Breast Reduction Miami

What is Breast Reduction

Reduction mammoplasty, commonly simply called a breast reduction, is a surgical procedure to remove excess fat, glandular tissue, and skin in order to achieve a smaller, more manageable breast size. Most commonly performed on women with overly large breasts in order to reduce pain, discomfort, and mobility issues, reduction mammoplasty is also frequently performed on men suffering from Gynecomastia. Aside from causing physical pain, people with overly large breast often suffer from low self-esteem and other emotional issues.

Patients with large, heavy breast suffer many different symptoms, such as pain in the neck and shoulders, difficulty performing physical activities, trouble finding clothes which fit properly, and poor posture. Sometimes patients as young as 14 years old seek reduction mammoplasty; however it is recommended patients wait until their breasts have finished developing in order to avoid revision surgery later in life.

At Eres Plastic Surgery we tell patients that plastic surgery is by no means a psychological treatment, but it is difficult to deny the consistent relief and sheer joy felt by our breast reduction patients. Often having suffered from poor posture and back pain since a very young age, patients often come to their follow up appointments standing tall, shoulders back for the first time since grade school.

Good News, Your Breast Reduction May be Covered by Your Health Insurance

While it may be difficult to get an insurance company to pay for a breast reduction, patients seeking larger reductions, those reducing more than two cup sizes or upwards of 500 grams of tissue per breast (about a pound!) and suffer from chronic pain in the neck, back, and shoulders should seek coverage from their health insurance companies for surgery. Some insurance companies take into consideration the patient’s height and weight, and may require evidence from various medical professionals to document the case.

breast reduction surgery

Good Candidates for Breast Reduction Surgery

As with all surgical procedures at Eres, the ideal candidate is in a good state of physical and mental health, has carefully considered the risks of undergoing a cosmetic surgery, has set realistic expectations, and has decided to undergo breast reduction surgery for the right reasons.

A good candidate for breast reduction is at a steady weight. Patients who are in the process of losing weight should first reach their goal weight and maintain it for at least three months prior to surgery as fluctuations in weight can change the results of the procedure. The surgical team at Eres has maximum allowable body mass index (BMI) ranges between 30 and 35. Patients with a BMI which is out of range can consider one of our weight loss programs in order to prepare for surgery.

Candidates for surgery must lead a relatively healthy lifestyle, and avoid habits which negatively impact their health such as smoking, drug consumption, and excessive drinking or eating. Certain pre-existing medical conditions may also exclude some patients from being a candidate for surgery.

While breast reductions to correct asymmetry or male Gynecomastia can, in some cases, be accomplished via liposculpture, the majority of patients should be prepared for some visible scarring on the breasts at the incision site.

Risks of Breast Reduction Surgery

All surgical procedures, cosmetic or not, have inherent risks. While at Eres we have several measures in place to ensure patients are safe, there are always risks, especially following surgery. Risks involved with all surgeries include:

  • Excessive bleeding
  • Unsightly scars
  • Pain
  • Seroma (fluid collection beneath the skin)
  • Wound separation
  • Infection

Breast reduction surgeries do not usually pose serious complications and are carried out successfully every day.

Some of the most common risks for patients undergoing procedures of the breast include:

  • Reduced or lost sensation in and around the nipple
  • Difficulty breast-feeding
  • Asymmetry of the breasts

The risk for infection as well as wound separation increases along with the amount breast tissue removed.

Types of Breast Reductions in Miami at Eres Plastic Surgery

During the consultation process, the surgeon and patient make a plan of execution based on the patient’s goals, and the surgeon’s expert advice. The incision type and technique will depend on the size and shape of the breast and the amount of tissue and skin to be removed.

Breast Reduction: Techniques

The most commonly used technique used to carry out a breast reduction is the pedicle technique, where the areola and nipple are moved while still attached to the mass of tissue called the pedicle, which comprises the ducts, nerves, and blood supply. There are several options for carrying out this technique having to do with the location of the pedicle is in relation to where the nipple is to be relocated.

