Breast Reduction

Breast reduction surgery, (also know as Mammoplasty), is an effective procedure that can help both women and men remove excess breast fat, glandular tissue, and skin to achieve a breast size in proportion with their body, and to alleviate the physical and emotional discomfort associated with overly large breasts.

The weight of excess breast tissue can impair your ability to lead an active life. Easing the emotional discomfort and self-consciousness often associated with having large pendulous breasts can be as important an issue as physical discomfort and pain.

The world-class plastic surgeons at New York Breast Reduction of NYC Surgical Associates are committed to guiding our patients through their breast reduction options, and helping them look and feel their best.

Are You a Candidate for Breast Reduction Surgery?

Candidates for breast reduction surgery are typically women and men with oversized breasts that cause physical and emotional health problems. In addition to self-image and social discomfort, candidates may also experience physical pain.

Breast reduction surgery may be a good option if you:

  1. Experience back, neck and shoulder pain caused by the weight of your breasts
  2. Are bothered by feeling that your breasts are too large
  3. Have breasts that limit your physical activity
  4. Have shoulder indentations from bra straps
  5. Suffer from skin irritation beneath the breast crease

Breast Reduction Procedure

At New York Breast Reduction of NYC Surgical Associates, breast reduction surgery is performed in 5 steps:

1. Anesthesia

Medications are administered for your comfort during breast reduction surgery. The choices include intravenous sedation and general anesthesia. Your doctor will recommend the best choice for you.

2. The Incision

There are 3 incision options for this procedure:

breast Circular Incision
Circular pattern – The incision lines that remain are visible and permanent scars, although usually well concealed beneath a swimsuit or bra.

breast keyhole Incision
Keyhole– Incision around the areola and vertically down to the breast crease.

breast Inverted-T Incision
Inverted T – Involves 3 incisions: one around the edge of the areola, one vertically from the areola to the breast crease, and one made along the crease underneath the breast. This technique allows for the maximum degree of tissue removal and reshaping,

3. Removing Tissue and Repositioning

After the incision is made, the nipple (which remains tethered to its original blood and nerve supply) is then repositioned. If necessary, the areola is reduced by excising skin at the perimeter. Underlying breast tissue is reduced, lifted and shaped. Occasionally, for extremely large pendulous breasts, the nipple and areola may need to be removed and transplanted to a higher position on the breast. This is known as a free nipple graft.

4. Closing the Incisions

The incisions are brought together to reshape the now smaller breast. Sutures are layered deep within the breast tissue to create and support the newly shaped breasts; sutures, skin adhesives and/or surgical tape close the skin. Incision lines are permanent, but in most cases will fade and significantly improve over time.

5. See the Results

The results of your breast reduction surgery are immediately visible. Over time, post-surgical swelling will resolve and incision lines will fade. Satisfaction with your new image should continue to grow as you recover.

Preparing for Breast Reduction

Our Doctors Recommend That You Prepare for Your Breast Reduction Procedure As Follows:

1. Quit smoking

Nicotine reduces blood flow to the skin and can cause significant complications during healing. You must refrain from smoking for at least 4 weeks after surgery. It’s also not a bad idea to consider quitting permanently at this point as well, since smoking can decrease the lifetime of your plastic surgery results.

Arrange for someone to drive you to and from the surgical facility on the day of your procedure and remain with you for at least 24 hours after. Remember, people are busy, so the sooner this can be coordinated, the better. Patients cannot leave the facility on their own and cannot be left alone during the first 24 hours.
Arrange to have your medical clearance completed by your primary care physician and any specialist your surgeon has asked for an opinion from.

Two Weeks before Breast Reduction Procedure

  • Do not consume any aspirin, ibuprofen, Aleve (naproxen), or other NSAIDs – they interfere with normal blood clotting. For pain relief, take Tylenol or generic acetaminophen
  • Discontinue all herbal medications and diet pills – they can complicate your surgical procedure or increase risks.
  • Your normal multivitamin is fine, but discontinue “mega-doses” of vitamin E.

The Week of your Procedure

  • Fill your pre-operative shopping list, including picking up your prescriptions, germ-inhibiting soap, and straws to encourage you to drink water. Plan to purchase a whey protein powder such as Vega 1 or GNC generic brand. Please take 2 scoops a day in a shake starting one week before surgery continuing two weeks after surgery. Your body requires protein to heal.
  • This is a good time to prepare your recovery space. You should have a wedge pillow or enough pillows to hold your torso upright during recovery. You may also want to purchase a few books and movies for entertainment. It’s important to note that you will not be confined to bed, but the more you enjoy your rest, the more you’ll do it and the better your recovery will be.
  • It’s not a bad idea to move frequently needed items down from high shelves at home. You will likely not want to reach over your head much for a few weeks.
  • NYC Surgical Associates will provide custom recovery gear, but sometimes patients are more comfortable in their own clothes. During your consultation, we’ll discuss recovery wear and what can be worn for your procedure.
  • Report any signs of cold, infection, boils, or pustules
  • Do not take any cough, cold, or other over-the-counter medications without permission.

The Week of your Procedure

  • Do not eat or drink anything (not even water) after midnight the night before your surgery. No gum, candy, mints, or coffee the morning of surgery. If you sneak anything, you can increase your risk of serious surgical complications.
  • You may brush your teeth the morning of surgery, but do not drink anything
  • Your surgeon will tell you whether you should take any regular medications the day of the procedure.
  • Take a shower the night before or the morning of your surgery. Scrub thoroughly with your germ- inhibiting soap. Shampoo your hair the morning of surgery.
  • Do not use makeup, creams, lotions, hair gels, sprays, perfumes, powder, or deodorant on your skin, hair, or face.
  • Do not wear contacts to surgery. Wear your glasses and bring your glasses case.
  • Don’t bring any valuables or wear any jewelry. If you cannot remove your wedding rings or simply can’t bear to, we will tape them.


Breast Reduction Recovery & After Care

After your procedure your incisions will be covered in bandages. Small tubes might be placed in your legs to drain any excess blood or fluid.

As you go through your breast reduction recovery, you will experience the following:

1. Discomfort

You may have a several days of discomfort that requires narcotic support. Please take the medication every 4-6 hours while awake for the first 3 days

2. Swelling/bruising

this may linger for 2-3 weeks with each week showing less swelling/bruising than the previous week

3. Activity restriction

You should refrain from stretching the legs, or any heavy lifting/exercise for 6 weeks

If you have a sedentary desk job you can return to work in 5-7 days, if you have an active job we suggest 10 days off of work.

You may return to light cardio exercise in 3 weeks and leg exercises in 6 weeks


Ready To Learn More About Breast Reduction Treatment?

Please contact us through our form field or call 888-220-2862 to speak with one of our specialists today.