Breast surgery
Breast Reduction
Breast reduction relieves physical discomfort and creates a shape that matches how you want to feel.
Overview
Large breasts can cause chronic neck pain, back pain, shoulder grooving from bra straps, skin irritation, and difficulty exercising. Beyond the physical burden, many women simply feel their breasts are out of proportion with their body.
Breast reduction removes excess tissue, fat, and skin to create smaller, lighter, more proportional breasts. The result is immediate physical relief — and, for most patients, a significant boost in confidence and comfort.
Dr. Cassileth approaches reduction with aesthetics in mind, ensuring breasts are not only smaller but also beautifully shaped and lifted.
Who it's for
The right candidate.
- Women experiencing physical discomfort from large breasts
- Patients with chronic neck, back, or shoulder pain
- Women who feel self-conscious about breast size
- Patients who have difficulty finding clothes or exercising comfortably
- Women who only want a lift without size reduction (see Breast Lift)
Technique
How it's done.
Breast Reduction Surgical Techniques
Dr. Cassileth always performs a
as part of the breast reduction procedure. The lift repositions the breast so that it's higher and more appropriate for its new smaller size.
Vertical Breast Reduction
In a vertical breast reduction, Dr. Cassileth removes excess breast tissue in the lower, central breast. The sides of the breast are then joined together, pulling the shape into a smaller, higher profile, naturally bringing the breast upward. None of the natural upper fullness of the breast is sacrificed, and the nipple is also moved upward, which creates a perkier and younger-looking breast. This type of breast lift typically involves a “lollipop” incision, which is placed around the areola and extends vertically underneath the breast. If a large amount of tissue and skin need to be removed, an anchor scar may be used, which extends vertically in the natural breast crease.
The Pocket Lift: A Revolutionary Approach to Breast Reduction
Dr. Cassileth pioneered the Pocket Lift technique to solve a common challenge in breast reduction surgery: achieving natural upper breast fullness without implants. Many women with heavy, pendulous breasts are told they need implants with their reduction to create fullness in the upper breast area. Dr. Cassileth's innovative solution uses your own breast tissue instead, creating beautiful, natural results without artificial breast implants. The beauty of this technique is in its design: Dr. Cassileth uses the pectoral fascia—a strong, natural layer covering your chest muscle—to create a secure internal "pocket" that holds breast tissue in an elevated position. This revolutionary approach creates lasting upper breast fullness and takes the pressure off your skin, resulting in better healing and finer scars. Throughout the procedure, Dr. Cassileth carefully preserves nerve sensation while positioning your nipples for a natural, youthful appearance.
What to expect
From consultation to recovery.
Before Surgery
- Consultation — Discuss symptoms, goals, and desired size. Photos and measurements taken.
- Insurance authorization — If symptoms qualify, our team pursues coverage.
- Pre-op — Instructions provided, lab work completed.
During Surgery
- Tissue removal — Excess breast tissue, fat, and skin removed through anchor or lollipop incision.
- Reshaping — Remaining tissue lifted and reshaped. Nipple repositioned.
- Fat grafting — Optional, to refine contour and fill upper pole.
After Surgery
- Immediate relief — Most patients notice reduced strain on neck and back immediately.
- Recovery — Light activity in 1–2 weeks. Full activity at 4–6 weeks.
- Final results — Shape continues to settle and improve over several months.
“Today, I received a call from Fallon, Dr. Cassileth’s Patient Coordinator, and I had to write a review and commend them for such an amazing customer service. It’s been a while I had been to the office, and she called to check on me, showing real interest, patience and kindness. I was truly impressed. Be certain that if you do come here, you’ll receive a personal and incredible customer experience. I am so grateful for this Clinic , Thank you ???? MC”
— Jujuba V. via Google My Business
Insurance
Read about coverage & financing →Breast reduction is often covered by insurance when documented symptoms (pain, rashes, etc.) are present. Our team handles authorization and works to maximize your coverage.
FAQ
Common questions.
Am I A Good Candidate For Breast Reduction?
Ideal candidates for breast reduction surgery are in good general health, non-smoking, and are bothered by very large breasts.
If your breasts interfere with your health due to physical pain or cause you frustration, this procedure may be right for you. The best way to determine if you are a candidate is to
schedule a consultation appointment
.
Will I Be Able To Breastfeed After This Procedure?
Breast surgery does not typically interfere with the ability to breastfeed, but certain surgical techniques may affect milk supply.
To help increase the chances that women can breastfeed after reduction, Dr. Cassileth performs breast reductions in a slightly different way in women who plan to breastfeed by removing a wedge of tissue so that all tissue left behind should communicate with the nipple, like spokes on a wheel. It’s important to let Dr. Cassileth know if you plan on breastfeeding children after your surgery so she can advise you on your options.
What Is The Cost of Breast Reduction Surgery?
For patients paying out of pocket, the cost of breast reduction surgery varies depending on factors such as the complexity of the procedure and the techniques used. Our practice delivers exceptional care and results tailored to your unique needs. Schedule a consultation with our experienced team to receive an accurate cost estimate.
Is Breast Reduction Surgery Covered By Insurance?
Breast reduction surgery is unique because it can be considered an elective cosmetic surgery or a reconstructive and necessary procedure. Since overly large breasts can cause physical pain, insurance companies sometimes contribute to the cost of surgery for breast reduction patients. Insurance coverage can vary depending on the carrier’s requirements, and some plans dictate the details of the surgical plan, so check with your insurance provider to learn more.
Where can I find breast reduction near me?
If you’re feeling self-conscious about the size of your breasts or experiencing discomfort due to excessively large breasts, finding a trusted breast reduction specialist in Beverly Hills, California, is key. Cassileth Plastic Surgery, led by Dr. Lisa Cassileth, a renowned Beverly Hills breast reduction specialist skilled in performing this transformative surgical procedure, can help you achieve a size and shape that enhances your comfort and confidence while addressing aesthetic and physical concerns. Whether you’re seeking relief from pain or a more proportionate figure, breast reduction surgery can help you take the first step toward a more comfortable and confident you.
Related reading
From the journal.
Sources
Cited research.
- 1Gonzalez MA, Glickman LT, Aladegbami B, Simpson RL. Quality of life after breast reduction surgery: a 10-year retrospective analysis using the Breast Q questionnaire: does breast size matter? Ann Plast Surg. 2012 Oct;69(4):361-3. doi: 10.1097/SAP.0b013e31824a218a. PMID: 22964671.
- 2Mayo Clinic. Breast Reduction Surgery. Available: https://www.mayoclinic.org/tests-procedures/breast-reduction-surgery/about/pac-20385246 mayoclinic.org · Accessed May 12, 2021
- 3American Society of Plastic Surgeons. Breast Reduction. Available: https://www.plasticsurgery.org/reconstructive-procedures/breast-reduction/candidates plasticsurgery.org · Accessed May 12, 2021
- 4Cleveland Clinic. Breastfeeding after breast or nipple surgery. Available: https://my.clevelandclinic.org/health/articles/15585-breastfeeding-after-breast-or-nipple-surgery my.clevelandclinic.org · Accessed May 12, 2021
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Schedule a consultation with Dr. Cassileth and her team to explore your options.
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