Focusing on Breast Reduction

shutterstock_82593991Dr. Farbod Esmailian, along with his team of dedicated professionals, provides advanced plastic surgery procedures for the breast in Orange County, California. Dr. Esmailian is a double board certified surgeon specializing in the area of breast augmentation, breast lift, breast reduction, breast revision and reconstruction. Patients in and around Orange County, Newport Beach, Torrance, Los Alamitos, and Long Beach, CA can expect to receive state of the art treatments at his office.

Dr. Esmailian completed his residency in general surgery from the University of Southern California, where he received several honors including Outstanding Resident of the Year and Outstanding Resident Teacher of the Year. He is among the select group of surgeons to have received board certifications both from the American Board of Surgery and the American Board of Plastic Surgery. Patients looking for breast implants, breast reduction and other breast surgeries may consult Dr. Esmailian to know their most appropriate treatment options.

Problem of Oversized Breasts

The problem of enlarged breasts or macromastia is marked by painful symptoms and health complications caused due to oversize and excessively heavy breasts. Oversized breasts can interfere with the body systems and may contribute to obesity by impeding a woman’s ability to perform fitness exercises.

Macromastia symptoms may include numbness or tingling in the hands, persistent ache in the neck, back and shoulders, poor posture, lack of sleep, pain the chest wall, rashes around the breasts, headaches and shortness of breath. Oversized breasts can also reduce the quality of life of woman and have an impact on her emotional health.

Benefits of Breast Reduction

Macromastia can make a woman unhappy about her disproportionate physical appearance, apart from causing various physical symptoms. Mild symptoms of macromastia can be address with pain relievers, massage, or other non-surgical solutions. However, in severe cases, breast reduction surgery may be the right solution to achieve lasting relief from complications caused by excessively heavy breasts. Stubborn breast fat and loose skin may not respond to physical exercise and diet. Therefore, breast reduction surgery can provide to be a highly effective plastic surgery procedure.

Success rate of the procedure is very high, and numerous studies have revealed a high patient satisfaction rate with breast reduction. Patients of breast reduction in Orange County, Newport Beach, Torrance, Los Alamitos, and Long Beach, CA who have received treatment from Dr. Esmailian typically report benefits such as pain relief, improved skeletal stability, more flexible physical functioning, easier breathing, few headaches, and more regularized sleep. With his expertise and specialized experience in breast surgeries, Dr. Esmailian is able to achieve excellent functional results combined with significant improvement in cosmetic appearance of the breasts.


Breast reduction procedure, just like breast augmentation, is usually performed under general anesthesia. Most patients are able to go back home the same day. The surgery involves removal of excess breast tissue, skin, and fat through a number of incisions. The primary incision for this procedure can be one of the following:

  • An anchor shaped incision for substantial reduction of fat and tissue.
  • A circular incision made around the areola.
  • A keyhole shaped incision encircling the areola and coming vertically down to the breast crease.

The choice of incision, the extent of surgery and other aspects are usually determined in advance. Dr. Esmailian explains all the aspects of the surgery to his patients in Orange County, Newport Beach, Torrance, Los Alamitos, and Long Beach, CA to help them make informed decisions. At the time of the initial consultation, Dr. Esmailian will evaluate the patient’s medical history, current health condition, body weight and size of breasts, breast composition, and the patient’s goals from the procedure. This will help him create the appropriate treatment and incision approach to match with the patient’s needs.

Once the incision has been made, the nipple is repositioned to a more normal and youthful looking position. The size of the areola may be reduced, and breast shape may be re-contoured. With the removal of excess breast tissue through the incision, the overall volume and size of breasts will reduce. In some cases, liposuction along with breast reduction surgery may be necessary to perform in the breast area.

Liposuction removes excess fat by using a thin, long cannula, which is inserted into the deeper layers to remove fat, possibly some of the original breast tissue, and while decreasing the overall volume and size of your breasts. If the removal of a substantial amount of fatty tissue is necessary, liposuction may be performed in conjunction with your breast reduction surgery.


Breasts will be covered in a dressing or bandage, and drains may be placed under the arms after the surgery. Bruising and swelling in the breasts may last for a few days. The patient is usually ready to go back to work within three to five days. The surgeon will require the patient to wear a surgical bra for about a month. Final results of the breast reduction will be visible only after a few months, but the results are usually long lasting.

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