The Center for Plastic Surgery & Med Spa
Sandra Bouzaglou, MD, FACS
The Science of Medicine & Art of Beauty


Breast reduction (or reduction mammaplasty) is an enhancement procedure that reshapes the breasts in order to make them smaller, lighter, and firmer.  Reduction is accomplished by removing excess fat, glandular tissue, and skin.  Large breasts can cause physical pain, such as upper back and neck pain as well as emotional and social anxiety.  Women who take advantage of the breast reduction procedure find that they are able to lead a healthier, more comfortable life, in addition to enjoying a beautiful, more proportionate appearance.

Reasons for Considering a Breast Reduction:

  • Back, neck or shoulder pain caused by heavy breasts.
  • Sagging breasts produced by their large size.
  • Disproportionate body frame attributed to oversized breasts.
  • Restriction of physical activity due to the size and weight of the breasts.
  • Painful bra strap marks and/or rashes as a result of large breasts.

General Procedure

Techniques for breast reduction vary; however, the most common procedure involves an incision that circles the areola.  From the areola, the incision goes down and follows the natural curve under the breast.  The surgeon then removes excess glandular tissue, fat, and skin.  Next, the nipple and areola are repositioned to a higher position and held in place by stitches.  Occasionally, liposuction alone can be used to reduce breast size.  The best procedure can be determined during the initial consultation visit.

Of all plastic surgery procedures, breast reduction results in the quickest body-image changes.  Patients are pleased with the elimination of physical pain caused by large breasts as well as a better proportioned body, an enhanced appearance, and better fitting clothes.

 Most breast reductions are covered by insurance companies.  Requirements for individual insurance companies vary, however, most require a referral letter from your primary care physician stating that you are having problems with upper back and neck pain and that a breast reduction is recommended.  If you have been seeing a chiropractor for upper back and neck pain, a letter from your chiropractor will also be helpful.  If you are older than 30 years old a recent mammogram will also be required.  Once pre-approval is obtained from your insurance company the surgery is then scheduled.  A recent (within past 3 months prior to scheduled surgery date) history and physical from a primary care physician will also be required. 

Recovery Process

Generally, post-operative instructions call for plenty of rest and limited movement in order to speed up the healing process and reduce the recovery time.  A surgical bra is applied immediately following surgery to aid the healing process and to minimize movement of the breasts.  The surgical bra is usually worn for 3-4 weeks post-operatively at which time you may go shopping for a new bra.   Patients sometimes report minor pain associated with surgery.  Any pain can be treated with oral medication.  While complications are rare, patients can minimize potential problems by carefully following the instructions given after surgery.

Breast reductions can be successfully performed in the safety and privacy of our accredited outpatient facility, The SurgiCenter.

If you have any questions please call our office at (859)263-8083 or request an appointment

Contact Us

We encourage you to contact us with any questions or comments you may have. Please call our office or use the quick contact form below.


View More