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Breast Reduction

Reduction mammaplasty, commonly known as breast reduction, is a surgical procedure in which tissue, fat, and skin is removed from the breast, decreasing the size of the breast. The procedure may be done to reduce back strain, to improve the proportion of the breast to the rest of the body, or to correct a number of complications from overly large breasts.

During breast reduction surgery, Dr. Vallecillos will make incisions in the breast, remove the necessary tissue (this process may include the use of liposuction to remove fatty deposits), and reposition the areola and nipple.


Let our experienced team guide you through your procedure from start to finish

The Preparation

To prepare for breast reduction, patients are asked to cease the use of all blood-thinning drugs (including aspirin, herbs, vitamins) for two weeks before surgery. If you smoke, you should quit for at least the two weeks before and after your operation. If you are over the age of 45, you will need to obtain medical clearance by an independent physician before undergoing surgery.Dr. Vallecillos may also require that you undergo a mammogram before the procedure, as well as after healing is complete. Typically, the breasts are also photographed and measured before and after the operation, to qualify results.

The Procedure


This varies depending on which procedures you choose. Discuss your anesthesia options with me during your preoperative consultation, including general, local, and sedation. 

The Procedure

Through an incision, Dr. Vallecillos will be able to access the interior breast tissue to remove excess tissue and fat (this process may involve the use of liposuction), reposition the areola and nipple, excise and re-drape the skin, and finally close the incisions.

The Recovery

Prepare for your recovery time. This includes someone to take you to and from surgery, someone to stay with you the first night or two, and childcare for at least two weeks following surgery if you have children under the age of five. Housework and driving are also strictly forbidden during this time, so make appropriate arrangements well before your surgery, including backup care in the event you require it.


The results of vaginoplasty are generally long-lasting, providing significant improvement in vaginal tightness and function. However, factors such as aging, childbirth, and lifestyle choices can affect the longevity of results. Maintaining a healthy lifestyle, including pelvic floor exercises, can help prolong the benefits of the surgery. 

Different Incision Types

Depending on your particular circumstances, Dr. Vallecillos may choose one of several options for incision patterns:

Breast Reconstruction

Before & After Images

Patient Details

Patient Details 

Around the areola

Keyhole shape around the areola and down to the bottom of the breast

Anchor shape around the areola and vertically up the breast

Frequently Asked Questions

Who is a candidate for a breast reduction?

You should consider breast reduction if you are a woman whose breasts are fully developed and overly large and cause you chronic pain or discomfort, interfere with your daily activities, and/or are disproportionate to the rest of your body. Causes vary from heredity to weight fluctuations to aging, but no matter the cause, breast reduction surgery can help reduce your breasts and reposition your areola and nipple for smaller, more proportionate breasts.

Are there risks or side effects with a breast reduction?

Breast reduction surgery is often performed to reduce chronic aches and pains, especially in the shoulders and back. However, surgery does carry its own risks. Risks can include nerve damage, loss of sensitivity in the nipples, unfavorable scarring, and difficulty breastfeeding. Though rare, there is a possibility for asymmetry between the breasts. You should discuss all possible risks and side effects with Dr. Vallecillos prior to undergoing the procedure.

How long do the results last?

Breast reduction surgery will make a permanent change in the size and shape of the breasts. However, aging and loss of skin elasticity may cause later changes in the breast that would need to be addressed with an additional procedure, such as a breast lift.

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