Breast reduction, or reduction mammoplasty, is for a woman experiencing health problems and/or extreme self-consciousness associated with very large, heavy breasts.  Medical problems associated with large breasts include back and neck pain caused by the excessive weight, skin irritation, bra strap indentations, poor posture, and interference with normal daily activities such as exercise.  The surgery removes fat, glandular tissue, and skin from the breasts, making them smaller, lighter, and firmer. It can also reduce the size of the areola, the darker skin surrounding the nipple.  This can alleviate the health problems associated with large breasts and improve a woman’s confidence in her appearance.  Reduction mammaplasty is often covered by insurance.
Breast reduction surgery is an outpatient procedure.  It is done under general anesthesia and typically takes 2-3 hours.  Patients will need to limit strenuous upper body activity and wear a sports bra for several weeks after surgery.  The scars go around the areola, straight down as a vertical line to the inframammary crease, and then horizontally in the crease under the breasts.  Through these incisions, excess skin and tissue are removed and the nipple areolar complex is repositioned higher.






Male Breast Reduction

Male breast reduction is done for men with gynecomastia, a condition of male breast overdevelopment.  The procedure removes fat and/or glandular tissue from the breasts, and in extreme cases removes excess skin, resulting in a chest that is flatter, firmer, and better contoured.  The surgery often involves liposuction as well as some component of direct breast excision done through a semicircular incision around the areola.  In cases of skin excess, additional incisions will need to be made for skin removal.
The procedure is done under general anesthesia and takes about 2 hours.  Patients are placed in a compression vest following surgery to minimize fluid accumulation and facilitate skin retraction.  This must be worn for several weeks.  There will be some bruising which will disappear over 1-2 weeks