Frank Agullo, MDBoard Certified Plastic Surgeon

Breast Reduction

Breast Reduction

Are you so well endowed that your breasts weigh you down? You can get relief from physical pain associated with having large breasts by getting a breast reduction, which can yield other benefits to the woman who suffers from pain in the neck, back, arms and shoulders due to having very large breasts.

You may be a good candidate for El Paso breast reduction surgery if:

  • Wearing a bra is uncomfortable due to straps cutting in to your shoulders or wires breaking, etc.
  • Your breasts exceed large C, D, DD, E or even larger sized breasts
  • You have frequent back, neck and shoulder pain directly associated with carrying the extra weight of your breasts
  • You dislike the look of your extra large breasts and feel self-conscious
  • Your breasts are not in proportion to your body frame
  • The weight has caused decreased elasticity, sagging or pendulous breasts
  • One of your breasts is noticeably bigger than the other
  • Physical activities such as exercise, work, lifting or caring for children is burdensome or restrictive due to the weight and size of your breasts

Dr. Frank Agullo is a compassionate El Paso plastic surgeon who works with many women who experience many of these symptoms. Out of the many hundreds of women who he has performed surgery for throughout Western Texas and New Mexico, many of Dr. Agullo’s happiest patients are those who have chosen to go through with a breast reduction procedure and are grateful for the improvement in the quality of their lives following the surgery. After all, that is a lot of weight to carry around! And most of the breast area is fatty tissue, so even working out and proper diet cannot fully decrease the size of overweight breasts for a woman who is genetically prone to large breasts.

What can you expect with breast reduction?

First, Dr. Agullo will schedule a private consultation to examine your breasts. Measurements will be taken; photographs and your medical records will be required, including a medical history. He will assess the quality of your skin, your current health, placement of the areolas and the size and shape of your breasts to determine if breast reduction surgery is recommended. Sometimes a woman may not be just unhappy about her breast size but also be bothered by sagging breasts or just an overall “frumpy” look that can be caused by many factors, such as age, childbirth, breast feeding, rapid weight gain or loss, or just DNA. These are normal. However, you may consider getting a breast lift surgery in conjunction with the breast reduction procedure to achieve perkier and more comfortable breast measurements, as well as desirable shape and size.

El Paso breast reduction surgery techniques

Depending on your breast size, (C, D, DD, E cups+), there are several techniques that may be used to remove the fatty tissue and raise, lift and reduce the size and shape of the breasts. Here are some common techniques (and a few that are used less frequently):

  • 3 Incisions: This is the most common method of breast reduction, in which the surgeon makes one incision around the areola, a second running vertically to the crease just under the breast, and a third following the contour of the natural breast crease. It is often referred to as an “anchor” incision or reduction. After removing the excess fatty tissue and skin, the doctor will shift the areola and nipple to a higher position. If the areola has stretched, this will also be reduced in size to appear more normal and the skin just above the nipple will be moved to reshape the breast.
  • Liposuction: Sometimes this technique is used to enhance the contour of the breast just underneath the arm and the lateral chest.
  • For ultra-large breasts or severe ptosis: In rare cases (particularly for gigantic breasts), the areolas and nipples may need to be detached and repositioned. This is something Dr. Agullo can discuss with you if the situation occurs, since it may require a sacrifice of sensation in that area.

Nipples and areolas are designed to stay attached to the mounds of tissue directly underneath, so the sensation can be preserved. Most women can still breastfeed if they choose to do so, although there can never be any guarantee with any type of breast surgery.

Prepping for and undergoing breast reduction

Most women who seek breast reduction are uncomfortable, in pain and feel extremely self conscious about the size of their breasts. Many look forward to the extra weight (literally) lifted off their shoulders! They are tired of lagging, dragging, bouncing and being weighed down.

