The size, shape and proportion of a woman’s breasts can affect her self-perception, her femininity, and even her sense of physical balance. In the case of women with large breasts, the physical weight of her breasts can cause significant neck and back pain. Women who undergo breast reduction surgery (also known as reduction mammoplasty) are extremely happy with the results. The most frequent comment we hear following breast reduction surgery is, “I wish I’d done this sooner!”
The art of breast reduction involves much more than removing tissue from the breasts. It is a creative, delicate endeavor that improves a woman’s physical beauty, reduces physical pain, and enhances her self-confidence. Dr. Nina S. Naidu is a female plastic surgeon in New York City (NYC). She and her staff are dedicated to providing women in NYC with the highest quality of care possible.
As a woman in NYC, you want to look and feel your very best. Unfortunately, overly large breasts can have a negative impact on your confidence and self-esteem. Many women have been teased or objectified due to their breast size. They’ve also suffered back and neck pain due to the weight of their breasts, often to the point that it is difficult to engage in daily activities. Finally, women with large breasts often have a difficult time choosing flattering clothing because their breast size is out of proportion with the rest of their body.
Breast reduction is a surgical procedure that reduces the size of the breasts by removing excess fat, glandular tissue and skin. This is one of the most gratifying surgeries performed by plastic surgeons due to its positive impact on patients’ lives.
Unlike many other plastic surgery procedures, patients who are seeking breast reduction surgery in NYC are ready! They are tired of the emotional and physical consequences of large breasts. They’ve dreamed of a breast reduction for years (sometimes decades). Their goal is to find a surgeon who can create smaller breasts that will be comfortable, beautiful and proportional to their body.
The first part of the breast reduction process is a comprehensive consultation in our NYC office. Dr. Naidu will get to know you and your goals for the surgery. Some women have a specific cup size in mind; others are focused solely on reducing their neck and back pain. For women involved in sports, reducing their breast size can decrease the physical stress on their bodies and improve their athletic performance.
During your consultation, you will need to tell Dr. Naidu about your medical history and your use of medications, nicotine, alcohol or supplements. She will want to know about any previous surgeries, including surgeries on your breasts. If you plan to become pregnant or breastfeed in the future, Dr. Naidu will explain the impact that motherhood will have on your breasts, so that you can make an informed decision about breast reduction surgery.
Dr. Naidu will conduct a physical examination of your skin and the soft tissue of your breasts. She will document the emotional and physical issues related to your large breasts. These may include deep grooves in your shoulders caused by bra strap pressure, skin irritation under your breasts, and difficulty sleeping. Dr. Naidu will also measure the base width of your breasts and the amount of existing breast tissue. These measurements will be used to plan your surgery and determine the ideal size of your breasts.
At the end of the consultation, Dr. Naidu will let you know if you are a good candidate for breast reduction surgery. She will educate you about how the surgery is performed so that you can make an informed decision. She will never pressure you to schedule the procedure.
If you decide to proceed with breast reduction surgery, you will have a second consultation with Dr. Naidu in our NYC office. At this appointment, Dr. Naidu will discuss the ideal size of your reduced breasts. This size is based your anatomy, your preferred breast size, and on what Dr. Naidu believes will look natural and be aesthetically pleasing.
Dr. Naidu will also explain her plan for your surgery. She will let you know the length of your surgery, the location of your incisions, and what to expect during your recovery. You will also complete the necessary paperwork for this surgery.
At this appointment, we will take pre-operative photographs. These photographs are an important part of your surgical planning and are considered part of your medical record. They will never be shown to other patients without your written permission.
Depending on your medical history, Dr. Naidu may advise you to discontinue certain medications prior to surgery. If you are a smoker, you may not smoke for six weeks before or after surgery. For your safety, Dr. Naidu may also order additional screening tests (such as a mammogram) or request preoperative clearance from your primary care physician.
Breast reduction surgery takes between two and three hours and is performed in a NYC ambulatory surgery center. Dr. Naidu prefers using general anesthesia so that you will be completely comfortable during the surgery.
The evening prior to surgery, you should not eat or drink anything after midnight. This ensures that you have an empty stomach prior to surgery, which is very important for your safety.
You will meet with Dr. Naidu immediately before your breast reduction. She will make several marks on your breasts for use during surgery, as well as answer any additional questions that you may have.
Once you are under anesthesia, Dr. Naidu begins the surgery by making careful incisions. The location of the incisions is determined by your anatomy and the amount of tissue being removed.
Once the incision is made, the nipple is repositioned and the size of the areola is reduced. Excess breast tissue is removed, and then lifted and shaped. Incisions are brought together using layers of fine sutures to support your smaller breasts.
You will wake up following surgery with dressings on your incisions and a light support bra on your breasts. You will be excited to notice that your chest looks smaller and feels lighter!
