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Breast Reduction in Millsboro, DE

Breast Reduction Surgery

Breast reduction surgery, also called reduction mammoplasty, helps patients feel comfortable, confident, and balanced in their appearance. At Peninsula Plastic Surgery in Millsboro, DE, Dr. Perrotta, Dr. Luppens, and Dr. Kerestes have helped countless patients—both women and men—experience relief from the physical and emotional strain caused by heavy breast tissue. Utilizing advanced techniques, our surgeons not only reduce breast volume but also perform a breast lift for a more youthful, elevated contour.

Goals of a Breast Reduction

Candidates for Breast Reduction

You may be a good candidate for breast reduction surgery if:

Patients often ask, “Does insurance cover breast reduction?” Coverage varies, but if the procedure is deemed medically necessary due to symptoms or physical limitations, insurance may contribute toward the cost of breast reduction.

What to Expect at Your Consultation

During your initial consultation, Dr. Perrotta, Dr. Luppens, or Dr. Kerestes will spend ample time reviewing your symptoms and goals. As a result of a physical exam and medical history review, your surgeon will recommend the most suitable surgical approach according to your needs.
Once a personalized surgical plan is developed, our aesthetic coordinator will provide a written estimate outlining the breast reduction surgery cost. You will also schedule your pre-op appointment at this time.

Pre-Op Visit

At your pre-operative appointment, several important steps take place:

  • A medical assistant will take before and after breast reduction photos for documentation
  • Your surgeon will explain the surgical process, potential complications, and post-op instructions
  • Your medical history will be reviewed again, and vital signs checked to ensure surgical readiness
  • All informed consents will be signed, and final payment is collected
  • You’ll receive your surgery arrival time 24 hours prior to the procedure

The Breast Reduction Surgery

The procedure of breast reduction is usually performed under general anesthesia. Our team also offers options for regional anesthesia or IV sedation, depending on your health profile. Most patients go home the same day, although an overnight hospital stay may be required for older individuals or those with certain health risks.

Incisions often follow an anchor or inverted-T pattern—around the areola, then vertically downward and along the breast crease. For select patients, a vertical (lollipop) incision may be used to reduce breast reduction scars. The nipple-areolar complex is repositioned, and excess fat, glandular tissue, and skin are removed. Typically, drains are placed to prevent fluid buildup and are removed within a week after the surgery.

Post-Op Recovery

Recovery begins in our surgical recovery suite, where nurses will educate you and your caregiver on how to manage surgical drains and dressings. Most patients experience soreness and swelling, which can be managed with oral pain medications. Narcotic use generally tapers off by day five.

  • Return to light desk work in 2 weeks
  • Resume physical tasks or exercise after 3 weeks (with surgeon approval)
  • Expect breast reduction recovery time to vary based on your body and activity level
  • Minor wound healing issues or small suture-related openings are common and typically resolve within a few weeks
  • Breast reduction scars generally fade within 6 to 12 months

 

While nipple sensitivity may be reduced temporarily or permanently, many patients report a return of sensation over time. If you plan to breastfeed after surgery, be aware that milk production may be limited, and supplementation with formula may be required.

FAQ’s

Good candidates for Breast Reduction include women—and in some cases, men—who experience physical discomfort, posture issues, skin irritation, or self-image concerns due to overly large breasts. If breast size affects your quality of life, Breast Reduction may be a medically and emotionally beneficial option.

Visible improvements from Breast Reduction can often be seen immediately after surgery. In spite of this, the final breast contour and shape will continue to settle over several months. For a visual idea of outcomes, browse our Breast Reduction before and after photos showcasing real patient transformations.

With a stable body weight and a healthy lifestyle, the results of Breast Reduction are long-lasting. Most patients enjoy relief from physical symptoms and improved aesthetics for many years, although natural aging and hormonal changes may affect breast appearance over time.

Before your Breast Reduction procedure, follow all pre-operative instructions provided by your surgeon, such as avoiding certain medications and preparing your home for recovery. After surgery, wear your compression garment as directed, attend follow-up appointments, and refrain from heavy lifting or strenuous activity until you are cleared by your provider.

Downtime after Breast Reduction typically lasts 2 to 3 weeks. During this time, it’s common to experience temporary swelling, soreness, bruising, and mild wound sensitivity. For a detailed understanding of your recovery, explore resources like Breast Reduction surgery recovery guides and Breast Reduction recovery week-by-week timelines.

Following Breast Reduction, you can expect smaller, lighter, and more lifted breasts. Most patients experience immediate relief from back and shoulder pain, improved posture, and a boost in self-confidence due to enhanced body proportions and comfort.

In downtown Salisbury, Maryland, conveniently located 2 hours outside of Baltimore & Philadelphia is the main office of Peninsula Plastic Surgery, a truly comprehensive plastic surgery center.

