All surgeries result in scarring, though Dr. Spiro takes care to make incisions in discreet areas—around the edges of the areolas and in a vertical line from the bottom of the areolas down to the center of the creases beneath your breasts, and hidden in the breast fold. The scars may have a dark and reddened appearance for the first few months, then will gradually fade and become less visible.
What to Expect
Breast reduction, also known as reduction mammoplasty, is a surgical procedure that removes excess fat, glandular breast tissue, and skin from the breasts. Many of our patients turn to this surgery to achieve a breast size that is in better proportion with their body and to alleviate the discomfort that can result from having large, heavy breasts. Dr. Spiro creates beautiful, natural-looking results using his expertise in breast shaping.
If you need help understanding insurance coverage, we can help you gather the necessary documentation, communicate with insurance providers, and assist with preauthorization whenever possible.
Breast Reduction Overview
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Breast Reduction Gallery
Look at our breast reduction before-and-after gallery to see our patients’ long-lasting and transformative results!
Where Your Vision Takes Shape
Discover a personalized plan built around your features, goals, and long-term outcomes. Your consultation is a focused, one-on-one conversation designed to bring clarity, guide decisions, and outline the most appropriate approach for you.
Why You Might Consider Breast Reduction Surgery
Breast reduction surgery alleviates the physical and emotional discomfort that can come from having large, heavy breasts.
The benefits of breast reduction can include relief from:
- Back, shoulder, and neck pain
- Skin irritation and rashes beneath the breasts
- Uncomfortable indentations where bra straps press on the shoulders
- Headaches and migraines
- Shortness of breath or breathing difficulties while sleeping
Breast reduction can also:
- Improve your posture
- Free you to become more physically active
- Give you more clothing choices
- Lift and reshape sagging breasts
- Correct breast asymmetry
- Give you renewed pride in your body and increased self-confidence
What to Expect During a Breast Reduction Consultation
During your initial consultation, Dr. Spiro will create an individualized plan for you to achieve your desired outcome. He will talk to you about your previous surgeries, current medications, drug allergies, expectations, and potential risks and complications of the surgery. If you are exploring insurance coverage for your procedure, your consultation is provided at no additional cost.
Breast Reduction Candidates
Ideal candidates for breast reduction surgery are patients with pain or discomfort, physical limitations, or other complaints related to large breasts. The best candidates are also in overall good health and have realistic expectations for their procedural outcomes.
How to Prepare for Breast Reduction Surgery
Preparing for a breast reduction may require you to adjust certain medications, stop smoking, avoid taking anti-inflammatory drugs that may increase bleeding, and get lab testing. You will also need to set up a ride to and from our outpatient surgical center, as you will not be able to drive after surgery.
Breast Reduction Surgery in NJ at Spiro Plastic Surgery
Breast reduction surgery requires general anesthesia. During your breast reduction surgery, Dr. Spiro will begin with an incision around your nipple, then downward in the form of a keyhole.
From there, he will remove the extra skin, tissue, and fat before repositioning your nipple. For the best results, Dr. Spiro often performs breast reductions along with breast lifts and specialized liposuction techniques to further improve your breast shape.
Getting Insurance
to Cover Reductions
The Spiro Plastic Surgery team is experienced with helping our patients understand insurance coverage requirements for breast reductions.
Breast Reduction Recovery
After your surgery, it will take 2 to 6 weeks for you to recover from the procedure. You may experience minor tenderness, swelling, and bruising, which will gradually resolve over time. During your recovery, you must follow Dr. Spiro’s post-operative instructions to ensure your breasts heal properly.
Please take time off work for the first week after the procedure and avoid any strenuous physical activity or heavy lifting. You can resume your normal levels of activity and exercise four to six weeks after surgery.
Breast Reduction Results
Breast reduction results are immediate, though it can take a few months for all residual swelling to disappear. You’ll notice your smaller breast size right away, and as the swelling subsides, you’ll see the changes in improved proportions, a balanced silhouette, and a more lifted appearance. Within days, you’ll also notice relief from back, neck, and shoulder pain.
As you heal and become active again, you’re likely to find high-impact activities like running are easier and more enjoyable. Many women become more physically active after breast reduction surgery, which can bring additional health benefits.
The Foundation of Your Journey
Good outcomes don’t happen by chance—they’re built with purpose.
Frequently Asked Questions
There is a small chance breast reduction surgery will make it difficult for you to breastfeed, as the procedure involves repositioning the nipples. Some women have no problem breastfeeding after breast reduction, while others report challenges. If this is a concern for you, please bring it up in your consultation so we can discuss the risk.
If you are considering breast reduction surgery because of associated health issues such as back or shoulder pain or skin chafing and have a record of receiving medical treatments for those problems, your insurer may cover the procedure. Most insurers will not cover breast reduction procedures performed only for cosmetic reasons. At Spiro Plastic Surgery, our team has experience with navigating insurance coverage and helping our patients get their procedures covered.
A breast reduction and a breast lift are closely related, but they are not the same procedure. A lift focuses on adjusting breast position and shape, while a reduction removes fat, skin, and glandular tissue to reduce breast size and weight.
At Spiro Plastic Surgery, we always combine a breast reduction and lift, refining size and repositioning the remaining tissue to create a lighter, more supported contour.
The lifting portion matters because size alone does not determine proportion. Repositioning the nipple and areola helps the breast sit in a more natural place on the chest, while reshaping the remaining tissue improves form and projection.
This helps the final result of a breast reduction in New Jersey look natural and proportionate, creating a breast shape that still feels balanced. For many patients, the procedure improves both comfort and shape. The breasts can feel lighter, clothing may fit more easily, and the overall silhouette can look more balanced.
Dr. Spiro can also use liposuction to remove small areas of excess fat around the breasts to further contour the chest. When appropriate, this step can create a smoother transition through the chest and upper torso.
The amount of breast tissue Dr. Spiro removes depends on the patient’s anatomy, desired breast size, and whether the procedure is cosmetic or insurance-based. When a patient uses insurance benefits for breast reduction, the insurance provider determines the required gram amount for each breast based on its own formula.
Patients pursuing a cosmetic breast reduction in New Jersey have more flexibility to balance size reduction with shape, projection, and proportion. In these cases, Dr. Spiro considers breast size, nipple position, tissue weight, and how the breasts sit on the patient’s frame as he plans a lighter, more proportional breast shape.
During each consultation, Dr. Spiro reviews a patient’s physical symptoms, desired breast size, clothing concerns, activity limitations, and insurance requirements when they apply. He explains how those factors affect the amount of tissue removed and how he plans to reshape what remains to look natural and harmonious.
Breast reduction can balance proportions when one breast is larger, lower, or shaped differently than the other.
While many women have natural shape or size differences, bras, fitted tops, or swimwear can make this asymmetry more noticeable.
At Spiro Plastic Surgery, Dr. Spiro can remove different amounts of tissue from each side during a breast reduction in New Jersey to create more even and proportionate breasts. He also considers nipple and areola position, because size, lift, and placement all affect how the breasts sit on a patient’s frame.
No procedure can create perfect symmetry, and natural anatomy, tissue quality, and healing patterns can affect the outcome. Therefore, Dr. Spiro sets realistic expectations before a mammaplasty and explains what level of balance you can achieve.
Patient Experiences
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Reflections Series #2 | Oil Painting on Hardboard | Dr. Scott Spiro
