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Breast Reduction

Breast Reduction Surgery - New York, NY

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Large breasts can cause pain, improper posture, rashes, breathing problems, skeletal deformities, and low self-esteem. Breast reduction surgery is usually done to provide relief from these symptoms. Performed under general anesthesia, the two-to-three hour procedure removes fat and glandular tissue and tightens skin to produce smaller, lighter breasts that are in better proportion to the rest of the body.

Breast reduction surgery is not recommended for women who intend to breast feed, since many of the milk ducts leading to the nipples are removed.

Surgical Technique

During the procedure, an anchor-shaped incision is made from the new location of the nipple down to crease beneath the breast. New York breast reduction surgeon, Dr. Aston removes excess glandular tissue, fat, and skin, relocates the nipple and areola before closing the incisions with stitches. Liposuction may be needed to remove excess fat from the armpit area, and in some cases when only fat needs to be removed from the breasts, liposuction alone is used for breast reduction.

During/After Surgery

Following the breast reduction the incisions are covered with small banages including a Saran wrap type dressing which permits one to get into the shower on the same day or the next morning. A soft sports bra can give support and comfort. Stitches are usually removed in 6-7 days. Dr. Aston does not recommend surgery bras for his patients.

Some pain and discomfort is normal after surgery however is usually mild to moderate. There will be some swelling and possible bruising for the first few days following surgery. Most patients return to work within one week. Strenuous exercise and heavy lifting should be avoided for the first month and only gentle contact with the breast should occur during the the first six weeks.

Scars fade with time but will not disappear. Some patients heal much better than others. 

Risks are rare and usually minor but may include bleeding, infection, and small areas along the incision line which may have slight decrease in the rate in which they heal. Permanent loss of feeling in the nipple is possible but is unusual.


Women with large, disproportionate breasts who experience pain, discomfort, and embarrassment due to their breast size may be good candidates for breast reduction surgery. Although the procedure is generally recommended for mature women with fully developed breasts, breast reduction surgery can be performed on younger women if their breasts are causing serious pain and physical discomfort.



After breast reduction surgery, it is often possible to return to work within just a couple of weeks, of course depending on ones job. Many patients can resume most of their normal activities, including some form of mild exercise, within 4 weeks. You may continue to experience some mild, periodic discomfort during this time, but these feelings are normal. Sexual activity should be avoided for at least one week after breast reduction surgery.



As noted above, you will be able to shower on the day of the surgery or the next morning.



Breast reductions may be covered by medical insurance if the purpose of the breast reduction surgery is to alleviate physical discomfort and pain. Many factors determine your eligibility. Dr. Aston does not accept any forms of insurance for any procedures he performs. However, we will help you prepare documentation for the necessity of your breast reduction for your insurance company. 


Unless you gain or lose a significant amount of weight or become pregnant, your breast size should remain fairly constant. However, the effects of aging and gravity may cause breasts to sag over time. If, after a period of years, you become dissatisfied with the appearance of your breasts, you may choose to undergo a breast lift procedure to restore their more youthful contour.



The various techniques for breast reductions produce different types of possible scarring. Traditional breast reduction surgery will produce anchor-like scars that extend around the nipple, down the middle of the breast, and under the breast. Vertical incision breast reduction surgery creates shorter scars which also circle the nipple and extend vertically down the breast, but do not continue under the breast. Scar-less breast reduction surgery typically only leaves minor, inconspicuous scars that are usually under the breast crease. This type of procedure is only possible for patients who can be treated with Liposuction alone.

The policy of our office is to preserve patient confidentiality. During your consultation, you will be able to view pre-operative and post-operative photographs of patients who have given us permission to show their photographs.

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