Also known as reduction mammoplasty, a breast reduction is performed to reduce the actual mass of the breasts, thereby eliminating lower back discomfort and other health issues that can arise from being top-heavy. This is an optional surgery, however, in some instances it is one that comes highly recommended by the patient’s regular medical team due to excessive strain placed on the back, neck and shoulders and other issues caused by a significant imbalance in body proportioning. The women who opt for breast reduction surgery typically experience a host of problems arising from their larger breast size including rashes beneath the breasts, limited range in physical, sports and other recreational activities, embarrassment, social discomfort and a variety of other physical and emotional issues.
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The nature of the procedure will depend upon the size, shape and other features of the patient’s breast. Some women opt to undergo reduction mammoplasty due to unevenness in breast size. When correcting a moderate size difference between breasts, the doctor will devise a surgical plan that will structure the larger breast to look like its smaller counterpart in shape, size and contour. In surgeries for reducing both breasts, the doctor will consider the best ways to make cosmetic improvements to the existing breasts, whether these are long, heavy and pendulous or compact and globular.
 Heavy breasts can lead to physical discomfort, a variety of health problems, shoulder indentations due to tight bra straps, & self-consciousness. |
 Incisions outline the area of skin, breast tissue, and fat to be removed and the new position for the nipple. |
 Skin formerly located above the nipple is brought down and together to reshape the breast. Sutures close the incisions, giving the breast it’s new contour. |
 Scars around the areola, below it, and in the crease under the breast are permanent, but can be easily concealed by clothing. With smaller, better proportioned breasts, you’ll feel more comfortable and your clothes will fit better. |
See Dr. Weniger’s Article on Breast Reduction
The most common method of performing a reduction mammoplasty involves the placement of three, small incisions. One will be made beneath the areola, another from the areola to the under-breast area and the last along curve of the breast. The excess tissue and fat will be removed and the nipples and the areolas elevated. In this procedure the areola size may be reduced as well. The ultimate goal of this surgery is create breasts that are smaller, lighter and more firm. 
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