Introduction

Breast fat reduction surgery, also known as reduction mammoplasty, is a life - changing procedure for many women in New York City. Having overly large breasts can cause various physical and emotional problems, such as back pain, neck pain, poor posture, and self - consciousness. In New York City, there are several top - notch hospitals and clinics that offer high - quality breast fat reduction services. This article will introduce five such formal and powerful institutions for breast fat reduction.

1. Mount Sinai Hospital

General Overview

Mount Sinai is a well - known medical institution in New York. Its team of highly trained and qualified plastic surgeons is expert at enhancing women’s breasts. They take a warm, caring, and supportive approach to patient care, creating a comfortable environment for patients to discuss very private and sensitive concerns about their bodies.

Services Offered

• Comprehensive Consultation: Before the surgery, surgeons at Mount Sinai will help patients determine whether breast reduction is the right choice for them. At the confidential consultation, patients will receive all the information they need to make an educated decision about the procedure.
• Surgical Expertise: The surgeons are skilled in performing breast reduction surgeries. They can help patients achieve a more proportionate breast size and relieve the physical and emotional burden caused by large breasts.

Candidate Requirements

• Maintain a healthy, stable weight.
• Not plan on future pregnancies which will affect the breasts.
• Be physically mature with fully - developed breasts and emotionally mature about the choice.

Expected Results

• Less neck, back, and shoulder pain caused by the weight of heavy breasts.
• Improved self - confidence about breast size.
• Decreased breast size to be in proportion with the body frame.
• Nipples pointing in a more upward position.
• Relief from chafing and skin irritation caused by sagging breast skin.
• Balanced size of breasts.

2. Breast Reduction Center of NYC

General Overview

Located on the upper east side in Manhattan, NY, the Breast Reduction Center of NYC is the premier destination for breast reduction plastic surgery. Their breast reduction specialist surgeons are top - rated board - certified or board - eligible plastic surgeons, offering top - quality surgical care in a state - of - the - art facility.

Unique Features

• Pain Management Innovation: The center has developed an innovative and unique approach to pain management. They use a special technique called a nerve block, which eliminates the need for prescription pain medicine. Only over - the - counter Tylenol and ibuprofen are necessary for recovery. Even patients with very large breast reduction volumes, some over 7 pounds, can be treated using this special technique.
• Minimal Post - op Complexity: The surgeons do not use drains in breast reductions, and all the stitches dissolve on their own, making post - op care much less complicated.
• Virtual Consultations: They offer virtual consultations from anywhere in the world, providing more flexibility for patients. After the virtual consultation, an in - person visit can be scheduled if necessary.

Insurance and Financing

• The center is in - network with Cigna, United Healthcare, and Oxford (but does not accept United Healthcare community plan and Oxford metro plans). They may accept the Empire Plan (NYSHIP), Blue Cross Blue Shield, and Aetna plans only if patients have out - of - network benefits.
• Unfortunately, they do not accept Medicare, Medicaid, Medi - Cal, Tri - care, Amida Care, Fidelis, and Metroplus plans. Patients with non - accepted plans need to proceed as self - pay. They also provide information on CareCredit’s financing options to help patients manage out - of - pocket healthcare expenses.

Candidate Evaluation

Typically, breast reduction surgery may be considered reconstructive and medically necessary when one or more of the following criteria are met:

• The breasts are creating medical problems such as shoulder, back, or neck pain.
• The bra straps are causing significant grooving in the shoulders.
• The breasts are causing bad posture characterized by hunched shoulders and a curved back.
• There are limitations on physical activity impacting the ability to perform household chores, work duties, or exercise due to breast size.
• Patients experience headaches or nerve compression syndromes due to the weight of the breasts.
• Patients develop rashes and/or infections on the trapped skin under the breasts.

3. Practice of Dr. John E. Sherman

General Overview

Dr. John E. Sherman, MD, FACS is a board - certified plastic surgeon who understands the physical and emotional implications of breast hypertrophy. He works with his patients to create a personalized surgical plan that meets their needs and goals.

Options Available

• Breast Reduction Surgery: Involves removing excess breast tissue, fat, and skin to create a smaller, more proportionate breast size. The surgery is performed under general anesthesia and takes about 3 - 4 hours to complete, depending on the patient’s individualized treatment plan. Commonly, treatment involves the strategic placement of incisions around the areola and lower breast, and the nipple - areola complex is repositioned to a new position above the breast crease.
• Liposuction: Some patients may not want to undergo such an involved surgical procedure as reduction mammaplasty. Liposuction can be used to reduce the size of breasts by removing excess fat in a minimally invasive way. Typically, breast reduction with liposuction is a much shorter procedure, taking around 1 - 2 hours to complete.
• Male Breast Reduction: Although breast reduction surgery is a common request from female patients, overdeveloped breast tissue is also seen in men. Dr. Sherman can provide treatment for this condition as well.

Benefits of Breast Reduction

• Physical Relief: Relieves chronic neck and back pain, and improves posture by removing excess breast tissue, reducing the weight and pressure on the upper body.
• Boost in Body Confidence: Increases self - esteem and confidence, allowing patients to choose from a wider range of clothing options, move and exercise more easily, and participate in activities they may have avoided before.
• Reduced Irritation: Improves the fit of bras and clothing, reducing irritation and rubbing of the skin under the breasts. Patients may notice improvements in sleep quality and easier participation in sports and exercise.

Preparing for Surgery

To ensure a smooth process and desirable results, patients will receive detailed preoperative instructions, which may include:

• Discontinuing certain medications, supplements, or blood thinners, which could interfere with the surgery or affect recovery.
• Ceasing the use of any nicotine products in the weeks leading up to the breast reduction surgery and remaining nicotine - free throughout the recovery period.
• Filling prescriptions for pain medication and antibiotics in advance of the procedure.
• Coordinating a ride home and escort if sedation or general anesthesia will be used.
• Arranging time off from work and social commitments to ensure adequate time to rest and recover after the surgery. Breast reduction surgery typically requires one to two weeks of downtime, depending on the extent of the procedure.

