Large breasts can affect you both physically and emotionally. Women with large breasts often experience back pain, grooving of the shoulders from brassiere straps, chafing and rashes beneath the breasts. Large, heavy breasts may also prevent you from performing certain daily activities and exercise, and can make it difficult to find clothing and bras that fit properly. Breast reduction, or reduction mammaplasty, removes excess fat, glandular tissue,
and skin from the breasts, making them smaller, lighter, firmer, and perkier. Large areolas can be made smaller in size, and the breasts made more shapely, attractive, and proportional to your body with breast reduction. Women often carry the excess physical and emotional weight of their large, heavy breasts for many, many years, and after breast reduction, wonder why they have not done it sooner!
If someone asked me to name the number one thing I took away from going through with my breast reduction surgery, it would be confidence... I am finally confident in my body, which has helped me gain confidence in other areas of my life. Since my surgery I’ve grown in the workplace and socially. I owe my new outlook to Dr. Kolker. He’ll always remain one of the most important people in my life.
During your consultation with Dr. Kolker, he will thoroughly discuss your goals and desires regarding breast reduction with you. After a detailed history and a thorough discussion of the factors that concern you most, Dr. Kolker will examine you, making meticulous measurements to assess the degree of sag or droop (ptosis), the amount of skin laxity and elasticity, the position of the nipples and areolas, the breast volume, and the breast symmetry.
The breast reduction procedure that suits you best will be tailored to your specific needs and desires. Some women wish for a small reduction in breast volume, whereas others desire a more dramatic breast reduction with substantial nipple and areolar repositioning and breast lift. The incisions required for breast reduction will vary based upon the amount of breast lift and nipple repositioning required, the elasticity of the skin, and the amount of breast gland and fat that will be removed. As every woman's needs and desires are unique, Dr. Kolker will help you to carefully weigh the alternatives, and to choose the breast reduction procedure that suits you best.
After in-depth discussion and careful consideration, together you and Dr. Kolker will decide upon the ideal technique for your breast reduction. Dr. Kolker will use the most limited incision-pattern necessary to achieve the breast shape and breast size you desire. When appropriate, incisions are made only around the nipple complex (circumareolar breast reduction) when only a very small breast reduction or breast reduction with breast lift is desired. More often, women undergoing breast reduction will require a limited incision breast reduction, or short scar breast reduction, with an incision around the areola and a vertical line in the lower pole of the breast (a "lollipop" breast reduction). With more substantial reductions in size and more pronounced lifting, a breast reduction with a circular incision around the areola, a vertical line, and a limited horizontal incision in the crease beneath the breast will be required to produce the optimal breast size and shape. The breast reduction procedure may be performed safely, comfortably, and conveniently in our office-based surgical unit, accredited by the American Association for the Accreditation of Ambulatory Surgery Facilities (AAAASF), or in the hospital (the Mount Sinai Medical Center). Anesthesia is administered by a board-certified anesthesiologist. The duration of breast reduction surgery is approximately four hours; Dr. Kolker will spend as much time as is necessary to achieve the most balanced and beautiful results.
Following your breast reduction procedure, you are cared for in our recovery room by our licensed registered nurse, and when you are fully awake and comfortable, you will go home on the same day with a friend or family member. Dr. Kolker suggests taking seven days for recovery when feasible, although it is possible to return to work or normal activities as early as five days after your breast reduction (provided there is no heavy lifting involved). With few exceptions, all sutures placed are dissolvable and no suture removal in necessary. Occasionally, small drain tubes will be used that are removed in three to five days following surgery. Your breasts will appear full and firm immediately after breast reduction surgery, and swelling and bruising may be present for up to three weeks. A special supportive bra is worn for three to five days, which is then replaced by a sport bra. Normal bras and bikini tops can be worn after about three weeks. Light aerobic activity (elliptical or Precor, stationary bicycle, light treadmill) may be resumed as early as seven days following breast reduction, and more strenuous activity is begun at three weeks (excluding chest exercise, which is resumed at six weeks). The breasts reach their final shape and feel approximately three months after breast reduction. Your relationship with Dr. Kolker does not end after breast reduction surgery; he will see you often through the first weeks and months following your breast reduction procedure, and will advise you on all matters of breast health including exercise, activity, breast self examination, and the need for future mammography as you require. Dr. Kolker will be available to you at any time during your recovery following breast reduction.
Breast reduction is most often performed as an isolated procedure. For those individuals who desire additional plastic surgery enhancements, breast reduction may be combined with inverted nipple correction, liposuction, tummy tuck (abdominoplasty), and facial rejuvenation procedures.
If you are interested in learning more about having a breast reduction in New York City, and about the specific breast reduction techniques and setting that will suit you best, we invite you to meet with Dr. Kolker for a private consultation at our office, located at Park Avenue and 70th Street in New York, by calling 212-744-6500, or by scheduling an appointment online.