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Breast Surgery Breast Reduction

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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 and Dr. Pellegrino have performed countless successful breast reductions using advanced techniques that not only reduce the breasts, but also lift them at the same time.

before and after patient photos


Candidates for Breast Reduction

  • Women who have large, heavy breasts, which may be the cause of back, shoulder, and breast pain, poor posture, bra-strap indentations, and/or rashes under the breasts
  • Women who have excessive breast size, which may decrease their sense of attractiveness and self-confidence or make it difficult to find properly fitting clothing
  • Women who have one breast significantly larger than the other
  • Men with excessively large breasts

The Goals of Breast Reduction Surgery

  • Smaller breasts, providing a more proportionate contour
  • Freedom from the health problems associated with heavy breasts
  • Breasts of equal size
  • Improved self image

Initial Consultation for Breast Reduction

Drs. Perrotta and Pellegrino have developed a discreet and sensitive process for preparing you for breast reduction. Your consultation is important because you and your plastic surgeon must be “on the same page” regarding the results you wish to achieve. This is why Dr. Perrotta or Dr. Pellegrino will devote as much time as necessary to discuss your individual goals and needs with you.

Dr. Pellegrino or Dr. Perrotta performs a focused physical examination to provide preliminary recommendations. Once he 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. (See the section below about possible insurance coverage.) At that time, an appointment is set for your pre-op visit.

An additional procedure that often enhances the results of breast reduction is Liposuction of the axillary (arm pit) area to reduce excess fat deposits there. If you’re interested in this procedure, it can be discussed during your consultation.

Pre-Op Visit

Much is covered during your pre-op visit. The surgical technique will be thoroughly explained to you so that you know what to expect, including any potential complications. Dr. Perrotta or Dr. Pellegrino will then obtain a more complete medical history from you and perform a final pre-op physical examination to ensure that you are physically fit for surgery.

Prior to releasing you from your pre-op visit, your doctor and our staff will give you detailed instructions for the time leading up to your surgery, as well as for the time immediately following it.

The Breast Reduction Surgery

Doctors Pellegrino and Perrotta 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.

Drs. Pellegrino and Perrotta 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.


This procedure is commonly covered by insurance, but insurance criteria are becoming more and more restrictive. Our staff will assist you in attempting to attain pre-authorization for the surgery.

Breast Reduction Before and After Photos

Click here to see our Breast Reduction Before and After photo gallery.

We are grateful to our patients for granting us the privilege of posting their before and after photos on our website. While we greatly value their privacy, we also salute their eagerness to share their life-changing results with other individuals considering plastic surgery. Every patient on this website has enthusiastically provided his or her written consent for us to show the world his or her results.

Contact us today to schedule a Breast Reduction consultation.