Cosmetic Surgery Tips

Best nyc breast reduction surgeons

If you are looking to reduce the size of your breasts and improve the shape of your chest, then you may be a candidate for breast reduction surgery. This procedure can reduce breast size by removing excess skin and fat from the breasts. Breast reduction surgery can also reduce sagging, which is common after pregnancy or weight loss.

Breast reduction can be performed on women with large, heavy breasts who have back pain and shoulder grooving from their bra straps. It is also an option for women who have extra skin on their breasts following weight loss or pregnancy. Breast reduction increases self-confidence and improves body image, which is important for everyone but especially for young women who may be considering breast augmentation later in life. The best candidates for breast reduction surgery are those who have realistic expectations about what results are possible based on their goals and body type.

You may find it hard to access the right information on the internet, so we are here to help you in the following article, providing the best and updated information on Best nyc breast reduction surgeons, Breast lift recovery top tips. Read on to learn more. We at cosmeticsurgerytips have all the information that you need about Different types of breast augmentation incisions. Read on to learn more.

Best nyc breast reduction surgeons

Breast reduction surgery

Joshua A. Greenwald, MD, FACS, sees many patients who are bothered by the size of their overly enlarged breasts. Some of these women suffer from neck, shoulder and back pain caused by their extremely large breasts. Also, they often complain that their overly enlarged breasts make physical activities such as running difficult or even painful. In addition, many women with extremely large breasts feel self-conscious or downright embarrassed about their breasts. Fortunately, Dr. Greenwald performs breast reduction surgery to address the physical, aesthetic and emotional concerns associated with overly enlarged breasts.

Who Is a Suitable Breast Reduction Candidate?

Breast reduction patient


Prospective breast reduction candidates in New York City must meet with a board-certified plastic surgeon to establish if they are suitable candidates for the procedure. Only a well-trained and highly experienced surgeon such as Dr. Greenwald can correctly verify if someone is a suitable breast reduction candidate. Nonetheless, suitable candidates often include those who:

  • Have overly enlarged breasts that affect everyday activities, including exercising
  • Suffer from pain or discomfort caused by extremely large breasts
  • Frequently find themselves hunching forward from the weight of their breasts
  • Experience skin indentations or rashes on the shoulders, from their bra
  • Are self-conscious about or unhappy with the size of their large breasts
  • Would like smaller, more lifted breasts
  • In general, have a positive self-image, but are concerned with the size of their large breasts
  • Are in good overall physical and mental health
  • Have realistic expectations for the results of breast reduction surgery, and are seeking aesthetic (and physical) improvement — not necessarily perfection
  • Have made an independent choice to pursue breast reduction surgery
  • Are not breastfeeding currently (It is best for women who are nursing to wait 12 weeks after they have ceased breastfeeding to undergo breast surgery, so their natural breast size can be determined.)

Incision Methods

Before & after breast reduction surgery


Depending on the patient’s anatomical needs and aesthetic concerns, Dr. Greenwald will recommend one of two breast reduction surgical techniques. The technique chosen determines which incision method is used.

With the short scar breast reduction technique, the New York City breast surgeon makes a periareolar incision (around the perimeter of the areola: the darkly pigmented skin surrounding the nipple) as well as a vertical incision that extends from the bottom border of the areola down to the fold of the breast.

With the conventional breast reduction technique, Dr. Greenwald makes a periareolar incision; a vertical incision; and an inframammary incision, which extends horizontally, underneath the natural crease of the breast.

The Breast Reduction Procedure

The NYC breast surgeon performs breast reduction surgery on an outpatient basis, under general anesthesia so the patient remains comfortable throughout surgery.

After he makes the needed incisions, Dr. Greenwald eliminates excess breast tissue and skin, mostly from the lower region of the breast. He moves the nipple to a higher position on the breast, taking care to keep the nipple attached to the underlying tissue to maintain nipple sensation. The Manhattan cosmetic surgeon usually needs to decrease the size of the areola as well, so it is in proportion to the smaller breast size. He makes sure that the breasts are symmetrical prior to using sutures to close the incisions. Lastly, he wraps the breasts in bandages as well as a surgical bra, which provides additional support to the area.

