Breast Reduction

Orange County, CA

While breasts are a prominent feature of a woman’s body, they can be overbearing if they are too large. Women with disproportionately large breasts often experience pain in the neck, shoulders, and back, as well as self-consciousness, difficulty finding properly-fitting clothing and engaging in physical activities. Breast reduction surgery by plastic surgeon Dr. Farbod Esmaliian in Orange County, California not only addresses these challenges but also enhances self-confidence and quality of life. Through this procedure, Dr. Esmalian’s patients can achieve a more harmonious body contour and enjoy relief from the physical and emotional strain associated with excessively large breasts.

Breast Reduction Overview

Breast reduction surgery is a cosmetic surgery procedure that involves removing excess breast tissue, reshaping the breast, and repositioning the nipple to achieve a more proportional and comfortable breast size.

Level of Discomfort: Mild to Moderate
Anesthesia Choices: General Anesthesia
Recovery Time: Typically Two to Four Weeks
Duration of Results: Long-lasting, yet the natural aging process will continue
Potential Advantages: Alleviating physical discomfort, improving breast symmetry, enhancing overall body proportions, reducing back and shoulder pain, increasing clothing options, and achieving a more balanced breast size.

What is breast reduction?

Breast reduction is a plastic surgery procedure performed to alleviate physical discomfort and improve the aesthetics of overly large breasts. During this procedure, also referred to as reduction mammoplasty, excess breast tissue, fat, and skin are removed to achieve a more proportionate and comfortable breast size. By reshaping and lifting the breasts, the procedure aims to enhance symmetry and create a more balanced appearance.¹

Benefits of Breast Reduction

Breast reduction surgery has an especially high rate of patient satisfaction² because it provides patients with significant benefits that can dramatically improve their quality of life:

Benefits of Breast Reduction

Breast reduction surgery has an especially high rate of patient satisfaction² because it provides patients with significant benefits that can dramatically improve their quality of life:

Reduced Physical Discomfort: After breast reduction, patients experience less back pain, neck pain, shoulder pain, and grooving caused by bra straps.
Improved Body Proportions: By reducing the size of overly large breasts, body proportions appear more symmetrical and harmonious.
Reduced Skin Irritation: Patients with very large breasts often suffer from rashes and skin irritation under the breasts.

Increased Physical Activity: Following breast reduction, patients find that it is easier and more comfortable to engage in exercise and maintain a healthy lifestyle.
Improved Clothing Fit: After their breast reduction, patients enjoy a greater selection of clothing options and improved fit.
Increase in Self-Esteem: Breast reduction patients often feel better about themselves and the way they look after surgery.
Improved Posture: Once the weight of large breasts is removed, posture problems are often corrected.

Who Is A Candidate For Breast Reduction?

If you are troubled by overly large breasts that cause physical discomfort, pain, or emotional distress, you may be a good candidate for breast reduction surgery. In general, the ideal candidate for breast reduction:

Is in good overall health
Is at a stable weight
Does not smoke
Has realistic expectations

The best way to determine whether breast reduction is right for you is to schedule a consultation with Dr. Esmailian at his plastic surgery practice in Orange County.

Before & After Breast Reduction

Before and After a Breast Reduction in Orange County

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Preparing For A Breast Reduction Procedure In Orange County

Routine Medical Tests May Be Required

In preparation for your procedure, several routine medical tests may be necessary. Dr. Esmailian might recommend a baseline mammogram as part of your pre-surgery assessment.

The Importance Of Ceasing Nicotine Usage Before And After Surgery

Nicotine's impact on healing necessitates a complete cessation of nicotine-containing products for a minimum of four weeks before and after your surgery. This measure significantly reduces the risk of complications linked to incisions.

Avoidance Of Specific Medications And Herbal Supplements

Certain medications and herbal supplements have blood-thinning effects. Like nicotine, these substances should be avoided prior to surgery. It's crucial to inform Dr. Esmailian about all the medications and supplements you're taking.

Arranging For A Driver On The Procedure Day

As Dr. Esmailian conducts breast reductions as outpatient procedures, you'll return home on the same day. Due to the use of general anesthesia, driving is restricted for at least 24 hours. Thus, it's essential to have a trusted individual accompany you on the procedure day.

