Cosmetic Surgery Tips

Breast Reduction Surgery In St Louis MO

Breast reduction surgery is a common procedure that reduces the size of the breasts. It can be performed for a variety of reasons, including:

-Achieving a more proportionate body shape, through the reduction and/or reshaping of breast tissue

-Reducing back and shoulder pain caused by excessive breast size

-Increasing physical activity tolerance due to reduced weight on the chest

Breast Reduction Surgery In St Louis MO


What Is a Breast Reduction?

West County Plastic Surgeons specializes in breast reduction and laser-assisted breast reduction surgery to help St. Louis women lift and reduce the size of their breasts. This procedure can minimize the most common complaints associated with large, heavy breasts: neck and back pain, shoulder-strap grooving, skin irritation and sweating on the undersurface of the breasts. Although we often perform breast reduction for functional reasons, our patients also enjoy a cosmetic benefit, as the standard breast-reduction operation lifts the breasts into a more youthful, attractive position.

All breast reductions include an incision around the areola (the pigmented circle that surrounds the nipple) and a vertical scar from the areola to the base of the breast. This is called a vertical breast reduction. For our patients with larger breasts, the procedure may include an incision along the base of the breast – often called a Weiss-pattern. These incisions are necessary to remove all of the loose skin that surrounds the extra breast tissue.

Breast Reduction: What You Should Know

When does insurance pay for this procedure? The exact criteria insurance companies use to determine whether to cover a breast reduction vary considerably. In general, however, insurance companies are more likely to cover breast reduction for our patients who have extremely large breasts for their body weight and who demonstrate symptoms related to their condition. Some companies require a supportive letter from a long-term primary care doctor to document that a physician who has known the patient believes that this procedure will help alleviate those symptoms.

What if my insurance company denies my request for coverage? Denials can be sometimes be appealed. However, if insurance does not cover breast reduction, it can still be performed as a cosmetic procedure. Patients who want a breast lift and only a small reduction in volume are excellent candidates.

Length of procedure: 90 minutes to 4 hours, depending on the size of the breasts.

Estimated recovery time: Patients can expect to return to work after 2 to 3 weeks, and they should avoid vigorous activities for 4 to 6 weeks. Visible bruising should clear up within 2 to 3 weeks, and swelling begins to resolve within 3 to 4 weeks. Drain tubes may be used and may remain for a couple of days to 2 weeks, depending on the size of the reduction. To learn how to prepare for this procedure and what to expect afterwards.

Side effects: Common side effects include bruising and swelling. The shape of the breast may change over time, and the final result may not be realized for a few months. Delayed wound healing may occur, especially in those with large reductions, diabetic patients, and patients who have undergone radiation. Infections and hard lumps in the breast called fat necrosis can develop, but usually resolve on their own.

Associated Procedures to Complement Breast Reduction

Some of patients elect to combine breast reduction with the following kinds of procedures to achieve optimal results:

  • Tummy tuck (abdominoplasty). Frequently, patients wishing to improve the contour of their abdomen choose to have an abdominoplasty, or “tummy tuck” surgery. This procedure is best for people who have lost a significant amount of weight and now have loose abdominal skin and lack of abdominal muscle tone. Women who are dissatisfied with their post-pregnancy shape often elect to have a tummy tuck procedure as a part of an overall “mommy makeover.” Our plastic surgeons can combine breast reduction and “mommy makeover” procedures safely and effectively.
  • Liposuction. Removal of fat from the armpit region, sides, thighs, back, and buttocks with standard tumescent liposuctionultrasonic-assisted liposuction, or SMART laser-assisted liposuction provides a nice complement to refining the breasts with a breast reduction.

Breast Reduction St. Louis

Attain Beauty for Life with Breast Reduction

While most associate a small bust with poor self-image, overly large and aging breasts are also a physical and emotional burden. In addition to being difficult to support and cover, large breasts can be a source of embarrassment, chronic pain, deformities in the back and shoulder, and posture problems. St. Louis patients who feel dissatisfied or self-conscious about the large or excessive size of their breasts can visit Paul Rottler, MD, FACS to achieve beautiful breasts via breast reduction.

A reduction mammoplasty procedure with Dr. Rottler can surgically eliminate excess mammary tissue and fat from your breast, giving your chest a more attractive and youthful shape. With a simple surgery, breasts that sag and stretch due to weight loss, aging, or pregnancy can return to the lifted and round appearance of their youth. If you desire the confidence and pain relief of a lighter bust, a breast reduction may be your best course of action.

Our office does not accept any type of insurance for this procedure.


When it comes to body contouring and breast reduction, invasive plastic surgery is not the solution for everyone. Before scheduling your consultation, evaluate whether this surgery is right for your body. Most patients who have consider this procedure are at or close to their ideal weight, have back and neck and or breast pain, or have recently lost an extreme amount of weight. Anyone who fulfills the following characteristics can safely consider this procedure as a solution to their overly large breasts.