Recovering from Surgery

Plastic surgery awards & memberships

Before the day of surgery, breast reduction patients receive complete instructions about how to care for the breasts prior to and after the procedure. After breast reduction surgery with the board-certified New York City plastic surgeon:

  • Most of Dr. Greenwald’s breast reduction patients are able to resume their usual routine within days of their surgical procedure.
  • Many breast reduction patients need only a small amount of pain medication or none at all.
  • Most individuals experience little to no bruising.
  • Some individuals notice changes in breast sensation, which are usually temporary but, rarely, can be permanent. These changes in sensation may include pain, discomfort, soreness, a tingling feeling or numbness. Changes in nipple sensation do not typically occur with this procedure, but if they do, they are normally temporary.
  • Patients are permitted to resume their fitness routine three weeks following surgery.
  • It is advised that patients sleep in a sports bra for three months.

Recovery Chart

PreoperativePatient’s preoperative testing and mammogram (if needed) is reviewed. Patient will have filled prescriptions for pain medications, antibiotics and muscle relaxants. Meet with Dr. Greenwald, our anesthesiologist and nurses.
Day of
Surgery
Breast reduction takes between 90 – 120 minutes. Patient receives an intravenous antibiotic prior to beginning procedure.
Recovery
Room
Approximately 1 hour – you must be sent home with a responsible adult who should plan on spending the night with you.
After SurgeryPatients are sent home sent home in a surgical bra. With breast reduction surgery, drains are often placed and should be emptied as instructed.
Postoperative
Visit #1
Usually with in 24-48 hours after surgery. Drains are removed and dressings replaced. You can shower after this visit.
Postoperative
Visit #2
Usuall 7 days after surgery. Incisions are checked and sutures are trimmed. Most of the sutures are dissolvable.
Postoperative
Visit #3
Typically 18-21 days after surgery. Incisions are checked. Silicone scar therapy is begun. Able to return to gym. Typically underwire bra during day and soft supportive bra at night.
Postoperative
Visit #4
Patient’s are typically seen 3-4 months after surgery and then yearly.

How Much Does Breast Reduction Surgery Cost?

The three primary costs of breast reduction surgery in New York City include: the plastic surgeon’s fee, the cost of the anesthesiologist’s services and the operating facility fee. The total cost of breast reduction surgery varies based on the complexity of the procedure as well as the patient’s anatomical needs and cosmetic objectives.

How can I determine what my ideal breast cup size is?

Your ideal breast size is dependent on several things, including your personal preference, height, body frame, anatomy and lifestyle. For example, if you are petite with thin skin or little body fat, a smaller or moderate breast size may be best. Women who lead an active lifestyle may feel most comfortable with a small to moderate breast size instead of large breasts that can make exercise and moving more difficult. Ultimately, only you can decide what your ideal breast size is. Dr. Greenwald will use his expertise in order to make his recommendations and help you choose the breast size that you are most happy with.

Can breast tissue grow back after breast reduction?

Breast tissue can grow back following breast reduction. This can occur as a result of weight fluctuations during and after pregnancy, as well as breastfeeding and the normal aging process. The best way to maintain you breast reduction results is by following a healthy lifestyle and maintaining a healthy and stable weight.

When is breast reduction medically necessary?

Breast reduction is considered to be medically necessary when the patient experiences medical conditions as a result of her overly large breasts, including back/neck/shoulder pain or skin infections.

Do I need a breast lift, too?

Patients who have breast reduction surgery also have their breasts lifted! The nipple is relocated to a higher, more aesthetic position on the chest wall after the excess, hanging breast tissue is removed.

Can I breastfeed after breast reduction?

It is possible to breastfeed after breast reduction surgery. It is important to keep in mind that breastfeeding and pregnancy will alter the size and shape of the breast whether you had breast reduction surgery or not.

What are the potential side effects and risks associated with breast reduction surgery?

Side effects of breast reduction include swelling, bruising, soreness and tenderness after the procedure. These side effects are only temporary and should dissipate a few weeks after the procedure. Potential risks include bleeding, infection, skin discoloration, asymmetry and unfavorable scarring. Prior to your procedure, Dr. Greenwald will go over these side effects and risks in detail with you.

When will I see my results?

Although you will notice a change in the size of your breasts immediately after your procedure, it may take up to a year for your final results to become visible. Your results will initially be obscured by swelling, which will dissipate over time. Dr. Greenwald can provide you with a more accurate recovery timeline during your consultation.

Can health insurance cover my breast reduction surgery?

Some insurance plans may pay for the procedure if you are pursuing it for medical reasons rather than cosmetic reasons. Contact your insurance provider to learn about your plan and benefits.

