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Breast Reduction

Best Breast Reduction Del Mar, La Jolla and La Mesa, CA | Prime Plastic Surgery

Breast reduction is designed to improve the appearance and symptoms of overly large breasts by reducing their size and reshaping them. The surgery is specifically designed to relieve symptoms of pain and discomfort in the breasts, shoulders, neck and upper back. Juvenile breast reduction is also an excellent procedure for teens experiencing breast hypertrophy.

Women who have overly large breasts do not need to be told of the discomfort they suffer. Back and neck pain all too often accompany disproportionately large breasts. It is also difficult to find attractive clothes that fit properly. The rubbing motion of the breasts against the chest can cause skin irritation, while the bra straps gouge into the shoulders.

New developments in breast reduction surgery include the limited incision techniques, including the LeJour technique and the use of liposculpture for artistic shaping of the breast.

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The woman who opts for breast reduction (reduction mammoplasty) generally feels like a new person after surgery. Her posture is improved. She feels better and looks slimmer. Often, she develops a new confidence in herself.

Our doctors have the experience and skill to give you the results you envision through breast surgery. To learn more about breast augmentation, lift, and reduction.

For many patients, breast reduction is partially covered by medical/health insurance.

The surgery can be performed in the hospital or at our center, depending on your general medical condition. If the surgery is performed at our center, your surgeon may wish to have you transferred to the hospital after surgery for a planned overnight stay.

Frequently, other breast sculpting procedures are performed in conjunction with a breast reduction, including reduction of large areolae (colored areas around the nipples), correction of inverted nipples, and reduction of overly prominent nipples. In addition, breasts that are unequal in size can be made more symmetrical. It is important to know that some women may be unable to nurse after breast reduction surgery.


The procedure takes approximately 3-5 hours. Breast reduction surgery is performed in an outpatient surgical facility. Breast reduction surgery is one of the most patient pleasing operations we perform. By removing “excess” breast tissue, adipose tissue, and breast skin  this operation reduces AND lifts the breasts to a higher position on the chest wall (in other words, the breasts are “automatically” lifted when a breast reduction is performed). By doing so, patients often find improvement in neck, back, and shoulder discomfort and find it easier to form their activities of daily living and exercise.

Generally speaking, it is always best to achieve long-term stable weight prior to proceeding with body contouring surgery. In other words, the “ideal weight” for a specific patient is one where he/she feels comfortable long-term, and does not expect significant fluctuation to occur after the procedure.

Achieving this long-term stable weight, will increase the safety of the operation, will likely improve the outcome of the operation, and will decrease chances that additional surgery will become necessary subsequently.

Juvenile Breast Reduction

Juvenile Breast Reduction is designed to improve the appearance and symptoms of overly large breasts in young teens. Breast hypertrophy can cause both physical and psychosocial consequences as the breasts are too large for the teen’s body frame. The teen may experience different degrees of back, shoulder, and neck discomfort associated with large breast and may seek the care of a chiropractor to temporarily alleviate some of the pain. Simple juvenile activities such as exersize or shopping are bothersome to young teens experiencing breast hypertrophy. An ideal candidate is at or near their ideal goal weight and must be willing to accept scars resulting from breast reduction surgery in exchange for the improvement in size, contour, and position of the breasts. While breast reduction surgery is one of the most patient pleasing operations performed, the need for further surgery may be necessary in the future if the breasts were to grow large again, for example after pregnancy.


Breast Reduction Post op Care Instructions

  1. Sleeping in an upright position for 1-2 weeks after surgery.

  2. No heavy lifting for 4-6 weeks.

  3. Keep your hands and elbows to your side for 2 weeks.

  4. No driving for 2 weeks post Breast Reduction surgery or until off narcotic pain medication completely.

  5. Please take the medications as directed. Antibiotic medication (if prescribed) is taken for 3 days or until the drains are removed. Pain, nausea, and muscle relaxant medication are taken as needed. Never take medication on an empty stomach and always space out the medications by an hour.

