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Breast Reduction With Lift

Breast reduction (“reduction mammaplasty”) decreases the size of overly large breasts by removing excess tissue and skin. Breast reduction surgery is often accompanied by a breast lift (“mastopexy”) in order to lift and reshape the breasts. The breast reduction and lift procedure improves the appearance of cumbersome, drooping breasts and makes them more proportionate with the rest of the body.

Our Miami breast reduction and lift specialist, Dr. Leonard M. Hochstein, opened his private practice in 1998. He has perfected his technique for breast reductions, and his expertise has attracted women from all over the world. A highly skilled and reputable Florida plastic surgeon, Dr. Hochstein pays special attention to minimizing scarring in order to give his patients the most natural look possible. This procedure can alleviate back and neck problems, grooving in the shoulders from bra straps, and rashes (intertrigo) along the inframammary folds, while avoiding a loss of sensation from stretched nerves. This surgery can often improve self-image issues as it effectively alleviates the physical discomfort associated with overly large breasts.

Ideal Candidates

Every patient is different and requires an evaluation by the trained eye of top surgeon Dr. Hochstein. A highly individualized procedure, a breast reduction with lift may be the right choice if you:

check Are physically and psychologically healthy
check Have realistic expectations of the procedure
check Have breasts that are fully developed
check Are unhappy with having overly large breasts
check Have physical or emotional discomfort resulting from overly large breasts
check Have breasts that are asymmetrical

Initial Consultation

During your initial consultation, you will be able discuss your desired outcome in detail with “Dr. H” so that he can fully understand your expectations of surgery. Dr. Hochstein will examine your breasts and other various factors involved with the breast reduction procedure, which will help him determine which options will provide you with the best results possible. Also during this time, you will be able to look at breast reduction before and after photos to see the kind of results Dr. Hochstein has performed on some of his other patients. You will also be able to discuss the cost of breast reduction surgery and the amount of recovery time that can be expected for you.

Together, you and Dr. Hochstein will decide on:

  • The location of the incision
  • The final breast size

Location of the Incision

Depending on the extent of the reduction and lift needed, there are three different options for incision placement:


Periareolar Incision

Periareolar Incision: a circular pattern around the areola


Keyhole Incision

Keyhole Incision: around the areola with two incisions vertically down to the breast crease


Anchor Incision

Anchor Incision: around the areola, vertically down to the breast crease, and horizontally across the inframammary fold

The Procedure

Breast reduction and lift surgery is performed under general anesthesia. After the incision is made, the breast tissue is lifted, reshaped, and held in place with sutures. Excess tissue and skin are removed, and the incisions are brought together to produce a smaller breast. Liposuction may also be used in conjunction with this procedure to remove tissue from the sides of the breasts. In some cases, liposuction may be used as the sole method for scarless breast reduction if excess skin does not need to be removed.

A breast reduction may involve nipple and areola repositioning to a higher location if skin above the nipple is reduced. In cases of extremely large breasts, the nipple and areola may need to be transferred as a skin graft to the new position. In addition, if a nipple reduction is also desired, excess skin at the perimeter of the areola may be excised.

Potential Complications

As with all surgical procedures, there are some risks associated with breast reduction and lift surgery. These include, but are not limited to, infection, changes in nipple or breast sensation, bleeding, poor wound healing, breast asymmetry, problems with breastfeeding, and fat necrosis. During your initial consultation, Dr. Hochstein will answer any questions you may have and make sure that you fully understand all possible complications involved with the surgery.


Breast reduction recovery time varies from patient to patient. As with any surgery, breast reduction recovery is a gradual process, and some patients recover more quickly than others. The typical patient will experience some pain and discomfort for two to three days following surgery, but this can be alleviated with prescribed pain medication. Depending on their occupation, most patients can return to work about a week after surgery. After one to two weeks, patients can resume no-impact lower body exercises. Four weeks after surgery patients can resume impact exercises, and about six weeks following surgery they can resume upper body exercises.


After a breast reduction and lift procedure, the resulting smaller, more youthful breasts are visible immediately and will become more apparent as swelling and bruising subside. Breast reduction scars will be noticeable at first, but they will fade over time. Patients often experience a boost in self-confidence knowing that their breasts are elevated and more in proportion with the rest of their body. Results will be long-lasting and patients will be relieved from physical limitations and the pain caused by overly large breasts.

If you are considering breast reduction, Miami plastic surgeon Dr. Hochstein and his staff are committed to providing patients with the best experience possible. Dr. Hochstein follows his patients’ progress for an extended period of time to ensure that optimum results are maintained, and he is always available to answer any questions and ease any concerns they may have.

To learn more about breast reduction in Miami, call board certified plastic surgeon Leonard M. Hochstein, M.D. at (305) 931-3338 to schedule your consultation. Breast reduction Florida surgeon Dr. Hochstein and his staff look forward to meeting you.


Leonard M. Hochstein M.D.
Address: 585 NW 161st Street, Miami, Florida 33169
(Miami Metro)
Telephone:(305) 931-3338
Fax:(305) 931-3324