In general, mammary hyperplasia or large breasts are a hereditary condition that has its onset in adolescence and fully matures in the patient’s early 20s. Large breasts may be aesthetically displeasing, as well as functionally limiting, sometimes accounting for significant neck and shoulder pain, under-breast inflammatory changes and economic strain in specialized undergarment support wear. Cosmetic breast concerns are purely for the aesthetic appearance and proportion of the breast, which may be excessively large for the patient’s figure, shape and form, but are not generally symptomatic.

Incision Options for Breast Reduction Surgery

There are several different breast reduction techniques, the most common being an approach that requires an incision around the areola and a vertical incision extending under the breast. This lollipop incision, or short scar breast reduction, minimizes unattractive scars that can sometimes occur in more extensive breast reduction surgery. Very large breasts do require formal, under the breast scarring to allow for the removal of additional tissue and to provide more enhanced proportion for patients with larger breasts. This combination of incisions is often referred to as an anchor lift, inverted T, or Weis pattern. All techniques will provide the patient with reduced breast size and alleviate discomfort they may be experiencing from having large breasts.

Ideal Breast Reduction Candidates

If your breasts are very large in proportion to your body frame, or they are different in size, you may be a good candidate for a breast reduction. Breast reduction surgery also benefits those who are experiencing shoulder and back pain due to the large size and weight of their breasts. It can also help those who have skin irritation underneath large breasts.

Excessively large and disproportionate breasts can cause self-consciousness and discomfort, and these are situations when a breast reduction is a good idea. Breast reduction is a procedure that can be performed at any age. However, most plastic surgeons prefer that you wait until your breasts have fully developed. If you plan on having children and breastfeeding, you should discuss this with your doctor, as those activities can impact the size and shape of your breasts.

Dr. Neavin will determine whether or not you are a good candidate for a breast reduction by examining and speaking with you about the size and shape of your breasts and what you wish for them to look like. This way, he can properly evaluate your expectations and make sure that they are reasonable for a breast reduction procedure.

It is essential that patients refrain from smoking for a minimum of four weeks prior to breast reduction surgery to reduce risks of poor healing. In addition, all nicotine products such as gum, patches, and vaping must also be avoided.

For more information on breast reductions please visit the FAQ page here.

Recovery After Reduction Surgery

Don’t let heavy, pendulous breasts get in the way of your self-confidence or your daily life. To learn more about the benefits of breast reduction, contact Dr. Neavin today at 310‑858‑8811 text 323-975-1287.


To schedule your consultation, Simply Call (310) 858-8811 or Text (323) 975-1287.