Breast lift recovery top tips

Breast lift surgery or mastopexy is the most effective surgical technique for improving the shape of the breasts by removing excess skin and tightening the breast tissue. For women who are already happy with the size of their breasts, a breast lift can deal with the effects of pregnancy or the ageing process by producing perkier-looking breasts. Mummy makeover surgery commonly includes a breast lift procedure as part of the dramatic body transformation this procedure creates with women getting their pre-pregnancy shape back.

If you have been thinking about having a breast lift, you may already have considered the breast lift recovery period. Getting the best results from breast lift surgery depends on being as prepared as possible, and here we share some of our top tips for a smooth and uneventful breast lift recovery.

How to speed up your breast lift recovery time

Make arrangements for childcare and work

Achieving the best breast lift recovery means being as prepared as possible, and this includes arranging alternative childcare arrangements if you have young children. You should also look to book at least one week off from work.

It is essential to have arrangements for childcare as your surgeon will recommend you avoid lifting your children for at least four weeks after the procedure. It’s important to take time out for adequate rest, and we would recommend asking a friend or family member to help you out.

Having your home set up for when you get home after your breast lip surgery will help during the first few days. This means going to the supermarket, collecting your medical prescriptions and ensuring you have an allocated room where you can rest without disruption from others.

Review the post-operative instructions before you have the procedure

Our preoperative nursing team will send you a comprehensive list of post-operative instructions for your mastopexy recovery. You should read these carefully, and if you have any questions, please get in touch with us before your procedure. You will have an excellent idea of what the procedure involves from the instructions we give you. They contain practical advice, including the best sleeping position, how to sponge bathe, looking after your incision sites and how to identify possible complications of breast lift surgery.

Try to make sure you have the information pack available to you continuously and if you have any questions or concerns that may not be addressed in the information pack, contact our nursing team. We would always recommend you reach out to us if you are unsure in any way.

Make sure to attend all your post-operative review appointments

Once you have had your surgery, you will be booked for a one-week follow-up appointment with our post-operative nurse for a wound check. At this appointment, your incision site will be reviewed, and advice will be given on how to look after them. Our post-operative nursing team will be on hand to examine you at any point during the first six weeks. Your surgeon will see you at six weeks to review your progress and healing. It’s essential to attend these appointments as they are designed to ensure your breast lift recovery proceeds as smoothly as possible. If you think you may be unable to attend an appointment, please contact us as soon as possible so we can reschedule your appointment.

Arrange for a responsible adult to look after you for the first couple of days

Once you have had your procedure, your adult escort will need to transport you home via car or taxi. Public transport should be avoided. Patients will be unable to drive for at least two weeks during the breast lift recovery period, and this includes the day of your surgery. Patients who have just had a breast lift will still be under the effects of the anaesthetic, and they feel dizzy and groggy. You may require painkillers to manage any mild discomfort. Having a responsible adult to look after you can be very reassuring, and when you get home, they can help you settle into your room. We would recommend ongoing help once at home for tasks like preparing meals, household tasks, looking after children, and supporting you even with light conversation.

Maintain healthy eating habits

Eating a healthy diet has a significant effect on optimising mastopexy recovery. Any patient that has had surgery often requires extra nutrients to fuel post-operative recovery. We recommend eating plenty of vegetables, fruits, grains, seeds, healthy fats and lean protein. You should also try to maintain good hydration by drinking plenty of water. Dehydration may contribute to delayed healing after many types of surgery. Being well hydrated will help you to heal quicker for a smoother breast lift recovery.

Wear a post-operative support bra for at least four weeks

During your mastopexy recovery, your surgeon recommends wearing a specialist support bra to protect the healing breast lift incisions. You should wear the compression bra continuously for at least the first four weeks after breast lift surgery. You can then transition to wearing a well-supported sports bra which should not have underwires or moulded cups.

The ideal type of bra has a front zip to make putting it on and off very easy. The bra should be worn during the day after four weeks, although some women may choose to wear it at night instead.

Make sure to get plenty of rest

The key to breast lift recovery is to take time out to rest. Your body heals and regenerates when you are resting, and doing too much too soon may delay breast lift recovery. You should also avoid lifting heavy objects or carrying out vigorous exercise during the first six weeks after surgery. Some women may develop sub-optimal results if they commence gym activity too soon after surgery.

Book a consultation to learn more about breast lift recovery

Breast lift surgery is tailored to the individual patient, and each type of breast lift is specific for certain patients depending on the degree of breast sagging. The best way to determine what kind of breast lift is best for you is to have a consultation with an expert breast surgeon

Different types of breast augmentation incisions

breast augmentation incisions

Breast augmentation continues to be one of the most popular cosmetic surgery procedures in the UK with the numbers increasing year on year.

