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Frank Agullo, MD En Español

Breast Reduction

While plump, voluptuous breasts are considered a beauty ideal, having overly large breasts can be burdensome. Heavy, massive breasts can restrict a woman’s physical activity and even cause chronic discomfort. Dr. Frank Agullo performs breast reduction surgery to free his patients from the weight of their pendulous breasts and restore a more balanced and symmetrical breast profile. Breast reduction surgery can enhance your breast appearance, relieve your physical distress, and improve your quality of life.

Do you...

  • Feel that your breasts are exceedingly large?
  • Have deep grooves in your shoulders?
  • Notice your breasts are sagging or cumbersome?
  • Suffer from back, neck, and shoulder pain associated with having large breasts?
  • Desire smaller, more proportionate breasts?

Breast Reduction Techniques


  • The most common breast reduction technique involves the anchor incision to excise the excess tissue
  • One incision is placed around the areola, a second runs vertically from the areola to the breast crease, and a third runs horizontally along the natural breast crease


  • Sometimes used to enhance the contour of the breasts underneath the arm and the lateral chest
  • Not appropriate for patients who have substantially large breasts
  • In some cases, it can be combined with BodyTite™ to help contract the skin


  • The areolas and nipples may need to be detached and repositioned
  • Only considered for severe cases
  • Leads to loss of nipple sensation

Breast Reduction Process


Dr. Frank Agullo is a board-certified plastic surgeon and a member of the American Society of Plastic Surgeons. During your consultation, Dr. Agullo will evaluate the size and shape of your breasts, the elasticity of your skin, and your nipple and areola placement to arrive at the best surgical plan. Patients will also be provided with detailed preparatory and post-op instructions specific to their surgical procedure.



Dr. Agullo performs breast reduction surgeries using general anesthesia. The procedure takes between two and three hours depending on the extent of correction required.

After excess skin and fatty tissue are removed from the breasts, the areolas are repositioned and reduced in size, if necessary.



Breast reduction patients need plenty of rest after surgery. However, it is essential to walk around for a few minutes multiple times throughout the day to boost circulation and prevent blood clots. Discomfort can be alleviated with medication prescribed by Dr. Agullo.

A surgical bra will be provided to wear day and night, as underwire or padded bras must be avoided for a few months following the procedure. It is recommended that breast reduction patients take at least one week off work. Heavy lifting and vigorous exercise should also be avoided for at least four to six weeks.



Patients will be scheduled to come in for a follow-up appointment within the first few days of recovery. Any drains that were placed will be removed, and dressings will be changed.

A second follow-up appointment will be scheduled between five and seven days after the procedure to remove any sutures around the areolas.


The Internal Push-Up Bra: GALATEA® GalaFORM™ 3D Surgical Scaffold for Breast Reduction

When a patient experiences significant breast tissue laxity, it can be more difficult to recover properly after breast reduction surgery due to a lack of support. Dr. Agullo overcomes this challenge by using the GALATEA® GalaFORM™ 3D surgical scaffold. The GalaFORM™ 3D is a non-animal mesh scaffold composed of hydroxybutyrate (P4HB), which is a naturally occurring biopolymer. The scaffold is used as an internal push-up bra, keeping the breast weight off of the skin that would otherwise naturally stretch. After a patient is fully recovered, the scaffold is slowly converted into strong connective tissue as it is absorbed by the body over a two-year period. No further surgery or corrective procedures are needed as long as the patient is satisfied with the initial breast reduction results. The GalaFORM™ 3D surgical scaffold is FDA approved and promotes tissue regeneration after breast reduction surgery, offering higher-quality results and higher overall patient satisfaction.

Preparing for Your Surgery


Proper planning and preparation can help you have a quicker and smoother recovery process. Some things you should do to prepare for your surgery include:

  • Line up a family member or friend to drive you home after your procedure.
  • Ensure you have your paperwork and your ID.
  • Don’t eat or drink after midnight the day of your scheduled procedure.
  • Don’t use lotions, creams, or makeup on your skin the day of your procedure.
  • Wear a loose-fitting shirt that buttons up because it may be difficult to slip one over your head after the procedure.
  • Stop smoking for at least two weeks prior to your surgery and for two weeks after to lower your risk of blood clots and other complications.
  • Don’t take medication that will thin your blood for two weeks before your procedure.

Breast Reduction FAQs

Are the results of breast reduction surgery permanent?

Yes, breast reduction results are considered permanent. However, experiencing pregnancy or significant weight gain after the procedure can cause fat to accumulate in the breasts, making them larger and heavier. It is recommended to adopt a healthy, active lifestyle following surgery to preserve the effects of breast reduction.

What are the risks associated with breast reduction surgery?

Severe complications from breast reduction surgery are uncommon. However, any operation comes with potential risks, which may include:

  • Abnormal reaction to anesthesia
  • Hematoma or seroma
  • Infection
  • Bleeding
  • Changes in sensation
How much does breast reduction surgery 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; however, many plans do cover breast reduction due to the physical ailments caused by having large breasts. 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.

Will I be able to breastfeed after undergoing breast reduction surgery?

During a typical breast reduction surgery, Dr. Agullo is careful to keep the nipples and areolas attached to the tissue directly underneath them. If nipple repositioning is necessary, there may be some damage to the underlying mammary glands, but most women can still breastfeed after they have recovered from this procedure.

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