After being carefully monitored, you will be allowed to go home the same day. You must have someone to escort you home and stay with you for the first 24 hours.
Dr. Naidu will also give you a prescription for pain management, as well instructions about how to take care of your incisions. Stitches will be removed within two weeks. Swelling may persist for up to three weeks following your reduction. It is imperative that you follow your post-surgical instructions.
Light activity is encouraged following surgery, but strenuous activity and exercise should be avoided for two weeks.
Many of Dr. Naidu’s patients are strong, independent women who are reluctant to ask for help. These patients need to understand that breast reduction is real surgery and that some level of post-surgical assistance will be required. We strongly recommend that you create a plan to take care of yourself and your family, so that you can focus on your recovery.
During your consultation, Dr. Naidu will explain the risks of breast reduction surgery so that you can make an informed decision. As with other surgeries, the risks of breast reduction include bleeding, infection and scarring. In addition, some women experience a loss of feeling in their nipples or breasts, although this usually resolves with time.
Complications from breast reduction can be mitigated by choosing a skilled surgeon, providing a thorough medical history, and carefully following your pre-operative and post- operative instructions.
Breast reduction is generally covered by insurance plans. Our staff will work with you to obtain insurance approval by helping to document that more conservative measures (such as physical therapy, support bras or skin creams) did not resolve the physical discomfort created by your large breasts.
Aesthetic and reconstructive surgery of the breast comprise a large part of Dr. Naidu’s NYC surgical practice. She has a special interest in aesthetic and reconstructive breast surgery.
In addition to breast reduction, Dr. Naidu offers patients a full range of breast implants. She is excited to be one of only ten plastic surgeons in NYC to offer the Ideal Implant®, which combines a natural feel of silicone with the safety of saline. Since 2006, Dr. Naidu has served as a clinical investigator in the Breast Implant Follow-Up Studies (BIFS) trials.
Dr. Naidu completed her undergraduate studies at The Johns Hopkins University and obtained her medical degree from Cornell University Medical College. After completing her general surgery and plastic surgery training at New York Presbyterian – Weill Cornell Medical Center, she performed an additional year of fellowship training at the University of Pennsylvania. Dr. Naidu is Board Certified by the American Board of Plastic Surgery and is a Clinical Assistant Professor of Surgery at Weill Cornell Medical College.
Our office is conveniently located at 1021 Park Avenue in NYC. If you’d like to learn more about breast reduction – and whether it is right for you – please call our office at 212-452-1230 and schedule an appointment.
Very large breasts can be associated with both health and emotional issues. In addition to feeling self-conscious about their breast size, women may experience back, neck, and shoulder pain, rashes beneath the breasts, and indentations on the shoulders from their brassiere straps. Some women are extremely self-conscious of the size of their breasts, and may have difficulty finding bras and clothing that fit properly. Breast reduction surgery removes excess glandular tissue and skin from the breasts. The areola, which is the pigmented skin around the nipple, is also reduced in size. The goal is produce breasts that are smaller, lifted, and more proportional to the patient’s body.
During your initial consultation with Dr. Naidu, she will discuss with you your desires and expectations from surgery. This will involve a complete medical history and an examination of the breasts and lymph nodes. Patients over 35 years of age are requested to obtain a baseline mammogram prior to surgery.
The techniques used for breast reduction involve either an anchor incision (the incision encircles the areola, extends downward, and follows the natural curve of the crease beneath the breast) or the vertical short scar incision (incision line around areola and vertical line downwards only). The particular technique selected depends upon both the amount of breast tissue to be removed and your individual measurements. With both techniques, excess glandular tissue, fat, and skin are removed and the nipple-areolar complex is moved into its new position. The skin from both sides of the breast is then brought down and draped over the lifted and reshaped breast. In most cases, the nipple-areolar complex remains attached to its blood vessels and nerves. However, if the breasts are very large or pendulous, the complex may have to be completely removed and grafted into a higher position. The procedure is performed under general anesthesia and takes between two and three hours to perform. Surgery is performed in an outpatient facility, and patients are able to return home the same day.
Following surgery, the breasts may remain swollen for several weeks, although most patients report minimal pain. Most sutures placed are dissolvable and will not require removal. Patients are advised to take one week off work. An underwire bra may be worn four weeks after surgery. Light activity including walking is permitted the day following surgery, and strenuous activity is permitted four weeks following surgery.
You are a good candidate for a breast reduction if you are physically healthy; do not smoke; your breasts limit your physical activity; you experience back, neck, or shoulder pain secondary to the weight of your breasts; you have indentations from your bra straps; you note skin irritation beneath your breasts; your breasts hang low and have stretched; your nipples rest below the breast crease when unsupported; and/or you have enlarged areolae.