along the crease underneath the breast. Typically, this method is used the most because it allows the most amount of excess fat removed and reshaping. Using this method allows easy removal of breast tissue and can treat moderate to severe sagging. Usually there is one thin scar that runs along the crease under the breasts. This scar on the breasts can be visible but it can be easily hidden with normal clothing and bikini tops and quickly fade after the first year following the procedure.
Vertical/ Lollipop Incision Method
This breast reduction method requires two separate incisions, similar to the traditional method but avoids the inframammary incision region under the breast. The lollipop or round incisions are made around the outer edge of the areola that blends into the skin and a vertical incision fades into a very thin white line scar after 12 months from surgery. This kind of incision method is used to remove fat, skin, and reshape the breasts internally to give it a more youthful shape and lift. This technique is new and are mainly for patients that want mild to moderate breast tissue removal for their breasts.
Liposuction is also an option for some patients. The best patients that can receive liposuction for breast reduction are candidates with little to none sagging, good skin elasticity, and if the breasts are large mainly due to fat tissue. Liposuction can remove some or all breast tissue for reduction depending on the excess tissue present in the breasts. If the large breast size is mainly due to excess fat, liposuction can be used to reduce breast size with minimal scarring. The incisions made during Liposuction are either hidden within the armpit or beneath the breast.
Recovery and Results
Patients recovering from breast reduction surgery should expect to rest for about 48 hours following their procedure. Common side effects include swelling, soreness, bruising, numbness and discomfort that can last two to three weeks. Results will be immediately noticeable, although they will continue to develop. Final results are typically visible around two to three months into recovery, although subtle changes in size will continue for up to one year. The scars resulting from the incisions will take about 12 to 18 months before fully maturing. Scarring is inevitable but the incision lines can be concealed under a swimsuit or bra.
For recovery at home, you may use ice or an ice pack over your breasts for 10-20 minutes at a time. It is recommended to ice every 1-2 hours for the next 3 days after surgery or until swelling has significantly reduced. Remember to wrap the ice or ice pack in cloth.
Wash the area daily with warm, soapy water and pat it dry. DO NOT use alcohol or hydrogen peroxide to wash. Using alcohol or hydrogen peroxide will slow down the healing process.
fter Breast Reduction Surgery, contact our office or Dr. David if any of the following occurs:
Signs of infection which includes redness, unusual swelling around the area, tenderness, fever. Peculiar discharge or pus from the affected area or incisions. Incisions open up before you are due to get it removed
Q&A with Dr. Shokrian
What kind of bra will I need to wear following surgery?
We recommend wearing a sports bra for at least 4 weeks after your procedure as underwire and push up bras can alter results and delay the healing process for the incisions. Avoid wearing underwire and push up bras until you have fully healed and recovered to receive your desired results.
When will I be able to take a bath or go swimming after surgery?
Avoid swimming or taking baths for at least three weeks following surgery. After your surgical bandages have been removed, patients are free to go swimming or taking a bath. Avoid submerging your breasts completely into water until your incisions have fully healed.
How long will the results last?
The results will last for a very long time! Breast reductions are only performed after the patient’s breasts are done developing. While your results can last for a while, your results can be affected in size due to any weight gain or pregnancy you have after your pregnancy. If this is likely possible for you, we will discuss with you about it during your initial visit and evaluation.
Will I be able to breastfeed after breast reduction surgery?
Depending on the method used for the surgery, breastfeeding may not be an option for all patients following breast reduction since most of the milk ducts leading to the nipples are removed after surgery. Breast reduction surgery can make breastfeeding more difficult later in life and is not recommended for anyone that plans to breastfeed in the future.
Which incision technique is right for me?
We will discuss with you during your in-person evaluation so we can examine your body and see which options are best for you. All of the options are not available to every single patient since the results and medical history of each patient varies. At Millennial Plastic Surgery in NYC, we emphasize on choosing a method and technique that is right for your body and to give you the best results instead of prioritizing to diminish scarring.
Am I a good candidate for breast reduction surgery?
If you are a woman in good health, non smoker, and suffering negative side effects of macromastia, yes you are! Any patients that would like to resolve issues of chronic back, neck, and shoulder pain, skin irritation around breasts, the difficulty to fit clothes due to your breasts, are a good candidate for breast reduction surgery. We can better determine if you are a good candidate after an in-person evaluation.