Plastic Surgery San Diego, CA

Breast Reduction*

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Breast Reduction Surgery in La Jolla and San Diego

Large, heavy breasts can affect comfort, posture, clothing fit, exercise, and confidence. For many women, breast reduction surgery is not only cosmetic; it can also relieve chronic shoulder, neck, and back pain caused by excess breast tissue. At Shumway Cosmetic Surgery in San Diego, CA, Dr. Robert A. Shumway offers breast reduction for patients who want smaller, lighter, more proportionate breasts and a more comfortable daily life.
  • Reduce shoulder, neck, and back pain or strain
  • Improve body balance and movement
  • Make exercise and daily activity more comfortable
  • Improve clothing fit and body proportion
  • Support a more confident body image
During breast reduction, excess fat, glandular tissue, and skin are removed, and the breasts are reshaped to better match the patient’s frame. The nipples and areolas are repositioned for a natural-looking result, and a breast lift is often incorporated to improve contour. If you are considering breast reduction in La Jolla or San Diego, a consultation with Dr. Shumway can help you understand your options, expected recovery, and whether the procedure fits your goals.
Dr. Shumway

Meet Dr. Shumway

San Diego board-certified facial plastic and cosmetic surgeon Dr. Robert A. Shumway is the Medical Director of Shumway Cosmetic Surgery. With over 20 years of experience, he offers advanced face, breast, body, and skin procedures tailored to each patient’s goals. He is especially known for his expertise in transumbilical breast augmentation (TUBA), a scar-free implant technique performed through the navel, and was the first to bring it to Europe in 2018.

Meet Dr. Shumway

Who Is a Good Candidate for a Breast Reduction Procedure?

Good candidates are often bothered by breasts that feel too large for their frame or interfere with everyday comfort. Breast reduction may be appropriate if heavy, overly large breasts contribute to poor posture issues, painful bra strap grooves, chronic pain in the neck or back, unwanted attention, or difficulty exercising comfortably.

  • Pull down posture or feel physically heavy
  • Cause neck, shoulder, or back discomfort
  • Create deep bra strap marks
  • Make exercise uncomfortable
  • Feel out of proportion with the rest of the body
The best way to determine breast reduction candidacy is to meet with Dr. Shumway. He can evaluate your breast size, tissue quality, physical symptoms, medical history, and desired outcome, then explain the appropriate surgical techniques, including breast reduction, a breast lift, liposuction, or a combined plan, may be most appropriate.

How Is Breast Reduction Surgery Performed?

Breast reduction is performed with anesthesia for comfort. Dr. Shumway removes excess fat, glandular tissue, and skin, then reshapes the breast mound and repositions the nipple and areola. Liposuction may be used in select cases to refine the side breast or bra-line area. Incisions vary based on breast size, skin quality, and the amount of reduction needed. After breast reduction surgery, the incisions are closed with layered sutures and dressings are applied. Scars are permanent but are typically placed where they can be concealed by bras and swimwear, and they usually fade with time and proper scar care.

What Should Patients Know about Limitations and Risks??

Breast reduction can significantly improve size, shape, and comfort, but it cannot create perfect symmetry or prevent future changes from aging, gravity, pregnancy, or weight fluctuation. Potential complications and risks include bleeding, infection, delayed wound healing, scarring, changes in nipple sensation, difficulty breastfeeding, or the need for revision. Dr. Shumway reviews these considerations during breast reduction consultation so that patients can make informed decisions.

How Do I Schedule a Breast Reduction Consultation?

To take the next step, schedule a personal consultation with Dr. Shumway. This visit gives you time to discuss physical symptoms, goals, medical history, recovery expectations, and whether breast reduction or other surgical techniques are the best option for your needs.

What Is Recovery Like after Breast Reduction?

Most patients need time away from work and strenuous activity after breast reduction. Dr. Shumway provides instructions for incision care, medication, sleeping position, bathing, activity restrictions, and follow-up visits. Patients are commonly advised to rest during the first several days, avoid heavy lifting for at least 4 weeks, and wear a supportive surgical or compression bra for 2 months or as directed. Swelling, bruising, tightness, and temporary soreness are normal early in recovery from breast reduction surgery. Light walking may begin soon, while more demanding exercise and upper-body activity are added gradually after clearance. Many desk-job patients return to work within 7 to 10 days, though each recovery timeline depends on the procedure and the patient’s healing response.

How Long Do Breast Reduction Results Last?

