Breast Reduction

Are you currently seeking relief from physical pain or discomfort from the excessive weight of your large breasts? A Breast Reduction may the procedure just for you. 


breast-reductionBreast reduction surgery removes excess breast fat, glandular tissue and skin to achieve a breast size more proportionate with your body. A breast reduction also helps to alleviate the discomfort associated with overly large breasts and improve the shape and size of your breasts. Excessively large, sagging breasts can be uncomfortable, unhealthy and distracting from a woman s appearance. Large breasts can also restrict certain activities. Breast reduction surgery reduces overdeveloped breasts and can alleviate back pain, shoulder strap furrows, hand numbness and breathing difficulty.


Gynecomastia, or enlarged male breast, can be treated by surgically removing fat and/or glandular tissue. In extreme cases, skin is removed as well. The more masculine-looking chest that results can enhance your self-image and self-confidence.

Candidates must be in good health, have no active diseases or serious pre-existing conditions, and  must have realistic expectations of the outcome of the surgery. Good candidates for surgery have firm, elastic skin that will adapt to the new contours of the body. Gynecomastia may occur in 40-60% of men, affecting one or  both breasts. The cause is not always known, but obesity and use of some drugs, including antibiotic steroids, marijuana, or alcohol, may increase risk of Gynecomastia. Men who are in these risk groups would not be considered good candidates for breast reduction. Impaired liver function and use of estrogen-containing medications may also cause Gynecomastia. if a medical problem is identified as the cause during your initial consolation, you will be referred to an appropriate specialist.


Traditional breast reduction surgery is an outpatient procedure, but is sometimes performed as an inpatient procedure under general anesthesia, and takes between two to four hours. There are many variations to the procedure. The most common procedure involves an incision that circles the areola and extends downward following the curve of the crease beneath the breast. Your surgeon removes the excess glandular and fatty tissue. Then the nipple and areola are moved to their new position. The skin is then drawn together and down around the areola, providing a new shape to your breast. Unless your breasts are very large and pendulous, the nipples will likely remain attached. All incisions are closed with stitches.

Breast liposuction is a safe alternative to traditional breast reduction surgery. It may be performed with twilight sleep anesthesia combined with local anesthesia. Since the female breast is about 50% fat, a 1 – 3 cup reduction in size can be obtained using liposuction alone. Liposuction of the breast enables the surgeon to remove fatty tissue, but not glandular tissue. With this procedure, most patients experience a quicker recovery time with minimal scarring as compared to a traditional breast reduction. Depending on your breast size, breast liposuction might be an option to consider.

For Men 

The technique chose for your breast reduction will be determined by your anatomy, Dr. Aguilar’s preferences, and your desired result. Options include removal of the tissue under the breast, or suction lipectomy (Liposuction) of the chest wall. In both procedures, a small elliptical incision is made on the lower half of the nipple area (areola). For those men with enlarged glandular tissue, all breast tissue directly under the nipple will be removed. If the tissue is more fatty in nature, liposuction can provide excellent results. in some cases, ultrasound all be used to assist liposuction. During liposuction, a small tube, or cannula, is inserted into the incision to remove excess fat.


First, schedule a personal consultation with Dr. Aguilar. Communication is vital in reaching your goals. You will have the opportunity to discuss your goals and the results you would like to achieve. Dr. Aguilar will work with you to reach an understanding about what you can expect from this procedure and what long-term benefits you will experience. Every patient is different, and Dr. Aguilar will choose the surgical technique and treatment plan that is right for you, during your initial consultation.

  • Provide a complete medical history. Include information about any previous surgical procedures; past and present medical conditions; and all medications or herbal supplements you are taking.
  • Expect Dr. Aguilar to conduct a physical exam of the size and shape of your breasts, the quality of skin and placement of the nipples.
  • Photographs will be taken for your medical record.
  • Be prepared to discuss possible risk and complications of the procedure.

If you are considering having children, you should discuss this with your surgeon during your consultation. The ability to nurse after you have had the size of your breasts reduced is unpredictable. Should you decide to nurse after your surgery, you probably will experience some temporary engorgement.

What about mammograms?

The risk of developing breast cancer seems to remain unchanged following a breast reduction, as do our recommendations for cancer screenings. Self-breast examination should be performed monthly. A new baseline mammogram should be performed one year after your surgery. Your doctor will make further recommendations during your consultation.

Who are the best candidates for breast reduction?

The best candidates are women with very large breasts who require physical relief. Other candidates for breast reduction include those patients with one breast significantly larger than the other. Those with indentations in their shoulders from tight bra straps and those who are self-conscious or dissatisfied with their oversized breasts are also excellent candidates.


The recovery from a traditional breast reduction procedure can be extensive. Following your surgery, it is a good idea to sleep on your back to avoid undo pressure on your breasts. Sexual activity should be avoided for one to two weeks following surgery, and you should avoid strenuous activity for several weeks. It may be possible to return to work in one or two weeks. The stitches will be removed over the next few weeks. Bruising and swelling may take up to six weeks to disappear, and it may take up to a year or two for the scars to flatten and fade.

In contrast, patients undergoing breast liposuction are encouraged to resume normal activities as soon as they feel up to it. The scar is small and hidden, out of sight under the breast fold. The results of breast reduction surgery are permanent, but breast size may change due to weight gain or pregnancy.

A breast reduction can make a dramatic change in your appearance and your outlook. A breast reduction can make your breasts smaller and firmer. Many patients find a new enjoyment in sports, exercise, dancing or even just walking.