Breast Reduction
Alleviate discomfort and achieve a proportionate silhouette.
Breast Reduction - Our Approach
Breast reduction removes weight and reshapes the breast so it feels lighter and sits better on the chest. This procedure provides relief from physical discomfort like back pain while creating a more aesthetically pleasing shape.
InquireThe Ideal Candidate
- Back, neck, shoulder, or bra-strap discomfort from breast weight
- Skin irritation under the breast crease
- Difficulty exercising or finding clothing that fits comfortably
- Desire for smaller, lighter, more manageable breasts
Procedure Quick Facts
Surgical Technique
Breast reduction is most often performed with an anchor-pattern incision that lets the nipple and areola move higher while staying attached to tissue with a reliable blood supply. Extra breast tissue, fat, and skin are removed to reach the planned breast size. Liposuction may be used along the outer breast or side of the chest to refine the shape. The remaining breast tissue is lifted and reshaped, then the skin is closed in layers along the vertical and breast-crease incisions. In selected patients needing a smaller reduction, shorter-scar techniques may be an option.
Who Is a Good Candidate for Breast Reduction?
Breast reduction is a good fit for patients whose breast size causes physical symptoms or limits daily activity. Good candidates are at or near a stable weight, avoid nicotine, and understand that scarring, sensation changes, and breastfeeding changes are possible. If insurance coverage is being considered, symptom documentation is often required.
Recovery
Breast reduction recovery includes wearing a supportive surgical bra for about four to six weeks. The first week is focused on rest, limited arm movement, and avoiding lifting. If drains are used, they are usually removed within the first week. Many patients return to desk work within ten to fourteen days. Activity is increased gradually over about six weeks. Scars continue to mature for twelve to eighteen months and are placed so they can usually be concealed by bras and clothing.
Acute Recovery
Surgical bra worn continuously. Drains managed. Limited arm movement; significant swelling and tenderness expected.
Return to Light Activity
Return to desk work. Swelling and bruising diminish. Sutures dissolve; incision care continues.
Progressive Activity
Lifting restrictions ease. Light exercise permitted. Physical discomfort symptoms - back and shoulder pain - typically resolved.
Full Recovery
Full activity resumed. Scars continue to mature and soften over 12–18 months.
Breast Reduction Risks & Considerations
Breast reduction is generally well tolerated, but risks include permanent scarring, temporary or permanent changes in nipple or areola sensation, wound healing problems, asymmetry, infection, and hematoma or seroma. The point where incision lines meet can be slower to heal. Rarely, the nipple or areola can have a blood-supply problem that affects healing or tissue survival. Breastfeeding ability may change after reduction. If insurance coverage is being considered, documentation of medical necessity is usually required.
- Visible scarring
- Changes in nipple or areola sensation
- Wound healing problems
- Asymmetry
- Blood-supply problems affecting the nipple or areola (rare)
- Difficulty breastfeeding
- Hematoma (blood collection) or seroma (fluid buildup)
- Infection
Alternatives to Breast Reduction
Patients who mainly want a better shape with only mild size reduction may be better served by a breast lift. When excess volume is mostly fat and skin tone is good, liposuction-only breast reduction may offer a smaller-scar option, but the amount of reduction is limited. Supportive bras can improve comfort temporarily but do not reduce breast tissue.
Related Procedures
Related Articles
Medical Sources
Breast Reduction - Frequently Asked Questions
- Will insurance cover breast reduction?
- In many cases, if the procedure is deemed medically necessary to treat pain, insurance may provide coverage.
- Will I lose sensation in my nipples?
- While temporary changes are common, permanent loss of sensation is rare with modern surgical techniques.
- Can a reduction be performed with liposuction?
- Liposuction is often used to refine the lateral breast area and ensure a smooth transition to the chest wall.
- How much weight is typically removed?
- The amount varies, but the goal is to reach a size that is comfortable for your height and frame.
Performed by Dr. Ruben Castro in Newport Beach, California