Breast Reduction

Breast Reduction

Breast reduction, also known as reduction mammoplasty, is a surgical procedure during which fat, glandular tissue and skin are removed from the breasts, making them smaller, lighter and firmer.  Additionally, the breast tissue is reshaped and the areola is reduced, if desired.  Breast reduction surgery is designed for women with very large, pendulous breasts.

The goal of a breast reduction procedure is to achieve a breast size proportionate with your body and to alleviate the discomfort associated with overly large breasts, such as:

• Back, neck or shoulder pain
• Breast pain or heaviness
• Posture changes
• Skeletal deformities
• Shoulder “grooving”
• Skin rashes
• Exercise interference
• Breathing problems
• Self-consciousness
• Difficulty finding clothing that fits properly

Your consultation with Tarak H. Patel, M.D.

Your breast reduction consultation will serve as the first step toward making the decision to reduce the size of your breasts. During your personal consultation, Dr. Patel will address all of your questions and expectations. He will examine your breasts and discuss the variables that may affect the procedure including your age, the size and shape of your breasts and the condition of your skin. Together, you will discuss the positioning of the nipple and areola; they’ll be moved higher during your breast reduction surgery.

He will explain the risks and limitations and make sure that you understand the scarring that will result. He will also explain the anesthesia that will be used, the facility and the costs associated with the surgery. Some insurance companies will pay for a breast reduction if deemed medically necessary; however, they may require that a certain amount of breast tissue be removed. Based in Tacoma, WA, Dr. Patel will also review your medical history to ensure that you do not have any existing health conditions that may increase your risk of complications. The ideal candidate will be in good physical and emotional health. It is important that Cascade Plastic Surgery patients have realistic expectations. View Dr. Patel's patient before-and-after photo gallery here:

Understanding your breast reduction surgery

Incision Options:

Incisions vary depending on the technique used. Scars are inevitable, but they fade and soften over the course of the year following surgery. Once cleared by Dr. Patel, many Cascade Plastic Surgery patients make the decision to undergo the Fraxel laser procedure to reduce scarring.

Regardless of incision type Dr. Patel will remove the necessary amount of fat, skin, and glandular breast tissue contouring your breasts to the previously determined size and shape. This results in smaller, lifted breasts that no longer put strain on your neck, shoulders, and back.

Wise Pattern (Anchor):
The wise pattern, or “anchor" technique, is the traditional incision pattern used in breast reductions. An incision is made around the areola, another vertically down the center, and a third underneath in the crease of the breast. This method is often required for larger breasts, and it helps to maintain blood supply to the nipple areolar complex, an important consideration in a successful breast reduction.

Vertical (Lollipop):
In some cases, the vertical reduction or “lollipop” technique might be possible. It is referred to as the "lollipop" incision because the scar resembles the shape of a lollipop. The incisions are made around the areola and in a fine vertical line from the areola to the breast crease. No incision is made in the crease of the breast. Dr. Patel will advise if you’re a good candidate for this type of breast reduction.


Breast reduction patients typically return to work within approximately ten days and resume exercise in about 4-6 weeks. Dr. Patel will provide detailed instructions for resuming your normal activities. Some bruising, soreness, and swelling are inevitable after surgery, but these symptoms will subside within a few weeks. You can take pain medication, if necessary, to ease any discomfort.

Schedule your consultation with Dr. Patel today.
Phone: University Place (253) 671-7203 or Puyallup (253) 841-7930
Cascade Eye and Skin Centers
5225 Cirque Dr W #200, University Place, Washington, 98467 United States | Telephone: (253) 564-3365 $$$

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