Here are some readiness tactics to prepare for El Paso breast reduction surgery:

  • Quit smoking 2 weeks before the surgery and for at least 2 weeks following to decrease the chance of blood clots or slow healing.
  • Ask a relative, companion or friend to bring you to and from the breast reduction procedure. Even though the surgery itself only takes about an hour, the prepping and recovery time will take up a good part of the day, so tell your friend to bring a book or check back at a certain time to see if the doctor says it’s okay to leave.
  • It is unlikely that you will need to spend the night, so just bring a bag with a few essentials, like your ID and to put your paperwork and scar therapy lotion in afterward.
  • Make sure you don’t eat or drink after midnight on the day prior to your breast reduction surgery.
  • Choose a button-up shirt that is loose fitting instead of one that must be worn over your head.
  • Don’t use any lotions or makeup on your skin in the area where the surgery will take place.

During breast reduction surgery, you will be under general anesthesia. Breast reduction surgery for women in El Paso, Las Cruces, Chihuahua and the surrounding area can benefit by choosing a board certified plastic surgeon who is also a member of The American Society of Plastic Surgery.

Are there any risks or complications to know about?

Getting breast reduction is a common surgical procedure. Although there are very few complications associated with breast reduction surgery, and Dr. Frank Agullo has completed hundreds of them for patients all over the El Paso to Albuquerque area, there are always those miniscule risks with any type of surgery that must be considered.

Depending on your age and future plans, including whether you may want to have children someday, or whether you are experiencing menopause, weight loss or gain, or any other factors should be discussed with your doctor so that you can weigh the pros and cons to your desire for breast reduction. It is important not to get your breasts reduced for anyone else but for you, and only you. It’s your body and your decision to make.

Some risks of breast reduction surgery include:

  • Reactions from anesthesia
  • Need for blood transfusion due to bleeding
  • Infection
  • Blood clots or poor circulation
  • Breasts not being exactly symmetrical or varying areola/nipple height
  • Some loss of sensation in nipple either temporary or permanent

Most of these risks can be fixed, even if revisionary surgery is needed. Keep in mind these are highly unlikely but necessary to know about concerning your breast reduction surgery considerations.

Results from breast reduction surgery

Most people feel sore for a few days following surgery; however breast reduction is one of the least complicated of all of the breast-related plastic surgery solutions. You should be able to move around comfortably in just a few short days, but it’s important to take it easy and be aware of your body. If you feel any light headedness, dizzy spells, weakness or faltering heartbeats, or problems with blood flow and circulation, call the doctor right away.

You will also be given a special surgical bra to keep your breasts safe and secure. This will help them heal better and should be worn at all times, 24/7. Never wear any underwire bras, lace or push-up bras for at least 2 months following your surgery.

If you had any surgical drains during your breast reduction procedure, they will be removed after a few days. Dressings, gauze or bandages should be changed at the same time. You will likely see swelling or even discoloration in your chest region but after a few weeks your breasts will feel a whole lot better and will appear substantially smaller than before the breast reduction procedure.

Then it will be exciting to go shopping! You can finally fit into a bikini or some dresses and blouses you have been unable to wear because of having breasts that were too large before. You may feel a sense of freedom and renewed interest in exercise or sports by feeling more lightweight and invigorated! Getting a breast reduction just might give you an extra step of confidence. It may also surprise you that the level of patient satisfaction among recipients of breast reduction is higher than with any other types of plastic surgery options.

What does breast reduction cost?

Pricing varies depending on the extent of the treatment or surgery. You can see a list of the approximate prices of each procedure on our current fee schedule. Dr. Agullo charges a consultation fee of $100, which is applied to the cost of your treatment. Generally speaking, cosmetic plastic surgery is considered “elective” and is not covered by most insurance plans. The prices listed on our fee schedule represent the minimum cost of the procedures, including anesthesia and surgical facility fees, medical tests, garments, and recovery products. The cost of prescription medications, however, is not included. The exact price of each procedure can only be determined after a thorough consultation. All fees must be paid in full prior to the scheduled treatment. 

In some cases, insurance will cover breast reduction surgery if the patient is suffering from health problems as a result of having disproportionate or too-large breasts. You will have to contact your health care provider to determine eligibility and terms. If need be, Dr. Frank Agullo can prepare a predetermination letter on your behalf.

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