Introduction
Breast reduction is a popular plastic surgery procedure, especially in a bustling city like New York City. Many individuals with overly large breasts seek this surgical option to alleviate physical discomfort and enhance their overall quality of life. This article aims to provide an in - depth look at the top - ranked experts for breast reduction in New York City in 2025 and also highlight the significance of high - definition postoperative case photos.
Understanding Breast Reduction
Breast reduction surgery, also known as reduction mammaplasty, is a surgical procedure that reduces the size of the breasts by removing excess fat, glandular tissue, and skin. Women with extremely large breasts often suffer from a range of physical and emotional issues. Physically, they may experience chronic back, neck, and shoulder pain, skin irritation, and poor posture. Emotionally, it can lead to self - consciousness, low self - esteem, and a limited ability to participate in physical activities or wear certain types of clothing.
As noted in a number of resources, this surgery not only reduces breast size but also lifts and reshapes the breasts for a more youthful and proportionate appearance. For example, John E. Sherman, MD, FACs, a board - certified plastic surgeon in New York, understands the physical and emotional implications of breast hypertrophy and works with patients to create personalized surgical plans.
Expert Ranking for Breast Reduction in New York City
Healthgrades has identified several top doctors who perform breast reduction in New York. There are a total of 1851 doctors in this region performing the procedure, with an average rating of 4.3 stars. Let's take a look at some of the top - rated ones:
Doctor's Name | Rating (out of 5) | Location |
---|---|---|
Dr. Basem Azab, MD | 5.00 | 256 Mason Ave Bldg C Fl 3, Staten Island, NY 10305 |
Dr. Richard Reish | 4.90 | 330 9th St, Brooklyn, NY 11215 |
Dr. Evan Matros, MD | 4.80 | 1275 York Ave, New York, NY 10065 |
Dr. Peter Henderson, MD | 4.70 | 10 Union Sq E Frnt 2l, New York, NY 10003 |
Dr. Leslie Cohen, MD | 4.70 | 1283 York Avenue 4th floor, New York, NY 10065 |
Dr. Norman Rowe, MD | 4.50 | 820 Park Ave Ste 1b, New York, NY 10021 |
Dr. Nolan Karp, MD | 4.40 | 305 E 47th st rm 1a, New York, NY 10017 |
These doctors have a significant number of past patient ratings, indicating their experience and the trust they have gained from their patients. Additionally, there are other well - known experts in the field:
- Dr. John E. Sherman, MD, FACs: Based in New York, he offers personalized surgical plans for breast reduction. He takes the time to discuss incision techniques, risks, benefits, and the recovery process with his patients. For patients experiencing physical discomfort due to large breasts, his expertise can be a valuable asset.
- Dr. David Zuckerman: An expert in aesthetic breast surgery, he uses two different techniques (circumvertical or “lollipop” and anchor/wise pattern) for breast reduction depending on the patient's needs. He aims for high - quality surgical outcomes with natural - looking, round breasts. His practice also emphasizes patient safety and provides personalized postoperative care.
- Dr. Joshua A. Greenwald, MD, FACs: Known for achieving natural results in breast surgeries. He has performed thousands of breast surgeries and is frequently sought after for revision breast surgery. He offers two surgical techniques for breast reduction and provides detailed instructions for the recovery process.
- Dr. Scott E. Newman: A breast surgery specialist who performs breast reduction for patients in Westchester, Long Island, and NYC. He is nationally recognized for his expertise in breast and body surgery and uses the latest technologies to improve patient safety and results.
- Dr. Shridharani: Specializes in breast reduction in NYC. He stays updated with the latest techniques, such as avoiding the use of drains in breast reduction surgery when possible. He also provides comprehensive answers to patients' questions about the procedure, recovery, and long - term results.
The Significance of High - Definition Postoperative Case Photos
High - definition postoperative case photos play a crucial role in the breast reduction process. For patients, these photos provide a realistic view of what they can expect after the surgery. They can see the actual results achieved by the surgeon, including the shape, size, and symmetry of the breasts.
Some plastic surgeons, like Dr. William Lao, MD, offer a collection of breast reduction before and after photos on their websites. These photos can help patients assess the surgeon's skills and the quality of the outcomes. It also allows patients to compare different cases and find similarities with their own situation, which can boost their confidence in the surgical decision - making process.