When deciding whether breast augmentation is worth it, there are a number of factors to think about and one of the most important is the type of incisions the surgeon will use to place breast implants. Here we discussed the four types of incisions that are used in breast augmentation surgery. When you have your consultation, your surgeon will be able to advise on the preferred breast augmentation incision to get the best results.

What are the four types of breast augmentation incisions?

The four surgical approaches for inserting breast implants:

  • Inframammary fold located under the breast
  • Periareolar incision – an incision that encircles the areola
  • Trans-axillary – the incision is located in the armpit
  • Transumbilical – inserted via the belly button or umbilicus

Inframammary fold approach

The inframammary incision is the most commonly used incision for breast augmentation surgery. Many surgeons prefer this incision as it is located away from the nipple and areola. Being away from the nipple and areola minimises the risk of bacterial contamination. Although the bacteria are not considered to be dangerous, they may contribute to an increased risk of capsular contracture. Capsular contracture involves the formation of dense scar tissue which may alter the shape of the implant and therefore require revision breast surgery.

This incision allows the surgeon to directly visualise the pectoralis muscle and precisely direct the placement of the implant either above or below the muscle. If revision surgery is required in the future, the inframammary incision is most commonly used. Therefore using this incision for the first procedure means there will be no extra scarring when revision surgery is needed. It is important to appreciate that breast implants do not last for an individual’s lifetime and it is therefore likely to require a revision breast procedure at some point in the future. Surgeons often prefer this incision as it allows more accurate creation of a breast pocket for optimum breast implant placement. The inframammary incision does not result in changes in nipple sensitivity and therefore no future impact on the ability to breastfeed.

Although the inframammary incision is the most commonly performed, it is important to bear in mind it does result in the formation of a visible scar. The visibility of the scar is often affected by the position you are in and is most noticeable when you are lying flat on your back.

Periareolar approach

The periareolar approach is also commonly used by many surgeons for breast enlargement. The size of the areola varies significantly between women and this can often have an impact on the choice of incision for breast surgery. Silicone breast implants require a minimum length of 4-5 cm to be safely placed breast implants whereas saline breast implants require a much shorter incision as they are often inserted in a deflated state before being inflated inside the chest.

Women with small areolas may not be able to accommodate an incision length of 5 cm for the placement of silicone breast implants. The best incision, in this case, would be either the inframammary incision or trans axillary approach. The periareolar incision is linked with a higher chance of developing capsular contracture. The appearance of the scar can often be well disguised as the incision is often made on the border between the areola and surrounding skin so any scar can be difficult to visualise.

Women who have small nipples may not be suitable for the periareolar approach. Breastfeeding can also be affected as the incision often transects the milk ducts. Women may also notice changes in nipple sensitivity.

Trans-axillary approach

The armpit incision is less commonly chosen by many surgeons to perform breast augmentation and is not suitable if revision breast surgery is required. An incision length of approximately 5 cm is positioned in the armpit followed by the creation of a breast pocket using an endoscope.

The trans-axillary approach has a higher risk of causing implant malposition as the surgeon requires specialised instruments to access the lower part of the breast pocket.

This type of incision helps to avoid visible scars with the main incisions being hidden in the armpits. Incisions may be more visible when wearing certain types of clothing such as swimwear although in cold climates this is not an issue. Positioning the incision in the armpit result in some women noticing a reduction in sensitivity. The armpit incision for a breast augmentation cannot be used for corrective breast surgery.

Transumbilical approach

This is the least commonly used type of incision and it’s not used in the UK as the technique is used for the insertion of saline breast implants. Saline breast implants are very rarely used in the UK. The incision is made in the belly button with any scarring being well concealed. The surgeon creates a subcutaneous tunnel from the belly button incision to access the breasts. This incision is rarely used as the risk of implant malposition is significantly increased. Many women who have implants inserted with this method often require revision breast surgery to correct and implant malposition. Revision breast surgery is always carried out using an inframammary fold incision.

We do not recommend this incision because of the high risk of complications occurring.

Which breast augmentation incision is most commonly used at Centre for Surgery?

Here at Centre for Surgery, our surgeons almost exclusively use the inframammary fold incision for precise placement of silicone breast implants using a specialist breast funnel for a ‘non-touch’ technique.

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