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Breast Reduction in Beverly Hills

Enhance Your Natural Beauty with a Breast Reduction

Many women consult Dr. David Sayah about breast reduction surgery at his Beverly Hills plastic surgery office. Because of overly large or sagging breasts, women may experience neck and shoulder pain, deep grooves in the shoulders from brassiere straps, skin rashes, and increased menstrual discomfort. In addition, these patients often experience emotional distress when people thoughtlessly comment on the size of their breasts. Other women are bothered by sagging breasts, and while the size of their breasts may be acceptable, the undesirable shape makes them feel unattractive.

Enlarged breasts are often the result of factors such as:

  • Hereditary factors or weight gain
  • Hormones also play a part in some cases where the breast tissue is more sensitive than normal to certain female hormones.

Sagging breasts result from poor skin tone, stretching of ligaments during pregnancy and breastfeeding, weight changes, heredity, and the aging process. Either of these conditions can be corrected with the same basic operative procedure, and thousands of women each year undergo successful surgical alteration of their breasts. Contact us to discuss your specific situation.

Your First Visit with Our Breast Surgeon

During your initial consultation, you will be encouraged to discuss your desires, fears, expectations and goals. In addition to reducing breast size, Dr. Sayah will strive to create a more aesthetically pleasing breast by improving shape and balance and creating breasts that are proportional to your chest and shoulders.*
To learn more about breast reduction surgery in Beverly Hills, or to schedule an appointment, request a consultation and let our friendly staff help guide you. No woman has breasts perfectly symmetrical in volume, shape or position, but Dr. Sayah can help improve breast symmetry in addition to a more youthful appearance (firm breasts with proper uplift).*

Breast Reduction Procedure

A shapelier breast (lifted and reduced in size) is created by elevating the nipple (which normally remains connected to its nerve and blood supply) to a more acceptable position. If the nipple is enlarged, its size is reduced. The breast and torso are measured to determine the amount of reduction required, and a pattern is drawn on the breast. If necessary, the internal breast tissue is reduced and molded into a normal size and shape. During uplift operations, a small implant may sometimes be placed to add extra support and shape to the breast. Dr. Sayah will discuss this with you before surgery.*

New techniques in plastic surgery aim to reduce the length of incisions and scars in performing breast lifts and reductions. In traditional techniques, the final incision lines are made around the areola, down the bottom center, and horizontally under the breast, resulting in an “anchor scar.” Dr. Sayah uses more modern methods that limit the incisions to either just around the areola (small circular scar) or around the areola and down the center of the breast, resulting in a “lollipop scar.” In some cases, a significant breast reduction can be achieved by sculpting the breast using liposuction. All incisions are closed in multiple layers in order to minimize widening of the scars.

A comfortable bandage is fitted after surgery and worn for 48 hours. We recommend continued support of the breasts with a well-fitted, comfortable bra to prevent sagging. A small drain may be used to collect fluid for a day or two after the procedure to help decrease swelling and discomfort.

For insight on whether or not a breast reduction is right for you, call The Sayah Institute at (310) 385-0000 for an initial consultation.

Frequently Asked Questions

  • Breast Reduction

    Should I Choose a Breast Reduction?

    If you’ve made the decision to move forward with a breast reduction, you probably have a lot of questions. Although many of these will be addressed at your initial consultation with Dr. David Sayah, we encourage all of our patients to learn as much as they can about their procedure ahead of time.

    Conditions Improved by a Breast Reduction

    There are a few different conditions that may be improved by a breast reduction:

    • Macromastia: The medical term for large breast size, living with macromastia can be frustrating, embarrassing and physically and emotionally painful. A breast reduction helps women resolve the physical discomfort associated with large breasts, which in turn helps them feel more positive about their appearance.
    • Back, neck, or shoulder pain: Large breasts can cause persistent back, neck and shoulder pain. These may be due to the excess weight from the breasts, or the poor posture that many large-breasted women adopt in an effort to feel more comfortable. Breast reduction alleviates the physical discomfort associated with larger breast size.
    • Asymmetry: If one breast is significantly larger than the other, a breast reduction can reshape the larger breast to a more even size and shape with the smaller breast.
    • Ptosis: The changes that occur in skin elasticity with age, combined with the forces of gravity, pull breasts downward over time, particularly in women who are well endowed. Ptosis, or droopy breasts, may also be worsened by pregnancy. At our practice in Beverly Hills, breast reduction surgery is often combined with a breast lift to reduce breast size as well as return the breasts to a higher, more youthful placement.
    • Large or downward facing nipples: In some women with large breasts, the breasts and areolae face downward rather than forward, and may seem too large for the breast. When nipples and areolae are in this alignment, or if they fall below the natural crease of the breast, a breast reduction can reposition them. The nipple and areolae can be made more proportionate to the new, smaller breast size during breast reduction as well.
    • Lack of firmness: More generous breasts typically lack the high, firm look and feel of smaller breasts. During a breast reduction, the existing breast tissue is reshaped to improve texture and appearance.

    Can I Combine a Breast Reduction with Breast Lift?

    It’s very common to include a breast lift as part of breast reduction. Breast reduction removes excess fatty and glandular tissue, while a breast lift reshapes and lifts the breast for a higher, fuller look than breast reduction alone.

    Is There an Age Restriction?

    Although there’s no official age limit in Los Angeles for breast reduction, performing the surgery before the breasts have finished growing may necessitate a second reduction surgery later on. Most women have reached their full breast growth by the very late teens or early 20s.

    What Are the Breast Reduction Incisions and Sizes?

    Dr. Sayah makes every effort to ensure as beautiful a final result as possible. That’s one reason why he offers new techniques during breast reduction surgery, preferring to limit the incisions to either just around the areola, or around the areola and down the center of the breast (sometimes called a “lollipop lift”). If the incisions are extended outward within the natural crease of the breast, this is referred to as an “anchor scar.” Some women may see significant improvement in breast size through liposuction alone; liposuction may also be incorporated as part of more traditional surgery. The specific technique used during surgery depends on the level of correction needed, and whether or not a breast lift will be included as part of the procedure. Dr. Sayah then closes the incisions using multiple layers of internal stitching to minimize the appearance of the scars during healing.

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