A breast reduction, or reduction mammoplasty, is often considered one of the most rewarding procedures—not just by me, but by nearly every patient I’ve ever treated. This surgery reduces excess breast tissue and skin to create a smaller, lifted, and more proportionate size. The result? Relief from back, neck, and shoulder pain, improved posture, and a boost in confidence.

The surgical technique for a reduction is very similar to a breast lift (mastopexy), but with a breast reduction, more tissue is removed for a more dramatic size change. The scar pattern is usually an “anchor” or inverted-T shape, depending on your anatomy and how much tissue is removed.

For younger patients, it’s important to wait until you’ve reached a stable breast size. This surgery can affect your ability to breastfeed, so it’s worth considering if you’re planning to have children. For patients 35 and older, a mammogram within the past year is required for safety.

I like patients to shop for a “goal bra” before surgery—one that fits well around the band with various cup sizes to help you picture your ideal result. And while some reductions may be covered by insurance (with documented medical problems due to the weight of your breasts), I perform only cosmetic breast reductions and don’t accept insurance.