Breast Reduction

Many women develop large breasts that are out of proportion to their body size after puberty or pregnancy. This may come with symptoms that include neck and back pain, rash, painful bra strap marks, difficulty fitting into clothes, tingling in the hands, and, in younger girls, difficulty adjusting socially.

The specific method chosen for your breast reduction will be determined by your anatomy, Dr. Jones’s and Dr. Loffredo’s preferences and your desired results. The surgeons at Cape and Islands Plastic Surgery have had training in various methods of breast reduction.

As a highlight of this training, the SPAIR technique, developed by one of the mentors of the surgeons at Cape and Island Plastic Surgery, is frequently used to reduce the amount of scarring and greatly improve the aesthetics of the breasts.

With the SPAIR technique, tissue is removed from around the nipple and the areola in a semi-circular fashion and the breast is reshaped in a manner which maintains the natural, soft curves running from the outer portion of the breast over to the inner chest wall. At the same time, the breast maintains appropriate and pleasing projection. The SPAIR technique eliminates the long scar that previously ran along the underside of the breast, it allows the breast to maintain its shape over time, and allows for a faster recovery with fewer complications.

Another common method uses a three-part incision. One part of the incision is made around the areola (the nipple area). Another runs vertically from the bottom edge of the areola to the crease underneath the breast. The third part is a short horizontal incision beneath the breast, which follows the natural curve of the breast crease.

After the surgeon has removed the excess breast tissue, fat and skin, the nipple and areola are shifted to a higher position. The areola, which is usually larger than ideal, is reduced in size. Skin that was formerly located above the nipple is brought down and together to reshape the breast. Liposuction may be used to improve the contour, especially on the sides of the breasts. The nipples and areolas usually remain attached to their underlying tissue as they are moved to their higher position, much like a button being moved to a higher buttonhole, and this may allow for the preservation of sensation. This method may also preserve the ability to breast-feed, although it is not guaranteed.

This surgery is done in a hospital and is performed under general anesthesia (so you’re asleep). The length of the operation varies depending on breast size, but typically varies from 3 to 4 hours. Post-operatively, most patients do not complain of much pain. Many  breast reduction surgery patients go home the same day of surgery, while the larger breast reduction surgery patients sometimes stay overnight. Usually, depending on their type of job, most patients are able to get back to work 2 weeks after surgery. In our surgeons’ experience, this surgery has a high level of patient satisfaction. *

*Individual results may vary from person to person.

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