Cosmetic Surgery Tips

Breast Reduction Surgery In San Diego

The next time you look in the mirror, see a voluptuous pair of breasts staring back at you. Do you ever wonder how they got there?

In this blog post, we’ll be discussing breast reduction surgery in San Diego and why it’s a great option for women who are looking to minimize their breast size.

Breast Reduction Surgery In San Diego


William Umansky, MD and Jeffrey Umansky, MD of Umansky Medical Clinic, La Jolla – San Diego, are very experienced Breast Reduction surgeons practicing in Southern California.

In order to deliver the best possible breast reduction results for each patient, Drs. William and Jeffrey Umansky begin by creating individualized treatment plans that take into account each individual’s medical needs and aesthetic desires. William Umansky, MD and Jeffrey Umansky, MD and their staff take the time to explain all proposed procedures and techniques, in an approach that helps patients feel at ease.


Breast reduction, also known as Reduction Mammaplasty, is a procedure to remove excess breast tissue and skin to achieve a breast size in proportion with the individual’s body and to alleviate the discomfort associated with overly large breasts.


Excessive breast size can interfere with normal daily activities or exercise, and may be the cause of feeling self-conscious. This can lead to decreased self-confidence.

Breast Reduction surgery is ideal for women whose breasts are too large for their body frame and cause back, neck and shoulder pain, poor posture, bra strap indentations, chafing under the breasts, etc. This surgical option also works well for women who have heavy breasts with nipples and areolas (pigmented skin surrounding the nipples) that point downward, or who have one breast much larger than the other.

When considering Breast Reduction surgery options, rest assured in knowing that the goal is to help each patient achieve beautiful and natural-looking results, as well as to make the surgical experience as easy and comfortable as possible.


Breast Reduction surgery, which usually takes about three hours to perform, is done under general anesthesia. It is performed on an outpatient basis.

Incisions are made around the pigmented area (the nipple-areolar complex) and extend vertically below the nipple and in the fold under the breast. Each patient’s incision pattern will depend on the size of breasts, how much breast droopiness and where the nipple-areola complex is positioned. With each technique, the nipples are raised and the areolae are made smaller if they are too large.

The size and shape of the breasts and how much reduction is desired are factors that will help in determining the best technique per patient. In some cases it will be possible to avoid the horizontal incision underneath the breast. Liposuction is often combined with the procedure to help contour the sides of the breasts.

Recuperation Following Breast Reduction Surgery:

  • Incisions are covered with tapes and a bra dressing is used.
  • The change in breast size will be noticed immediately, but there will be swelling which, in most cases, will remain for weeks or even months.
  • Initial discomfort can be controlled with oral medication.
  • Scars take 6-12 months to fade and mature.


Fortunately, serious risks of breast reduction surgeries are rare and the satisfaction rate with this procedure is high. All surgical procedures have some degree of risk; however certain risks can be minimized by following both the pre- and post-op advice and instructions provided by the staff at Umansky Plastic Surgery.

Some of the potential complications of all surgeries include:

  • Hematoma or seroma (an accumulation of blood or fluid under the skin that may require removal)
  • Infection
  • Changes in nipple sensation
  • Hypertrophic scarring
  • Rarely, loss of skin or nipple tissue


If your breasts are disproportionately heavy and large, or if you experience back, neck, or shoulder pain caused by the weight and volume of your breasts, consider a breast reduction procedure at Pollack Plastic Surgery, conveniently located in the Hillcrest area of San Diego, where breast reduction surgery is provided for residents of La Jolla, Alpine, and nearby communities in California.


Breast reduction surgery essentially reduces the size, weight, and volume of one or both breasts. Although the results of breast reduction surgery are considered permanent, such factors as gravity, hormonal changes, and the natural aging process may cause eventual increases in breast volume over time. If you are looking to also reduce sagging caused by overly large breasts, a breast reduction will accomplish this as well.


In cases where breast reduction surgery is required to correct medical or structural conditions, it may be covered in full or in part by some health insurance providers; although, if it is determined that the procedure is performed for strictly cosmetic reasons, insurance carriers won’t typically cover it. At Pollack Plastic Surgery, easy financing, as well as flexible payment options, are provided to help our patients manage the costs of breast reduction and other cosmetic procedures. In general the cost for Breast Reduction is no more than ranging between $5,000 – 9,000.


Over time, the weight of excessively large breasts may negatively impact your health, causing thoracic kyphosis, which alters the spine and may become very painful. In some cases, making it difficult to breathe. Rashes and skin irritations underneath the breast may be exacerbated by friction caused by the weight of excessively large breasts against the body. The appearance of excessively large breasts may also impact your self-esteem. Many patients undergo breast reduction surgery to alleviate these and other problems caused by breasts that are disproportionately large and heavy. The procedure may help relieve pain in the neck, shoulder, and back, as well as improve one’s appearance and self-esteem.


Breast reduction may be suitable for almost any healthy adult to correct the following conditions:

  • Overly large breasts appearing disproportionate to your frame.
  • Breasts that hinder physical activity or cause physical discomfort due to excessive volume and weight.
  • Neck, shoulder, or back pain caused by excessive weight and volume of the breasts.
  • Chafing or rashes in the area underneath your breasts caused by the breasts’ excessive weight and volume.
  • One breast that is considerably larger than the other.


Each procedure is highly customized to each patient and depends on the individual’s body, desired results, and our expert surgeon’s assessment and recommendation.

Typically, local anesthesia is used to numb the area in combination with general anesthesia to prevent any discomfort during the procedure. The most common technique used to perform breast reduction surgery involves an incision around the areola running vertically to the crease under the fold of the breast, one incision underneath the breast, and one running horizontally beneath the breast following the natural crease. This can be thought of as an upside down “T” incision. An alternate technique uses only an incision around the areola and a single vertical incision extending to the natural crease underneath the breast.

The procedure removes excess fatty and glandular tissue as well as excess skin; the nipple and areola may be shifted to a higher position, and the size of the areola reduced. In most cases, the nipple is not removed, although it may be shifted to a higher position, maintaining its original blood supply. The procedure also tightens the skin around the breasts.


It is normal to experience soreness and swelling immediately following surgery. Your chest will be wrapped in dressings and bandages, which will be removed a few days following surgery, at which time you will be allowed to shower.

Surgical drains are not used by Dr. Robert Pollack for breast reduction. You may resume non-strenuous work and light physical activity about 2 weeks after surgery. You will need to wear a compressive bra for a period of three to four weeks, after which bruising, swelling, and discomfort naturally diminish. Following the surgery, you may experience a temporary loss of sensitivity in the nipple and areola, which in most cases is restored gradually and naturally over time. After a few months, your breasts will settle into their new shape, and you will begin to experience the full results of your procedure as incision lines begin to fade, and back, neck, and shoulder pain is alleviated.

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