Breast Reduction Gallery

A woman in her early 40s with bilateral macromastia and a 40 G cup.  She is over her ideal body weight at 5’4  and 207 lbs with a BMI of 35.  She has the typical constellation of symptoms of shoulder pain, back pain, difficulties with her posture, and irritation of her shoulders from her bra straps.  Although the healing risks are higher and the surgical results are not as shapely with a higher BMI, she does not feel that she can lose weight and proceeded with a bilateral breast reduction with the removal of more than 1000 grams of breast tissue from her right and more than 1200 grams from her left to reduce her to a full C cup.  454 grams = one pound.

She is thrilled with her new shape and size, and her symptoms have all resolved.   She has multiple factors for the risk of nipple necrosis and fat necrosis.  Her BMI is elevated, the length of the inferior tissue supporting the blood supply was so long

and she had a significant smoking history in the past.  In cases such as this,  a free nipple graft technique is chosen.  With this technique, the nipples are removed completely and replaced like a skin graft.  There is typically some scabbing and depigmentation, but the appearance is acceptable and there is significantly less risk of tissue necrosis and loss.  She is shown before and again, 16 months after surgery. The pigment of the areolae that is lost during the healing process will frequently continue to improve for a few years- and of course, medical tattooing can also be considered.

A 31-year-old woman, originally from Egypt, who was a 38 DD cup and was bothered by breasts bulging from the side of her bra, shoulder pain, upper back pain, difficulty exercising, and irritations of her shoulders from the bra straps. She is 5’ 3 ¼” and 179 lbs and is shown before and again, 4 ½ months after bilateral breast reduction with the removal of a little more than 300 grams of breast tissue from each side to reduce her to a C cup  Her symptoms have resolved, and she is thrilled with her new shape and size. Scars will typically continue to fade and soften for the next 2 years.

A woman in her late 50s with bilateral macromastia who has not had relief with support bras or nonsteroidal anti-inflammatory medications. She is a 42DD and has problems with back pain, grooving, and irritation of her shoulders from the bra straps, rash under the breasts in the warmer months, and problems with her posture. She is over her ideal body weight at 5’ 3 ¾” and 198 lbs, but has not been able to lose further weight because of difficulty exercising. She also has fat deposits of the upper armpit area ( “axillary lipodystrophy”)  She is shown before and again, 3 ½ months after bilateral breast reduction with the removal of 849 grams of breast tissue from the right breast and 768 grams of tissue from the left breast. She also had liposuction of the lateral breast and axilla with the removal of 1000 ml of fat from the right breast and 1100 ml of fat from her left breast. This treated the macromastia, the axillary lipodystrophy, and the “side boob” and brought her down to a C cup. She is thrilled with her new shape and size, and her symptoms have all resolved.

A mother of 2 in her late 30s with an “I” cup who needs to wear expensive bras and has problems with back pain, shoulder pain, neck pain, and difficulty exercising because of the size of her breasts.  She also gets a rash under the breasts in the warmer months.  She is over her ideal body weight at 5”5” and 204 lbs but doesn’t feel that she is able to lose weight.  She is shown before and again, 8 months after bilateral breast reduction with the removal of 605 grams of breast tissue from her right breast and 759 grams of tissue from her left breast to reduce her to a  full “C” cup.

She is thrilled with her new shape and size.  Her symptoms have resolved. And she tells us she loves being able to buy her bras on Amazon now.

A mother of 1 in her later 30s who was a  42 DDD cup and had problems with back pain, shoulder pain, grooving and irritation of her shoulder from the bra straps, a rash under the breasts in the summer months, and difficulty exercising since she was 13.  Her case is complicated by having a history of Von Willebrand’s disease.  She is 5’ 2 1`/2” and 202 lbs and is shown before and again, 9 months after bilateral breast reduction with the removal of 1074 grams of breast tissue from her right side and 876 grams of tissue from her left side, along with liposuction of the axillary lipodystrophy (bulges of fat in the upper armpit area).  DDAVP also known as Vasopressin was given just before surgery to correct Von Willebrand’s disease.

She is thrilled to be a “C” cup, her surgery and recovery were thankfully uneventful, and her symptoms have all resolved.

A woman in her early 20s describes herself as a 36 D cup and has problems with back pain, shoulder pain, and difficulty exercising due to the size of her breasts.  She is shown before and again, 8 months after bilateral breast reduction with the removal of 451 grams of breast tissue from her right and 510 grams from her left.  ( 454 grams is equal to one pound)  Scars are typically redder and thicker for 6 weeks and then will fade and improve over the next 2 years or longer.  We have had her using topical silicone to help her scars fade.

She is thrilled with her new shape and C-cup size, and her symptoms have resolved.

A woman in her mid-20s with a 32DDD cup is bothered by back pain and difficulty exercising due to the size of her breasts, as well as a rash in the summertime and problems with her posture.  Her case is made more complex by not having significant drooping of the nipples.

It is a little more challenging to reduce the breasts and not elevate the nipples.  So we chose a circum-vertical technique where there is only a little shaping of the skin but a lot of shaping of the breast tissue underneath the skin.  She is shown before and again, 14 months after surgery.  The breast is reduced to a C cup, and the scar is just around the nipple and then down, like a “lollipop”

Her symptoms have resolved, and she is happy with her normal shape and size after surgery.

The markings for the circum-vertical approach.  We moved her nipple from a lateral placement to the median of the breast.

A woman in her early 20s who is 38DDD and has problems with back pain, shoulder pain, and a rash under the breasts)  in the warmer months and difficulty running, even with wearing double sports bras.

She is shown before and again, 7 months after bilateral breast reduction with the removal of around 740 grams of breast tissue from each side.  454 grams = one pound.  She loves her new shape and size, and her symptoms have all resolved.  Scars are typically redder and thicker for 6 weeks and then fade and improve over the next 2 years.  We have had her using topical silicone to help the scars fade faster.

A woman in her early 20s who described herself as a 36DDD and had problems with back pain, grooving and irritation of her shoulders from her bra straps, neck pain, problems with her posture, and difficulty exercising due to the size of her breasts.  She is 5’4″ and 154 lbs and is shown before and again, 7 months after bilateral breast reduction with the removal of 429 grams of breast tissue from her left breast and 384 grams of tissue from her right breast to reduce her to a “C” cup size. 454 grams is equal to one pound.

Scars typically are at their reddest and thickest at 6 weeks and then will soften and fade over the next 2 years.  We are having her apply topical silicone twice a day to help improve the scars.

She is thrilled to be a C cup and all of her symptoms have resolved.

A petite woman in her mid 20’s who is 32 E-F and is bothered by back and shoulder pain, as well as difficulty exercising due to the size of her breasts.  She is 4’ 9” and 114 lbs.  She is shown before and again, 6 months after bilateral breast reduction with the removal of just over 220 grams of tissue from each breast.  Her symptoms have resolved and she is happy with having a C cup.  Scars typically will get redder and thicker for 6 weeks and then will fade and improve over the next 2 years or longer.  We have had her using topical silicone to help with scar maturation.