Breast reduction surgery (mammaplasty) is a procedure performed to remove excess breast mass, glandular tissue and skin, in order to achieve a smaller, more proportionate breast size. It is also performed to alleviate the pain and discomfort associated with overly large breasts that limit physical activity and cause back, neck and shoulder pain. The result is often a smaller, more attractive and youthful breast. As part of the breast reduction procedure, Pittsburgh plastic surgeon, Dr. James Fernau, often uses an inverted “T” incision, which includes the lower part of the areola and extends down to the crease of the breast to minimize scarring. No longer does the scar extend outward along the inframammary crease. Dr. Fernau also performs liposuction to the outer sides of the breast to fine tune the surgery and create optimal results.
Breast Reduction Reviews
"I went in for a breast augmentation three weeks ago and I am beyond happy with my results! Dr. Fernu and his staff were absolutely amazing with the entire process. Everyone is so helpful and I just appreciate all that they have done! Definitely recommend going to Dr. Fernu!! 😁"- A.P. / Google / Feb 15, 2022
"I had a differential breast augmentation with subfascial placement using Sientra smooth round silicone implants and it turned out perfect. Dr. Fernau is very skilled and knowledgeable and Nurse Sheila is incredibly kind and patient. I also really appreciated that they include 3 laser scar removal appointments for the incision scars. Thank you!"- A.G. / Google / Jul 06, 2022
"Recently, I had a breast augmentation. At the first appointment and leading up to surgery I was very nervous and had many questions. The staff quickly reassured me though and answered my many questions. This eased a lot of my anxiety and I was very excited for the surgery day. After surgery I was swollen but I trusted the recovery process and I couldnt be happier with my results, I got exactly what I asked for and Im feeling more confident than ever with my body."- M. / Google / Jul 13, 2022
"Dr Fernau, Sheila, and the entire staff did a beautiful job on my surgery. My recovery time was short and in two weeks the implants felt like I was born with them. I told him what I expected and they exceeded those expectations. They took into consideration my very active lifestyle, and were honest about how big I could go while still looking natural, which was my end goal. My girlfriends loved the work so much a few have set up consultations for other surgeries Dr Fernau offers, and one has set up a consultation for corrective work on her breast implants. I plan on going back in the future for a few more enhancements. After seeing his rhinoplasty portfolio I know this is where I’ll go to have the damage my nose sustained in a car accident to be corrected. Definitely worth every penny."- T.H. / Google / Jan 28, 2022
"I am so pleased that I chose to get my breast augmentation done at Dr. Fernau’s office. I have to say my results are a 10/10. From my first consultation to the follow-up appointments the staff including Sheila and Sherry made me feel 100% comfortable and answered any questions I had along the way. Dr. Fernau and his staff have earned my recommendation to any patient looking for cosmetic surgery. Thank you Dr. Fernau!"- C.D. / Google / Sep 05, 2022
It is important to find a highly skilled surgeon who has experience with this procedure. It is important to maintain a good blood supply to the nipple areola complex as there is risk of discoloration and loss of sensation when blood flow is restricted. Liposuction is also implemented to remove the excess fat while the loose skin will be excised and tightened to form the newly shaped breasts. This procedure is also implemented as a way to correct an issue of breast asymmetry.
The most common incision for breast reduction is what they call “the anchor” or a vertical T. With this kind of approach, the incision is made around the areola, extends vertically down to the breast crease, and then is followed by another horizontal incision along the direction of the fold. The areola will be repositioned once the breasts have been resized and recurved. A lift will also be done so that the breasts will be placed higher on the chest.
Breast Reduction Video
Breast reduction is always done in an accredited surgical center under general anesthesia as an outpatient procedure. The surgery usually takes about 2 to 4 hours. For the first several weeks, the surgeon will recommend the use of a compression bra to protect the breasts. Patients may go back to work within 7-10 days and may resume physical activities (such as exercise) between 6-8 weeks post-operative. Results following a breast reduction are usually visible immediately after the surgery. Nipple sensitivity will gradually return within the first year.
The average cost for breast reduction procedure is between $5,000 to $10,000. Insurance does not normally cover cosmetic procedures. However, patients with larger breasts have tendencies to experience physical problems, which can provide medical health conditions of which insurance may cover. Our billing and insurance coordinator will work with the insurance company to confirm what is covered and provide a final estimate.
Plan Your Procedure
- Average Cost
- $5,000 - $10,000
- Recovery Time
- 1-2 Weeks
- Average Procedure Time
- 2-4 Hours
- Post-op Follow-up
- 1 Week
- Procedure Recovery Location
Breast Reduction FAQs
Will Results Last?
Breast reduction is a long-term solution for patients who are affected with excessively large breasts. In cases where there is significant weight gain, the results may be compromised just like any cosmetic procedure that modifies body shape. Natural aging and gravity will take their toll over time and will still affect the breasts with or without the reduction. It is important to maintain a good health routine so that the enhancement lasts for a long time.
For women with larger breasts, the areola is also excessively large. In a breast reduction surgery, an areola reduction is also considered. As an incision is made surrounding the areola, the excess skin will also be trimmed so that it is proportional to the breasts’ new shape.
How Much Reduction?
This varies depending on the doctor’s initial evaluation and the patient’s preference. Often, the reduction results in a cup or two smaller from the original breast size.