(413) 731-7877
100 Wason Avenue
Springfield, MA 01107
Pioneer Valley Plastic Surgery
Pioneer Valley
Plastic Surgery
Reconstructive & aesthetic plastic surgery

Breast Reduction

Breast Reduction or reduction mammaplasty is a surgical procedure that removes fat, glandular tissue, and skin from the breasts, making them smaller, lighter, and firmer. It can also reduce the size of the areola, the darker skin surrounding the nipple. There are a variety of surgical techniques for breast reduction. The technique, along with surgical approach will depend on your preferences, your anatomy and your surgeon's recommendation. The goal is to give the you smaller, better-shaped breasts in proportion with the rest of her body.

See our breast reduction FAQs and photos below.


Breast reduction before & after photos

all photos are of actual procedures performed by Dr. Melissa Johnson
BEFORE & AFTER: Breast Reduction #1
Breast Reduction Case #1
Age: 34. Height: 5' 0".
Weight: 145 pounds.
After photos were taken 5 months post surgery.
BEFORE & AFTER: breast reduction #2
Breast Reduction Case #2
Age: 41. Height: 4' 10".
Weight: 128 pounds.
After photos were taken 3 months post surgery.
BEFORE & AFTER: Breast reduction #3
Breast Reduction Case #3
Age: 24. Height: 5' 4".
Weight: 152 pounds.
After photos taken 7 months post surgery.
BEFORE & AFTER: Breast Reduction #4
Breast Reduction Case #4
Age: 54. Height: 5' 0". Weight: 167 pounds. After photos were taken 9 weeks post surgery.
BEFORE & AFTER: breast reduction #5
Breast Reduction Case #5
Age: 42. Height: 5' 4". Weight: 220 pounds. After photos were taken 8 months post surgery.
BEFORE & AFTER: Breast reduction #6
Breast Reduction Case #6
Age: 50. Height: 5' 2". Weight: 325 pounds. After photos taken 2 months post surgery.
BEFORE & AFTER: Breast Reduction #7
Breast Reduction Case #7
Age: 50. Height: 5' 1". Weight: 184 pounds. After photos were taken 8 months post surgery.
BEFORE & AFTER: Breast Reduction #8
Breast Reduction Case #8
Age: 42. Height: 5' 2". Weight: 135 pounds. After photos were taken 8 months post surgery.
BEFORE & AFTER: Breast Reduction #9
Left Breast Reduction Due to Breast Asymmetry Case #9
Age: 57. Height: 5' 7". Weight: 150 pounds. After photos were taken 2 months post surgery.
BEFORE & AFTER: Breast Reduction #10
Breast Reduction Case #10
Age: 50. Height: 5' 6". Weight: 160 pounds. After photos were taken 10 weeks post surgery.
BEFORE & AFTER: Breast Reduction #11
Breast Reduction Case #11
Age: 31. Height: 4' 11". Weight: 120 pounds. After photos were taken 8 months post surgery.
BEFORE & AFTER: Breast Reduction #12
Breast Reduction Case #12
Age: 18. Height: 5' 9". Weight: 170 pounds. After photos were taken 3 months post surgery.
BEFORE & AFTER: Left Breast Reduction #13
Left Breast Reduction Case #13
Age: 59. Height: 5' 5". Weight: 215 pounds. After photos were taken 1 month post surgery.
You can see other plastic surgery procedures in our

Am I a good candidate for a breast reduction?

During your consultation, Dr. Johnson will provide you with her expert opinion as to whether a breast reduction is a good option for you. A breast reduction is done to relieve the symptoms you are having secondary to your large breasts, such as back, neck, and shoulder pain. Large breast can also cause you to develop rashes at the breast fold and bra strap creases at your shoulders. Women who have large breasts are less physically active due to the discomfort caused by their large breasts. The risks and benefits and possible complications of surgery will all be discussed. Once you are fully informed, you will be able to determine whether having a breast reduction is for you.

Will I be seen by the surgeon?

Yes. You begin your consultation with Christina, our Physician Assistant, first, and Dr. Johnson will also meet with you to discuss all your surgical options. We'll answer all your questions and provide you with all the necessary information so that you'll feel confident and comfortable with your surgical decisions.

Is the plastic surgeon board certified?

