BREAST REDUCTION

– NEWPORT BEACH, CA –

Apart from the hips and waist, the breasts are another crucial element in achieving a breathtaking hourglass figure. That’s why a lot of women want to get larger breasts to accentuate their physique.

After all, who would say no to Sofia Vergara’s plump puppies or Emily Ratajkowski’s well-endowed bust? 

But despite the common belief that the bigger your breasts are, the better, not all women are enjoying the natural cleavage that everyone else seems to envy.

Some suffer in silence because of the weight of their breasts. They experience back and neck pain, skin irritation, shoulder deformities, and even breathing problems simply because of the size of their chest.

Breast Reduction Newport Beach

On top of these health risks, larger breasts are more prone to breast sagging because of the pull of gravity. 

Normal breasts are supposed to be round and proportional to the body frame. They should be located in the mid-chest and extend on the outer chest as breast tail, which forms the upper portion of the hourglass look.

Thankfully, these consequences of having large breasts can be reduced — or even reversed — by going one or two cup sizes down via a Newport Beach breast reduction.


Under the expertise and qualified hands of SoCal’s top plastic surgeon, Dr. Siamak Agha, you can achieve a more manageable breast size that’s more proportional to the rest of your body, improving your quality of life in the process.

In this article, discover how you can get a more balanced figure through breast reduction.

Breast Reduction Newport Beach
Breast Reduction Newport Beach
Breast Reduction Newport Beach
Breast Reduction Newport Beach
Breast Reduction Newport Beach
Breast Reduction Newport Beach

How Do Breasts Develop?

Contrary to popular belief, breast development does not start at puberty. It begins way back when you’re still in your mother’s uterus, then continues throughout puberty, adolescence, and all the way through early adulthood.

Female Breast Anatomy

Your actual breast size is determined by several factors, such as the following:

  • Genetics
  • Age
  • Hormones
  • Medication
  • Weight
  • Environmental influences

Influenced by these factors, some women develop breasts that are larger than what is proportional to the rest of their body. The development of abnormally large breasts is called macromastia. 

Though no one has pinpointed the exact cause of this condition, one of the possible reasons is increased sensitivity to estrogen, which is a hormone that causes your breast ducts to increase in size during the menstrual cycle. 

Macromastia can cause issues like:

  • Musculoskeletal problems in your back, shoulder, and neck
  • Chronic rash and inflammation beneath the breast crease
  • Nerve compression of the arms
  • Skin indentations on the shoulder due to the strain of bra straps
  • Tiredness and lethargy due to breast weight
  • Limited exercises, sports, and physical activities due to the size of the breasts
  • Limited clothing options
  • Painful mammograms that require stricter measures to ensure accuracy
  • Depression, self-consciousness, and low self-esteem

Fortunately, women with macromastia are the perfect candidates for breast reduction surgery.

What is Breast Reduction Surgery?

Breast reduction surgery — medically known as reduction mammoplasty — reduces your breast size to help you achieve a better figure. 

It entails removing excess breast tissue, fat, and skin of the breasts. It also involves repositioning the nipple and areola and reducing areola size so that you can sport better-proportioned breasts and be confident with their appearance.

Though breast reduction is a procedure exclusive for women, men also have their own version with gynecomastia surgery.

According to data gathered by the American Society of Plastic Surgeonsmore than 46,000 women in the United States underwent breast reduction surgery for aesthetic purposes in 2019, and over 61,000 got the same procedure for reconstructive purposes.

Breast reduction gives you freedom from the inconveniences, pains, and deformities caused by large breasts. This procedure can also prevent your breasts from sagging.

What are the Different Breast Reduction Techniques?

Depending on your condition, breast composition, and amount of breast tissue and fat that need to be excised, Dr. Agha may use one of the following breast reduction techniques for your surgery.  

Most breast reduction techniques are actually a combination of breast reduction and breast lift.  The breast reduction segment is virtually the same for most approaches. It is the breast lift technique that defines the final shape and result.

Breast Reduction Newport Beach

Scarless Breast Reduction

Essentially breast liposuction, scarless breast reduction removes breast fat via liposuction without placing any incisions on the breast.

Despite being scarless, this procedure is not usually done on the majority of breast reduction patients because it does not rejuvenate the youthful look of the smaller breasts without a breast lift.  

This procedure is mainly reserved for older, less healthy patients who really need smaller and lighter breasts. 

