Cosmetic Surgery Tips

Breast Reduction Surgery In Sacramento CA

As a woman, you know how difficult it can be to find clothes that fit well and make you feel great. Many of us struggle with body image issues that are tied to our breast size. Even if we’re not large-chested ourselves, we often feel self-conscious about the way we look in a bathing suit or other revealing clothing because we compare ourselves to celebrities and models who have larger breasts than our own.

Breast reduction surgery is a common procedure for women who suffer from back pain, neck pain, shoulder pain and other physical ailments that result from having large breasts. The weight of large breasts can cause strain on the muscles in your back and shoulders, which can lead to more serious problems like scoliosis or osteoarthritis later in life. If you suffer from these symptoms and would like to learn more about how breast reduction surgery could help alleviate them.

Breast Reduction Surgery In Sacramento CA

Breast Reduction Sacramento

Breast Reduction Sacramento

Breast reduction is a very popular procedure. Many women suffer from breasts which are disproportionately too large for their frame. Large breasts can cause neck, back, and shoulder pain. Bra straps can create grooves in the shoulders that are painful. Some women can get a yeasty rash under their heavy breasts from the heat and moisture. Breast reduction is usually recommended for symptomatic women with a breast size which is DD or greater, that has not improved with conservative measures, such as wide-strapped bras, over-the-counter pain medication, or weight loss.

Surprisingly, many women describe almost immediate relief of their discomfort shortly after surgery. I’ve had patients tell me, in the Recovery Room, that they already feel 1000% percent better! Studies have shown that greater than 90% of women get full relief of their neck, back and shoulder pain after breast reduction.

Breast Reduction Surgery

However, breast reduction does create a lot of scar on the breast. Not only does the volume of the breast need to be made smaller, but the excess skin needs to be removed, and a new “skin bra” needs to be fashioned. The nipple is repositioned higher on the breast to a more youthful spot, and the breast is reshaped into a more youthful cone. The amount of scarring depends on the original “droopiness” of the breasts and how much tissue needs to be removed. Almost all breast reductions include a scar that goes around the perimeter of the areola. Most also include a vertical line heading from the 6:00 position of the areola down to the fold at the bottom of the breast. Some also require a side-to-side scar in the bottom fold of the breast. Your own anatomy will determine the extent of your scarring.

Sacramento Breast Reduction Before and After

The nipple/areola is left attached to the underlying breast tissue. This maintains the blood supply and sensitivity of the nipple. Because it remains attached, women are likely able to breast feed after a reduction. However, pregnancy and breast feeding may ultimately change the size and appearance of the breast. Some post-reduction patients return later on with a need for “maintenance work”: either because of the after-effects of pregnancy, weight gain or loss, or the aging process. However, the vast majority of my patients simply have the reduction performed, and then go on about their lives. They have an easier time finding bras and clothes that fit. They can more easily exercise. They are more confident that people are listening to what they have to say, and are not just staring at their large breasts!

What to Expect During your Initial Breast Reduction Consultation

Breast reduction begins with a consultation in my office. I will discuss the procedure with you in detail, and make sure you understand the pros and cons thoroughly. I will take measurements of your breasts, and give you an idea of what your bra size might be after reduction. I will take photographs to submit to your insurer to obtain authorization for the surgery. If you have any health issues, we will try to get those minimized. I do sometimes suggest that heavier women try and lose some weight prior to surgery, not only to achieve a more pleasing result, but also to minimize the risk of anesthesia and reduce post-operative complications. However, heavier women get just as much symptom relief as thinner women.

Once authorization is obtained, we will contact you to determine a convenient time for surgery. You will be seen for a pre-op visit, where I will listen to your heart and lungs, go over the procedure again, and answer any questions. Your post-op medications and office visits will be arranged.

How Much Does Breast Reduction Cost in Sacramento?

Breast reduction cost for Sacramento plastic surgery patients generally starts at $8,900. The cost includes anesthesia fees, facility fees, surgeon’s fee, and post-op fees such as prescriptions and hospital garments. Since breast reduction is considered to be a cosmetic procedure, health insurance typically does not cover the cost. However, depending on your insurance provider, proof of breast-related health issues can qualify you for insurance coverage. Schedule your consultation with Dr. Debra Johnson today to receive a personal breast reduction cost quote.

Breast Reduction Recovery

Most patients need about two weeks off work after breast reduction. But because the surgery is not terribly painful, it can be done on an outpatient basis. The surgery itself takes about 3 hours, but you usually need to arrive a couple of hours in advance, and stay a couple of hours after in the Recovery Room. We then see you back in the office in 2-3 days’ time, where we change your bandage and put you in a soft, stretchy bra. You wear this bra until the swelling is down to a dull roar and you can go shop for new bras. It takes 2-3 months for the breasts to really achieve their final shape, and 6-12 months for the scars to settle down. You can resume exercising usually within two weeks.

Why Choose Dr. Johnson for Your Breast Reduction?

Dr. Debra Johnson has an outstanding track record performing numerous face, breast, and body procedures. Dr. Johnson is highly regarded by her patients and peers in the cosmetic surgery field, having been elected Director of the American Board of Plastic Surgery and serving as President of the American Society of Plastic Surgeons. After seeing the incredible results of surgery performed by Dr. Johnson, many of her breast reduction patients regret not having undergone the surgery sooner.

Am I a candidate for breast reduction?

Disproportionately large breasts can limit a woman’s freedom, making some physical activities impractical or uncomfortable. Bra straps may chafe against the skin and put a strain on shoulders, potentially impacting circulation. The added weight of heavy breasts pulls the shoulders forward, often leading to chronic back pain and a slouch when walking or standing.