Breast Reduction Surgery

Breast Reduction surgery is a procedure that can help both men and women feel more confident about their appearance. It can also reduce pain caused by heavy breast tissue. Dr. Perrotta, Dr. Luppens, and Dr. Kerestes have performed countless successful breast reductions using advanced techniques that not only reduce the breasts, but also lift them at the same time.

Goals Of A Breast Reduction

Candidates For Breast Reduction

What to Expect at your Consultation

Dr. Perrotta, Dr. Luppens, and Dr. Kerestes will devote as much time as necessary to discuss your individual goals and needs with you. After a focused physical examination, your surgeon will provide preliminary recommendations and explain what you can expect from surgery.

​Once your surgeon determines his surgical plan, our aesthetic coordinator will produce a written quote, which lists all costs of your proposed surgery so that there are no surprises. At that time, an appointment is set for your pre-op visit.

Pre-Op Visit

Much is covered during your pre-op visit. First, one of our highly trained medical assistants will take pre-op photos. Next, your surgeon will explain the surgical technique to you and thoroughly inform you as to what you can expect, including any potential complications. Note that all procedures involve some risk, but major complications are rare. Dr. Perrotta, Dr. Luppens or Dr. Kerestes will then obtain a more complete medical history from you and perform a final pre-op physical examination, including a check of your vital functions to ensure that you are physically fit for surgery. All informed consents for surgery will be filled out at this appointment and final payments are due at this time. You will be notified 24 hours prior to your surgery with your arrival time.

The Breast Reduction Surgery

Dr. Perrotta, Dr. Luppens, and Dr. Kerestes are able to perform breast reduction surgery with general anesthesia, regional anesthesia, or local anesthesia with IV sedation. Most patients leave the surgery center or hospital on the day of surgery. Older patients or those with significant health risks stay overnight in the hospital and leave the following morning.

​The design of the incisions can vary but usually includes an incision around the nipple-areolar complex, one from the complex down to the crease under the breast and a third running along this crease. In some cases, the surgeon can use the vertical breast reduction technique, which avoids the long scar running along the crease.

​After the incisions are made, the nipple-areolar complex is moved upward to the desired location, and excess breast tissue, fat, and skin are removed.

Dr. Perrotta, Dr. Luppens, and Dr. Kerestes often use drains, which remove any fluid or blood that would otherwise accumulate under the skin after they close the incisions. The surgical team covers the incisions with gauze dressings and applies a post-operative garment or ace bandages.

Post-Op Recovery

In the recovery room, the nurses will teach you and/or your caregivers how to care for the drains. Read more about drain care. Any initial discomfort will subside daily and can be controlled with pain medications. Most patients are off narcotic pain medication by day five after surgery. You will be scheduled for a post-op visit 3-5 days after your procedure and 2-3 post-op visits thereafter.

​You should be able to return to desk work after two weeks and physical work after three weeks. Some people will experience diminished sensation of the nipples and/or parts of the breast. This usually improves with time, however. A significant percentage of patients will experience some limited wounding along the incisions, which is due to the body’s attempt to eliminate some of the deep stiches. These sores eventually heal, but healing could take more than a month. Scars usually fade within 6-12 months.

​Following breast reduction surgery, if you bear a child and decide to breast feed, you should expect to produce breast milk of lesser volume than normal and of inferior quality. Your baby will probably require some type of formula to supplement your breast milk.

FAQ’s

Ideal candidates for breast reduction include women and men who experience discomfort due to large, heavy breasts. Women suffering from back pain, poor posture, skin rashes under the breasts, and difficulty finding suitable clothing are good candidates, as well as men with enlarged breasts.

Results are immediately noticeable after surgery, with the final shape becoming more apparent as swelling and bruising subside over the following months.

Breast reduction results are generally permanent, although significant weight gain, hormonal changes, or pregnancy can alter breast size and shape in the future.

Before surgery, patients should follow their surgeon’s instructions, including managing medications and preparing for recovery. Post-surgery, patients must wear support garments, manage drainage tubes if used, and follow activity restrictions to facilitate healing.

Patients typically return home the same day but may require an overnight stay to monitor if they are older or have significant health risks. Temporary pain, swelling, and bruising are common side effects. Downtime generally involves a few weeks off work and reduced physical activity.

During the consultation, surgical goals and expectations are discussed. The procedure usually involves anesthesia and multiple incisions to remove excess tissue and realign the nipple. Recovery includes regular follow-up visits to monitor healing and manage any complications.

In downtown Salisbury, Maryland, conveniently located 2 hours outside of Baltimore & Philadelphia is the main office of Peninsula Plastic Surgery, a truly comprehensive plastic surgery center.

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