Breast Reduction in Portland, OR

What is a breast reduction?

Breast reduction is a procedure within reconstructive plastic surgery that focuses on removing excess tissue and skin from very large breasts to create breasts that are more proportionate to the body. By addressing stretched breast skin and heavy glandular tissue, the procedure can improve physical comfort, posture, and overall balance. This will also diminish any discomfort associated with large breasts such as back or neck pain.

During this breast surgery procedure, Dr. Bohley will administer either intravenous sedation or general anesthesia. Incisions will then be made. There are three general incision patterns that can be used for breast reduction surgery. The first, a circumareolar pattern, is made around the areola. The next, a T-shaped incision, is made around the areola and down towards the breast fold. The third, an anchor incision, is made around the areola, down towards the breast fold, and along the fold of the breast.

After the plastic surgery incision is made, the nipple will be repositioned and underlying tissues will be reduced, lifted, and shaped. Incisions will then be closed, and bandages and a surgical bra will be applied.

Am I a good candidate for breast reduction?

Ideal candidates for breast reduction surgery are physically healthy, non-smokers with realistic expectations for the outcome of their procedure. Excess breast tissue, breast volume, and skin can cause breast pain, excess breast weight, and discomfort. Those who are experiencing back, neck, or shoulder pain due to the weight of their overly sized breasts may be able to benefit from this breast reconstructive procedure.

If you live near the Portland, Oregon, or Vancouver, Washington areas and have been suffering from the side effects of large and heavy breasts and are in overall good health, book a consultation today with Dr. Bohley. During a consultation we will assess physical symptoms, medical history, and review the best surgical techniques and treatment plans to help you achieve your goals. For patients with severe breast ptosis a breast lift can be paired with the procedure to improve the breast shape and sagging caused by the enlarged breasts.

During surgery, surgeons use advanced reduction techniques to remove excess skin and reshape the breasts while carefully preserving breast sensation whenever possible. Candidacy for breast reduction is often evaluated in part by a patient’s body mass index, as this can influence surgical planning, healing, and results. Incisions are strategically placed to minimize visible surgical scars, and they typically fade significantly over time.

Breast Reduction FAQs

Can breast grow back after reduction?

Although rare, some patients have experienced breast growth after reduction surgery, typically associated with weight gain, menopause, or pregnancy.

Can you drink alcohol after breast reduction?

In the days immediately following breast reduction surgery, you may be instructed not to drink alcohol, although as your recovery progresses, Dr. Bohley will instruct you on when it is safe to do so again.

Do you lose feeling in your nipples after breast reduction?

In rare cases, patients lose feeling temporarily after breast reduction surgery, although normal sensitivity will return over time

Do you lose weight after breast reduction?

Patients may lose weight following their breast reduction due to the weight of the removed tissue. However, breast reduction is not intended to be a weight loss procedure.

Does insurance pay for breast reduction?

When well documented by a primary physician, breast reductions can be considered medically necessary if they contribute to chronic back, shoulder, or neck pain, or other conditions as diagnosed.

Does weight gain increase breast size?

When you gain weight, the body distributes fat throughout the body, including the breasts. Although weight gain does increase breast size, it does so in proportion to the rest of the body, and cannot be targeted specifically to breast tissue.

Has anyone had a second breast reduction?

A second breast reduction is possible but is typically unnecessary.

How can I reduce my cup size?

Regular exercise can reduce cup size in some cases by reducing fat and strengthening the chest muscles. Some patients, however, will require breast reduction surgery to reduce the size of their breasts.

How dangerous is breast reduction surgery?

Breast reduction surgery is generally safe. Some risks, such as the risk of infection, can be avoided by carefully following your plastic surgeons instructions after the procedure.

How do you know when you need a breast reduction?

Some signs you may need a breast reduction include back, shoulder, and neck pain, chafing, discomfort during activities such as exercise, and difficulty finding clothing that fits properly.

How is the recovery from breast reduction?

After breast reduction, the recovery period lasts between two and six weeks. Through this period, swelling and some discomfort are both normal. Your plastic surgeon can explain what to expect during a consultation.

 

What is the recovery time period?

Your breast reduction surgery will take around three hours and you will typically be sent home the same day. There may be some delay in healing, but overall incision care is not a difficult task. Many patients can resume normal activities within six weeks, post-surgery. The final results of your surgery, however, may take several months to be noticed. It is important to follow the specific post-op instructions that will be given to you by Dr. Bohley to ensure a quick recovery. If you have any concerns or questions during your recovery period, please do not hesitate to contact our office.

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What results can I expect from my breast reduction?

It is very rare that a patient does not experience symptomatic relief after their breast reduction surgery. With breast size reduction, you may experience relief from pain, headaches, sleep apnea, neck arthritis, improved skeletal stability, and improvement in lung functions. Breast reduction is a wonderful surgery for women who have been suffering from the symptoms of heavy breasts. Results from breast reduction surgery are long-lasting. However, results can change due to aging, weight fluctuations, or hormonal factors.

 

Double Board-certified Plastic Surgeon |  + posts

Dr. Michael Bohley is a double board-certified plastic surgeon recognized as one of Portland’s leading experts in body, breast, and facial cosmetic procedures. With years of advanced training and a distinguished surgical career, he combines refined aesthetic judgment with meticulous technique to deliver consistently exceptional results. Renowned for his skill in tummy tucks, liposuction, breast augmentation, and mommy makeovers, Dr. Bohley develops highly individualized treatment plans to meet each patient’s unique goals. His dedication to patient education, safety, and precision has earned him membership in numerous prestigious professional organizations and the trust of patients throughout the greater Portland area.