Breast Reduction

Many factors can contribute to the natural enlargement of the breasts in both men and women. While having full breasts is usually desirable for women, having overly large breasts can be burdensome. Men who struggle with overdeveloped breast tissue may have a condition called gynecomastia, which can have detrimental effects on their self-confidence. Breast reduction surgery is designed to make the breasts smaller and more proportionate, providing patients with the comfort and aesthetic they desire. Dr. Pedro Puebla is careful to personalize each breast reduction procedure to reflect his patients’ cosmetic objectives, and all surgical details are determined during the initial consultation.

Ideal Candidates for Breast Reduction

Ideal candidates for breast reduction surgery can relate to some or all of the following cosmetic concerns:

  • Overly large, cumbersome breasts
  • Back, shoulder, or neck pain due to having heavy breasts
  • Skin irritation underneath the breasts
  • Limited mobility as a result of having large, pendulous breasts

Breast Reduction Options

Incision Techniques

Periareolar incision: Incisions are placed around the edges of the areolas, and a donut-shaped portion of fat and skin are removed. This technique is ideal for patients who desire minimal correction.
Lollipop incision: Incisions are placed around the areolas and continue down the lower breast. This technique is ideal for patients who desire moderate correction.
Anchor incision: Incisions are placed around the areolas, down the lower breast, and along the inframammary fold. This technique is ideal for patients who desire extensive correction.

Adjusting the Nipple-Areolar Complex

The nipple-areolar complex can become enlarged or malpositioned when the breasts grow. It is particularly common for women with overly large breasts to have stretched nipples that point downward, compromising the overall aesthetic of the bust. During a breast reduction, the nipple-areolar complex can be modified and repositioned to create a pleasing and balanced breast appearance.

Gynecomastia Surgery

While gynecomastia can be distressing, it is not usually the result of any severe medical problems. Breast reduction can address enlarged male breasts with liposuction, excision, or a combination of both. The areolas can also be reduced as necessary to produce a more masculine chest appearance.


The length of recovery after breast reduction depends on the extent of correction and surgical techniques used. Typically, patients experience some bruising, swelling, and discomfort after their surgery. Such side effects can be diminished by taking the prescribed medications, following all aftercare instructions, and wearing the compression garments provided by Dr. Puebla. All breast reduction patients are offered a one night stay at the hospital for observation and to help prevent complications. A follow-up appointment will be scheduled five to seven days after the procedure so that Dr. Puebla can evaluate the healing process.


The breasts will be noticeably smaller following a breast reduction procedure, but residual swelling can obscure the final outcome for four to six months. Breast reduction delivers permanent results, although weight fluctuations, pregnancy, and aging can change the size and shape of the breasts over time. Leading a healthy, active lifestyle can preserve the effects of breast reduction for many years.

Revision Policy

Patients who undergo elective surgery can have a revision procedure in the future. No matter which cosmetic procedure you opt for, your body and face will continue to age naturally. If you have excess weight on your body, you may still experience fat deposits that need to be taken care of with additional liposuction treatments. The same goes for wanting a bigger buttocks or hips, extra rounds of treatment may be necessary to achieve your desired result. Aging, sagging, scarring, and other changes are attributed mainly to genetics and your aftercare routine. Should you desire revision surgery one year after your initial procedure, necessary fees may be required for the hospital, surgical facility, lab work, and medical supplies or devices (i.e., breast or facial implants). These revision surgeries will be personalized per patient, and there will always be a discounted rate available for return patients. Only patients who follow the recommended postoperative protocol and attend all follow-up appointments will qualify for the revision policy and associated courtesies.