The inferior pedicle technique, the most common, is where the attached portion is above the nipple and the incision and presumably tissue to be re4moved is beneath it, making it the most common technique as it leaves the majority of scarring beneath the breast. The superior pedicle technique removes tissue at the upper poles of the breast. If the tissue to be removed is on the inner portion of the areola, towards the center of the chest, the technique is a medial pedicle, and if the tissue removed is towards the exterior of the breast, then the lateral pedicel technique is used.

The free nipple graft technique involves severing the nipple and areola from the breast and is far less common than the pedicle technique, but still performed in the United States. Women who undergo a free nipple graft breast reduction are likely to lose sensitivity and milk production.

Breast Reduction: Incision Patterns

The technique selected to carry out the procedure directly impacts the incision site and subsequent scarring. Scars may be located at the areola, a vertical line from the areola to the inframamamry fold, a scar at the base of the breast, or a horizontal line on either side of the areola.


breast lift Miami Florida

Keyhole/Lollipop Incision

The lollipop incision is ideal for moderate reductions and leaves the least amount of scarring once healed. Comprised of two incisions, a linear incision where the tissue is to be removed, and a second “key hole” where the nipple and attached pedicle are to be placed, usually higher on the breast.


reduction mammoplasty

Anchor/Inverted T/Wise Pattern Incision

Women with large breasts or pendulous, saggy breasts require an anchor-shaped incision. In addition to the incision around the areola, the surgeon makes two additional incisions, one vertical the other horizontal; forming an upside down “T” shape, in order to successfully remove the excess tissue and skin.


Gynecomastia AKA Man Boobs

Gynecomastia, a condition in men which causes the male breasts to swell, can be traumatic for the sufferer. People suffering from Gynecomastia often feel self-conscious, causing them to refrain from participating in many activities. Among the most common causes are hormonal imbalance, puberty, aging, medications, steroid use, and health conditions that affect hormones.

Male Breast Reduction

Our patients frequently ask if weight loss or doing chest focused exercises, such as push-ups and weighted chest presses, can correct Gynecomastia, and the answer is always no. Breast tissue, regardless of gender, can’t be reduced with exercise; overly large breasts must be surgically reduced. While some subtle Gynecomastia can be treated with liposuction alone, the majority of patients will require one of the afore-mentioned reduction mammoplasty techniques, especially in more extreme cases.

Male Breast Reduction


Our breast reduction often patients ask is “how long does breast reduction surgery take?” The answer is it depends on the technique, and the amount of excess issue to be removed. A simple reduction takes about three hours, while more complex procedures can take upwards of five hours.

Recovery After Breast Reduction Surgery

As with all surgical procedures, the recovery experience is unique to each patient, with commonalities such as pain, discomfort and swelling. Our patients typically report feeling as if they are wearing an extremely tight bra. In the first few days, arm movements are painful, and we recommend patients have someone stay with them to help get in and out of bed, eat, and shower.

Patients are wise to tell the person driving them after their procedure to take the slow, smooth way home. Every bump, sudden breaks, and turns will be felt painfully in the freshly operated breasts. Patients should consider have a pillow in the car to place between the seatbelt and their chest.

Walking 15 minutes every hour helps ease swelling, gentle arm movements help prevent painful muscles spasms. The pain and swelling gradually subside, and breast reduction patients typically return to work within 10 days or so, as long as it is Ok’d by the surgeon.

The stiches should dissolve on their own, if not they are removed during a post-operative visit. Stitch removal may hurt, especially around the sensitive nipple area.

The incisions will look… weird, don’t panic!

Incisions heal like every other cut; they go through some pretty grotesque phases. Patients can expect scabs, peeling, itchiness, discoloration, and general oozing. It is ok to buy nursing pads in order to protect clothing and bras. Incisions eventually heal, scarring diminishes, and the skin color will be uniform once more.

DO NOT PICK AT SCABS

And don’t scratch either! Gentle rubbing is ok, but patients should not pick at scabs as it puts them at risk for pain, infection, and ugly scarring.

