3311 Washington Road, Suite 200, McMurray, PA 15317

Breast Reduction Pittsburgh

Conveniently located to serve Pittsburgh, Morgantown, and Washington County

Breast reduction surgery applies the arts of plastic surgery to remove breast tissue and excess skin thereby reducing an enlarged or over-sized breast to a more comfortable breast size and shape.

About Breast Reduction

Breast reduction surgery is indicated for women with extremely large breasts who suffer from the following symptoms:  upper back and shoulder pain, shoulder grooving from bra straps, neck strain with associated tension headaches, and rashes or fungal infections beneath the breast.  The surgery is also appropriate in cases of profound psychological discomfort associated with large breast size, especially in younger women and teenagers.  Women who need surgery for breast cancer sometimes undergo a breast reduction on the unaffected breast to attain symmetry.

The surgery usually takes up to three hours (1.5 hours per side) and is done using general anesthesia.  It typically involves a one-night stay in the hospital, but more and more women now elect to undergo the surgery and be discharged to go home the same day (outpatient surgery).  You can discuss this issue with Dr. Pautler at the time of your consultation, as the choice depends on the age of the patient, the amount of tissue to be removed and issues of comfort at home versus the hospital setting.

Before performing the reduction, Dr. Pautler draws a pattern on the breast with the patient in the upright position.  During the surgery, breast gland and skin are removed according to this pattern, and the nipple areola complex is repositioned higher on what ends up being a smaller breast mound.  Prior to closing all the incisions, Dr. Pautler sits each patient up vertically to allow the breasts to drop and to make sure the breasts are as symmetric as possible.  A small drain is inserted into each side, the wounds are sutured closed, and a compressive surgical bra is placed before awakening the patient from anesthesia.

After the surgery, discomfort is controlled with either oral (pills) or intravenous medication.  The drains are most often removed the day after surgery, either in the hospital or in Dr. Pautler’s office.  The compressive bra is worn for about 4-6 weeks, and afterwards most patients can return to normal activities.

Breast Reduction Photos

Breast Reduction Methods

It is the goal of plastic surgery to minimize scarring or make scarring as discrete as possible. In the case of breast reduction surgery, Dr. Pautler will use one of the following breast reduction methods to reduce scarring:

  • Vertical breast reduction – scars from the plastic surgery are limited to around the areola and an up-and-down scar from the areola to the crease beneath the breast. This is also known as the “Lejour or Hall-Findlay mammaplasty”.
  • Wise-pattern breast reduction – this plastic surgery incorporates the scar around the areola, up-and-down from the areola, and underneath in the crease beneath the breast.

Breast Reduction Reasons

Women may need breast reduction surgery due to:

  • Chronic pain – women with extremely large breasts often suffer from upper back and shoulder pain, neck strain with associated tension headaches and the pain of shoulder grooving from bra straps due to the weight of the enlarged breasts.
  • Infections – women with large breasts can be prone to rashes or fungal and yeast infections in the area beneath the breast known as the “inframammary fold”.
  • Embarrassment – women, particularly young women, with large breasts can feel psychologically uncomfortable or awkward about extremely large breast size.
  • Asymmetry – a breast reconstruction patient or a breast lift patient may choose to have breast reduction surgery in one breast to create a more even or balanced appearance to both breasts.

Breast Reduction Benefits

The benefits to breast reduction surgery are:

  • Comfort – with breast reduction surgery, women can ease their pain, both physical and psychological, control painful and irritating rashes and infections and achieve the benefits of cosmetic surgery with a smaller but more attractive breast size and shape.

View our Glossary of Breast Surgery key terms Here.

Notes Regarding Breast Reduction Surgery

The following notes detail various issues relating to breast reduction surgery:

  • Breast cancer: Studies show that a breast reduction can reduce cancer risk by 40% but it cannot eliminate the risk. It has been documented in the literature that on RARE occasions, a cancer has been detected in the breast during breast reduction surgery. A mammogram is obtained prior to the breast reduction surgery to see if there are any breast areas that should be studied prior to breast reduction surgery, but an occasional lump can be missed. Should this unusual circumstance arise during breast reduction surgery, it is possible that breast conservation surgery may not be possible and that eventually a mastectomy may need to be performed
  • Breastfeeding after breast reduction surgery: Many women are able to nurse successfully after breast reduction surgery; however, it cannot be guaranteed. If breastfeeding is something you absolutely wish to do, you may want to consider holding off on the breast reduction surgery until finished with childbearing.
  • Stop smoking: If you are a smoker, Dr. Pautler will strongly urge you to cease as soon as possible.  It is important for you to stop smoking at least 8 weeks prior to and 6 weeks after your planned surgery.  Cigarettes contain nicotine, a powerful substance that decreases blood circulation especially in the areas that need it the most:  surgical wounds.  Wound healing is slowed, infections risk is increased, and recovery from surgery may be prolonged.