Vertical Incision Breast Reduction

As its name suggests, this technique involves placing an incision around the nipple-areola complex that extends vertically down the breast. Through these incisions, the areola is reduced and the excess lower pole breast tissue is excised.

It is recommended for those who require smaller reductions and less extensive breast lift.

L-Incision Breast Reduction

This technique involves making an incision around the areola to make it smaller and then extending the incision in an L-shape on the breast to achieve both a reduction and a lift. 

It is considered to be a safe and reliable approach that results in good breast shape and projection with inconspicuous scars.

Wise Pattern or Anchor Breast Reduction

Recommended for maximum reduction and lift, this technique uses an incision that starts at the nipple and areola, going vertically down the breast, and ending with a horizontal incision at the breast crease, just like an anchor.

Dr. Agha then removes the excess breast skin below the nipple and areola and excess breast tissue through the incision. Then, he moves the nipple-areola complex to a higher position to create an uplifted breast appearance.

Dermal Bra Suspension Breast Reduction and Lift

This technique has been developed by Dr. Agha and Dr. Peter Rubin as a three-dimensional method to achieve both a breast reduction and breast lift while creating the third dimension of projection. In fact, it has been written in several plastic surgery textbooks.

During this procedure, Dr. Agha creates an anchor-type incision to reduce the breast size and remove excess breast skin below the nipple and areola. 

He then lifts the upper breast skin from the breast tissue and glands, uplifts the remaining breast tissue, and sutures it to the chest muscle and chest cage at an elevated position.

An internal bra is created to hold the breast tissue in place. Dr. Agha also reshapes it into a breast mound using internal suturing before draping the breast skin over the lifted breast mound. The internal suturing technique gives more long-lasting results than the anchor breast reduction.

The result for the dermal bra suspension breast reduction and lift is a better breast projection, making your bust look round, perky, and natural-looking.

But because it is a comprehensive method, the whole procedure takes longer to finish.

How Does Dr. Agha Do Breast Reduction?

Breast reduction surgery is often done as an outpatient procedure. It takes approximately three to four hours to perform.

Here is a summary of Dr. Agha’s step-by-step breast reduction process

Preparation

Dr. Agha will conduct a thorough examination of your breasts before your breast reduction. He will assess multiple factors such as breast size, breast shape, degree of breast sagging, unevenness and asymmetry between the two breasts, amount of excess tissue, breast skin quality, nipple and areola size, and potential lumps.

He will then provide you information regarding the different breast reduction techniques, allowing you to weigh the advantages and disadvantages of each.

If you are over 40 years old, he will order a mammogram to make sure that there are no issues before planning your breast reduction surgery. Learn more about breast surgery preparation in this article.

Anesthesia

Breast reduction is often performed under general anesthesia in a surgery center.

Breast Tissue Removal and Repositioning

Once the incisions are complete, Dr. Agha reduces the areola by excising the areolar skin at its perimeter. He then lifts the breast skin and a layer of underlying fat off of the breast tissue and gland. He leaves the nipple and areola attached to the underlying breast tissue.

Dr. Agha excises the excess breast tissue according to the planned breast size. He preserves most of the central breast mass with its attached nipple and areola, while he removes the adjacent breast tissue excess. In this manner, the nipple and areola retain their own blood vessels, sensation, and milk duct attachments.

If Dr. Agha is using the anchor-type incision, he will lift the central breast mass and employ the dermal bra suspension technique to reshape the breasts.

This method allows him to lift the breast mass and secure it at a higher position using sutures to the chest muscles. The breast tissue is also recreated into a breast mound with internal breast sutures.

For extremely large and sagging breasts, Dr. Agha may need to remove and transplant the nipple and areola to a higher position on the breast in a technique known as the free nipple graft. In this technique, the breasts are first reduced, lifted, and shaped. The nipple and areola are then transplanted and sutured to them.

Breast Tissue Removal and Repositioning

Once the incisions are complete, Dr. Agha reduces the areola by excising the areolar skin at its perimeter. He then lifts the breast skin and a layer of underlying fat off of the breast tissue and gland. He leaves the nipple and areola attached to the underlying breast tissue.

Dr. Agha excises the excess breast tissue according to the planned breast size. He preserves most of the central breast mass with its attached nipple and areola, while he removes the adjacent breast tissue excess. In this manner, the nipple and areola retain their own blood vessels, sensation, and milk duct attachments.

If Dr. Agha is using the anchor-type incision, he will lift the central breast mass and employ the dermal bra suspension technique to reshape the breasts.

