Finn Plastic Surgery

Breast Reduction

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What is Breast Reduction?

Breast reduction, also known as reduction mammaplasty, is a surgical procedure that reduces the size of the breasts by removing excess breast tissue, skin, and fat. The procedure aims to alleviate physical discomfort, such as back pain, neck pain, and shoulder grooving from bras, caused by the weight and size of the breasts. Breast reduction surgery can also improve the overall appearance of the breasts, making them more proportionate to the body.

During the procedure, incisions are made to remove excess fat and tissue. The nipple and areola are repositioned to create a natural-looking breast shape. The size of the areola may also be reduced if necessary. Breast reduction surgery is a complex procedure that requires the expertise of a skilled and experienced plastic surgeon. Dr. Elkins-Williams is a double board-certified plastic surgeon who has extensive experience in performing breast reduction surgery. He will work closely with you to create a personalized treatment plan that addresses your specific concerns and helps you achieve your desired breast size and shape.


Breast reduction surgery can benefit a variety of women who are experiencing physical and emotional discomfort due to the size of their breasts. Women with large, heavy breasts may experience neck pain, back pain, shoulder grooving from bras, and other physical discomfort. Breast reduction surgery can alleviate these symptoms and improve overall quality of life.

In addition to physical discomfort, some women may feel self-conscious or unhappy with the appearance of their breasts. Breast reduction surgery can improve breast symmetry, create a more proportionate breast size, and enhance overall breast appearance.

What’s the difference between a breast reduction and a breast lift? 

A breast reduction and breast lift can share the same incisions and scars; however, they are different procedures with different goals. A breast lift will elevate and reshape the breast without significantly reducing their size. This can result in a more youthful and perky appearance but doesn’t significantly reduce the size of the breasts. During your consultation with Dr. Elkins-Williams, he will assess your unique needs and goals and recommend the most appropriate procedure for you. Whether you require a breast reduction or a breast lift, Dr. Elkins-Williams will guide you through the process and ensure you have a clear understanding of the benefits and potential risks associated with each procedure.


When you come in for a breast consultation with Dr. Elkins-Williams, you can expect a thorough discussion about your goals and expectations for the surgery. Dr. Elkins-Williams will also review your overall health, medical history, prior surgeries, medications, and drug allergies. This will include a discussion about any personal or family history of breast cancer and a review of prior mammograms or breast biopsies. We will conduct a thorough examination and measurement of your breasts, which may include assessing the size, shape, skin quality, and placement of your nipples and areolas. Dr. Elkins-Williams will work closely with you to determine the most appropriate surgical technique for your individual circumstances. His goal is to help you achieve your desired breast size, shape, and overall appearance while ensuring natural-looking and long-lasting results.


During your consultation, you will receive a detailed surgical quote and any required clearance forms. If you choose to proceed with surgery, our dedicated Patient Coordinator, Julia, will guide you through the process of selecting a procedure date. To finalize your preferred surgical date, a non-refundable, non-transferrable booking fee of $500.00 will be required. A pre-operative appointment will be scheduled for at least two weeks prior to your surgery date. At the time of booking surgery, we will also schedule your first follow-up visit. 


During your pre-operative appointment, you’ll have plenty of time to discuss your upcoming procedure in detail and have all your questions answered. Your pre- and post-operative care instructions will be reviewed with one of our nurses, as well as any medications you’ll need to take before and after surgery. You’ll review and sign the consent form for the surgery, meet with Dr. Elkins-Williams to revisit your goals, and your surgical quote balance will be due at the end of this appointment. Our goal is to ensure that you feel fully informed and comfortable with the upcoming procedure, allowing you to approach your surgery with confidence and peace of mind.

What to Avoid Before Surgery

To minimize the risk of bleeding and bruising, it’s important to avoid blood thinning medications and supplements for two weeks prior to your procedure. This includes aspirin or aspirin-containing products, as well as anti-inflammatory drugs such as ibuprofen or naproxen (including Motrin, Aleve, and Advil). Additionally, supplements such as Vitamin E, multivitamins, and omega 3 fatty acids (fish oil and flaxseed oil) should be avoided. For a complete list of medications and supplements to avoid, please consult with your pre-op nurse.


After breast reduction surgery, you’ll wear a compression bra, and there will be no dressings to change or drains to worry about. Although you may experience some pain and swelling initially, most patients do not require pain medication for more than a few days. You may take Tylenol (Acetaminophen) as directed. You can resume normal activities of daily living and light walks as soon as possible. However, you will need to avoid aerobic exercise for two weeks and strength training for four weeks. Over a period of about three months, swelling will gradually subside.


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