Talk to your partner. People in relationships should prepare their significant other for a change in their bodies, and to see the chest which is familiar to them go through the healing process which can be a lot to take in for some.

Massage, massage, massage (gently)
After about two weeks, gentle massaging while moisturizing is ok.

No heavy lifting for a while
The definition of heavy varies, but not in the first month after surgery. Patients should not lift anything heavy until about a month following surgery.

No heavy lifting for a while
The definition of heavy varies, but not in the first month after surgery. Patients should not lift anything heavy until about a month following surgery.

Life After Breast Reduction Miami

Patients who undergo breast reduction after years of suffering from pain can expect their quality of life improve as they experience improved exercise, sleep, and breathing. Energy levels throughout the day will be higher thanks to not having to carry heavy breasts around all day.

Don't buy bras yet
Many patients mistakenly buy bras before surgery, but until swelling is completely gone, the exact bra size is hard to gauge.

Boob weirdness
As with all procedures of the breast, the final FINAL result is not visible sometimes until about six months after surgery once the breasts have settled into their new position.

Breastfeeding After a Breast Reduction
Maybe leaning towards yes. The majority of patients can breast feed since the milk ducts are typically disconnected from the nipple; however there is a risk of not being able to bre4ast feed after a reduction.

breast reduction procedure

Breast reduction results are permanent, but the breasts will continue to age and change forever. Fluctuations in weight and pregnancy will also change the shape and size of the breasts. As the healing process progresses, patients can expect their entire figure to change. At Eres Plastic Surgery, the most common comment from our reduction mammoplasty patients is they wish they had done it sooner. Patients immediately get relief from a lifetime of neck back and shoulder pain. Improved posture elevates confidence levels, and patients are usually elated with their new “perky” breasts. If you or someone you know is considering a reduction mammoplasty, please take a look through our before and after gallery, and contact us for a consultation.

Questions and Answers about Breast Reduction Miami

Who is a good candidate for breast reduction surgery?
Good candidates for breast reduction surgery at Eres Plastic Surgery include women who are looking to reduce the size of large breasts. Women, who experience physical discomfort due to the large size of the breasts, can be relieved through breast reduction. The breasts should be completely developed before having breast reduction surgery.
Is breast reduction permanent?
Breast reduction surgery should be considered permanent. There is always the possibility that the remaining fat cells will swag and enlarge if you gain weight. The same might happen in the event of a pregnancy; since the tissues swell when storing milk. The consumption of hormones may also cause breast tissue to swell; it is quite possible to gain small amounts of breast tissue back.
When can I shower after breast reduction surgery?
Our Doctors actually recommend that patients take a shower as soon as possible after surgery to help them feel refreshed and able to move around.
Can I breastfeed after a breast reduction?
It all depends on the type of breast reduction technique used. If you have had a traditional breast reduction some of the milk ducts could be removed making it difficult to breastfeed. Some of the milk ducts in the vertical incision reduction will remain connected to the nipple. Scar-less breast reduction surgery has almost no risk of interfering with breastfeeding since the glandular and connective tissue remains untouched.
How should I prepare for surgery?
You should always get detailed instructions from your plastic surgeon before surgery. You will go through a mandatory pre-operative testing. Patients should stop taking some medications such as Advil, aspirin, Vitamin E, blood thinners, and herbal remedies such as Ginkgo Biloba and St. John's Wort. Don’t drink or eat anything about 8 hours prior to surgery. Wear comfortable clothing on the day of the surgery. Clothes that are too tight or confining are not recommended. You should have a responsible person accompany you on your trip to the doctor’s office and back home.
What’s the required age for this type of procedure?
We recommend this procedure for males 18 years of age or older. However, some circumstances may require the person to consider it earlier. You should first consult one of our Eres Plastic Surgery’s plastic surgeons in order to find out more about it.
How do I know if I’m a good candidate for this procedure?
You should first think about how this condition is affecting you either physically or psychologically. Start your research about this condition and gather as much information you can before you make your final decision. Consulting a Eres Plastic Surgery surgeon can also help you make an intelligent decision.
Updated on: October 21st, 2016