Breast Reduction Philadelphia & New Jersey
Large, heavy breasts can cause more than cosmetic concerns—they can lead to chronic neck and back pain, skin irritation, and limitations in physical activity. At Becker Plastic Surgery, our board-certified surgeons, including Dr. David W. Allison, perform breast reduction surgery for women across Philadelphia and New Jersey seeking relief from discomfort and improved body balance.
Breast reduction, or reduction mammaplasty, reshapes the breasts by removing excess tissue, fat, and skin to achieve a lighter, more proportionate size. The procedure not only enhances appearance but also alleviates the physical strain caused by overly large breasts. Patients often describe the result as transformative—bringing newfound ease, confidence, and mobility.
Benefits of Breast Reduction
Breast reduction consistently ranks among the highest patient satisfaction rates in plastic surgery because it improves both physical comfort and self-image.
Patients frequently report:
- Relief from chronic neck, back, and shoulder pain
- Improved posture and balance
- Reduction in skin irritation beneath the breasts or along bra straps
- Greater ease during physical activity and exercise
- Better fit in clothing and bras
- Enhanced confidence and overall comfort
Many women describe feeling physically lighter and emotionally renewed after surgery—able to move freely and enjoy a broader range of activities without discomfort.
What Is Breast Reduction Surgery?
Breast reduction surgery is a reconstructive and aesthetic procedure that decreases breast size while lifting and reshaping the remaining tissue. The goal is to create breasts that are better proportioned to the patient’s frame and more comfortable in daily life.
While a breast lift focuses on repositioning existing tissue, breast reduction also decreases overall volume and weight. The nipple and areola are elevated to a youthful position, and the areola can be resized for better symmetry.
Dr. Allison tailors each procedure to the individual’s anatomy, concerns, and cosmetic goals. His approach ensures natural, balanced results that relieve discomfort and restore body harmony.
The Breast Reduction Procedure
Surgery generally takes two to three hours, depending on the extent of reduction. Patients return home the same day with detailed post-operative instructions.
Dr. Allison’s approach emphasizes both aesthetics and function. In addition to improving proportion, the procedure lifts the breasts, refines shape, and relieves strain on the shoulders and spine. The result is a lighter, more balanced contour that feels natural and complements the patient’s figure.
Surgical Techniques and Incision Options
Breast reduction is performed under general anesthesia in an accredited surgical facility. Dr. Allison carefully plans incision placement and tissue removal to achieve the desired size, lift, and symmetry.
Common incision techniques include:
Through these incisions, Dr. Allison removes excess glandular tissue, fat, and skin, then recontours the breast for a natural, lifted appearance. The nipple and areola are repositioned higher on the breast mound and may be reduced in size for balance and proportion.
Once reshaping is complete, the incisions are closed with layered sutures to minimize tension and support smooth healing. The breasts are then wrapped in light dressings, and a soft surgical bra is applied to provide support and comfort.
While both procedures lift and reshape the breasts, they serve different purposes.
- Breast reduction removes excess tissue and skin to reduce overall volume and relieve physical discomfort.
- Breast lift (mastopexy) focuses on elevating and reshaping existing tissue without significant volume removal.
Patients seeking both a size reduction and rejuvenated contour often benefit from a reduction that naturally includes lifting elements. During consultation, Dr. Allison explains which approach—or combination—will achieve the best outcome based on anatomy and goals.
Breast Reduction vs. Breast Lift
Ideal Candidates
Breast reduction may be an excellent option for individuals who experience physical or emotional discomfort due to large, heavy breasts. Suitable candidates typically:
- Suffer from back, neck, or shoulder pain related to breast size
- Have skin rashes or indentations from bra straps
- Experience difficulty exercising or finding supportive clothing
- Feel self-conscious about breast size or asymmetry
- Are in good general health and maintain a stable weight
- Are non-smokers or can stop smoking before and after surgery
While breast reduction can be performed at nearly any age, Dr. Allison usually recommends waiting until breast development is complete to ensure lasting results.
Recovery and Results
Recovery from breast reduction is typically straightforward. Mild soreness, swelling, and tightness are common for the first several days and are well managed with prescribed medication and supportive garments.
