Breast Reduction - size options and recovery expectations? (Photos)

Dear DaBreastAround

Thank you for your question. Based on your photos, you look like an excellent candidate for a breast reduction. You should not have to suffer from this size.

Different women prefer different sizes after breast reduction. A rare patient desires an A cup. Most women desire a C or D cup. And most can have the size they want. I have all patients show me a "wish picture," from my gallery. See link below. This helps us communicate together.

For recovery, see link, but simply stated: most people take a week from work and to drive, and are back exercising at 3-4 weeks.

Best of luck
Dr. Jim Romanelli

Breast reduction is a surgical procedure designed to reduce the amount of breast tissue. Reduction is recommended for women that experience a significant amount of discomfort due to the weight and size of their breasts (shoulder, back, neck pain). They may have difficulty exercising or wearing certain types of clothing. During surgery, excess skin, fat and breast tissue may be removed as well to improve sagging. The sagging nipple position is corrected and the breast is reshaped. The incision is typically made around the nipple, extending vertically down to the crease, and then ending in a horizontal line within the breast crease. Based on your photos, you appear to be a reasonable candidate for a reduction. Sizing is based on anatomy, patient preference, and in cases of medically indicated reduction insurance resection requirements. The larger/longer the breast the greater need for size preservation to maintain blood supply to the NAC. That being said, the average reduction is approximately 500 gm per side (1 lbs). As always, discuss your concerns with a board certified plastic surgeon (ABPS).

Dear DaBreastAround,

breast reduction is best suited for women who wish to decrease the size of their breasts. While there are different techniques used to perform this surgery, I prefer the vertical incision (lollipop pattern) breast reduction technique instead of the anchor scar pattern, which reduces more noticeable scarring than usual. I also use a SAFE liposuction technique to reduce additional fat around the stubborn axilla area and bra line. This way, my patients are achieving beautiful results with minimal incisions which reduces downtime and delivers an overall better breast shape long term.
If you are considering breast reduction surgery, you should consult with a board certified plastic surgeon to discuss your options and make sure your surgeon understands your goals. Only after a thorough examination you will get more information and recommendations.




Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

From the submitted photos you do appear to be a candidate for a breast reduction. The size you choose to reduce to is up to you- anywhere from a cup size to multiple cups. The procedure will remove excess volume, improve symmetry, and raise the position of the nipple. Recovery varies by patient but most are able to return to a non physically demanding job after a week or two. Visit with a board certified plastic surgeon near you to learn more.