Breast Reduction

“Beauty Through Mastery” Serving Miami, Boca Raton, Florida and surrounding areas

Breast reduction is a surgical procedure for women with large or heavy breasts that removes excess fat, skin and glandular tissue. The goal in breast reduction surgery is for women to attain a smaller and natural breast size that is appropriate on your frame. The medical term for having disproportionately large breasts is a condition called hypermastia.

This condition affects women by causing physical pain and discomfort in their neck, shoulder pain, and back pain. Women with large breasts often have difficulty finding clothes that fit and often develop grooving of the skin from bra straps. In addition, many women with excessively large breasts are often self-conscious and this may effect self-esteem and self-image. Furthermore, physical activity can be very difficult in women with larger breasts making it more difficult to exercise.


Women with large, heavy and pendulous breast may be a candidate for breast reduction surgery if you are experiencing:

  • Neck, shoulder or back pain caused by your breast size
  • Breasts that are disproportionate to your body size
  • Poor posture
  • Constant skin rashes, irritation or yeast infections underneath the breasts
  • Grooves embedded in shoulders caused by weight of bra strap
  • Self-conscious feelings regarding your breast size

A breast reduction surgery can help with these problems. If any of these symptoms apply to you, and you would like further information about a breast reduction, schedule a consultation with Dr. Paul N. Afrooz.


Breast reduction surgery is usually performed by placing an incision around the areola as well as a vertical incision from the areola down to the inframammary fold (the fold underneath the breast). This incision design is often described to patients as a “lollipop” or “vertical incision.” Through this incision, the nipple-areola complex remains attached to the underlying breast tissue. The breast tissue is then exposed and strategically reduced to create smaller breasts with an improvement in breast shape. Depending on the size of the breasts, sometimes an additional horizontal incision is added in the inframmaray fold. This incision type is referred to as an “Inverted-T incision.”

Once the incisions are made and the breast tissue is appropriately reduced in size, the skin envelop overlying the breast tissue is reduced to fit precisely over the reduced breast size. Once the excess skin is removed, the incisions are closed precisely and the nipple-areolar complex is precisely placed into a more appropriate and lifted position.

Following surgery, a supportive bra is worn for the next several weeks to provide comfort and support during healing. Breast reduction surgery is not associated with significant pain, however, pain medications are prescribed to ensure comfort during the first few days following surgery.*

Recovery from breast reduction surgery is different for all patients, but in general, Dr. Afrooz recommends one week of rest following surgery with intermittent walks. Slightly longer walks may begin in the second week, and return to normal physical activity and exercise after four weeks.*

If you are considering a breast reduction, we encourage you to call our office today 305.854.8828 to schedule your confidential consultation with Dr. Paul N. Afrooz.

*Results may vary. Consult with the experienced plastic surgeons at the Institute of Aesthetic Medicine to see if you are a good candidate.