
Women with excessively large, pendulous breasts often feel embarrassed or self-conscious about their appearance, which is why they come to us to get a reduction in their breast size. Some women also suffer from neck, shoulder, and back pain. Their bra straps may dig into their shoulders, causing skin indentations, rashes, or welts. Furthermore, having excessively large breasts can make certain physical activities extremely challenging and or painful.
Paramus, New Jersey plastic surgeon, Dr. Gary D. Breslow, is an expert in breast reduction surgery, a transformative plastic surgery procedure also known as reduction mammoplasty. This procedure can alleviate the physical and emotional discomfort that women with excessively large breasts often experience. It’s also a good surgical procedure for women with mommy makeover cysts.
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Breast reduction surgery, or reduction mammoplasty, is a plastic surgery procedure that removes breast fat, glandular tissue, and excess skin to reduce the size of a patient’s breasts. Why do women get breast reduction when breast augmentation has become so popular? Women who opt for breast reduction usually have back or neck pain, migraines, nerve damage, skin irritation, or don’t have high self-esteem. This procedure isn't just about aesthetics; it is a functional reset for the body, designed to make the breasts smaller and more manageable while improving the patient's quality of life.


Paramus breast reduction surgery is performed on an outpatient basis, under general anesthesia. The procedure takes approximately two hours, depending on the complexity of the patient’s surgical needs.
Once excess skin, fat, and glandular tissue have been removed from the breast area, the breast reduction surgeon reshapes the natural breast mound and moves it to a higher, more youthful position on the chest wall, similar to a breast lift. If the patient has overly enlarged areolas, their size can be reduced by excising excess skin from the outer borders of the areolas.
Once the plastic surgeon is satisfied that the breasts are in proper proportion to the patient’s figure, the Bergen County surgeon closes the breast reduction incisions and dresses the treatment area with soft bandages.
The specific technique used for breast reduction surgery in Paramus, NJ, depends on how much excess skin and breast glandular tissue must be removed, and if the patient has overly enlarged areolas that must be reduced.
During a breast reduction consultation, Dr. Breslow evaluates the patient’s unique anatomy and listens to her aesthetic concerns before recommending an appropriate treatment option to satisfy her individual needs.
The board-certified plastic surgeons who have extensive experience in an array of plastic surgery procedures typically offer the following surgical approaches and corresponding incision patterns:

This surgery is the definitive solution for the chronic discomfort caused by large breasts. It specifically treats:

The benefits are both immediate and life-altering. Within a few weeks, patients often find they can engage in physical activities like running or yoga that were previously impossible. The removal of excessive breast tissue means you can finally wear standard bras and clothes without struggle. Most importantly, the relief from constant pain leads to a profound increase in daily energy and overall happiness.
Ideal candidates are women who are physically healthy and have a stable weight. While losing weight can reduce breast size, dense glandular tissue often remains. It is usually best to wait until after pregnancy and breastfeeding, as these can change your results. Dr. Breslow will review your medical history and any medical conditions to ensure you are a safe candidate for anesthesia.
"I cannot say enough about Dr. Breslow and his team! I have always struggled with large breast all through high school and college. It impacted my daily life and work. After consulting with two other surgeons, I finally landed on Dr. Breslow. The welcoming staff and knowledge of Dr. Breslow made my decision clear that they were the right team for my reduction. I could not be happier with my results!"
– Sarah M., Breast Reduction Patient
The recovery process requires patience for the first few weeks. You will experience some swelling, bruising, and minor soreness, which is managed with medication. You must wear a surgical bra 24/7 to protect the incisions. Advanced practitioners at our center will schedule a follow-up visit to monitor healing. You must avoid heavy lifting for several weeks to prevent complications like opening a wound or affecting blood flow to the nipple.

You will feel the "weight" lifted immediately after surgery. While swelling and bruising are present initially, your new, smaller breasts and lifted appearance will be evident within days. The breast shape will continue to settle and look more natural over several months.
The results of reduction mammoplasty are generally permanent. However, significant weight gain, pregnancy, or the natural aging process can change your appearance over time. Most patients find the relief and improved shape provide a lasting improvement to their lives.

With reduction mammoplasty surgery, Dr. Breslow takes care not to remove too much breast tissue.
His goal is to help patients alleviate the discomfort caused by excessively large, pendulous breasts, while preserving their unique beauty.
To schedule a personal consultation with Dr. Breslow and learn how you can alleviate the physical and emotional discomfort caused by overly enlarged breasts with a breast reduction procedure, contact The Breslow Center for Plastic Surgery in Paramus, New Jersey, today!
Some of the more common risks involved with getting breast reduction surgery are: excessive bleeding around the breasts (hematoma, which could also cause wounds), poor healing, infection around the cleavage, loss of nipple sensation, and the inability to breastfeed after getting reduction mammoplasty.
All surgical techniques involve some scarring. However, Dr. Breslow places incisions strategically so they are largely hidden by bras or swimsuits. Scars typically fade from red to thin white lines over several months.
Many women can breastfeed after reduction mammaplasty, but there is a risk that the milk ducts may be affected. If breastfeeding is a primary future goal, discuss this with your surgeon during your consultation.
A breast reduction inherently involves a breast lift (mastopexy) because the nipple is moved and the tissue is reshaped into a higher position on the chest.
In many cases, if very large breasts cause documented neck pain, shoulder pain, or skin irritation, insurance may cover the procedure. We can help you navigate the requirements for medical necessity.
Dr. Breslow uses both tissue removal (for dense glands) and liposuction (for fatty tissue) to ensure the new breast shape is soft, natural, and proportional.