By Dr. Gina Maccarone, MD, FACS, FAACS

For many women, having overly large breasts isn’t just a cosmetic concern. It can impact daily life in ways that are hard to ignore: chronic neck, back, and shoulder pain, shoulder strap indentations, rashes under the breast crease, and even difficulty finding clothes that fit comfortably. Some women avoid social situations or certain activities because of discomfort or self-consciousness. If this sounds familiar, breast reduction surgery (reduction mammoplasty) may be the answer you’ve been looking for.

This procedure removes excess tissue, skin, and fat to create a breast size that’s more proportionate to your body, relieving physical pain and improving overall balance. Beyond the physical benefits, the emotional changes can be just as powerful. Patients often share that they finally feel comfortable in their own skin, more confident, more active, and more like themselves again. It’s no surprise that breast reduction continues to rise in popularity year after year, as more women prioritize comfort, health, and confidence. In fact, in 2024, breast reduction was the fifth most common cosmetic breast procedure performed in the U.S., with 4,707 procedures recorded (American Society of Plastic Surgeons, 2024).

So how do you know if breast reduction is right for you? It starts with understanding your goals and symptoms. Many candidates come to me because of chronic pain, shoulder grooving from bra straps, or skin irritation. Others feel limited in their ability to exercise or enjoy certain activities. For some, it’s about restoring confidence after years of feeling self-conscious. Men with conditions like gynecomastia (enlarged breast tissue) can also benefit from this procedure. Ultimately, the best candidates are those who are in good health, don’t smoke, and are seeking this surgery for themselves, and not to meet anyone else’s expectations.

If you’re considering breast reduction, the process begins with a consultation. This is your time to share your goals openly and discuss your medical history. We’ll review everything from current medications and lifestyle habits to any past surgeries. Measurements and photos may be taken to help plan your procedure, and we’ll decide together how much tissue should be removed to achieve the most natural, balanced result for your body. We’ll also talk about what to expect before, during, and after surgery, including important steps like quitting nicotine, stopping certain medications, and scheduling a pre-op mammogram if needed.

Preparation is key for a smooth recovery. I encourage patients to create a comfortable space at home before surgery, like stocking up on loose tops, surgical bras, clean towels, and a few things to keep you entertained during downtime. You’ll also want to arrange for someone to help during the first day or two. While most breast reductions are outpatient procedures, your recovery still requires care and patience.

The surgery itself typically takes three to five hours under general anesthesia. During the procedure, I remove excess tissue and skin, then reshape and lift the breasts for a natural, beautiful contour. The nipples are repositioned to maintain proportion. While scars are part of the healing process, I place them as discreetly as possible, and they generally fade over time. Most patients take one to two weeks off work and return to light activities after a couple of weeks, with exercise and strenuous movement resuming around four to six weeks post-op.

The benefits go far beyond aesthetics. My patients often describe the feeling as having a weight, literally and figuratively, lifted from their shoulders. The relief from pain, the freedom to move without restriction, and the confidence to wear clothes they once avoided are life-changing. Just as meaningful are the emotional benefits: improved self-esteem, greater comfort in social settings, and the ability to fully embrace the activities and lifestyle they love.

If you’ve been struggling with the physical and emotional challenges of overly large breasts, breast reduction may be the solution that helps you feel like your best self: comfortable, confident, and completely at ease in your body. Every patient’s journey is unique, which is why I take the time to truly understand your goals and create a personalized surgical plan that aligns with your vision. Together, we can achieve a result that not only looks natural but feels liberating.

Xo,
Dr. G.