First week
Light walking and daily activities are encouraged; most patients return to desk work within 7–10 days.
Weeks 2–4
Swelling and sensitivity diminish steadily.
Weeks 4–6
Exercise and heavier lifting can be resumed gradually under Dr. Allison’s guidance.
The breasts initially appear high and firm, then settle naturally over the next few months. Incision lines continue to fade throughout the year.
Final results reveal smaller, lifted breasts that are more comfortable, symmetrical, and proportional to the body. Most patients experience immediate relief from back and shoulder discomfort and find it easier to maintain posture and physical activity.
Results are long-lasting, especially when supported by a stable weight, healthy lifestyle, and consistent bra support.
Insurance and Medical Necessity
For many patients, breast reduction is not purely cosmetic. When large breasts cause pain, skin irritation, or posture issues, the procedure may qualify as medically necessary.
Dr. Allison and the Becker Plastic Surgery team assist patients in navigating insurance documentation, which may include photographs, symptom records, or a letter of medical necessity from a primary care physician. Coverage varies by provider and plan, and details are discussed during consultation.
Potential Risks and Considerations
As with any surgical procedure, breast reduction carries potential risks such as bleeding, infection, asymmetry, delayed wound healing, or temporary changes in nipple sensation. These are uncommon and minimized through careful surgical planning and post-operative care.
In some cases, breastfeeding ability may be affected, depending on how much tissue is removed. Dr. Allison discusses this possibility and takes measures to preserve lactation potential whenever feasible.
The Becker Plastic Surgery team provides thorough pre- and post-operative guidance to ensure a safe experience and the best long-term results.
Why Choose Becker Plastic Surgery and Dr. David W. Allison?
Dr. David W. Allison is a board-certified plastic surgeon with advanced training in aesthetic and reconstructive breast surgery. He is known for his surgical precision, attention to proportion, and natural results that reflect each patient’s individual goals.
At Becker Plastic Surgery, patients benefit from a collaborative team of plastic surgeons serving Philadelphia and New Jersey. The practice is recognized for its commitment to patient education, safety, and artistic excellence. From consultation to recovery, Dr. Allison and the Becker team provide compassionate, personalized care focused on comfort and confidence.
Pick one of our 6 convenient locationsfor Your Plastic Surgery Needs
If you are ready to experience relief from discomfort and enjoy balanced, natural proportions, schedule your consultation at Becker Plastic Surgery. Dr. David W. Allison and our experienced team proudly serve patients throughout Philadelphia and New Jersey, providing expert breast reduction surgery designed to improve comfort, confidence, and quality of life.
Breast Reduction FAQs
How much smaller will my breasts be after surgery?
The amount of reduction varies depending on your anatomy and goals. Dr. Allison works with each patient to achieve a lighter, balanced size that fits the body’s natural proportions.
Will insurance cover my procedure?
Insurance may cover breast reduction if it is deemed medically necessary to relieve pain or other symptoms. Dr. Allison’s team helps patients navigate coverage requirements and documentation.
What type of scars can I expect?
Scarring depends on the incision pattern and individual healing. Incisions are placed strategically to be easily concealed under clothing, and scars fade with proper care and time.
Can I breastfeed after breast reduction?
Breastfeeding may still be possible but can vary depending on the surgical technique and extent of tissue removal. Dr. Allison discusses this in detail for patients who plan future pregnancies.
How long does recovery take?
Most patients return to light activity within one to two weeks and resume full routines, including exercise, after about six weeks. Swelling and firmness continue to improve for several months.
Are results permanent?
Results are long-lasting, but natural aging and weight fluctuations can alter breast shape over time. Maintaining a stable weight helps preserve outcomes.
Will nipple sensation change?
Temporary changes in sensitivity are common and typically resolve during healing. Permanent changes are uncommon but possible depending on tissue removal.
Can breast reduction be combined with other procedures?
Yes. Breast reduction can be paired with a lift, liposuction, or body contouring for more comprehensive results. Dr. Allison tailors combination plans for optimal proportion.
What are the emotional benefits of surgery?
Many patients report increased confidence, better posture, and improved quality of life after surgery. Relief from pain and discomfort often enhances overall physical and emotional well-being.