Breast Reduction
Lower Manhattan, New York, NY
Breast reduction surgery, or reduction mammoplasty, is a life-changing procedure designed to Symptomatic macromastia — large, heavy breasts that cause measurable physical burden — is one of the most impactful reconstructive conditions treated in plastic surgery. Chronic neck and upper back pain, deep shoulder grooving from bra straps, inframammary rash, postural changes, and limitations in physical activity are among the most common complaints. Breast reduction surgery relieves these symptoms while reshaping and elevating the breast to a proportionate, aesthetically pleasing size. The procedure is frequently covered by insurance when documented medical necessity criteria are met, and Dr. Janssen's practice works with experienced billing specialists to assist with insurance authorization.
Reduces breast volume, relieves physical symptoms of macromastia, and reshapes the breast and nipple to a proportionate size and elevated position.
Wise pattern (anchor) or vertical (lollipop) incision depending on breast size, shape, and degree of ptosis.
Return to desk work within 1 to 2 weeks. Full activity at 4 to 6 weeks.
May be covered when documented symptoms and minimum resection weight criteria are met — pre-authorization support provided.
A breast reduction is a surgical intervention that removes excess glandular tissue, fat, and skin to achieve a breast size in proportion with the rest of the body. For many women in New York City, large breasts are more than a cosmetic concern. Breast reduction is indicated for patients with disproportionately large breasts causing documented physical symptoms. Insurance coverage typically requires evidence of chronic pain (neck, back, shoulder), shoulder grooving from bra straps, inframammary rash or intertrigo, and a calculated minimum tissue resection weight. Dr. Janssen thoroughly documents these criteria at the consultation and assists with the prior authorization process.
From an aesthetic standpoint, reduction surgery simultaneously lifts and reshapes the breast. The nipple-areola complex is elevated to an ideal position on the new breast mound, the areola is resized to proportion, and the breast contour is sculpted to achieve a youthful, natural shape. Most patients are immediately and profoundly satisfied with both the physical relief and the aesthetic improvement.
Dr. Janssen’s expert approach means he treats this as a reconstructive journey, focusing on restoring mobility and comfort. The procedure not only lightens the physical load but also repositions the breast to a more youthful, uplifted height.
The procedure is performed under general anesthesia to ensure the patient's complete comfort. Dr. Janssen utilizes precise surgical techniques, often involving an incision around the areola and extending downward, to remove the weighted tissue. During the reduction, the nipple and areola are repositioned to a higher, more natural level on the breast mound.
The surgical approach most commonly utilizes a Wise pattern (anchor) or vertical (lollipop) incisional approach. This is determined by breast size and shape. The nipple-areola complex is elevated on a pedicle of tissue that preserves sensation and, in the vast majority of cases, breastfeeding potential. Excess breast tissue, fat, and skin are removed and the breast is reshaped and closed in layers. A surgical bra is placed immediately post-operatively. Drains are occasionally used but not always required. Most patients return to desk work within one to two weeks and resume full activity within four to six weeks.
Dr. Janssen’s background gives him a keen understanding of the importance of physical movement. He meticulously contours the remaining tissue to ensure the breasts are symmetrical, comfortable, and supportive of an active lifestyle. Once the desired size is achieved, the incisions are closed with fine sutures, and a supportive surgical bra is applied.
If you suffer from chronic neck or back pain, deep grooves in your shoulders from bra straps, or restricted physical activity due to the size of your breasts, you may be an excellent candidate. A consultation with Dr. Janssen will determine if the procedure is medically necessary for your specific needs.
Many insurance plans cover breast reduction when documented medical necessity criteria are met — typically including evidence of physical symptoms (pain, rash, grooving) and a projected minimum tissue resection weight based on body surface area. Dr. Janssen documents these criteria carefully and works with an experienced billing team to navigate prior authorization and insurance claims on your behalf.
Most patients experience an immediate sense of "lightness" following surgery. You will likely feel sore and experience some swelling for the first week, but most patients are back to work and daily neighborhood routines within 10 to 14 days. Strenuous exercise and heavy lifting should be avoided for about six weeks.
The change in size and weight is apparent immediately. While initial swelling and incision lines will fade over the coming months, your final, refined shape and the full extent of your physical relief will be realized within 3 to 6 months as the tissues settle.
Preservation of nipple sensation is a primary surgical goal. The nipple-areola complex is elevated on a carefully designed tissue pedicle that maintains its nerve and blood supply in the vast majority of cases. Some transient change in sensation is common immediately after surgery, but most patients report return of normal or near-normal sensation within several months.
Breastfeeding after breast reduction is possible for most patients, though it cannot be guaranteed. Dr. Janssen uses pedicle techniques designed to preserve the ductal connections to the nipple. Patients who anticipate future breastfeeding should discuss this preference explicitly during the consultation so it can inform surgical planning.
Scars are an expected part of breast reduction and are located along the lower breast crease (inframammary fold), vertically below the nipple, and around the areola. These scars are well-concealed within a bra or swimsuit. With appropriate scar care and time, they fade significantly over 12 to 18 months.
