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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

Your breast reduction consultation will serve as the first step in deciding to reduce the size of your breasts. During your consultation at Cascade Eye & Skin Centers, Dr. Patel will address all of your questions, concerns, and expectations. He will also examine your breasts and discuss the variables that may affect the procedure, including your age, the size and shape of your breasts, and your skin condition. Together, you will talk about the positioning of your nipple and areola, as they will be moved higher during your breast reduction surgery.

In addition, Dr. Patel will explain the risks and limitations of the procedure, as well as the expected scarring. He will also explain the anesthesia that will be used, the facility, and the costs associated with the surgery.

Dr. Patel will 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.

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 schedule the Excel-V laser package to improve redness of scar.

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 procedure results in smaller, lifted breasts that no longer put a strain on your neck, shoulders, or 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.

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 let you know if you are a good candidate for this type of breast reduction.


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

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