4. Dr. Darrick Antell's Practice

General Overview

Dr. Darrick Antell is one of the world’s most celebrated plastic surgeons. Trained at Stanford and Cornell, he is known for his meticulous precision, integrity in patient care, and outstanding ability to create remarkably natural - looking results. As a breast surgeon, he beautifully shapes, reduces, and improves the appearance of women’s breasts for those whose breasts are too large for their physique.

Consultation Process

During the consultation for breast reduction in New York City, Dr. Antell will listen to the patient’s concerns and evaluate their medical history and overall health. He will measure and examine the breasts and take photographs for the medical record. He will also discuss the aesthetic goals for the size and appearance of the breasts, and describe the breast reduction surgery in detail, including its risks and benefits, so that patients are fully prepared for the procedure and feel confident about it.

Pre - surgery Preparation

Dr. Antell may also ask patients to do the following to prepare for the surgery:

• Have tests, including a mammogram.
• Stop smoking for a period of time both before and after the surgery.
• Avoid blood - thinning drugs or supplements, such as aspirin.
• Arrange for someone to drive them home after the surgery.

Surgical Procedure

Breast reduction begins with local anesthesia and intravenous sedation, or with another form of “twilight” sedation. A board - certified anesthesiologist will monitor the patient throughout the procedure to ensure safety. Incision types usually depend on the amount of breast tissue that needs to be removed:

• Around the areola: This is the most common incision placement for breast reduction, usually resulting in far less noticeable scarring. It is more ideal for a less significant breast reduction procedure.
• At the crease under the breast, then up to the nipple: This type of incision is used when a patient’s breasts droop and sag, but not in a pronounced way.
• Around the areola and down to the base of the breast: This incision type is used to remove more significant amounts of excess skin, fat, and glandular tissue.

Once the incision is made, Dr. Antell will remove the excess fat, skin, and tissue, reshape the breasts, and reposition the nipples to create a lifted, perkier look. Sutures are layered deep within the breast tissue to support the newly sculpted breasts.

Risks and Recovery

A breast reduction is typically a safe procedure when performed by an experienced, board - certified plastic surgeon. However, as with any surgery, there are risks, such as bleeding, infection, and reaction to anesthesia. Breast reduction includes the risk of changes in nipple or breast sensation, which typically resolves in a few months. In rare cases, there can be partial or total loss of the nipple and areola.

After the surgery, patients will be able to return home the same day. They will have a compression dressing on their breasts, and most patients can return to many of their daily activities within days of the procedure. They should wait to exercise again until Dr. Antell clears them, usually about two weeks after the surgery. The external sutures will usually be removed one to two weeks after the procedure. It may take several months for the swelling and bruising to fully dissipate, with the final result typically being visible around six months. The scars will fade over time but will never disappear completely.

5. Columbia University's Plastic Surgery Division

General Overview

Columbia University is one of New York’s best hospitals and the world’s top medical centers. The plastic surgery division at Columbia has the experience that few other programs can match. Each of the plastic surgeons on their clinical staff is proficient in multiple areas of specialization, including breast reduction.

Range of Services

In addition to breast reduction (mammoplasty), their plastic surgery services include:

• Cosmetic Care: Such as ear and eyelid lifts, breast augmentation, tummy tucks, etc.
• Reconstructive Care: For issues like breast reconstruction after breast cancer, skin lesion excision, and reconstructive surgery for the nose and ears.
• Cleft Palate / Cleft Lip Care: Through their craniofacial surgery program, they provide specialized care for children with cleft lip and cleft palate.
• Orthoplastic Surgery Care: Bringing together leading experts in orthopedic and reconstructive plastic surgery for personalized treatment options with lower wound complication rates and higher patient satisfaction in recovery.

Research and Education

The plastic surgery research laboratory at Columbia is currently conducting numerous research studies, including those related to stem cells, tissue engineering, and the study of bone substitutes. A major focus is on applications of gene therapy to wound healing. They also have programs for students and healthcare professionals, such as a plastic surgery residency program and surgical CME events.

The Surgical Team

The division of plastic & reconstructive surgery at Columbia has a team of board - certified surgeons. Some of the key surgeons include:

• Christine Rohde, MD: A highly skilled clinician, researcher, and teacher, specializing in microsurgery, abdominal wall reconstruction, body contouring, cosmetic surgery, and breast, trauma, and cancer reconstruction.
• Jeffrey A. Ascherman, MD: An experienced plastic and reconstructive surgeon with over 75 scientific articles and chapters published, and has been included in lists of America’s top doctors and New York magazine’s best doctors.
• Jarrod T. Bogue, MD: Specializes in microsurgery, orthoplastic surgery, abdominal wall reconstruction, as well as cancer and trauma reconstruction.

Conclusion

In New York City, these five institutions - Mount Sinai Hospital, Breast Reduction Center of NYC, the practice of Dr. John E. Sherman, Dr. Darrick Antell's practice, and Columbia University's Plastic Surgery Division - stand out for their formal operations and powerful capabilities in breast fat reduction. Each institution offers unique advantages, whether it's the experienced surgical teams, innovative pain management techniques, or comprehensive range of services.

If you are considering breast fat reduction surgery, it is highly recommended that you consult with the experts at these institutions. Reach out to them to schedule a consultation, learn more about the procedures, and determine which option is best for you. Take the first step towards a more comfortable and confident you by exploring the possibilities offered by these top - notch breast fat reduction providers in New York City.