Breast Reduction

At times, women will notice the size of their breasts are too large for their physical stature or are simply not the right size for them. Often, large breasts can cause physical problems such as back, neck, or even breast pain. Over time, postural problems and chronic arthritis can arise. There are numerous beneficial effects of breast reduction surgery including increased comfort, prevention of skeletal abnormalities, enhanced self-confidence, easier to exercise, and then find better fitting clothing.

Breast Reduction Surgery Procedure

Breast Reduction or Reduction Mammaplasty, reduces the size of your breasts by making your breasts more in proportion to the rest of your body. Breast-reduction is a procedure where excess breast tissue, fat, and skin are removed. The nipple and areola is lifted (usually the areola is reduced in size), and skin that was located above the nipple is brought down, pulled together and sutured to improve the shape and contour. The once tear-dropped shaped breasts will become more conical. The type of incision used depends on the size and shape of the breasts. The most common method makes one incision around the nipple area, another that runs vertically from the bottom edge of the areola to the crease underneath the breast, and a third incision beneath the breast. Keep in mind; the incision lines are designed so that they will be concealed under the bra. However, the resulting scars are permanent and unpredictable, but should fade over time.

Your Breast Reduction will be performed by Dr. John Farella in Westchester County, NY.

  • American Board of Plastic and Reconstructive Surgery Certified
  • American Society of Plastic Surgeons Member
  • American Society for Aesthetic Plastic Surgery Member


View Before & After Gallery

See Full Breast Reduction Photo Gallery

Who is Breast Reduction Surgery Right For?

  • Patients with back, neck or shoulder pain caused by the weight of their breasts
  • Patients that have heavy, sagging breasts with low nipples and areolas
  • Patients with breasts that are too large in proportion to the rest of their body
  • Patients with indentations in their shoulders caused by bra strap grooving
  • Patients whose activities are limited because of the size of their breasts
  • Patients who are self-conscious about the size of their breasts
  • Patients who have one breast that is much larger than the other
  • Patients who are in good health
  • Patients who are doing it for the right reasons (i.e. for themselves)

Risks & Complications of Breast Reduction Surgery

Complications may occur but are rare. The risks and complications may include, but are not limited to bleeding, infection, change in nipple and skin sensation, abnormal scarring, excessive firmness of the breasts, asymmetry, allergic reactions, and risks and complications associated with anesthesia.

Smokers have a greater risk of skin loss, pulmonary, and wound healing complications.

Breast disease and breast cancer can occur independently of breast reduction surgery.

Dr. Farella will speak with you regarding risks and potential complications of surgery during your consultation.


Following your breast reduction surgery our caring registered nurse will bring you to your private recovery room. During the first week, drains that were placed will be removed. Dressings will also be changed. Within two weeks bruising and swelling will begin to diminish (this varies from one patient to the next). After a few months your breasts will begin to settle into a more natural shape. The final result will be much more obvious by the one-year mark.

Exercise after Recovery for Breast Reduction Surgery

At 4 – 6 weeks, patients may resume their exercise programs.

In/Out Patient

Patients have the option to be an outpatient or inpatient. The breast reduction surgery is done under general anesthesia and usually takes two to three hours.

Information on this page is not a substitute for medical consultation or advice. Please contact us to schedule an appointment to discuss the best treatments for you.