This method allows him to lift the breast mass and secure it at a higher position using sutures to the chest muscles. The breast tissue is also recreated into a breast mound with internal breast sutures.

For extremely large and sagging breasts, Dr. Agha may need to remove and transplant the nipple and areola to a higher position on the breast in a technique known as the free nipple graft. In this technique, the breasts are first reduced, lifted, and shaped. The nipple and areola are then transplanted and sutured to them.

Post-Surgery

Dr. Agha closes the incisions by suturing the breast in multiple layers.

He may temporarily place a small, thin tube under the skin to drain any excess blood or fluid that may accumulate. He then places an elastic bandage or surgical bra over the gauze dressings on your surgical site.

Why Should You Choose Dr. Agha for Your Breast Reduction?

When it comes to breast reduction, removing excess tissue is the easy part. It’s what you do with the remaining breast tissue that makes the difference.

In other words, if you don’t plan the surgery well, then you will not only end up with a smaller breast but a flatter one as well.

Most plastic surgeons only focus on breast tissue excision, offering only two-dimensional breast correction. They only provide little adjustment to the third dimension: breast projection.

Dr. Agha pays significant attention to the amount of breast that should be preserved to recreate a breast mound at a higher position. Aside from performing breast reduction and reshaping, he combines it with a comprehensive lift technique like the dermal bra suspension to create a rounder, perkier, and appropriately projected breast using your own tissue.

Dr. Agha’s focus on three-dimensional breast reduction and reshaping has allowed him to create natural-looking breasts that emphasize both definition and projection.

How Do You Recover from Breast Reduction?

Once you wake up in the recovery room in about an hour or so after your breast reduction, you are allowed to go home with a friend or family member.

While most breast reduction patients can get back to work after two weeks of recovery, the key to a successful recovery is to follow Dr. Agha’s instructions.

General Instructions

  • You may take pain meds as needed for any discomfort. Don’t take painkillers on an empty stomach.
  • Avoid irritating your operative site during the early phase of your recovery to prevent swelling, fluid accumulation, opening of sutures, and widening of the scar.
  • If you experience dry skin on your breasts after surgery, apply a moisturizer several times a day while keeping your incision site dry.

  • You may experience increased sensitivity as your sensory nerves regenerate, accompanied by a tingling, burning, or shooting pain. Your nipples might also become hypersensitive, but you can gently massage the area to relieve it. 
  • Make sure to avoid excessive force, abrasion, or motion on your incision site as you heal.
  • Limit your exercises to stretching, bending, and swimming until your stamina returns after several weeks post-op. Wear a good athletic bra for support.
  • Avoid smoking for rapid healing and thinner scar.
  • Protect your scar from the damaging rays of the sun by wearing a sunscreen with an SPF of at least 15.
  • Your two breasts may heal differently. One may swell more, the other might feel uncomfortable, and their shapes may be initially different. However, your breasts will look similar and natural once healing is completed.
  • Contact Dr. Agha right away if you notice any of the following:
    • Increased swelling, pain, redness, drainage, or bleeding on your surgical site
    • Fever
    • Dizziness
    • Nausea or vomiting
    • General ill feeling
    • Chest pain
    • Shortness of breath
    • Unusual heartbeat

Recovery Timeline

TimelineActivity
24 hoursYou will be groggy due to the effects of anesthesia, so make sure you have an adult to provide assistance while getting around and taking medications.
Driving on your own is not allowed due to altered reflexes and alertness.
Walking is encouraged in the evening of the surgery to reduce your chances of developing blood clots on the legs.
24 to 48 hoursNausea will be at its peak, so take your nausea pill one hour before taking your pain meds and antibiotics. 
The pain will also be at its peak, especially when you move around or cough. You can take painkillers for this.
5 daysFollow-up with Dr. Agha.
Drains may be removed.
1 weekYou should sleep on your back until this time to avoid discomfort.
Only light exercises allowed. Avoid activities that raise blood pressure.
No sexual activity allowed.
7 to 10 daysDriving with power steering allowed if it doesn’t cause pain.
You may shower at this stage if approved by Dr. Agha.
2 weeksMay go back to work as long as it’s not strenuous.
Cardiovascular activities — like brisk walking and stationary biking — allowed.
3 to 5 weeksSwelling subsides.
4 weeksExercises that put stress on your chest are now allowed.
6 weeksHeavy lifting, contact sports, and jogging are now allowed.
Only gentle contact with breasts allowed up until this point.
Scars will be firm and pink.

