Breast Reduction

Maryland Plastic Surgeon serving Washington DC, & Virginia including Alexandria and Fairfax.


Women with an oversized or pendulous bosom may have an array of medical difficulties attributable to its heavy weight, such as back and neck discomfort, skin inflammation, spine and skeleton problems, painful irritation from bra straps, and even respiratory problems. Oversized breasts can make a female of any age very self-conscious.

Breast reduction, also called reduction mammaplasty, is a surgery that has been specially formulated for women with this problem. The surgery excises fat, glandular tissue, and skin from the breast area, making the resulting mammaries smaller and firmer. The procedure can also shrink the areola, the darkened area of skin that surrounds the nipple. The procedure’s ultimate goal is to grant the patient less overtly large and more pleasingly shaped breasts that are proportionate to the rest of the body.

Maryland Breast Reduction Surgery - Dr Chiaramonte

Dr. Chiaramonte encourages you to request a personal consultation if you are considering a breast reduction so that you can learn more about this procedure and receive a professional opinion about your cosmetic needs.

Breast Reduction Surgery

Methods for the performance of this surgery can vary wildly; however, the most typical technique creates a surgical cut that is shaped like an anchor, circling the areola and extending vertically downward to follow the natural crease underneath the breast. Dr. Chiaramonte then excises surplus glandular tissue, fat, and skin, and relocates the nipple and areola into a new location on the breast. The skin from either side of the breast is then gently stretched down and around the areola, forming the breast’s new contour. Liposuction procedures may be used to eliminate extra areas of fat located in armpit region.

In most examples of this operation, the nipples will continue to attach to their blood vessels and nerves. If the bosom is extremely oversized or pendulous, though, the nipple and areola may be completely severed and grafted into a better location. This will inhibit the sensitivity of nipple and areolar area.

Sutures can typically be found around the areolar region, in a line that runs downward from the nipple and across the lower contour of the breast. When only fatty tissue needs to be excised, sometimes a liposuction procedure alone can decrease breast size, resulting in minimal scarring.

After Breast Reduction Procedure

After your procedure, the area will be bandaged with a stretchy bandage or a surgical bra over wrappings of gauze dressing. A small drain may be inserted at each surgical site to help blood and fluids escape. You may feel discomfort for the first few days, particularly when moving or coughing; some discomfort is to be expected for a week or more. Dr. Chiaramonte can provide you with medications to help deal with the pain.

The gauze and bandage will be taken off one or two days after the operation, although the surgical bra must remain on day and night until the irritation and discoloration fade. Your sutures will be taken out in one to three weeks. The skin around the surgical site may be dry and comfortable: lotion or moisturizer may be applied as needed, but the sutured area itself must be kept clean and dry.

Getting Back to Normal

Although you may feel ready to go in as little as a couple days, the operation area may still hurt occasionally. You should refrain from lifting or pushing anything heavy for three or four weeks. Dr. Chiaramonte will give you more information about at what pace to go with resuming your day-to-day activities. Most patients can return to their job (if it’s not too physically demanding) and social engagements in about two weeks. However, you will have decreased energy for several weeks, and you should limit physical exercise to stretches and light swimming until you are sure you’re fully healed. You will also need a sturdy athletic bra to provide support as you heal.

You may be asked to refrain from sexual intercourse for a week or more; arousal can swell the incisions, causing them to drain improperly. Your breasts should only undergo very gentle handling for six weeks. Minor amounts of fluid draining from your surgical site, or some “crustiness” over the sutures is normal. If you have any non-typical occurrences—such as bleeding, serious inflammation, or extreme pain—please call us immediately.

Your New Look

Although much of the inflammation and discoloration will be relieved during the first few weeks, full healing may take six months to a year. Your breasts’ new form may change in accordance with hormonal shifts, weight gain or loss, and childbearing.

Dr. Chiaramonte will apply all his skill at making your scars as unnoticeable as possible after your breast reduction procedure. Still, it is vital to keep in mind that the procedural scars are there forever. They often stay bumpy and red for months, gradually becoming less overt, and eventually weakening to white lines. These scars can typically be precisely located so that you have the option of wearing decolletage-featuring fashions.

Of all the cosmetic surgeries Maryland and Northern Virginia women choose to undergo, breast reduction has the unique effect of the quickest change of body image. The physical discomfort of oversized breasts will vanish, your body’s proportions will improve, and new fashions will hang more easily.

Breast Reduction Cost

The average cost of a breast reduction at Bella Cosmetic Surgery is between $7,500 and $9,000. Keep in mind that your fees could fall above or below this range. The only way to be sure about your estimated cost is to meet personally with Dr. Chiaramonte for a consultation.

Your Breast Reduction can be enhanced by a breast lift, a tummy tuck, liposuction, or our very own Bella Body Lift. To learn more about breast reduction, visit our office in National Harbor, Maryland, request a consultation online, or call the office at 866-BELLA-06.

We invite you to call our Maryland plastic surgery office in National Harbor at (301) 567-6767 to schedule a personal consultation.