For patients with small frames, breast reduction can be a welcome solution to neck and back pain, poor posture and even social awkwardness. Trusted Sacramento plastic surgeon Dr. Debra Johnson is skilled in reshaping the size and proportion of breasts to dramatically improve your quality of life and end soreness, inflammation and pain.

Breast reduction surgery has a wide range of benefits, including adding symmetry to breasts and sculpting a more appealing shape. It can also adjust the nipple, compress the size of the areola, and generally create an elegant new profile. If there is sagging, Dr. Johnson can also lift each breast to renew the natural contour.

Is the breast reduction similar to breast lift?

In some ways, yes. During each procedure, the breast is reshaped, resulting in a perkier appearance. Although a breast lift does involve the removal of some tissue, its emphasis is on reclaiming a youthful profile by elevating the breast.

By contrast, during a breast reduction the surgeon makes a vertical incision, removes fat and skin, then tightens and reshapes each breast. The size of the areola may be reduced, and in the case of larger breasts the nipple and areola may also be repositioned.

Will there be scarring after the surgery?

Scarring is one of the trade-offs of a breast reduction procedure. The type of incision that is necessary will depend on the extent of the reduction in breast size. Significant reductions usually require a so-called “anchor shape” incision, which is made around the circumference of the areola and then vertically down and across the base of the breast. Smaller reductions can be performed using a “lollipop” incision that eliminates the necessity of cutting across the bottom of the breast. Although scars will be noticeable in the first months after surgery, they will fade with time.

Are the results permanent?


Some women have naturally large breasts that make daily living uncomfortable. Overly large breasts are not only a cosmetic issue but may also cause physical and mental wellness concerns. Breasts that are too big can cause neck pain, back pain, chronic rashes, skin infections, and more. They can also lead to unwanted attention or confidence issues that affect a person’s mental well-being.

Breast reduction surgery helps alleviate these issues to restore a healthier, happier life for patients.


Breast reduction, also known as reduction mammoplasty or reduction mammaplasty, is a surgical breast procedure that reduces the size of the breasts. By removing excess breast tissue and skin, Dr. Mabourakh can improve the size and shape of your breasts. This procedure can also help relieve the physical and psychological issues associated with overly large breasts.


Minimize Breasts

Overly large breasts can be uncomfortable and inconvenient in many situations. Breast reduction surgery removes excess breast tissue and fat, creating smaller and more manageable breasts.

With smaller breasts, clothes often fit better, exercise is more comfortable, and you can leave behind the stress of your oversized breasts.

Relieve Pain

The weight of large breasts can cause pain and discomfort while engaging in everyday activities and exercising. Overly large breasts can cause chronic back and neck pain, indentations on the shoulders from bra straps, and rashes beneath and between the breasts.

By reducing the size of your breasts, you can be relieved of the discomfort interfering with your favorite activities.

Expand Wardrobe Potential

People with overly large breasts often struggle to find clothes that fit and look good. Shirts and dresses may fit perfectly in the torso but be too small in the breasts.

Reducing breast size can increase your confidence and expand your wardrobe. You deserve to feel beautiful in everything you wear without the size of your breasts getting in the way.

Breast Reduction Surgery in Sacramento Patient Before
Breast Reduction Surgery in Sacramento Patient After


*Results of surgery will vary from individual to individual


What Can I Expect From My Breast Reduction Consultation?

During your breast reduction consultation, you and Dr. Mabourakh will discuss your goals and needs for the procedure. At this time, you will have the opportunity to ask any questions you may have and voice your concerns. Dr. Mabourakh will then review your medical history and perform a physical evaluation to determine if breast reduction surgery is right for you.

Once confirmed as a candidate, we will create a personalized surgical plan based on your needs and schedule your appointment for surgery.

What Kind of Anesthesia Is Used During a Breast Reduction?

To ensure your comfort, general anesthesia will be used for your breast reduction surgery.

Since you will be asleep for the entire operation, you will remain comfortable and not feel any pain.

How Is Reduction Mammoplasty Performed?

The techniques for performing breast reduction vary depending on the patient’s needs for the procedure. Generally, reduction mammoplasty begins with an incision that goes around the areolas, down the lower breast pole, and along the inframammary breast crease to form the anchor incision (inverted-T incision).

Dr. Mabourakh will then remove excess skin, fat, and tissue from the breasts. In some cases, liposuction can be performed at the same time in areas that may need it.

The remaining breast tissue will then be repositioned, and the skin will be tightened around it.



What Is Breast Reduction Recovery Like?

Since you will be under general anesthesia during your procedure, plan to have someone else drive you home afterward. You may have a small tube placed in the breast area to help drain blood and fluid that accumulates during the first few days.

Patients can often return to work within one to two weeks of their surgery. Strenuous activities should be avoided for at least four weeks to allow your breasts to heal adequately.

What to Wear After Breast Reduction Surgery

The bandages on your breasts will be removed at your post-operative visit. After that, you will need to wear the surgical bra provided for a few weeks to support your breasts as they heal.

Patients often find that it is easier to change if they wear a soft button-up shirt during recovery rather than a top that needs to be removed over their head.

Will I Be in Pain After My Reduction Mammoplasty?

You will likely experience some discomfort in the days following your reduction mammoplasty. This is normal and can be managed with over-the-counter or prescription pain medication.

Will Breast Reduction Leave Noticeable Scars?

Since breast reduction requires incisions, scarring is inevitable. However, Dr. Mabourakh will place these incisions in inconspicuous locations. Additionally, with proper care, scars will fade over time.

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