The Jacobs Center for Cosmetic Surgery

Breast Reduction Surgery

Reduction Mammaplasty for San Francisco, Healdsburg, Santa Rosa, and More

Overly large breasts can be a literal burden. That's why Dr. Eric Culbertson offers breast reduction surgery for San Francisco-area patients seeking physical relief. Not only can large breasts appear to be out of proportion with the rest of a person's figure, they can cause discomfort and tension due to the constant pull of their weight.

Breast reduction surgery, also called a "reduction mammaplasty," removes fat, tissue, and skin from the breasts to make them smaller in size. Whether women in Santa Rosa, Napa, or the greater Bay Area are looking into breast reduction surgery for pain relief, a change to their physical appearance, or both, it is important to communicate with plastic surgeon Dr. Culbertson to work together toward the desired results. Dr. Culbertson prioritizes building a good relationship at each consultation to improve patient understanding—as well as comfort and satisfaction with the ultimate results.

Talk to a professional about breast reduction surgery in the Bay Area by sending a message online or calling The Jacobs Center's San Francisco office (415.433.0303) or Healdsburg office (707.473.0220).

Is Breast Reduction Surgery Right for Me?

Breast reduction surgery is ideal for patients who struggle with heavy breasts that feel like they hang instead of sit on the chest. Pendulous breasts also tend to have nipples that point toward the ground. Such breasts often act as a weight that pulls the upper part of a patient's frame forward, generating pain in the upper back, shoulders, and neck.

Many women with excessively large breasts also complain that their outfits do not fit them properly. Their breasts either strain against too-tight material on the top, or the rest of their body is lost in fabric cut to accommodate a larger woman on the bottom.

Some patients seek breast reduction surgery because they do not appreciate the attention their chest receives each day. Large breasts also make it difficult to exercise or play sports.

In reality, many breast reduction surgery patients have endured some or all of the situations above. Breast reduction surgery provides a chance for these women to take control of their physical and emotional comfort along with their appearance.

Women who plan to lose weight or have children are typically advised to wait until after they've achieved their goals before making a decision on breast reduction, as hormone and weight fluctuations, as well as the physical effects of growing and nursing a baby, can alter the size and shape of the breasts. Post-surgical body changes can alter the results of a breast reduction procedure.

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How to Prepare for Breast Reduction Surgery

Patients should do as much research as they can and ask plenty of questions during their consultation so that they know what to expect from a breast reduction procedure at The Jacobs Center, including cost, potential risks, and other aspects of the surgery. During the consultation, Dr. Culbertson will discuss his patient's expectations and goals for breast reduction surgery, as well as explain what can realistically be achieved.

Before undergoing a breast reduction, it's important to eat right, stay active, and be in a good physical condition so that the body heals faster after the surgery.

Patients may be asked to have a medical examination to determine whether they're right for breast reduction. Of course, following Dr. Culbertson's pre-surgery instructions is essential for ensuring that the procedure goes as smoothly and successfully as possible.

Refrain from smoking for at least a few weeks before and after the big day, as nicotine use can cause complications and make it more difficult for the body to heal following surgery. You may be asked to adjust how you take certain medications. Blood thinners are to be avoided, as they can make bleeding worse.

After a breast reduction, it's common to feel discomfort and fatigue at first, so it can be helpful to organize your home and do chores in advance so that you are able to recover in peace. Some patients find it helpful to put together a care package of all the things they'll need to keep on hand after breast reduction surgery, such as comfortable clothes and towels.

Breast Reduction Surgery Details

Breast reduction surgery involves Dr. Culbertson making incisions that allow him to excise the unwanted tissue. Different patients require different techniques, since some may have bulk that is made up largely of large fat cells, while others may have more significant breast tissue.

In either case, he will work to keep the breasts in proportion with each other for a symmetrical look after the procedure is complete. The nipple and areola may also need to be repositioned on the chest so that they point outward and upward instead of down.

Breast Reduction Surgery and Men

Men with overly developed breasts or a sagging chest may also choose to have breast reduction surgery. This procedure can be performed with liposuction alone, or in combination with fat grafting, to minimize the need for incisions.

Gynecomastia is a condition that causes males to develop breast tissue. It often resolves on its own as hormone levels even out after times of fluctuation, such as puberty. For breasts that do not go away for a significant amount of time, breast reduction surgery can be a viable solution.

In other cases, excess fat may be creating the appearance of breasts. Weight loss can also cause skin laxity, which can contribute to the look of breasts.

Dr. Culbertson will determine the physical makeup of each man's breasts and consider the desired final result, then decide on a surgery that can involve some combination of liposuction, tissue excision, and skin removal. The procedure may also involve repositioning the areolas and nipples to a higher position, if necessary.

Dr. Eric Culbertson
Dr. Eric Culbertson Associations

American Board of Plastic Surgery-certified surgeon for breast & body-focused procedures, Dr. Culbertson personally strives to achieve natural yet undeniable results that bolster one's self esteem and reinforce, rather than change, one's identity.

Breast Reduction Surgery Recovery and Aftercare

Breast reduction surgery typically takes a few hours, and you will soon notice the results—in the mirror, as well as in the weight no longer tugging you downward.

Patients usually require a week or two of recovery time, and about a month of restricted physical activity.* Throughout this period, post-surgical bruising and swelling will fade. Scars will continue to improve and look better over time.

Patients should not engage in heavy physical activity or wear underwire bras in the days following their surgery. You may need to wear a compression bra to accelerate healing, minimize discomfort, and help the breasts settle into their new position. Compression garments are made of special materials that won't irritate incisions.

Dr. Culbertson can prescribe medications to help with the discomfort, if necessary throughout recovery. Even after bruises and lingering soreness fade, it can take several months for the "final" results to appear.

What to Expect After Breast Reduction Surgery

Dr. Culbertson will work closely with each patient to ensure the best recovery possible through follow-up care and an understanding of what to expect. Women considering breast reduction surgery may also want to consider a breast lift, which corrects asymmetries and gives the chest a naturally perky look.

Breast lift surgery has less to do with breast size, and more to do with stretched- out skin—typically seen by women who have lost significant weight or who have seen the breast tissue fluctuate in volume throughout pregnancy and breastfeeding. For this reason, breast reductions and lifts may also be part of a Mommy Makeover package.

The effects from breast reduction surgery are long-lasting, but the procedure can't prevent weight fluctuations, hormones, aging, gravity, or pregnancy from having an impact on the appearance of your breasts in the future.

Contrary to the popular misconception, breast reduction surgery patients may still be able to breastfeed afterward—but remember, this can alter the results.

Moving Forward

If you want to learn more about breast reduction surgery for Santa Rosa, Napa, and the entire San Francisco Bay Area, send a message online or call The Jacobs Center for Cosmetic Surgery to arrange a consultation. Reach the San Francisco office at 415.433.0303 or the Healdsburg office at 707.473.0220.

* Patient Results May Vary

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