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Live Comfortably with Breast Reduction by Dr. Joshua Korman

This uncomfortable way of living can be relieved with breast reduction, which aims to reduce the breasts to the patient’s desired size. Dr. Joshua Korman has performed hundreds of breast reductions using a variety of techniques, giving his patients the chance to live more comfortable, active lives. To schedule your breast reduction consultation, contact us at our Los Altos, San Jose, Carmel-by-the-Sea, or Mountain View locations.

Why Choose Korman Plastic Surgery In The Greater Bay Area?

As a board-certified plastic surgeon, Dr. Joshua Korman has over 20 years of body contouring expertise. He regularly contributes his insights to major network shows like “20/20” as well as authoring entries in multiple publications, both for his peers and the general public. As a testament to his esteemed career, Dr. Korman was named a “Top Doctor” for 2017-2023 by Castle Connolly. Dr. Korman and his entire team are dedicated to patient safety and success. They provide elegant, nuanced outcomes in a state-of-the-art practice setting that serves Los Altos, San Jose, Carmel-by-the-Sea, and Mountain View.  Dr. Korman comes from a prestigious educational background that informs his innovative work.

After receiving his bachelor’s and medical degrees from the world-renowned Cornell University – and graduating at the top of his class (Alpha Omega Alpha) – Dr. Korman continued to hone his skill set with in-depth plastic surgery training at Stanford. His Fellowship training was completed at Canniesburn Hospital in Glasgow, Scotland, and in Miami, Florida, where he was chosen for a Cosmetic Surgery Fellowship. Today Dr. Korman serves as Adjunct Clinical Professor of Surgery at Stanford University’s School of Medicine where he continues to inspire the brightest medical minds of tomorrow.

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What Is A Breast Reduction?

Breast reduction is a surgical procedure that reduces breast size by removing excess skin, fat, and breast tissue until the desired size is reached. The incisions made for the removal process will be based on the size and shape of your breasts. The areola may need to be repositioned or resized to suit the new breasts. Dr. Korman commonly lifts the breasts simultaneously to ensure enduring results and to reduce the heaviness that often comes with large breasts. Breast reduction can be performed as a procedure on its own, or in conjunction with other procedures such as liposuction, a tummy tuck, or facial surgery.

Candidates

Macromastia, or large breasts, can cause a number of physical strains; this is referred to as “symptomatic macromastia.” Women who suffer from symptomatic macromastia typically experience constant pain in of the neck, shoulders, and back. This strain often causes poor posture, headaches, and permanent indentations in the shoulder from bra straps.

These straps can cause skin irritation, and even the breasts rubbing against the skin themselves chest wall can cause irritation. Some women have to limit working out because it is just too painful. This is because of the constant motion but also the inability to find a bra with proper support; this results in both a bother and a health risk. Another symptomatic macromastia condition is limited sleeping positions. Sleeping on one’s back can sometimes restrict your breathing.

While some women experience painful effects, others might just desire an aesthetic change. Breast reduction does not have an age restriction, but the breasts must be fully developed. If you experience even one of the above afflictions, schedule a consultation with Dr. Korman and he will be able to advise you on how a breast reduction will improve your lifestyle.

Benefits Of A Breast Reduction

  • Eases physical pain associated with macromastia
  • Able to Allows women to exercise without fear of discomfort
  • Creates a more proportional and symmetrical bust
  • Clothes Creates a better fit in clothing
  • Boosts self-confidence and self-esteem 
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Techniques Used

Dr. Korman performs breast reduction with a variety of incisions as he tailors the procedure to your individual needs. For some patients, liposuction alone can be effective at reducing the size of breasts. In this case, there is only a very small incision that needs to be made. The incision that will best suit you specifically will be determined during your private consultation.

breast lift incision illustration

  • Vertical (Lollipop) Incision – Mimicking the shape of a lollipop, the vertical incision technique begins with an incision that encircles the areola, and then runs down vertically to the breast crease. The proper amount of skin, fat, and tissue is excised to reach the desired decrease. This is a very popular breast reduction method as there is minimal scarring, ample decrease in size, and added perkiness to the bust.
  • Anchor Incision – The anchor incision is similar to the vertical incision; however, in addition to the circumferential areola incision and the incision running from the areola to the breast crease, a third incision is made following the natural horizontal contour of the inframammary fold. This anchor pattern allows Dr. Korman to remove a larger amount of skin, fat, and tissue for those who desire a substantial decrease in size.
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Consultation

At your consultation, you and Dr. Korman will talk about your current breast size and the size you would like to be following surgery. He will perform a medical examination to assess your skin quality and determine the best personalized technique that will give you optimal results. He will go over each step of the procedure including recovery so you are fully aware of the whole process. Please make mention of your medical history and past procedures, as well as routine medications, as he may have you adjust your intake.

You should also mention if you are planning on losing a large amount of weight or becoming pregnant and breastfeeding in the future. Dr. Korman will show you before and after photos of previous patients with similar body types who have undergone the same technique. This is only meant to give you a general idea of possible results, since results do vary from patient to patient. Before pictures will be taken of you so you can see your transformation post-surgery. Any and all questions will gladly be answered at this time, including pricing inquiries.