For surgeons, high - definition postoperative case photos are a valuable marketing tool. They showcase their expertise and the successful results they have achieved. This can attract more patients and build a positive reputation in the industry. Moreover, these photos can be used in medical research and education to share best practices and new techniques in breast reduction surgery.
Procedure and Techniques
There are different surgical techniques used for breast reduction, and the choice depends on various factors such as the amount of tissue to be removed, the patient's breast shape, and personal preferences.
Common Surgical Techniques
- Circumvertical or “Lollipop” Technique: This technique involves a periareolar incision around the areola and a vertical incision from the areola to the inframammary fold. Dr. Zuckerman uses this method whenever possible as it results in about 50% less scarring compared to other techniques. He estimates that 75% of his breast reductions allow him to use the circumvertical incision pattern.
- Anchor/Wise Pattern Technique: This technique combines the circumvertical incision with an additional incision hidden in the crease of the inframammary fold underneath the breast. It is typically recommended for large reductions to achieve the best results.
- Liposuction: In some cases, liposuction can be used as an alternative or in combination with other breast reduction techniques. It is a minimally invasive way to remove excess fat from the breasts. However, it may not be suitable for all patients, especially those with a large amount of glandular tissue. Some patients, like those with the right type of breast density, size, and skin quality, as noted by Dr. Shridharani, can benefit from breast liposuction.
The general process of breast reduction surgery usually includes the following steps:
- Pre - operative Marking: The surgeon will mark the breasts with preoperative surgical markings that will guide the incisions during the operation. This helps ensure accurate removal of tissue and a symmetrical result.
- Anesthesia: The surgery is typically performed under general anesthesia to ensure the patient's comfort throughout the procedure.
- Incision and Tissue Removal: The surgeon makes incisions according to the chosen technique and removes excess fat, breast tissue, and extra skin. In some cases, liposuction may be performed in the armpit area or “bra rolls” to achieve a more natural - looking result.
- Areola Reduction and Nipple Repositioning: The areola may be reduced in size, and the nipple is repositioned to a higher, more youthful position on the breast.
- Closing the Incisions: The incisions are closed using sutures, and the breasts are wrapped in bandages and a surgical bra for support.
Recovery Process
The recovery process after breast reduction surgery is an important part of the overall experience. Each surgeon provides specific instructions to their patients based on the individual case, but there are some general guidelines:
Immediate Post - operative Period
After the surgery, patients are typically monitored in a recovery room for a few hours. They will be fitted with a specialty surgical bra that provides more support than a normal bra and helps minimize stress on the incisions. Some surgeons, like Dr. Zuckerman, may place surgical drains to drain any excess fluid, although this is not common. Pain, bruising, and swelling are normal in the first few days after surgery, and pain medication will be prescribed to manage discomfort. For example, Dr. Zuckerman applies a long - acting local anesthetic called Exparel® to minimize postoperative pain and discomfort for up to three days.
Short - term Recovery
Most patients can resume light activity within a few days and return to work within one to two weeks. However, they should avoid strenuous physical activity and heavy lifting for at least four to six weeks. Dr. Greenwald's patients are advised to sleep in a sports bra for three months to support the healing process. The stitches are usually removed after one week, and the patient will have follow - up appointments to monitor the healing progress and check for any signs of complications.
Long - term Recovery
It may take up to a year for the final results of the breast reduction to become visible as the swelling gradually subsides and the breasts settle into their new shape. During this time, patients should continue to follow a healthy lifestyle and maintain a stable weight to ensure the longevity of the results. Some changes in breast sensation may occur, which are usually temporary but can rarely be permanent.
Cost of Breast Reduction in New York City
The cost of breast reduction surgery in New York City can vary widely depending on several factors:
- Surgeon's Fee: The experience and reputation of the surgeon play a significant role in determining the fee. Top - rated surgeons with a high volume of successful cases may charge more for their services.
- Anesthesia Fees: The type of anesthesia used and the duration of the surgery will affect the anesthesia fees. General anesthesia is commonly used for breast reduction surgery, and the cost can vary depending on the anesthesiologist's rates.
