Breast Reduction

Breast reduction, also known as reduction mammoplasty, is a surgical procedure that reduces the size of the breasts by removing excess breast tissue, fat, and skin. It is commonly performed to alleviate physical discomfort and improve the overall appearance of the breasts. Breast reduction can provide relief from symptoms such as back, neck, and shoulder pain, as well as improve self-confidence and body image. Dr. Landis has performed hundreds of breast reductions, and they are some of our happiest patients!

Reasons for Breast Reduction:

Breast reduction may be recommended for individuals who:

• Experience physical discomfort: Women with large breasts often suffer from chronic pain in the back, neck, and shoulders due to the weight and strain on the upper body. Breast reduction can alleviate these symptoms and improve overall comfort.
• Have difficulty finding properly fitting clothes: Large breasts can make it challenging to find clothing that fits well, causing limitations in clothing choices and self-expression. Breast reduction can help individuals find clothes that fit properly and feel more confident in their appearance. It is usually easier for women to shop for, and fit into, bras after a breast reduction.
• Feel self-conscious or have body image concerns: Some women may feel self-conscious or unhappy with the size or shape of their breasts. Breast reduction can improve body image and self-esteem by creating a more proportionate and balanced breast appearance. Many women are finally able to exercise and be physically active after a breast reduction which further improves their lifestyle and confidence.

Procedure:

Breast reduction is performed under general anesthesia and takes approximately two hours, depending on the complexity of the case. Dr. Landis will make incisions, typically in a keyhole or anchor-shaped pattern, depending on the individual’s breast size and shape. She will remove excess breast tissue, fat, and skin, then reshape the breasts, and reposition the nipples and areolas. Liposuction is performed on the around the breast known as the “side boob”, which further improves the overall outcome. (The nipple is not removed from the patient and reapplied, but rather lifted and repositioned while still being in continuity with the breast ducts. This allows future breast feeding for the majority of patients). The incisions are carefully closed with dissolvable sutures, and dressings are applied to protect the incision sites. No drains are placed during this surgery.

Recovery and Aftercare:

We strive to make aftercare as simple as possible for our patients and understand that most women are anxious to return to an active lifestyle. After breast reduction surgery, patients may experience temporary soreness, swelling, and bruising. A supportive ACE wrap dressing is provided on the day of surgery and is worn continuously for the first week to minimize swelling and provide support during the healing process. Daily dressing changes are not required. It is essential to follow Dr. Landis’ post-operative instructions regarding medication, wound care, and physical activity restrictions.

Breast reduction patients are instructed to rest at home for one week, refraining from driving or lifting anything greater than 5 lbs. Patients may shower 2 days after surgery, but may not submerge in a bath tub or pool for 6 weeks. After one week a patient may return to normal daily activities and a desk job. Patients with a more physically demanding job may require more time off work. All patients are cleared at 3 weeks to slowly resume exercise activities. 

Potential Risks and Complications:

While breast reduction is generally considered safe, it is important to be aware of the potential risks and complications associated with the procedure. These may include:

• Infection
• Bleeding
• Fluid collection (seroma)
• Changes in nipple sensation, either increased or decreased
• Scarring
• Asymmetry
• Wound healing issues
• Breastfeeding difficulties
• Anesthesia risks

Dr. Landis will discuss these risks with you and address any concerns or questions you may have before deciding to undergo breast reduction. Bra cup sizes are not scientific measurements, and Dr. Landis cannot guarantee a certain cup size after surgery. Most women wear a significantly smaller bra cup size after surgery and report the fit and feel is much improved.

Cost:

Breast reduction cost includes the surgeon fee, facility fee, anesthesia fee, and any labs or imaging that may be required before or after surgery. The total cost for a breast reduction ranges from $10,000 -$14,000 and varies if any additional surgery is required. Dr. Landis will formulate a plan specific for each patient and a detailed estimate will be provided. CareCredit is available to our patients, and we’d be happy to discuss this option with you!

Conclusion:

Breast reduction is one of our most popular surgeries, which can alleviate physical discomfort, improve body image, and enhance overall quality of life for individuals with large breasts. It is important to consult with a qualified, board-certified plastic surgeon like Dr. Landis to determine if breast reduction is suitable for you and to discuss your goals, expectations, and potential risks. A personalized treatment plan will be created to achieve the desired breast size and shape while ensuring the best possible outcome.

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