“Bigger isn’t always better.”
Common name – Breast Reduction.
Technical name/also known as – Reduction Mammaplasty.
Benefits of a Breast Reduction
This surgery is for women with large breasts who would like smaller breasts. For some women, large breasts can cause pain in the back, neck, and shoulders and/or rashes below the breast. Some women may have always been large breasted. Others may note this change after pregnancy or other hormonal change. Their large breasts, in addition to causing discomfort, may contribute to the appearance of being heavy when they are not. Overly large breasts commonly lead to difficulty finding good fitting bras, bathing suits, and clothing. It may be difficult to participate in sports. Many women with large breasts report wearing multiple bras at once to control their breasts during exercise.
How it is done: How The Breasts Are Made Smaller
This surgery reshapes and resizes the breast by removing excess breast tissue and skin and repositioning the nipple and areola (the colored skin around the nipple) into a higher position on the chest (a breast lift is done with a reduction.) The inframammary fold, or the crease below the breast, is the reference point to determine where the nipple should be placed. The areola is almost always made smaller. In some cases, the nipple and areola are removed completely and reattached as a skin graft. Two types of reduction are offered: the inverted T/anchor scar or the vertical/lollipop scar. You will find which is right for you at your consultation.
For women suffering from pain in their back, neck, and shoulders, this operation gives almost instant relief from the strain of their overly large breasts on their body. Other benefits include better proportion, an easier time fitting bras, clothing, and bathing suits, and improved self-confidence. Women have also reported improved balance and an easier time participating in sports.
The size improvement comes with a trade off for permanent scars. These are located around the areola (the colored skin around the nipple), vertically from the areola down to the fold, and may also include a scar in the fold itself. Nipple sensation may change or be absent after surgery. Women who want to breastfeed after this operation may be unsuccessful.
Who pays for this
Sometimes, this operation is covered by health insurance. It almost always requires precertification, meaning there is a list of qualifications that must be met in order to meet criteria the insurance company puts forth to meet medical necessity. This often includes documentation of pain not relieved by physical therapy, medication, or specialty bras. A minimum weight will need to be removed which is often determined by patient weight and height. This can only be determined by examination. If criteria are not met, cosmetic pricing is offered.
My Post-Operative Bra Suggestions
Please click this link for suggested bras to be worn after surgery.
What to expect
Length of operation
3 – 5 hours (depending on the extent of procedure).
General anesthesia, you will be asleep the whole time.
In or out patient
Outpatient, you will go home the same day.
Time until final appearance
6 months to 1 year.
Length of results
Should be long lasting, but breasts can increase or decrease in size with weight changes. Pregnancy or other hormonal changes can also increase breast size.
Temporary swelling, bruising, and some pain commonly occur. Irregular skin contour may be noticed initially. For the first two weeks after surgery, sutures will remain in the hairline and facial skin which will be removed in the office. Sensation of the face may be different initially. Fluid collections below the skin are possible. Scars are permanent and may stay red for 6-12 months, but can be concealed with makeup once scabs resolve.
Risks of procedure
All surgery carries risk. I recommend patients carefully weigh the benefits of having surgery against the potential risks which may arise. Risks include pain, bleeding, infection, damage to nearby structures, need for other procedures, recurrence of skin laxity, dissatisfaction with appearance, asymmetry, seroma, sensory changes including permanent loss of sensation, temporary or permanent changes in facial movement, wound healing delays requiring wound care, deep vein thrombosis, and pulmonary embolus. A complete list of risks will be discussed with you before surgery.
“I love when patients come back after surgery and forget they ever had back pain! I also love hearing how excited women get shopping for bathing suits or off-the-rack bras. This is one of the most gratifying operations I perform.”
– Dr. Danielle DeLuca-Pytell
While we are under social distancing and shelter at-home instructions, I am offering virtual consultations for new patients interested in meeting with me.
You can do this from a computer (via an invitation) or a smartphone (via an invitation and the Google Meet app).
There are four parts to the consultation:
1. Arrange a consultation by phone or email,
2. Download the new patient forms. Click here.
After you fill them out, you can either fax or email them to me.
3. Once the consultation is arranged, a meeting invite will be sent to you with the link for the consultation. At our prearranged time, follow the link to our secure and private consultation.
There, you and I will have time to talk about your goals, medical history, and all about the procedure.
While the examination is limited to observation in two dimensions, I should be able to determine whether or not you are a candidate for surgery.
4. If you are indeed a surgical candidate, you will be contacted by Andrea, my patient coordinator, to get a surgical quote (or if insurance-based, your expected out of pocket costs), and an opportunity to hold a surgical date.
You will also be given a follow-up visit to confirm with your exam that you are a candidate and preoperative visit time for us to prepare you for surgery.
I hope to virtually see you soon!
Your Next Step!
Call or email us to schedule an appointment and find out if you are a suitable candidate for this procedure.
Our phone number
Give our office a call Monday to Thursday, 9am to 5pm, Friday 9am to 3pm.
Our email address
Please also email us anytime with questions you have.
Quick Contact Form
Before and After Gallery
When you come into the office for your appointment, you will be able to see more ‘before and after’ photos of this procedure including different options.
If healing proceeds as expected:
Rest at home (princess treatment) 2 weeks (no housework or exercise). Outsource housework a while you rest. Walk around the house, but do not work out. Rest with your head up and sleep with your neck extended (to avoid creasing) for the first two weeks.
Return to gentle exercise and household chores at two weeks, but no heavy lifting or strenuous activity for six weeks. May cover scars with makeup once scabs are gone. May resume work if it is sedentary. May color hair at three weeks after surgery.
Return to full activity 6 weeks after surgery.
Returning to Work
This depends on the type of work that you do. Many women can return to sedentary work at three to four weeks, though not everyone is ready to return to work by then. Surgery affects different people differently. If your work is more strenuous, six weeks off work may be needed.
Time until final appearance
6 months to one year.
Length of results
Should be long-lasting, but breasts can increase or decrease in size with weight changes. Pregnancy or other hormonal changes can also increase breast size.
Smoking and Surgery
For the first two weeks or so, sleep with your back elevated to help with swelling and make it easier to get up. A surgical bra will be provided, and a bra sheet will be given in the office with a list of light support bras to be worn until you can be fit for a regular bra again, usually three months after surgery. It will take time for the breast size and shape to settle.
If you smoke, it is imperative that you quit six weeks both before and after surgery. To better understand why, please click this link:
if you color your hair, do so right before surgery as you will not be able to color your hair until three weeks following the procedure. Plan to bring a scarf with you to the hospital on the day of the procedure as well as dark glasses to camouflage your temporarily swollen appearance on leaving the hospital.
See what her patients have to say about their surgical experience.
Follow the link to read some of the many letters received by Dr. Danielle DeLuca-Pytell.
When you visit the office for your appointment, we will talk about the side effects and risks of this procedure.
You will have the chance to ask any questions you might have.
Don’t forget: it is your body! There is no such thing as a bad or silly question!