Breast reduction, technically known as “Reduction Mammoplasty” is a surgical procedure that removes both skin and tissue making the breast smaller, firmer and higher. Of all the plastic surgical procedures, breast reduction results in both a noticeable improvement in appearance but also in function. Many of our patients with large breast (macromastia or gigantomastia) complain of neck pain, back pain, bra strap cuts, and/or intertrigenous rashes. A well- performed breast reduction can eliminate all of these symptoms and result in a much more beautiful appearing breast.
Reasons for Considering a Breast Reduction:
- Back, neck or shoulder pain caused by heavy breasts.
- Sagging breasts produced by their large size.
- Disproportionate body frame attributed to oversized breasts.
- Restriction of physical activity due to the size and weight of the breasts.
- Painful bra strap marks and/or rashes as a result of large breasts.
General Procedure
Techniques for breast reduction vary; however, the most common procedure involves an incision that circles the areola. From the areola, the incision goes down and follows the natural curve under the breast. The surgeon then removes excess glandular tissue, fat, and skin. Next, the nipple and areola are repositioned to a higher position and held in place by stitches. Occasionally, liposuction alone can be used to reduce breast size.
Dr. Virden utilizes a superior pedicle approach in the majority of his breast reductions. This technique results in less scars than the traditional inferior pedicle breast reduction, and the breasts are much less prone to bottoming out (drooping of the bottom part of the breast.) The procedure is performed by making an incision around the areola extending downward following the natural curve beneath the breast. Excess tissue, skin and fat are removed and the nipple and areola are lifted. The best procedure can be determined during your initial consultation visit. Of all plastic surgery procedures, breast reduction results in the quickest body-image changes. Patients are pleased with the elimination of physical pain caused by large breasts as well as a better proportioned body, an enhanced appearance, and better fitting clothes. Recovery Process Generally, post-operative instructions call for plenty of rest and limited movement in order to speed up the healing process and reduce the recovery time. Bandages are applied immediately following surgery to aid the healing process and to minimize movement of the breasts. Once the bandages are removed, a specialized surgical bra will need to be worn for several weeks. Patients sometimes report minor pain associated with surgery. Any pain can be treated with oral medication. While complications are rare, patients can minimize potential problems by carefully following the instructions given after surgery.
If you think that you may be a candidate for Reduction Mammoplasty, contact Dr. Virden and his staff to schedule a consultation by calling 775-348-9798 or schedule a consultation online.

