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Breast Reduction

Breast Reduction


Breast reduction is reducing the size of the breasts.  Very large breasts can cause feelings of extreme self-consciousness.  This is a very similar procedure to a breast lift, but with removal of much more breast tissue.

Breast reduction, medically referred to as reduction mammaplasty removes excess skin, fat, and breast tissue. The nipple and areola are also lifted into a more normal position. This results in smaller breasts with a more normal shape and contour, in much better proportion with the rest of the body.


The best candidates for breast reduction are nonsmoking, healthy women with realistic expectations of what breast reduction surgery can achieve: greatly improved size and shape of the breasts with a reduction or resolution of the symptoms caused by the weight of the very large breasts. The tradeoff for all of this is scars on the breast. The great majority of women are more than happy to have scars on theirs breasts in exchange for relief of their discomfort and greatly improved breast shape and size.

Breast Reduction Consultation and Evaluation with Dr. Weinrach

Dr. Weinrach will take your medical history and perform a physical examination. He will take measurments of your breasts. He will discuss the variables that may affect the procedure such as your age, the size and shape of your breasts, and the condition of your skin. He will show you where the location of the incisions will be, as well as the approximate final locations of the nipple and areola.

There are different techniques available for breast reduction, resulting in different patterns of scarring. The choice of technique and final length of scar largely is related to the size of the breast as well its skin quality. During the consultation and after an examination, Dr. Weinrach will describe the procedure in detail. Dr. Weinrach will also explain the anesthesia that will be used, the facility where the surgery will be performed, and the costs.

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Before Your Breast Reduction Surgery

If you are age 45 or older and have not had a mammogram within one year, Dr. Weinrach will require you to have a mammogram (breast x-ray) before surgery. He will give you instructions on how to prepare for surgery, including medications to take and when to stop eating and drinking before surgery.

As you will not be able to drive yourself home after surgery, arrangements should be made for transportation home. Breast reduction surgery can be perfomed either as an outpatient (go home the same day), or with an overnight stay, depending on individual circumstances.

Where Your Breast Reduction Will Be Performed

Dr. Weinrach performs breast reduction only in fully accredited surgery centers in the Scottsdale and Phoenix, Arizona areas. Breast reduction is nearly always done as an outpatient procedure – no overnight stay is usually required. You will very likely be able to go home the same day.

Anesthesia for Breast Reduction

A board certified anesthesiologist will administer anesthesia for your breast reduction. You will be completely asleep, and feel nothing during the breast reduction procedure. The anesthesiologist will monitor you very closely during the entire procedure, and give you medication to minimize discomfort after surgery.

Scottsdale plastic surgeon Dr. Weinrach in gray scrub suit (larger)

Dr. Weinrach

Dr. Weinrach is dedicated to helping patients achieve their aesthetic goals through an individualized approach to patient care and commitment to safety. His extensive experience and unique skill set produces long-lasting, natural looking results.

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How a Breast Reduction is actually done

There a various techniques available for breast reduction. The length of the incisions and the resulting scars are largely related to the amount of excess skin and breast tissue present. After incisions are made, the extra skin and breast tissue are removed, and the nipple and areola are moved up into their new position. The remaining skin and breast are then brought down and around the areola and nipple, and stiches are placed to create the new breast shape and close the incisions. Almost all techniques result in a scar around the areola and a vertical below the areola. With larger breasts, a horizontal incision and scar in the crease beneath the breast is needed. Liposuction may be used to remove excess fat from the armpit area.

Recovery after Breast Reduction

After surgery, you will have bandages on your breasts covered with a gently elastic wrap for support. For the vast majority of patients, drains are not needed.

In general, reduction mammaplasty is not a very painful procedure. If there is any discomfort, it is usually mild. Dr. Weinrach will prescribe medication to ease discomfort.

Dr. Weinrach will examine you the day after surgery; you will continue wearing a sports bra for several weeks, until the swelling and bruising resolve. Usually there are no stitches to remove. You will be up and walking the night of the procedure. Light activity is encouraged starting the day after your surgery. You should avoid heavy lifting or strenuous activity for three or four weeks.

Dr. Weinrach will give you detailed instructions for resuming your normal activities. Most women can return to light work and social activities in about one week.

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Your New and Improved Breast Contour

It can take several weeks for all of the swelling and bruising to completely go away. Your breasts will continue to settle into their new contour for up to a year. Even then, weight changes, hormonal changes, and pregnancy can affect their shape. Gravity will always be a force trying to change breast shape, and after six weeks a good supportive bra should be worn as often as possible.

Dr. Weinrach will make every effort to make your scars as inconspicuous as possible. However, it is important to remember that breast reduction scars are permanent. With time, breast reduction scars gradually become less obvious. Eventually they may fade into thin white lines. Incisions are always placed low on the breast; scars will not be visible while wearing low-cut tops.

Of all plastic surgery procedures, reduction mammaplasty results in the quickest body-image change, with most patients being highly satisfied. You will no longer have the physical discomfort of large breasts, your body will look better proportioned, and clothes will fit you better.

However, as much as you may have desired these changes, you will need some time to adjust to your new image – as will your family and friends. Be patient with yourself, and with them. Keep in mind why you had this surgery, and very likely, like most women, you will be very pleased with the results.

To schedule a personal breast reduction consultation with Dr. Weinrach, please contact our office.

Please note: We are unable to accept coverage for breast reduction procedures, as we are not contracted with any insurance companies.