Relying On Trusted Company After The Procedure

Dr. Esmailian recommends having a trusted individual stay with you for several days following your breast reduction to ensure proper post-operative care.

The Breast Reduction Procedure

Reduction mammoplasty is an outpatient procedure performed under general anesthesia. To begin the procedure, Dr. Esmailian makes carefully planned incisions around the areola and downward along the breast. Next, excess breast tissue as well as excess skin and fat are removed and the nipple is repositioned to a higher, more proportionate level. The remaining breast tissue is sculpted and contoured to create a balanced appearance. The incisions are closed using absorbable sutures, and dressings or surgical bras are applied to aid healing.

Breast Reduction Techniques

Dr. Esmailian customizes each breast reduction procedure to suit a patient’s unique anatomy and goals.

The Lollipop Incision for Breast Reduction

A lollipop breast reduction, also known as short scar or vertical breast reduction, is best suited for patients who have mild sagging and want to reduce the size of their breasts by approximately one cup. This technique entails two incisions: one encircles the areola, while the second extends from the areola's base to the lower breast crease. Following incisions, excess fat, tissue, and skin are carefully removed. Dr. Esmailian then reshapes the breast to achieve the desired smaller size. With this method, most scars are situated on the lower breast area (below the nipple-areolar complex), remaining inconspicuous beneath clothing and even swimsuits.

The Anchor Incision For Breast Reduction

The anchor breast reduction technique, also referred to as an inverted-T or large scar breast reduction, is more suitable for patients with considerable sagging, asymmetrical breasts, or patients who want to reduce the size of their breasts by multiple cup sizes. This type of breast reduction begins with a lollipop incision, and another horizontal incision is made along the crest beneath the patient’s breast. Excess breast tissue, fat, and skin are removed, the size of the niple-areolar complex is reduced, and the nipples are elevated to a higher position on the breasts.

Patient Testimonials

I can't emphasize enough how grateful I am for Dr. Esmailian. I had considered getting a breast reduction for years but was always too nervous. After doing a ton of research to find a surgeon I trust, I found Dr. Esmailian. I am SO grateful. The office staff are all so nice and welcoming. This was the best decision I have ever made. I still can't believe what a great job he did. My back pain is gone and I could not be happier with the results! I feel like a brand new person, I'm forever grateful to Dr. Esmailian! I highly recommend him!!

J.M.

I was referred to Dr Esmailian from a long time friend and was so impressed with the work I had seen that I actually flew from another state to have my procedure done. I was initially concerned about being out of state but his staff was so helpful every step of the way. Not only am I super impressed with his customer service, but he did a phenomenal job on me and it was better than I could have ever expected! SUPER SUPER HAPPY

S.S.

Breast Reduction Recovery

After breast reduction surgery, anticipate a recovery period involving initial discomfort and swelling. Pain is manageable with prescribed pain medication. Surgical dressings or a support bra will aid healing. Strenuous activities must be avoided for a few weeks, but gentle movement helps prevent stiffness. Over time, swelling subsides, revealing your new breast shape. Scarring will fade gradually. Dr. Esmailian will provide detailed post-operative instructions, ensuring a smooth recovery. Regular follow-up appointments allow him to monitor your progress and offer guidance. Patience during the healing process ensures optimal, long-lasting results, allowing you to enjoy your enhanced appearance and improved comfort.

Breast Reduction Results

While your breasts will certainly feel lighter after breast reduction surgery, the results will be much more pronounced once swelling subsides, typically after a few weeks. You will be able to see (and feel!) the full results of your breast reduction in a few months.

Breast reduction surgery has a profound impact on patients, alleviating back and neck pain, increasing clothing options, allowing them to engage in a more active lifestyle, and greatly enhancing their self-esteem. All of these factors contribute to a higher quality of life after breast reduction surgery. This is why breast reduction surgery patient satisfaction rates are amongst the highest in plastic surgery: research shows that up to 95% of breast reduction patients are satisfied and would have the procedure again.³

How Much Does Breast Reduction Surgery Cost?

