Breast Reduction

A breast reduction is done to reduce the size of large breasts. The surgery can be performed on both breasts, or in some cases, just one breast to achieve symmetry. It can improve the size, shape, and symptoms associated with having large breasts which may include:

  • Back, neck, or shoulder pain
  • Shoulder grooving from bra straps
  • Restricted activities because of the weight of the breasts
  • Skin rashes or irritation underneath the breasts

Breast reductions are performed using a keyhole technique. In some cases, a free nipple graft may be recommended as well. The larger the breasts, the more likely the need for the free nipple graft. The end result is a scar in the shape of an anchor; around the areola, a vertical incision, and an incision in the bottom crease of the breast. Occasionally, liposuction may also be performed to provide a better contour to the breast or the lateral chest wall. Dr. Gonce will discuss these variations with you during your consultation.

Breast Reduction

Frequently Asked Questions:

What is the private pay cost for the surgery?
The total cost* is provided at a consultation based on surgical details.  We do not accept insurance unfortunately.
*Cash discount pricing is available

Where can I find a post-operative bra or garment?
You can search online at various stores for options.  We do provide the first post-op bra.  If you have questions on what type to purchase, please let us know and we can help.

How long is the procedure?
The surgery time is approximately 2-3 hours. You have to arrive 30 minutes before surgery time, and recovery time is about 30-45 minutes.

How long do I need to take off work?
For most patients who have a desk type job, a minimum of four to five days is adequate time off. It will be at least one month before any strenuous activity is allowed.

When can I resume my workout routine?
It is recommended that no physical activity that increases your heart rate be performed for a minimum of two weeks following surgery. It could possibly be one to three months until you are well enough to perform strenuous activities.

What can I expect when I wake up from anesthesia?
Most patients experience a burning sensation around the incision areas. Pain medication is given during surgery and after surgery to keep you as comfortable as possible. Some patients already feel relief since the weight is off their chest.

Will I have drain tubes?
Maybe. We will discuss it with you prior to surgery and give you instructions if there is a need for drains.

When do I come back for follow ups?
It is necessary to come back the day after surgery, approximately two weeks after that visit, and somewhere around four to six weeks after that visit. We will gladly see any patients as needed.

What kind of bras do I wear after surgery?
You will wear a sports bra immediately after surgery. Regular bras are good to wear during the day, but underwires are not very comfortable for at least one month. It is recommended that when up during the day, the breasts should be supported in a good fitting bra. Sleeping in a sports bra at night is also recommended for the first month.

Will I lose sensation on my nipple?
It is very common to experience sensation changes after surgery. Most of these changes are temporary and are common on the nipple and around incision sites.