Women in good health who have never smoked are the best candidates for a breast reduction. Breast reduction may be an option for you if your breasts:

trigger discomfort in the back, neck, or shoulders.
Bra straps should make regular dents in your skin.
It will irritate your skin right where your breasts meet.
You should cut back on your exercise.
disproportionately overwhelm your frame.
droop and hang loosely.
Experience stretched skin, resulting in enlarged areolas.

When you first meet with your surgeon, you will go over your goals, concerns, and desired outcomes. Your plastic surgeon will conduct a thorough physical examination and ask you about your medical and lifestyle history.

The following topics are appropriate for discussion during this consultation: the patient’s goals for treatment, their expectations, their current medical conditions (including allergies), their medications, their use of alcohol, tobacco, and other drugs, their personal and family histories, and the results of any previous mammograms or biopsies. Your doctor will need to examine and measure your breasts for medical records, take photographs of them, evaluate your overall health, and discuss the possibility of complications before deciding where to make the incision, what kind of anesthesia will be used, or what the expected outcomes will be.

The Vilafortuny staff will provide you with pre-operative care instructions prior to your breast reduction procedure. Before your surgery, you may need to do a few things.

Clinical evaluation and/or laboratory analysis.
The use of a mammogram prior to breast surgery can aid in the early detection of any changes that may occur in the breast tissue.
Make some changes to your current medication regimen or start taking something new.
Quit smoking four weeks before your scheduled surgery.
Do not take any non-steroidal anti-­inflammatory drugs (NSAIDs).
You should make plans for getting back home after the operation.

Vilafortuny performs breast reductions on an outpatient basis. We have plastic surgeons that are board certified by the American Board of Plastic Surgery. An ABPS board-certification requires advanced fellowship training and demonstrated expertise in plastic surgery.

Excess skin, fat, and glandular tissue in the lower breasts are removed through an anchor-shaped incision made around the areola. This technique works wonderfully for women who have very large breasts.

Excess skin, fat, and tissue are removed through incisions that start at the areola and continue in a keyhole fashion all the way to the breast crease. Those with average-sized breasts will benefit the most from this method.

A scarless breast reduction does not involve the removal of any skin, fat, or tissue. Our cosmetic surgeons will instead use liposuction to remove stubborn fat. Women who want to lose weight in the breasts but have minimal excess skin are good candidates for this procedure.

Your plastic surgeon will make an incision and then move your nipple to where you want it. Excision of skin around the areola can shrink it if that becomes necessary. When a woman has extremely large, drooping breasts, her surgeon may suggest removing the nipple and areola and relocating them higher up on the breast.

Vilafortuny performs breast reductions on an outpatient basis. We have plastic surgeons that are board certified by the American Board of Plastic Surgery. An ABPS board certification requires advanced fellowship training and demonstrated expertise in plastic surgery.

You will be able to see the final results of your breast reduction surgery right away, and your appearance will continue to improve over the next few months. Most women feel relieved and content after the procedure is over and they have had time to heal. Your new appearance should last as long as you continue to take care of yourself and maintain a healthy body weight.