The cost of breast reduction surgery will ultimately depend on several factors, including geographical location, surgeon's expertise, facility fees, anesthesia, and post-operative care. Insurance coverage might be available in cases where the procedure is found to be a medical necessity to alleviate physical discomfort. Following your consultation with Dr. Esmailian, you will receive a more accurate cost estimate based on your individual needs and desired outcomes.

Breast Reduction FAQ

Is breast reduction surgery covered by insurance?

Will I have scars after breast reduction surgery?

Are there any risks involved with breast reduction surgery?

Does breast reduction surgery involve a lift?

Can my breast reduction be combined with other plastic surgery procedures?

What can be done to reduce swelling during the recovery period?

When can I return to work after my breast reduction surgery?

When can I start exercising again after my breast reduction surgery?

Is breast reduction surgery covered by insurance?

If the procedure is deemed medically necessary to alleviate physical discomfort, insurance might cover it. However, specific policies vary. A member of our team can help you determine whether your procedure will be covered.

Will I have scars after breast reduction surgery?

Breast reduction surgery does result in scars, which vary based on the surgical technique used. Over time, these scars tend to fade, becoming less noticeable and easily concealed beneath clothing or swimsuits.

Are there any risks involved with breast reduction surgery?

There are risks associated with any surgical procedure. Risks of breast reduction surgery include:

Bleeding
General anesthesia risks
Difficulty breastfeeding or an inability to breastfeed
Asymmetry
Changes in breast or nipple sensation

A skilled surgeon like Dr. Esmailian minimizes risks, ensuring proper preoperative assessments and post-operative care to enhance safety and successful outcomes.

Does breast reduction surgery involve a lift?

Breast reduction surgery often involves a breast lift.

Can my breast reduction be combined with other plastic surgery procedures?

Yes. Complementary procedures often combined with breast reduction include liposuction, tummy tucks, and breast augmentation. Some patients choose to include breast reduction surgery as part of a mommy makeover treatment plan. These combined procedures can address various aesthetic concerns and provide comprehensive results tailored to individual preferences and needs.

What can be done to reduce swelling during the recovery period?

To minimize swelling during the recovery period after breast reduction surgery, following post-operative instructions is crucial. Staying hydrated, keeping the head elevated while resting, and avoiding strenuous activities can help. Wearing compression garments as advised by the surgeon and adhering to prescribed medications aids in reducing discomfort and swelling.

When can I return to work after my breast reduction surgery?

Generally, lighter activities can be resumed within a week, while jobs involving physical exertion may require a few weeks of recovery before returning to full work duties.

When can I start exercising again after my breast reduction surgery?

Light exercises like walking can typically begin within a week, while more strenuous exercises might require several weeks of recovery. It's important to follow Dr. Esmailian’s guidelines for a safe and effective recovery.

Contact Dr. Esmailian

Dr. Farbod Esmailian is a highly accomplished cosmetic surgeon, and is one of only a few plastic surgeons in Orange County that are board certified in his field.He has extensive experience in performing breast reduction procedures, and his approach is rooted in crafting natural and personalized enhancements tailored to each individual.

If you are troubled by overly large breasts and would like to learn more about how breast reduction surgery can alleviate your discomfort and improve your quality of life, contact us to schedule a personal consultation with Dr. Esmailian.

¹ American Society of Plastic Surgeons. Breast Reduction. Available: https://www.plasticsurgery.org/reconstructive-procedures/breast-reduction. Accessed February 29, 2024.
² Johns Hopkins Medicine. Breast Reduction Surgery. Available: https://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/breast-reduction-surgery. Accessed February 29, 2024.
³ Annals of Plastic Surgery. Quality of life after breast reduction surgery: a 10-year retrospective analysis using the Breast Q questionnaire: does breast size matter? Available: https://pubmed.ncbi.nlm.nih.gov/22964671/. Accessed February 29, 2024..
⁴ Mayo Clinic. Breast Reduction Surgery. Available: https://www.mayoclinic.org/tests-procedures/breast-reduction-surgery/about/pac-20385246. Accessed February 29, 2024.

Page updated: January 31, 2025