What Results Can You Expect from Breast Reduction?

After your breast reduction surgery, you will have…

  • Smaller but perky and projected breasts 
  • Breasts that are more proportional to the rest of your body
  • Clothes that fit better especially on the chest area
  • Reduced neck, back, and chest pains
  • Increased confidence and self-esteem

What are the Possible Risks and Complications?

Though you can expect pleasing results from your breast reduction, that isn’t to say that it doesn’t have its fair share of risks.

Check out the most common breast surgery complications in this post.

Breast Reduction FAQs

The cost of your breast reduction will depend largely on the complexity and type of breast reduction you’re getting.

According to RealSelf data, the average breast reduction ranges from $8,000 to $12,000. Different types of breast reduction surgeries are associated with different costs. Simple breast liposuction is the most affordable, while the anchor type breast reduction is the most costly.

You may also opt to get a breast lift, which would further add to the costs. However, getting multiple procedures at the same time is cheaper than getting them independently.

Other factors to consider are the anesthesia used, practice location, medications, lab tests, operating room fees, and the experience and expertise of your chosen plastic surgeon.

Unlike most cosmetic surgeries, a breast reduction might be covered by your insurance provider. Your insurance may cover the costs if you want to undergo breast reduction to get rid of medical problems. But you have to prove the medical necessity of breast reduction first.

Normally, insurance companies ask for the following to prove your need for breast reduction:

  1. A request letter to cover the costs of breast reduction from your plastic surgeon
  2. Photographic proof of overly large breasts
  3. Persistent symptoms in any of the two areas below:
    • Upper back pain
    • Neck pain
    • Shoulder pain
    • Headaches
    • Painful outward curving of the spine as documented by x-rays
    • Discomfort, pain, or tissue disintegration from bra straps cutting into shoulders
  4. Physician evaluation that certifies:
    • Your symptoms are likely because of overly large breasts
    • The procedure is likely to reduce your pain
    • At least 350 grams from each breast would be removed
    • You still experience pain even after trying therapeutic measures for three months

If your request is rejected, you can appeal their decision. And to make your case stronger, you can include:

  • Up-to-date literature on the effectiveness of breast reduction
  • Letter/s from doctors, chiropractors, and physical therapist
  • A personal letter describing your symptoms and how they limit you
  • Any scientific information that will support your case

Because the costs of breast reduction would be substantially lower with insurance, we encourage our patients to seek this option. Make sure to talk to your insurance provider regarding this.

If insurance won’t cover the procedure, be sure to ask Dr. Agha for financing option

If you aren’t sure if breast reduction surgery is right for you, try answering these questions:

  • Do you feel like your breasts are too large for your body?
  • Do you find it hard to find clothes that will fit right because of your breasts?
  • Is it difficult to exercise because you find your breasts too heavy?
  • Do you constantly worry about whether your top will look ‘decent’ because of your breasts?
  • Do you experience back, neck, and/or chest pain due to the weight of your breasts?
  • Is it hard for you to get accurate results from mammograms?
  • Do you usually develop rashes under your breasts?

If you answered YES to even one of these questions, you would be a suitable candidate for breast reduction surgery. You can have breasts that look more proportionate to the rest of your body and get rid of all the discomforts associated with overly large breasts.

You must meet the following factors for breast reduction surgery.

Good Overall Health

As required in all cosmetic surgeries, you need to be in good health. Patients with severe comorbidities such as heart disease and diabetes may be unable to get a breast reduction.

Age

The breasts are not yet fully grown until you’re around 16 to 18 years old. So if you’re younger, you may have to wait a few years to undergo this procedure.

Blood Clotting Disorders

When your blood clots in your blood vessels, it may block your artery and cause complications. Because of how dangerous it could be, those with such disorders may not be able to get the surgery.

Realistic Expectations

Setting expectations before the procedure is important so you and your plastic surgeon are on the same page. Discussing why you want breast reduction helps your surgeon improve your satisfaction with the results.

Get Your Breast Reduction Done in Newport Beach, Orange County

With breast reduction surgery, you can get breasts that are more proportionate to your body. You can be free of medical problems caused by overly large breasts, helping you gain more self-confidence and better quality of life in the process.

To make sure you’re in safe hands, go for a highly qualified and experienced plastic surgeon like Dr. Agha. He will be able to recommend procedures that will work best based on your desired results and body type.