  • A history of backaches, neck aches, and poor posture as a result of supporting big breasts.
  • Difficulty finding clothes that cover, support, and flatter your curves.
  • Lack of self-confidence due to breasts that draw unwanted attention.
  • No active diseases or pre-existing conditions that could complicate the surgery or recovery.
  • Enlarged areolas due to stretched skin.
  • The cessation of natural breast development.
  • Mental and emotional stability to recover from surgery.
  • Zero intention to breastfeed in the near future.

There are many medical and social reasons for this procedure. Common reasons to abstain from this plastic surgery include:

  • Currently breastfeeding or planning to breastfeed in the future.
  • Unrealistic or unhealthy expectations.
  • Undiagnosed lumps or masses.
  • Severe obesity.
  • A family history of clotting, heart, or circulatory disorders.
  • Diabetes.

If you have any questions or concerns regarding your candidacy for this procedure, talk to your doctor or schedule a consultation with Dr. Rottler.


At its core, breast reduction is the removal of fat and glandular tissue, the repositioning of the areola, and the tightening of skin around the chest area to produce smaller, more proportional breasts. The procedure is usually performed through three thin incisions—a circular incision made around the areola, a second that runs vertically from the bottom edge of the areola to the crease of the breast, and a third that horizontally follows the natural curve of the breast. These incisions will give your plastic surgeon ample access to your breast tissue and allows him or her to reduce, adjust, and reposition your fat and skin.

Areolas that have been stretched by pendulous breasts are then reshaped and positioned higher. To maintain sensation in the nipples, your plastic surgeon will leave the underlying tissue untouched while adjusting your areolas. This method is also designed to preserve the patient’s ability to breastfeed, though the results vary from subject to subject. For smaller breast reductions in the right candidate, surgeons may use liposuction alone to complete the procedure.

The final step in a reduction mammaplasty is closing the incisions with deep sutures that shape and support your new, smaller breasts. Dissolvable sutures are used to help close the skin and promote faster healing.

Most surgeries take about 3-5 hours to complete at Seven Oaks Surgery Center, LLC.

At Seven Oaks Surgery Center patients receive general anesthesia by Board Certified Anesthesiologists so they can safely sleep through the entire procedure.


The price of your breast reduction with Dr. Rottler will differ depending on the amount of time the procedure will take in the OR.

Starting at $10,000


When the surgery is finished, the incisions will be covered in gauze and the breasts cushioned in a bra. Immediately after surgery, patients might experience bruising and swelling in the torso region as the incisions heal.

Stitches are generally removed in stages approximately one week after surgery. Patients can expect their stitches to be completely removed by the third week. A lack of sensation in the areola and nipple regions is a temporary side effect of this procedure, and it may take anywhere from a couple of weeks to a full year for complete sensation to return. Your new breasts will also need time to settle into a more natural shape and color. The pink scar tissue around the surgical incisions also fades with time.

Before & After Breast Reduction Photos



Before & After Breast Reduction Photos



In the days following the procedure, patients will gradually be able to move more comfortably for longer stretches of time. While Dr. Rottler encourages patients to get out of bed for short periods of time shortly after surgery, patients should not attempt any lifting, bending, and exercise for several weeks. Depending upon their professions, it is possible for many patients to return to work after only two or three weeks. While it is normal to experience mild discomfort, strive to be gentle with your new breasts for six weeks and avoid sexual activity for one month after surgery.

Every patient’s healing is different. Your plastic surgeon, Dr. Rottler, will formulate a recovery plan that fits your specific needs.


After your reduction surgery, your breasts will appear smaller and perkier. Without the weight of pendulous breasts burdening your neck, shoulders, and back, you will be free to partake in a range of activities with new confidence. In addition, you also will no longer have to hide your figure underneath unflattering clothing. While it takes time to adjust to a new body image, most patients are satisfied with the freedom and look of their chest.

Assuming you do not lose or gain a significant amount of weight, your bust should remain at a fairly constant size for years to come. Aging and gravity eventually alters the youthful contour of every woman’s breasts, and patients dissatisfied with their shape can schedule a breast lift or additional surgery.


Thousands of patients undergo this surgery every year without experiencing any complications or pain, but all surgeries involve risk. Understand the potential dangers and discuss with your surgeon before exploring this plastic surgery.

General risks associated with this procedure include:

  • Bleeding.
  • Infection.
  • Changes in nipple and breast sensation.
  • Unfavorable scarring.
  • Potential inability to breastfeed.

For a more detailed summary of your medical risks, your plastic surgeon will give you a summary based on your medical history and lifestyle.

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