Does breast reduction include a breast lift?
Breast reduction often includes a lift because it improves the results, but that decision is between you and your plastic surgeon.
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A breast reduction, also called reduction mammaplasty, is designed to reduce the size and weight of your breasts, while a breast lift restores their position and firmness. Both are surgical breast procedures done to reshape your bosom for a more lifted, balanced appearance. More and more women today want comfort, proportion and a natural profile. Recent data validates this demand, as breast lifts make up nearly 25 percent of breast procedures, while reductions account for about 13 percent.
Behind these numbers are personal concerns that often go beyond the cup size. Most women consider breast reduction or breast lift surgery because of back pain, clothing fit issues, interference with exercise, pregnancy-related changes and concerns about body proportion. At New York Breast Surgery Center, with offices in Midtown Manhattan and Great Neck, Long Island, Dr. David Shokrian and Dr. Mohamed Soliman Ahmed Elfar approach surgery with personal care. They explain each of your options and recommend the best approach to meet your needs and goals.
“During a breast reduction,” says Dr. Shokrian, I remove excess breast tissue, fat and skin so that your breasts become smaller, lighter and easier to manage. The surgery relieves symptoms if your breasts feel physically heavy, painful, difficult to support or out of proportion with your body. A reduction also relieves serious back pain. Because I remove tissue and skin together, the procedure often improves the position of your breasts on your chest.”
A breast lift, by contrast, reshapes and raises breasts that sag or sit lower than desired. But instead of removing volume, the lifting procedure improves the breast position, nipple placement, firmness and overall shape. Women commonly choose to get one after pregnancy, breastfeeding, weight changes, aging or natural changes in their breast tissue. The main differences between the two procedures include:
The decision to choose breast reduction or a breast lift depends on your level of back and shoulder pain, your appearance goals or a combination of both. You may be better suited for a reduction only if your breast size affects your daily comfort. A lift may be more appropriate if your main concern is your breast shape and your own body image.
“The best option isn’t always obvious, which is why you need an in-person evaluation,” says Dr. Shokrian. “During your consultation, I review your anatomy, goals, lifestyle concerns and symptoms to determine whether breast reduction, breast lift or a combined procedure is most appropriate. My colleague, Dr. Elfar, who is a board-certified plastic surgeon, can perform your surgery if you want a breast lift with implants or a more thorough breast reconstruction.”
Plan both a breast reduction and a breast lift together when you desire an improvement in both comfort and breast shape. You don’t have to choose one over the other. Instead, leave it to the plastic surgery experts to create a treatment plan to address your goals: how your bosom looks, feels and fits your body.
Dr. Shokrian: “During your consultation, I examine your breast volume, skin quality, breast position and body proportions. Then we discuss your personal goals so I can determine whether a combined approach may be appropriate for you. I tailor the procedure to create natural-looking, supported results without treating size and shape as separate concerns.”
During your surgery, your experienced plastic surgeon removes excess tissue and stretches your skin before reshaping your breasts into a smaller, balanced contour. Depending on the goals of the procedure, your breasts may also be lifted to improve their position on your chest and to provide support. If needed, your nipple and areola may be repositioned and breast asymmetry corrected at the same time.
Every woman requires a different approach because, like snowflakes, breast size, skin quality and asymmetry issues demand personal consideration. Two women requesting the same procedure may still need different incision patterns. Both breast reduction and breast lift surgery are performed while you’re under general anesthesia, so that’s an advantage to having both done at the same time: you wake up afterward with two goals accomplished.
The incision pattern your plastic surgeon employs depends on the type of correction you want. Mild sagging needs shorter incisions, while larger reductions or more significant sagging requires more access to reshape the tissue properly. Your surgeon chooses the incision pattern based on safety, breast shape, skin quality, areola size and the amount of lift or reduction required. Incision patterns include:
Scars are part of these procedures, but the goal of incision planning is to place scars where they allow safe reshaping and fade with time. If you want areola reduction as part of your surgery, the incision improves your areola proportion while maintaining a natural breast appearance.
Breast reduction recovery depends on the amount of correction and whether a breast lift is included in your procedure. Expect some swelling, soreness, tightness, bruising and fatigue during the first several days following the surgery. You have to wear a surgical bra or support garment to protect your breasts and support the new shape for the first several weeks.
Dr. Shokrian: “You can usually return to light activities after a week or two. I always encourage light walking as early as possible, but I caution you against heavy lifting, running and strenuous upper-body workouts until I give you clearance. Your final results take time, after the swelling settles, the scars fade and your breasts soften into their new position.”
Breast lift costs and breast reduction costs are based on multiple factors, including:
If you don’t have insurance or applicable coverage, cash-based options and financing plans are available. Although New York Breast Surgery Center is outside traditional insurance networks, the team checks with your specific carrier to determine whether out-of-network coverage applies. You discuss the costs during your consultation, which gives you a clearer picture before you move forward with your surgery.
Frequently Asked QuestionsHave questions about breast reduction and breast lift surgery? Find answers to some of the most common questions below.
Breast reduction often includes a lift because it improves the results, but that decision is between you and your plastic surgeon.
A breast lift may make the breasts appear slightly smaller, but size reduction isn’t the main goal of a lift.
Yes, they can be combined when both breast size and position need to be addressed.
Neither is better because each has a different goal. A breast reduction focuses on size and weight, while a breast lift focuses on position and shape.
Choosing between breast reduction and breast lift surgery depends on what bothers you the most — your breast weight, position, stretched skin or nipple placement. Sometimes, it all of those concerns. During your consultation, your NYC plastic surgeon explains each option and helps you decide which approach best fits your needs, so you feel and look your best afterward.
New York Breast Surgery Center serves women all across New York City, with offices in Manhattan and Long Island. Whether you’re considering a breast reduction, breast lift surgery or both, the right procedure should support your comfort, lifestyle and long-term confidence. Schedule your breast reduction or breast lift consultation in New York City today.
Facility Safety Note: All surgical procedures are performed at our JCAHO-accredited flagship surgical center in Bryant Park, Manhattan (HCO ID: 676295). Consultations, minimally invasive procedures and pre/post-operative care are available at our Bronx and Great Neck locations.
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