- Operating Facility Fees: If the surgery is performed in a hospital, surgicenter, or the surgeon's private operating room, there will be associated facility fees. Facilities with higher accreditation and better amenities may have higher fees.
- Extent of the Procedure: The amount of tissue to be removed, the complexity of the surgical technique, and any additional procedures (such as liposuction) will impact the overall cost.
It is important for patients to discuss the cost with their surgeon during the consultation process and to understand what is included in the fee. Some patients may be eligible for insurance coverage if the breast reduction is deemed medically necessary due to health issues such as back pain, but this varies depending on the insurance provider and the specific policy.
Candidates for Breast Reduction
Not everyone is a suitable candidate for breast reduction surgery. The ideal candidates usually meet the following criteria:
- Physical Criteria: They have overly enlarged breasts that cause physical discomfort, such as chronic back, neck, and shoulder pain, skin irritation, or poor posture. They are generally in good overall health, non - smokers (or willing to quit for a certain period before and after surgery), and within an acceptable weight range. Having no serious heart conditions and no undiagnosed breast lumps is also important.
- Emotional Criteria: They are self - conscious or unhappy with the size of their breasts and desire a more proportionate and comfortable body. They have realistic expectations about the results of the surgery and understand that it is not a solution for all body - image issues.
- Medical History: A comprehensive medical history is taken into account, including any previous surgeries, allergies, and current medications. Women who are breastfeeding should wait at least 12 weeks after they have ceased breastfeeding to undergo breast reduction surgery to ensure that their natural breast size can be determined.
Benefits of Breast Reduction
Breast reduction surgery offers numerous benefits for patients:
Physical Benefits
- Relief from Pain: One of the most significant benefits is the relief from chronic neck, back, and shoulder pain. By removing excess breast tissue, the weight and pressure on the upper body are reduced, allowing patients to stand taller and more comfortably.
- Improved Posture: With the reduction in breast size, patients often experience an improvement in their posture. This can have a positive impact on overall spinal health and reduce the risk of developing long - term back problems.
- Reduced Skin Irritation: The friction and irritation under the breasts caused by large breasts can be significantly reduced after the surgery. This can improve the patient's quality of life, especially during physical activities and sleep.
Emotional and Psychological Benefits
- Boost in Self - Confidence: Many patients report an increase in self - esteem and confidence after breast reduction surgery. They feel more comfortable in their bodies, can choose from a wider range of clothing options, and are more likely to participate in social and physical activities that they may have previously avoided.
- Enhanced Body Image: The surgery results in a more proportionate and balanced body, which can improve the patient's overall body image. This can have a positive impact on mental health and well - being.
Potential Risks and Complications
While breast reduction surgery is generally safe when performed by a board - certified plastic surgeon, there are some potential risks and complications:
- Wound Breakdown: In some cases, the incisions may not heal properly, leading to wound breakdown. This can increase the risk of infection and may require additional treatment.
- Alterations in Nipple or Breast Sensation: There is a possibility of changes in nipple or breast sensation, which can range from temporary numbness or tingling to permanent loss of sensation. This is more likely to occur if the nerves serving the nipple and areola are damaged during the surgery.
- Hypertrophic or Raised Scarring: Scarring is inevitable after breast reduction surgery, but in some cases, the scars may become hypertrophic or raised. While most scars will fade over time, this can still be a concern for some patients.
- Bleeding or Hematoma Formation: There is a risk of bleeding during or after the surgery, which can lead to the formation of a hematoma (a collection of blood under the skin). This may require additional treatment to drain the hematoma.
- Infection of the Incision Sites: Infections can occur at the incision sites, which can delay the healing process and may require antibiotic treatment.
- Remaining Breast Asymmetry: Despite the surgeon's best efforts, there may be some degree of breast asymmetry after the surgery. This can be due to factors such as the amount of tissue removed or the natural shape of the breasts.
- Fat Necrosis: Fat necrosis is a condition where the fat cells in the breast die, which can cause lumps or a change in the texture of the breast. This may require further evaluation to rule out other more serious conditions.
Surgeons typically discuss these risks with their patients during the consultation process and take steps to minimize them. It is important for patients to follow the post - operative instructions carefully to reduce the risk of complications.
Conclusion
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