  6. Constipation is very common due to the pain medication and anesthesia. Please use Colace (over the counter) or any stool softener that has worked with you in the past.

  7. If you develop a rash or think you are having an allergic reaction to the medication please call our office immediately. Sometimes Benadryl will help.

  8. No exercises for 4-6 weeks post surgery. We will follow up with each patient at post-surgical visits to give them their workout restraints.

  9. Cant get the breast wet for 4-6 weeks post surgery. You will be given further instructions at post-surgical visits regarding getting in the shower, etc.

  10. No ocean water, jacuzzi, or pool water for 8 weeks post surgery or until the incision is fully healed.

  11. No tanning or sun exposure to the incision until the your incision has healed completely.

  12. Please do not put scar creams or ointments on the incision immediately after surgery, you may irritate the area or cause an allergic reaction.

  13. After surgery you will have lots of dressings, surgical bra, drains, and compression stockings provided to you. Please leave everything on until we see you which is usually 3 days post surgery. The surgical bra strap band needs to be placed at the bottom of the breast for support.

  14. Breast Lift dressing can be removed 2 weeks post surgery.

  15. Drains are removed on your first post op visit if your surgeon thinks they are ready or when the drainage output is below 20cc within a 24hr period.

  16. After drains are removed we want to make sure that there is no fluid build up “Seroma”, please make sure to call the office if you feel you have developed fluid. Sometimes fevers, nausea will be a side affect or on the sides of the breast area may have swelling and you may feel fluid move. Almost like a waterbed affect.

  17. You may expect to be swollen for a few weeks. This is why it will also take time for the breast to reach their final shape and size.

  18. For Scar treatment most patients will use scar treatment ointment, which you may get from our office.

  19. Wear the surgical bra for a total of 4 weeks. You may wear a comfortable sports bra or regular non-underwire bras after you get rid of your surgical bra. You wear sports bras for 4 weeks.

  20. Nice under wire bras are okay once you have full sensation at the bottom of the breast and closer to 2 months post surgery.

  21. Some drainage from the incision lines is normal and its usually a light green/yellow discharge at about 3 weeks post surgery. Please keep the area as dry as possible.

  22. Sometimes there can be superficial openings on the T-junction of a breast lift/reduction. Please call our office and send photos as soon as possible.

  23. If there is redness on the incision line or it feels tender, please call our office and send photos.

  24. Incision lines and final results may take up to about a year.

  25. Please keep in touch via email, and send photos to us at your 2ndweek, 1st month, 2ndmonth, 4th month, 6th month…etc. if your coming from out of town.

  26. Please call us with any concerns Mon-Friday 8:30am-5:30 pm at 619- 466-8851 or email us at info@pousti.com. Please know that calling may ensure a faster response.

  27. If you would like to blog or write a testimonial of your experience in our office please see the following websites


What is a breast reduction?

With breast reduction surgery, your doctor improves the appearance and symptoms of overly large breasts by reducing their size and reshaping them. The surgery is specifically designed to relieve symptoms of pain and discomfort in your breasts, shoulders, neck, and upper back.
Juvenile breast reduction is also an excellent procedure for teens who have breast hypertrophy (enlargement of tissue). The ideal candidate is at or near their ideal goal weight and must be willing to accept scars resulting from breast reduction surgery in exchange for an improvement in size, contour, and position of their breasts.
During a breast reduction, your doctor removes excess breast tissue, adipose tissue, and breast skin, which automatically lifts your breasts into a higher position on your chest wall.
The surgery is usually 2-5 hours long depending upon the extent of the reduction and your recovery will take 3-4 weeks.

Can I combine a breast lift with a breast augmentation?

Yes, though the procedure is more complex. If you want to both lift and augment your breasts, your doctor needs to consider the best way to lift your breasts, remove excess tissue, but still leave enough to accommodate implants. Rest assured, he has extensive experience performing this combination procedure and makes every effort to get you the profile you desire.
For more information on breast lifts or breast reduction, call Prime Plastic Surgery or use the online booking tool to set up a consultation.

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