Breast Reduction Breast reduction is one of my most frequently performed procedures and one of my favorite procedures because the patient satisfaction rate is so high. Breast reduction is performed to reduce the weight of the breasts and provide some relief from the back, neck and shoulder pain many large breasted women experience. I lift and reshape the breast at the time of reduction and the improved appearance of the breast is an added benefit. I perform breast reduction at Swedish Medical Center or at Seattle Surgery Center which are both located close to my office. Most patients require and overnight stay. Most patients take one to two weeks off following surgery, depending on their occupation. Although most patients are up and about and doing light household tasks within a day or two of surgery, I ask that patients avoid lifting or reaching or any strenuous activities for several weeks following the surgery. Usually I can used a technique that preserves nipple sensation. Occasionally, if a paient's breasts are very big and/or very ptotic (saggy), a "nipple graft" procedure is necessary. This results in permanently numb nipples. I do measurements at the time of the initial consultation and discuss which technique is best suited for you. Breast reduction leaves scars on the breasts. Fortunately, these scars usually "settle down" after 9 to 12 months. The scars are located on the lower part of the breast and easily concealed by normal clothing, undergarments and swimwear. At the time of your consultation, I show examples of postoperative scars so patients will know what to expect. Most patients feel the scars are a small price to pay for the benefits they gain from breast reduction. The benefits from breast reduction are usually long lasting. Weight gain and pregnancy can effect the size and shape of the breast. This surgery is best done in patients who are at a stable weight and are done with childbearing. There are some young women, however, who are so troubled by their large breasts, that they elect to have the surgery done with the knowledge that they will not be able to breast feed and that their breasts may change with pregnancy. These are issues I discuss with the patient to assist in their decision about surgery. Some insurance companies cover breast reduction if it is done for back, neck and shoulder pain and if a minimum amount is removed (usually about one pound from each breast). If your insurance company is likely to cover this procedure, I will write a letter to obtain preauthorization. Most insurance companies take 3 to 4 weeks to respond. Please check the provider list for your insurance. There are several HMO and other networks that I do not participate in.