Breast Reduction

Do you experience daily back pain and discomfort due to your overly large breasts, and you’re ready to do something about it? Doctor Wendell Perry offers several cosmetic procedures, including breast reduction surgery, to make you feel better about your body.

Serving areas in Virginia and Maryland, Dr. Perry is a board-certified plastic and reconstructive surgeon. Contact us to schedule a consultation today and discuss your condition and cosmetic goals.

What is Breast Reduction Surgery?

Referred to as a reduction mammaplasty, breast reduction surgery corrects breasts that are overly large due to excessive skin, fatty deposits or glandular tissue. Breasts that are disproportionate to body size can lead to back problems and chronic muscle pain, and reduction surgery can alleviate breast discomfort and improve the symmetry of your natural body shape.

The type of procedure used depends on the cause of the breast size. In cases of excess fat, liposuction will primarily be used. The small incisions and minimal scarring of liposuction are preferred when performing breast reduction surgery, but when excessive glandular tissue and skin are prevalent, surgical excision may be necessary or a combination of the two techniques.

Regardless of the procedure, scarring is usually well-hidden underneath bras and swimsuits.

I've had a fantastic experience with Dr. Perry. My results have been nothing short of amazing. From the consultation, to the procedure and throughout the recovery phase, Dr. Perry has been there to answer an abundance of questions, without hesitation, and I've felt totally comfortable doing so. He thoroughly explained the surgery, what I could expect and the possible complications. He was also genuinely interested in what I wanted/hoped to achieve. And he has captured the very essence of what I wanted: a smaller back and waistline, rounded hips and much fuller buttocks - the hourglass figure! He's very personable, knowledgeable, meticulous in his work, progressive, has an excellent bedside manner and is a master in his craft. I would highly recommend him to anyone wanting to improve her/his appearance.


Am I a Good Candidate for Breast Reduction Surgery?

During your consultation, Dr. Perry will discuss your cosmetic expectations to help you determine whether breast reduction surgery is the correct fit for you or not. But generally, good candidates for this procedure meet the following criteria:

  • Have general good health and stable body weight
  • Are non-smokers
  • Do not have medical conditions that could impair surgery or healing
  • Have realistic expectations of what this surgery can and cannot accomplish

Featured Procedure Video:

Video Transcript:

Today, we’re doing a short scar breast reduction. Now, a short scar breast reduction means that we’re going to make it vertical scar without a horizontal scar. So, what we’ll have is…we’ll have a scar around the nipple in vertical, like a lollipop without the horizontal scar. I believe this has a lot of advantages. One, it pulls the breast over and makes a narrow breast. It gives a better support and more longevity. And you have less scar and less chance for keloid hypertrophic scar.

The real problem with the horizontal scar is that it keloids. Now, what we’re trying to do is what’s called a central pedicle breast reduction. So what we’re going to end up doing is I’m going to lift the skin here and lift it away from the breast tissue, take away breast tissue from the side of the breast and the inside the breast. Now, reshape the breast, move the breast to the chest and reshape the breast to the chest. And then, we’re going to close the scar along these lines like this. And this is going to be our idea for the breast reduction.

Breast reduction is necessary because of back pain, neck pain, shoulder pain. People with large breasts have pain all day long. At the end of the day, they are in pain. They can’t exercise, can’t move. This whole idea that the insurance companies tell people, that losing weight makes breast pain go way, is just false. In 20 years of doing these things, I’ve not seen one patient lose weight and their back pain go away. So we’re going to try to get this person feeling better and get her out of a bra with these breast lifts so that she can wear a sundress when she wants.

All right, we’re halfway through our short scar breast reduction and what we’ve tried to do was decrease the weight of the breasts by taking away breast tissue and lift the breasts. Now, essentially, what we’ve done is we wanted to raise the nipple to this point, so we’ve made an incision [inaudible 00:01:49] and lifted the skin away. Then I’ve taken away breast tissue from the inside, put them in the [inaudible 00:01:54] the tissue I took away from the outside. So, all this extra breast tissue that’s off the side was removed and that’s removing weight. Now, if you look at the sternum here, a notch here, there’s breast tissue on our lifted side above that notch and our non-lifted side all the breast tissue below that notch. So, essentially, we’ve repositioned the breast tissue from here and moved it up to here. So now, the breast tissue is here and we caught it. We’ve done that.

So, what this will do is it will take the weight that is below the ribs and pulling the person down and now on the chest with the weight on the chest. Now, there is no pulling on the bra strap. So the shoulder pain and neck pain is gone because the only function of the bra is to lift the breast to the chest. And now, since the breast is on the chest, there’d be no weight pulling on the shoulders. And this is going to be a big thing, a big part of reducing the back, neck, and shoulder pain. Now, the person can wear a sundress if she wants to wear a sundress without a bra because the breast is actually suspended and supported on the chest wall. So, this is our halfway mark. And then, we will show you our completion. We’ve probably removed 40% of our breast tissue now.

