Daniel Y. Maman, MD FACS

Breast Reduction

When a woman’s breasts are too large, they can cause an assortment of issues including the development of rashes, significant back pain, poor posture, and emotional distress. Reducing the size of the breasts can help to combat these health concerns, as well as create an improved aesthetic proportion. Many women who struggle with enlarged breasts seek opportunities for plastic surgery in New York.

What is a Breast Reduction?

Dr. Maman will work with the patient to address the oversized breast(s), medically known as macromastia, by removing excess fat, tissue, and skin. He will transform the breasts to a more proportionate size that complements the patient’s body. The procedure results in more confidence, better mental health, less pain, and a more relaxed day-to-day life that allows for increased mobility. Breast reduction is an aesthetic surgery with one of the highest rates of patient satisfaction in our practice and universally.

Candidates of all ages can benefit from breast reduction surgery. Many patients are quite young and even in their late teenage years. If a patient’s breast size has been maintained for at least six months, they may be a candidate for surgery. Younger patients tend to benefit equally, if not more, as they avoid years of the typical back and neck pain that older patients have endured. The best candidates for surgery are healthy, non-smokers who understand the process and have realistic expectations for their experience with plastic surgery in New York.

Breast Reduction Gallery


The Procedure

Dr. Maman will discuss your goals, questions, and procedure in great detail during your consultation and preoperative appointments. He will conduct a physical examination during your initial visit and will address your medical and surgical history to have a comprehensive understanding of your needs.

Dr. Maman will discuss your treatment plan and identify realistic and reasonable goals. A breast reduction is often accompanied by a breast lift procedure in order to achieve the patient’s desired aesthetic goals, which Dr. Maman will discuss with you in your consultation.

The operation requires a series of incisions and, therefore, general anesthesia. Dr. Maman will typically place these incisions around the center of the breast at the areola, and possibly under the breast depending on the patient’s needs. Scarring will naturally occur but will be hidden and likely diminish as time goes on. Any scars will be managed following Dr. Maman’s post-procedure protocol, ensuring an optimal experience with plastic surgery in New York.

The nipple, although still bound to essential bloodlines and nerves, is repositioned on the newly-created breast. Dr. Maman will remove any excess fat and tissue, lifting and reshaping to the desired size. In some cases, Dr. Maman may use liposuction to aid in the reduction of fat.

Results and Recovery

The results from the breast reduction surgery will be immediate. After breast reduction surgery, you will notice the decreased breast size, even with inevitable swelling. Dr. Maman will give you all the necessary information for at-home care to help support a quick and successful recovery. You will receive dressings at the incision sites, as well as a compression garment that will support the breasts and ease swelling during the healing process.

Dr. Maman will also prescribe any necessary medications or ointments, discuss drainage care if necessary, and recommend appropriate post-op appointments. Most patients will start to feel better and active within one week, but the total recovery time takes an average of four to six weeks. The operation does require a special compression bra to be worn for up to one month after surgery.

After recovery, patients tend to have an overall improved quality of life. Aside from visible results with reduced breast, areola size and improved shape, patients also enjoy decreased pain in their back, shoulders, and neck. Daily life resumes without previous limitations, noting improved mobility, feeling more comfortable in different types of clothing, and an overall boost in self-confidence.

Breast Reduction FAQ

Tell me about the latest advancements in breast reduction surgery.

A modern breast reduction takes into account aesthetic outcome as much as symptomatic relief from back pain, neck pain, chest discomfort, etc. In my practice, I approach every breast reduction as I would a purely cosmetic breast operation. I want the breasts to not only feel better for the patient, but to look better also. One important advancement in the field of breast reduction surgery is the use of liposuction to precision contour. A challenging aspect of breast reduction is how to reduce overall tissue but retain volume in the upper pole of the breast. The use of liposuction allows me to target areas without addressing others, resulting in a more refined overall technique.

What does the procedure entail?

Breast reduction surgery takes on average 3 hours under general anesthesia. A series of incisions are hidden around the nipple, along the meridian of the breast and occasionally underneath the breast fold, allowing access to remove portions of the skin and underlying tissue. In some cases, liposuction is used as an adjunct to enhance the customized result.

Who is a good candidate for a breast reduction? What is the consultation process like?

Anyone who struggles with the limitations their current breast proportion places on them could be a candidate for breast reduction surgery. Common issues include chest pain and discomfort, neck or back pain, rashes below the breast, inability to find appropriately fitting clothes due to breast disproportion relative to her body, shoulder bra-strap grooving, neck muscle hypertrophy, etc. Additionally, and very importantly, many of my patients seek breast reduction purely because of an aesthetic preference for smaller breasts. Many women today specifically request a more petite, athletic look. The spectrum for breast reduction surgery stretches from a very small volume reduction with a primary objective of breast lifting, to massive reductions referred to as gigantomastia. During the consultation process, a review of your medical history and physical examination will be performed. After making my recommendations, I will walk you through the surgical process from beginning to end. My surgical coordinator will then review appropriate financial and scheduling options, should you decide to proceed with surgery.

What are the surgery’s benefits?

Breast reduction surgery has an extremely high rate of patient satisfaction, both anecdotally and in the plastic surgery literature over the last 50 years. Patients feel almost instantaneous improvements in back, shoulder, and neck pain. Additionally, chest discomfort and bra crease rashes can immediately resolve. Aesthetically speaking, patients are thrilled with smaller more aesthetically pleasing breasts that are
typically perkier, higher positioned on the chest, fuller in the upper pole with more cleavage, and have a more aesthetically ideal/petite nipple areolar size. Activities of daily living are also markedly improved, including ease of exercise, mobility, comfort sleeping, and better fitting bras/clothing. Very importantly, confidence can be dramatically improved in women who were previously self-conscious about their breast size.

How long is the typical recovery? Are there any risks/downsides to it?

Most patients find recovery from breast reduction surgery to be much easier than anticipated. In fact, many patients express regret for not having done it sooner had they known what the process would be like. A patient can typically begin working on a laptop from home on day 1 after surgery and return to office work at 1 week. Light workouts can be resumed after 2 weeks. Full exercise without restriction is permitted after 4 weeks. Typically, we need to remind patients to limit their activity as they feel pretty much back to normal by 2-3 weeks. During this time, we provide custom bras and provide all our patients with a tailored silicone-based scar therapy that will help ensure an optimal aesthetic outcome. Every surgery has risks, most commonly bleeding and infection. Specifically, with breast reductions, we are concerned for nipple and areolar blood supply, preservation of sensation to the nipple, and incisional healing given the weight of the breast contributing to tension on the incisions. With appropriate patient selection and assessment of any pre-existing medical conditions, specific risk profiles are discussed with each patient. My tolerance for risk in terms of patient safety in the setting of elective surgery is close to zero. If I do not believe I can safely perform or recommend the surgery as I would on my own family member, I simply will not do it.

Is there anything I should know if I am considering a breast reduction?

Since breast reduction surgery is very common, almost every plastic surgeon does it. The key to finding the right surgeon is reviewing the surgeon’ credentials, looking at their before and after gallery, making sure they do a high volume of breast reductions, and, very importantly, make sure you like the aesthetic of their results. Not every surgeon/artist is the same. The more pictures you look at, the better sense you will have as to the surgeon’s preference for nipple positioning, nipple size, breast shape, breast size relative to body proportions, etc.

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1165 Park Avenue, New York, NY 10128