Miami Breast Reduction Surgery
Medical Review by Dr. Keith Berman
What Is Breast Reduction Surgery?
Breast reduction surgery, also known as mammoplasty, is a procedure designed to reduce breast size by removing excess fat, breast tissue, and skin. The goal is to create breasts that are lighter, smaller, firmer, and more proportionate to the rest of the body. In many cases, the procedure also includes resizing the areola and repositioning the nipple for a more natural appearance.
Women with overly large breasts often experience physical discomfort due to excess weight, including back, neck, and shoulder pain, skin irritation beneath the breasts, posture issues, and difficulty with physical activity. Breast reduction surgery in Miami can significantly relieve these symptoms while improving overall comfort and quality of life.
The purpose of breast reduction surgery is not only to decrease breast volume, but also to reshape and lift the breasts, restoring balance and symmetry. In most cases, the procedure is performed once breast development is complete, though earlier intervention may be considered when physical symptoms are severe.
How Breast Reduction Surgery Is Performed
Breast reduction surgery is performed under general anesthesia, with the patient comfortably asleep throughout the procedure. During surgery, the plastic surgeon removes excess breast tissue, fat, and skin, reshapes the remaining breast, and repositions the nipple-areola complex to a more natural height.
After surgery, a supportive surgical bra or bandage is applied and typically changed within 24 to 48 hours. During your initial consultation, the surgeon will evaluate breast size, shape, skin elasticity, and your overall health. Depending on age and medical history, a mammogram or additional imaging may be recommended prior to surgery.
The Importance of Your Consultation
An open and honest consultation is essential to achieving the best possible results. Patients are encouraged to clearly communicate their symptoms, goals, and expectations so the surgeon can explain the available surgical options, along with potential risks and limitations. This ensures a treatment plan that is both safe and aligned with your needs.
Breast Reduction Recovery & Healing
Most patients can return to work within 2 to 3 weeks, depending on the nature of their job and how their body heals. Light daily activities can usually be resumed within a few days, while strenuous exercise and heavy lifting should be avoided for several weeks.
To support proper healing, patients are advised to avoid intense physical contact with the breasts for several weeks and to follow all post-operative instructions carefully. Mild swelling, crusting along incisions, or minimal fluid drainage can be normal during early healing. Follow-up visits allow your surgeon to monitor progress and address any concerns throughout recovery. If you experience discomfort, unusual symptoms, or have questions between appointments, you should contact your surgeon promptly for guidance.

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Miami Breast Reduction Surgery FAQ
Breast reduction surgery is a safe technique, as long as a qualified plastic surgeon performs it. However, as with any operation, there can always be complications and associated risks.
If you are a smoker or take any medication or vitamin if you have previous pregnancies, and if you plan to become pregnant again, you should tell your doctor that it is vital to evaluate your case and offer the best option. Do not hesitate to ask any questions you may have, especially those related to your expectations about the results.
Breast reduction leaves permanent and visible scars, although they can be hidden under a bra or bikini. Scarring problems are more common in smokers. Some patients may experience a partial or sometimes total decrease in nipple sensation. In addition, the ability to breastfeed may be affected after a reduction.
It is important to remember that after reduction, scars are significant and permanent. However, your plastic surgeon will do his best to make them as inconspicuous as possible. Over time, the spots will become less noticeable.
It will take a few months after a breast reduction for your breasts to take on their final appearance; even so, your breasts will change with normal hormonal stimuli, pregnancy, or weight changes. It may take some time to get used to your new body image. However, if your expectations are realistic, you will be delighted with the result of your breast reduction.
The final breast size should be previously agreed upon between surgeon and patient based on anatomical features and safety criteria.
But in most cases, we always try to individualize and evaluate in a personalized way to obtain the best possible result.
Although breastfeeding has no disadvantage and most patients who have undergone a breast reduction can do so without any problem, it should be kept in mind that it may not be possible and that the risk of mastitis is also increased.
Yes, we even observe that many women with huge breasts end up with marks and sagging in the shoulders due to the weight supported by the bra straps on the shoulders.
So if there are back problems and an oversized breast, a breast reduction can be a great relief for the back, which translates into an improvement.
Yes, every breast reduction involves molding and repositioning of the breast in its correct place.
The breast is not only reduced but also molded and lifted.
In what cases is breast reduction recommended?
Breast reduction surgery is indicated especially in these situations:
- Neck and back pain due to excessive breast weight.
- Skin irritation due to moisture and friction of the breasts to the chest.
- Breathing problems.
Usually, almost all breast reductions require an inverted T-shaped scar since, in 100% of cases of breast hypertrophy, we are going to have breast sagging, and we are going to remove skin and breast tissue while lifting and shaping the breast in its correct place.
Yes, it is possible to perform a reduction mammoplasty with a prosthesis, in this case, the prosthesis, rather than to provide volume, we use it to improve the shape and provide volume in the upper pole or slightly in the neckline.
Recovery from breast surgery is not very painful and relatively fast and comfortable, so it is expected that after 7-9 days, we can resume a quiet office life. In two weeks, we can lead a practical everyday life without much effort. However, for sports and intense efforts, we recommend waiting a month.
Yes, every breast reduction involves molding and repositioning of the breast in its correct place.
The breast is not only reduced but also molded and lifted.
In what cases is breast reduction recommended?
Breast reduction surgery is indicated especially in these situations:
- Neck and back pain due to excessive breast weight.
- Skin irritation due to moisture and friction of the breasts to the chest.
- Breathing problems.
Usually, almost all breast reductions require an inverted T-shaped scar since, in 100% of cases of breast hypertrophy, we are going to have breast sagging, and we are going to remove skin and breast tissue while lifting and shaping the breast in its correct place.
Yes, it is possible to perform a reduction mammoplasty with a prosthesis. In this case, the prosthesis, rather than provide volume, uses it to improve the shape and provide volume in the upper pole or slightly in the neckline.
Recovery from breast surgery is not very painful and relatively fast and comfortable, so it is expected that after 7-9 days, we can resume a quiet office life. In two weeks, we can lead a practical everyday life without much effort. However, for sports and intense efforts, we recommend waiting a month.
The final breast size should be previously agreed upon between surgeon and patient based on anatomical features and safety criteria.
But in most cases, we always try to individualize and evaluate in a personalized way to obtain the best possible result.
Although breastfeeding as such has no disadvantage and most patients who have undergone a breast reduction can do so without any problem, it should be kept in mind that it may not be possible and that the risk of mastitis is also increased.
Yes, we even observe that many women with huge breasts end up with marks and sagging in the shoulders due to the weight supported by the bra straps on the shoulders.
So if there are back problems and an oversized breast, a breast reduction can be a great relief for the back, which translates into an improvement.
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