Dr. Pautler will discuss all of these options for breast reduction surgery at the initial consultation. For more information or to make an appointment for your initial breast reduction consultation, contact Dr. Pautler’s plastic surgery practice near Pittsburgh.


Testimonial for Breast Reduction

I am writing this only five days post-op and I wanted to thank you already. You have a wonderful staff and a wonderful heart. It is so nice to have such a supportive doctor! You really prepared me for what I should expectand left me feeling very confident before and after surgery. The breast reduction alone has made me so much happier already and the tummy tuck and
liposuction will only ensure a much easier life (physically and emotionally). If I could only explain the emotional relief I feel: the burden gone, the list of things I can do and wear. Thinking about what life will be like without the ‘DDD’ ball and chain I used to have, brings tears to my eyes. Tears of relief and joy! Thank you so much for making me feel important and special!”

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FAQs for Breast Reduction

There is a 50-50 chance you will be able to breastfeed after a breast reduction. Breast reduction surgery changes the internal breast architecture and can affect the mammary ducts attachment to the nipple.
Many factors can affect the duration of breast reduction. The biggest factors are losing or gaining weight. If you lose a significant amount of weight, the breasts may become flabbier. If you gain a significant amount of weight, the breasts will become enlarged again. Prior to surgery, it is recommended to be at the weight that is easiest for you to maintain which is not necessarily your ideal weight.
Every individual is unique. Some women heal quickly and some heal slowly. In general, skin type determines the quality of the scar. Despite the most meticulous technique, some individuals heal poorly, while others heal beautifully. Age can also play a factor in healing time after breast lift surgery. The older you are the less red and tender your breast lift scars may appear while younger women may have pink or reddish scars that will be tender for several months and may take up to a year to fade. A patient should massage the scars a few times a day with a product such as vitamin E oil or cocoa butter applying pressure while massaging the scars. The pressure during the massage is more important than the type of cream product used.
  • Our Patient Reviews

    Amazing Person

    "Dr. Paulter is an amazing person. I wanted to have a breast augmentation but was nervous. She took the time to fully explain everything to me. I never felt as if a question was stupid or not worth her time. I quickly realized that I had found the right doctor. My surgery went very well, thanks to the expert hands of Dr. Paulter. The first few days of my recovery were as expected. Then I noticed that my incisions were becoming increasingly itchy. On a Saturday morning, I called the number Dr. Paulter had given me. A little while later, she met me in her office. I was having a rare allergic reaction to the adhesive. She was able to treat me and told me to come into the office on Monday. I was very grateful for this weekend visit with her. Much to my surprise, I got a phone call the next day, from Dr. Paulter. It was a Sunday! She was calling to see how I was feeling. I would definitely recommend her to anyone. I wish more doctors were as caring and as compassionate as her.”

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    She is absolutely amazing!

    "I recently went to Dr. Pautler to have my first breast augmentation back in May 2017. Dr. Pautler is such an amazing women and surgeon. From the moment I walked into her office for my consultation to my last follow up appointment, every one in her office was so welcoming, professional, and made my experience so much better. She took a lot of time with me during our initial consultation to discuss all of my options. She was so honest with me from the get go and I instantly felt comfortable putting my personal appearance into her hands. I never once felt that she tried to pressure me into doing anything that I was not comfortable with. Her bedside manner is absolutely amazing...and I am a nurse who works on a post surgical unit and frequently see how surgeons do not always have the best bedside manner. The staff in her office are so friendly and remember you when you come in for all of your appointments...and that meant a lot to me that I was not just another patient. During my pre-op and post op stages at the hospital, all of the staff had great things to say about her. They often refer to her as "amazing", which made me feel so good! I am now completely healed from the surgery, and I could not be happier with my results. She made me feel so much better about my physical appearance and I have so much more confidence now thanks to her!”

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    Excellent surgeon and friendly, professional staff.

    "Worth the long drive. The local surgeons close to me have 2 hour long office waits, incompetent staff, change pricing and hospital locations at zero hour, and don't explain everything well. Dr. Pautler came recommended to me and I'm glad she was.”

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    "I was on the fence with going through a Breast Augmentation for a few years. There were obvious reasons on why I wanted one, but I knew that going through with this surgery would need to be done at the best time with the best doctor. After visiting a few doctors that I was uncomfortable with, someone I knew personally suggested trying her doctor, Dr. Pautler. I immediately called the office...”

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    Dr. Pautler is absolutely amazing! There is no one better

    "I recently went to Dr. Pautler to have my first breast augmentation back in May 2017. Dr. Pautler is such an amazing women and surgeon. From the moment I walked into her office for my consultation to my last follow up appointment, every one in her office was so welcoming, professional, and made my experience so much better. She took a lot of time with me during our initial consultation to...”

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Before & After Photos

Browse our before and after gallery to gain a better understanding of the results available from Dr. Simona V. Pautler.

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3311 Washington Road, Suite 200, McMurray, PA 15317

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