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Breast Reduction

Large breasts can affect far more than appearance—they can impact posture, cause chronic pain, limit physical activity, and affect confidence. A breast reduction removes excess tissue, fat, and skin to create a lighter, more balanced shape. For many women, the results are life-changing.

MD, Board-Certified Plastic SurgeonPracticing Since 2010 (16+ years)
Video transcript: Breast Reduction

So one of the more common consults that we do get is for breast reduction surgery. So these are typically people who come in with actual symptoms. So they come in complaining about headaches, they get neck pain, they get back pain, they get actual dents and grooves in their shoulders from their bra straps digging into their shoulders over the course of many years. They also often get rashes or even infections under their breasts. So they have these big red irritated areas. What those people are really looking to do is to make their symptoms go away. And the idea is if you take away some of the breast tissue, make the breast lighter and smaller, that you will improve some of that pain, you'll eventually see some of the grooving in the shoulder go away that hasn't been there for too long. And you'll see a reduction or even an elimination of the infections or skin irritation that people have under the breast. It's often a procedure that can be covered by insurance. It depends on the nature of the reduction and it depends on the insurance company.

But if you're taking out a substantial amount of breast tissue, oftentimes the insurance company will cover that. The surgery itself can take anywhere from two to three hours. It really very much depends on the size of the breast and the person's specific anatomy. It's an outpatient surgery. We put them to sleep. And then the idea is we take out a fair amount of skin like we do with a breast lift, but we're also taking out a substantial amount of breast tissue. So the smallest reduction we typically do is about 500 grams, which is about 1.1 pounds. So you imagine one pound per side, one pound is not much to lift with your hand. But if you had a two pound necklace hanging from your neck by the end of the day, that would really feel kind of terrible and you feel great when you took it off.

So you can imagine how these people feel. It's a surgery that has one of the highest satisfaction rates of anything that we do. If you look online, you'll read that people have about a 95% satisfaction rate with the breast reduction. And one of the most common comments people make when they've recovered is, I wish I'd done this sooner. People come in their 40s or 50s and say, I wish I'd done this when I was 22 years old because I've lived for all these years with this back pain, neck pain. The other issue is that people feel self-conscious about it and they have issues fitting into clothes. So we get patients who come in and say, I'm very limited with the clothing I can buy. I feel when I go out, you know, we have a lot of professional women say when I'm out, I feel like people are looking to break my breasts on my face and they feel it takes away from their ability to be professional. So, you know, you do a breast reduction surgery. It's one of those surgeries where people come in, even though when they're in some discomfort by day three or four, they're so happy by that, the transformation that you give them. It's really fun to be part of. For a lot of people, it means suddenly being able to exercise in a way they couldn't before because the breasts got in the way, they're fitting into clothes, like I said, that they, you know, they previously couldn't fit into and it can really be life-changing. It's a, it's a fun surgery to do for patients because it just, it translates into smiles and hugs and, you know, happy patients are just always fun to work with. So it's a, it's a gratifying surgery to do.

Why Breast Reduction Matters

Overly large breasts place tremendous strain on the neck, shoulders, and upper back. Common symptoms include chronic pain, bra strap grooving, skin irritation beneath the crease, difficulty exercising, poor posture, and breasts out of proportion with the body.

A breast reduction addresses these concerns by removing excess weight and volume. The result is not only a more proportionate silhouette—but improved posture, increased mobility, and dramatic improvement in day-to-day comfort.

Patients frequently describe breast reduction as one of the most liberating and satisfying procedures they've ever chosen.

Are You a Candidate?

You may be a good candidate for breast reduction if you experience:

• Back, neck, or shoulder pain related to breast size

• Bra straps digging into your shoulders

• Skin irritation beneath the breasts

• Difficulty exercising or finding supportive bras

• Breasts that feel disproportionately large for your frame

• Limited clothing options due to breast size

Ideal candidates are non-smokers in good overall health with stable weight.

Your Consultation

During your consultation, we'll discuss your symptoms, goals, and the changes you hope to see.

We will discuss:

• Your reasons for seeking reduction and desired size

• Symptoms such as back, neck, or shoulder pain

• Breast history including mammograms or biopsies

• Incision options based on your anatomy

A physical exam and photographs help guide your personalized approach.

Incision Options

The type of incision depends on breast size and the amount of tissue being removed:

Anchor (Inverted-T) Incision – Ideal for significant reductions.

Vertical (Lollipop) Incision – Best for moderate reductions.

Dr. West will recommend the best incision pattern for your anatomy and reduction goals.

The Procedure

Breast reduction is performed with precision and artistry, typically on an outpatient basis.

Anesthesia

General anesthesia ensures your comfort throughout the procedure.

Tissue Removal & Reshaping

Excess glandular tissue, fat, and skin are removed. The breast is reshaped, and the nipple-areola complex is lifted to a natural, youthful position.

Nipple Positioning

In most cases, the nipple remains attached to its blood supply. For extremely large breasts, a grafting technique may be used for the best outcome.

Recovery & Results

After surgery, your breasts will be supported with dressings or a soft surgical bra. Most patients experience:

• Pain manageable with oral medications

• Return to desk work within ~1 week

• Gradual resumption of activity over 4–6 weeks

• Noticeable reduction in back, neck, and shoulder pain almost immediately

Scars are placed strategically and fade significantly over time.

Visualize Your Journey

Use our Treatment Planner to explore options and estimate your personalized treatment timeline.

Start Planning →

Results

The benefits of breast reduction are often immediate and continue to improve over months. Most patients report:

✔ Relief from chronic physical discomfort

✔ Better posture and easier mobility

✔ Increased confidence in clothing and swimwear

✔ Ability to participate comfortably in exercise

✔ A more proportionate and balanced figure

Breast reduction is one of the most consistently high-satisfaction procedures in plastic surgery.

Insurance & Cost Information

While breast reduction can be medically justified, our practice does not accept insurance plans for breast surgery. However, many patients submit their own claims for possible reimbursement.

• Provide documentation your insurance may require

• Assist you in understanding the reimbursement process

• Supply operative notes, diagnosis codes, and supportive information

• Guide you on how and when to submit your claim

We aim to make the process as smooth as possible, whether paying out of pocket or pursuing potential reimbursement.

Frequently Asked Questions

Both. Many patients seek relief from physical pain, while others want a more proportionate shape. Breast reduction improves function and aesthetics.
The goal is to reduce volume to a size that looks balanced with your frame and relieves symptoms. Your personal preferences play a key role.
Yes—most patients experience immediate improvement once the excess weight is removed.
Scars depend on the incision pattern used. They fade significantly over time and are placed strategically.
It depends on the technique and amount of tissue removed. Some women retain the ability to breastfeed, while others may not.
A reduction includes reshaping and lifting. Aging still occurs, but most patients maintain a youthful shape for many years.
Results are long-lasting, especially with stable weight and proper support habits.
Most patients describe recovery as manageable. Discomfort is typically mild to moderate and improves quickly.
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Ready to Begin?

Schedule your consultation with Dr. Justin West to discuss your breast reduction goals.

230 S Main Street, Suite 210, Orange, CA 92868