Yes. Dr. Johnson is board certified by the American Board of Plastic Surgery, is a fellow of the American College of Surgeons, and is a proud member of the American Society of Plastic Surgeons. Additionally, she is a member of the American Society for Aesthetic Plastic Surgery, which recognizes surgeons who specialize in cosmetic plastic surgery.

Will I be charged for an initial consultation?

No. Your initial consultation will be billed through your insurance carrier. After your consultation, if all criteria is met, we will attempt to obtain authorization through your insurance carrier to cover the surgery. If the procedure is not covered by your insurance carrier, you will be responsible for the surgery costs.

Are there different types of breast reduction procedures?

Yes. There are a number of different techniques that can be performed to reduce the size of the breast. The technique chosen is dependent upon the size of the breast, the amount of saggy skin to the breast, the composition of the breast tissue.

Where will my breast reduction incision be?

A common incision pattern for a breast reduction consists of an incision around the nipple/areola complex, a vertical incision and an inframammary incision. This is called an inverted T-incision or anchor shaped pattern. Another incision pattern is one without the inframammary incision. It consists of an incision around the nipple/areola complex and the vertical incision only. The incision pattern chosen is dependent on the amount of breast tissue and skin needed to be removed. The incision will be closed with dissolvable sutures.

What is the surgical process?

The surgery is performed at a hospital. During surgery you will receive general anesthesia. The surgery will take between 2-3 hours. Once you are awake you are taken to the recovery room for another 1-2 hours and then you are either discharged home or you spend a night in the hospital. Drains may or may not be used.

How should I prepare for my consultation?

If you have friends or family who have had a breast reduction, ask them about their experience. Research on reputable internet sites such as the American Society for Aesthetic Plastic Surgery and the American Society of Plastic Surgeons can be very informative to help provide an overview. However, the best information will be obtained by making an appointment and speaking with Dr. Johnson. At the time of your consultation it may also be helpful to review before and after photos of patients that have had the procedure. Viewing photos of women with a similar body type as yours is helpful. Thinking about how small you want your cup size to be is also helpful. At the time of your consultation we will provide you with all the needed information for you to be able to make a comfortable, confident decision about having surgery. It's a good idea to write down any questions or concerns you have so they can be fully addressed at your consultation. Know what your surgical expectations are so Dr. Johnson can discuss them with you. If you are a smoker we recommend you quit to help reduce the risk of wound healing. We also recommend a healthy lifestyle to help your recovery process.

Where will my breast reduction surgery be performed?

Dr. Johnson has privileges at Baystate Medical Center and Mercy Medical Center. Both are accredited by the Joint Commission and have been awarded the Gold Seal of Approval, and both are conveniently located in Springfield, MA.

Are there risks involved with breast reduction?

Yes, there are risks with any surgical procedure. The most common risks with a breast reduction are pain, infection, hematoma/seroma, nipple sensation changes, the need for another operation due to asymmetry, unsatisfactory scarring or results, breastfeeding difficulties, fat necrosis, skin numbness.

What is the recovery process for breast reduction surgery?

The first couple of days you may feel achiness and pain in the breasts. You will notice that the discomfort decreases with each passing day. You are sent home on pain medications which will decrease your discomfort. We will recommend that you wear the breast binder or sports bra after surgery to provide support. We request that you do no heavy lifting for at least one month following surgery.

How much does breast reduction cost?

The best way to determine the cost of your breast reduction is to schedule a consultation with Dr. Johnson. Pioneer Valley Plastic Surgery fees are generally comparable to national rates and in some cases may be higher or lower. Fees generally vary according to patient needs.

Will my insurance cover breast reduction surgery?"

If you meet all the criteria of your insurance carrier we will attempt to get authorization from them to cover the procedure. Each insurance carrier has a set of criteria that they require for a breast reduction to be considered a medically necessary procedure. If you do not meet the criteria it will be considered a cosmetic procedure and will not be covered.

Can I finance my breast reduction surgery?

financingYes. We offer patient financing through CareCredit, which is a part of GE Capital, one of the nation's most credible and trusted financial partners. You can apply securely online by filling out a CareCredit Online Credit Application, or by calling (800) 365-8295. A decision is usually made within minutes of receiving your application.

What forms of payment are accepted

Our office accepts all major credit cards, debit cards, cash, money orders, and certified bank checks, or you can finance through CareCredit.

Can I make payments online?

Yes. You can make credit card payments securely online.