Okay. We finished our breast reduction and what we’ve done is a short scar breast reduction, scar around the nipple, a vertical scar. There is no horizontal scar on the knee, and that’s much better because it’s horizontal scars. The scars [inaudible 00:03:25] into keloid especially in black patients. Our big thing was creating cleavage. Now, we see the end of our breastbone is down here. We have breast tissue above the sternum here. So everything is here. We’ve moved the breast tissue and recreated cleavage. So I think we have a nice look. This is very swollen initially after surgery. It’s going to look much better when the swelling goes away in two to three months. But so far for, you know, just completed it’s a great shape with good cleavage and a pretty good symmetry. This patient will have less back pain after this surgery because the weight is to her shoulder instead of down near her belly button. So she should have no problems with the bra strap pain because the weight of the bra, the weight of the breast on the chest, so the strap will not be cutting her shoulders. If she wants to go, not wear a bra with a sundress, she can do that because the breast is secured to the chest wall. So, I think she’ll have a nice result. I think she’ll have much less pain.

What is Breast Reduction Recovery Like?

Dressings or bandages will cover your incision areas after surgery, and a sports bra or elastic bandage may be issued to you to support the breasts as they heal. Thin tubes may also be placed to drain excess blood and fluids. Doctor Perry will advise you of risks and possible side effects during your consultation as well as any aftercare that will be necessary for your incision sites in order to reduce the risk of infection and complications.

All individuals heal at different paces, but generally after the first week after surgery, your breasts may feel tender and swollen. This will subside as they heal, and you may be advised to limit your physical activity for a few weeks. Doctor Perry will schedule a follow-up visit with you to monitor your healing process and remove your stitches as necessary.

The results of a breast reduction are long-lasting but still subject to major life changes such as the aging process, weight fluctuations and pregnancy.

Contact Dr. Wendell Perry today to schedule your consultation and start feeling better about your body.

Breast Reduction FAQs

How do breast reductions work?

During a breast reduction, the surgeon will remove excess breast fat, glandular tissue, and skin to achieve more youthful, perkier breasts. Techniques may vary, though the goal is to reshape and resize the breasts.

How long does it take breast reduction to heal?

Healing following a breast reduction may vary by individual, but most patients can return to normal activities within 4-6 weeks. Complete healing may take several months. Our team will provide you with specific aftercare instructions.

How many cup sizes can you go down with breast reduction?

The number of cup sizes patients can reduce will depend on their initial breast size and their desired results. Dr. Perry will work with you to determine how many cup sizes you wish to go down during your consultation.

Can you drink alcohol after breast reduction?

Following breast reduction surgery, it is best to avoid alcohol consumption, as it may interfere with the healing process. Generally, it is recommended that patients avoid alcohol for at least 48 hours post-surgery or until they have completed their pain medication.

Does insurance pay for breast reduction?

Insurance often covers breast reduction surgery. However, it is typical for your provider to require evidence that other nonsurgical therapies have not been successful in treating the problems related to your excessively large breasts.

How long does it take for swelling to go down after breast reduction?

Swelling following breast reduction will subside within a few weeks. However, it may take 3-6 months for swelling to resolve completely.

Can breast grow back after reduction?

There is a chance that your breasts may grow in size after a breast reduction. This is especially true if the patient becomes pregnant following the procedure and gains a significant amount of weight. However, for many patients, results will remain stable.

Is it OK to wear a sports bra after breast reduction?

Following a breast reduction, patients will need to wear a special support bra to support their new breast contours and reduce swelling. A sports bra without an underwire may be worn once Dr. Perry gives the OK.

Do you lose feeling in your nipples after breast reduction?

Following breast reduction surgery, some patients may experience changes in nipple sensation. This is usually temporary, though it may be permanent in rare cases. Dr. Perry will discuss this risk with you during your consultation.

How dangerous is breast reduction surgery?

As with any surgical procedure, breast reduction surgery has some potential risks and complications, such as scarring, infection, bleeding, and more. However, it is considered a safe procedure when performed by a qualified plastic surgeon such as Dr. Perry.

When can I wear a normal bra after breast reduction?

You should wait until Dr. Perry lets you know switching back to a normal bra is OK. This is typically 6-8 weeks following surgery, once the swelling has decreased, and incisions have healed.

Can breast reduction be combined with a breast lift?

Breast reduction is routinely paired with a breast lift. This achieves both a smaller size and more lifted position of the breasts.

Can I get pregnant after breast reduction?

A breast reduction will not affect your ability to get pregnant, and should not affect your ability to breastfeed. Some patients choose to wait until they are no longer planning to have children, as the breasts will grow and change during pregnancy. However, this is not always necessary.