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, but it improves aesthetics as well.

• Breast Reduction Benefits
• Breast Reduction Candidates
• Breast Reduction Procedure
• Breast Reduction Recovery
• Breast Reduction Scars
• 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 overly 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 and down each breast. An incision may also be necessary along the breast crease. 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. The incisions are then sutured closed.

If performed as an inpatient procedure, breast reduction surgery will likely be done at Memorial West Hospital or Memorial Miramar Hospital, while outpatient procedures are often performed at the Surgery Center of Weston. A breast reduction surgery typically is 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. Commonly, scars form around the areola, vertically down to the breast crease, and sometimes 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.  

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.