Preparation

A pre-op mammogram is required for all breast reduction patients over 40 – or those with a family history of breast disease. Additional medical tests based on your medical history may also be requested. Refrain from smoking, anti-inflammatory medications, and herbal supplements for three weeks prior to surgery. You will be prescribed antibiotics and pain medications that you will need to pick up prior to surgery.

Please arrange to have a friend or family member drive you home, as you will not be able to drive yourself. We recommend having someone stay overnight with you to aid in your first night of healing. Arm motion will be limited the first week, so make sure that everything you will need during your recovery is at counter level.

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Procedure Information

When you arrive for your procedure, Dr. Korman will mark the incision spots while you are in a standing position. This is because your breasts will change shape once you lay down, so marking them ahead of time will ensure the incisions are made in the proper placement. Your procedure will take between 2-3 hours. You will be administered general anesthesia so you are asleep during the whole surgery.

Once anesthetized, Dr. Korman will make the predetermined incisions, remove the appropriate amount of fat, breast tissue, and skin, and then suture the incisions closed. You will then be moved to the recovery room where you will be closely monitored and while you slowly wake from the anesthesia at your own comfortable pace.

Ancillary Procedures

Breast Lift

Typically Dr. Korman performs a breast lift in conjunction with your breast reduction procedure to create a smaller, perkier contours. A breast lift can also be performed as a procedure on its own, but a breast lift does not decrease the volume of your breast. It only restores the bust to a more youthful position.

Tummy Tuck

A breast reduction and a tummy tuck performed together is one combination option of a “mommy makeover.” A tummy tuck is a surgical procedure in which Dr. Korman tightens the abdominal wall and removes excess skin to create a defined, slim abdomen. This is a popular option for moms who have given birth and would like to restore their pre-pregnancy bodies.

Liposuction

A breast reduction and liposuction can also be considered a mommy makeover combination. Liposuction suctions out stubborn fat deposits that do not respond to diet or exercise. It can be performed on various parts of the body, such as the abdomen and thighs. Alternatively, liposuction can be used as a helpful tool in a breast reduction procedure. However, this is rare. Dr. Korman will be able to determine if you would benefit from this method during your consultation.

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What To Expect Following A Breast Reduction

Once your surgery is complete, you will be placed in dressings and a support bra, which will support and help minimize swelling and keep the new breast shape intact the breasts conform to their new shape. Following your procedure, there may be slight swelling or bruising, and Dr. Korman may recommend a tube insertion in the days following the procedure for excess drainage. It is normal for the breasts and nipples to feel sensitive and tender.

It is recommended to take at least a week off from work to ensure a long enough rest and relaxation period. Having someone to help with your kids can greatly aid in relaxation. Keep to light activities for the first week of recovery, but walking is encouraged to prevent blood clots. Within 2 to 3 weeks, most patients are able to resume normal activity.

You will come in for a few follow-up appointments to change dressings, remove drains, and assess your healing progress. Any scarring will fade in time, and can easily be concealed in a bikini top. Further information about breast reduction recovery can be discussed with Dr. Korman. Ample rest is the key to great results. If you follow all instructions provided, you can enjoy your workouts pain-free and wear low-cut blouses worry-free.

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What Is The Cost Of A Breast Reduction?

The cost of a breast reduction varies with each patient, depending on the surgical work necessary. In some cases, breast reduction is covered by insurance. To discuss the cost, schedule a consultation at our Los Altos, Mountain View, Carmel-by-the-Sea, or San Jose office today. Our knowledgeable staff is eager to discuss all of this with you and help you begin your journey to smaller, more comfortable breasts.

Breast Reduction FAQ

How Long Does Breast Reduction Surgery Take?

Is Breast Reduction Painful?

Is Breast Reduction Covered By Insurance?

Should I Lose Weight Before Breast Reduction?

What Do I Wear After Breast Reduction Surgery?

How Long Does Breast Reduction Surgery Take?

Breast reduction can take anywhere from 2 to 4 hours to complete – or longer, if additional procedures are performed at the same time. As part of your tailored treatment plan, Dr. Korman will provide an estimate of your surgery time.

Is Breast Reduction Painful?

Breast reduction is performed under general anesthesia, meaning that patients are completely unconscious and do not feel any pain. After surgery, there can be some mild soreness, swelling, and bruising. These symptoms are well-managed with pain medications prescribed by Dr. Korman. You can also elect to use ice packs to alleviate any lingering discomfort. Make sure to contact Dr. Korman immediately if the pain becomes unbearable or if it continues past the first week of recovery.

Is Breast Reduction Covered By Insurance?

Sometimes. If breast reduction is performed for medical reasons, your insurance company may cover all or part of the costs. Breast reduction performed for strictly cosmetic reasons will not be covered. Our office can assist you in navigating the insurance process, just ask.

Should I Lose Weight Before Breast Reduction?

Before surgery, it is best if patients are at a healthy, stable weight. If you plan to lose a significant amount of weight, be sure to tell Dr. Korman during your private consultation. Weight fluctuations are known to negatively impact your aesthetic results.

What Do I Wear After Breast Reduction Surgery?

Most often, patients will be asked to wear a surgical bra around the clock for several weeks after their breast reduction. Dr. Korman will let you know when you are cleared to wear a normal bra again. His advice is to avoid bras with underwires for at least three months post-op.

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