Breast reduction results that alleviate pain and boost body image are long-lasting for many patients. The breasts will still respond to aging, gravity, hormonal changes, and weight changes, so maintaining a stable weight and wearing supportive bras can help preserve the outcome. Pregnancy or major weight fluctuation may affect breast shape and size over time.

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Frequently Asked Question about Breast Reduction

Will I need a mammogram before breast reduction?

Depending on your age, family history, personal risk factors, and potential complications, you may need a screening mammogram before breast reduction surgery. Typically, insurance requires women over age 50 to have preoperative mammograms. This helps identify any breast concerns in advance and provides a useful baseline for future imaging.

How do I prepare for breast reduction surgery?

Preparation may include stopping smoking, avoiding medications or supplements that increase bleeding, arranging time off work, and setting up help at home. You will receive detailed instructions before your breast reduction surgery so you know what to do and what to bring.

What if my weight changes after breast reduction?

Small weight changes usually do not dramatically alter results, but significant weight gain or loss can affect breast size and shape. If future changes create looseness or fullness, Dr. Shumway can discuss whether additional contouring would be helpful.

Can breast reduction be combined with other cosmetic procedures?

Yes, some patients combine breast reduction with liposuction, tummy tuck surgery, or other body contouring procedures. Safety comes first, so Dr. Shumway will explain whether combining procedures or staging them separately is better for your health and goals.

What kind of scars will I have after breast reduction?

Scars depend on the incision pattern used. Many reduction mammaplasty procedures involve incisions around the areola and down the lower breast, with or without an incision along the breast crease. Dr. Shumway will choose the  appropriate technique for minimal scarring. Scars are permanent but generally soften and fade over 12 to 18 months.

How much does breast reduction cost?

The cost of breast reduction surgery varies depending on several factors, including the complexity of your procedure, anesthesia fees, and surgical facility costs. The best way to get an accurate estimate is to schedule a consultation for reduction mammaplasty with Dr. Shumway, who will review your goals and provide a personalized quote based on your specific treatment plan.

Does insurance coverage pay for breast reduction?

In some cases, health insurance coverage will pay for breast reduction when the procedure is deemed medically necessary. This typically requires documented evidence of chronic shoulder, back, and neck pain, skin irritation, or nerve symptoms caused by breast weight. Dr. Shumway’s team can help you understand the criteria your insurance provider requires and assist you in gathering the insurance coverage documentation needed to support your case.

Insurance coverage typically depends on the amount of breast tissue removed. Smaller breast reductions are often considered cosmetic and may not be covered.

When can I return to work after breast reduction?

Most patients return to a desk job or light-duty work within one to two weeks, depending on how their recovery progresses. If your job involves physical activity, lifting, or strenuous movement, you will likely need additional time off. Dr. Shumway will give you personalized guidance based on your procedure and recovery.

Will breast reduction affect my ability to breastfeed?

Breast reduction may affect the ability to breastfeed, as the procedure can involve repositioning the nipple and removing glandular tissue. While some patients are able to breastfeed after surgery, it is not guaranteed. If breastfeeding future children is a priority, this is an important conversation to have with Dr. Shumway during your consultation so he can factor it into your surgical plan.

How long do breast reduction results last?

Breast reduction results are long-lasting for most patients. However, significant weight fluctuations, pregnancy, and the natural aging process can affect the size and shape of the breasts over time. Maintaining a stable, healthy weight is one of the best ways to preserve your results for years to come.

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Starting
From $8,500
 
Average Procedure Time
1.5 – 3 Hours
 
Procedure Recovery Location
Outpatient
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Where Can I View Breast Reduction Results?

Before-and-after photos can help you understand what is possible with breast reduction and how results vary by body type, breast size, and surgical goals. During your visit, Dr. Shumway can review examples that are most relevant to your anatomy and desired outcome.

How Can Breast Reduction Support a More Comfortable Life?

For many women, breast reduction creates a meaningful improvement in comfort, mobility, poor posture, and confidence. Patients often describe feeling lighter and more balanced after surgery, with greater freedom to exercise, travel, and wear clothing that fits comfortably. If extremely large breasts have affected your daily life, a consultation at Shumway Cosmetic Surgery can help you decide whether breast reduction is right for you.

Which Related Procedures May Be Considered?

Some patients benefit from a breast lift, liposuction, tummy tuck, or another body contouring option in addition to or instead of breast reduction. Dr. Shumway can explain the differences and recommend a plan that is safe, realistic, and tailored to your goals.

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