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Breast Reduction


Women with overly large breasts can experience emotional problems, poor self-image, physical pain and discomfort. Breast reduction surgery can often times help relieve the pain and discomfort due to large breasts. Breast reduction surgery can enhance your health and appearance.

Breast reduction surgery is also called a reduction mammoplasty. This surgery is designed to remove excess breast fat, glandular tissues and skin. The surgical goal is to achieve a breast size that is in proportion with your body, and alleviate the psychological and physical discomfort associated with overly large breasts. Patients are typically very happy after surgery and long-term satisfaction rates are high.

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When is breast reduction surgery a good option?

If you suffer from any or all of the following, a reduction mammoplasty may be right for you.

  • You have large, pendulous, heavy and dense breasts that cause chronic neck, back and shoulder pain, mid back pain, back spasms and rashes,
  • The weight of your breasts interferes with your ability to be physically active,
  • Your nipples rest significantly below the breast crease when unsupported, and
  • You have enlarged areolas due to stretched skin

The goal of surgery is to reduce volume while maintaining an esthetically pleasing shape and contour that improves your self-image as well as your physical health and ability to be active. You should do this for yourself, no one else.

The breast reduction consultation

This is the time to discuss the reasons you want surgery, your expectations and desired outcome.
Dr. Waltzman will evaluate your general health, examine your breasts, take detailed measurements, and assess the quality of the breast skin and placement of your nipples and areolas. He will take photos and discuss the risks and benefits of the surgery and your options. He will then recommend a course of treatment that meets your goals.

Breast reduction considerations

  • Women with overly large breasts, who desire to reduce the size of their breasts, are typically advised to postpone surgery until they are finished having children. They should be finished with breast feeding for at least 6 months before considering surgery.
  • Women who have had breast reduction surgery have similar success with breast-feeding as those who do not. However, there is the potential for the need to supplement feeding with formula.
  • Often larger breast reduction surgery may be covered by insurance.

Can your breast size increase after breast reduction surgery?

Breast tissue is affected by weight loss and weight gain. Aging, pregnancy and menopause all affect your hormones, which naturally affect your breasts. Young women who have breast reduction surgery may experience breast growth due to weight gain, oral contraceptives, pregnancy and breast feeding. In some cases a revision surgery may be needed.

What is gynecomastia?

Gynecomastia is breast enlargement in men. It is a benign condition that is usually due to a hormonal imbalance. However, disorders of the male sex organs, including testicular cancers, can also lead to gynecomastia. It can also be a side effect of certain medications. Enlargement of the breasts is normal in males, especially during puberty, and it usually resolves on its own. While not generally a serious problem, in adult men, it can be embarrassing and emotionally stressful. After excluding medically treatable causes of gynecomastia, surgery can be explored. A variety of surgical options exist, ranging from liposuction to excision of the excess breast tissue.

It is vitally important that you choose a plastic surgeon with the experience and skills you need. Dr. Waltzman has the training and experience to provide you with exceptional care and excellent outcomes. Importantly, he has an artistic eye, a strong sense of aesthetics, and will honestly and realistically address your needs.

Get the information you need to decide if breast reduction surgery is right for you. Contact us today to schedule a consultation.