Breast Reduction in Upland & the Inland Empire
Breast reduction, also known as reduction mammaplasty, removes extra breast tissue, fat and skin to create smaller, lighter breasts that better match your frame. The remaining tissue is reshaped and lifted, so many women notice an improved shape as well as a smaller cup size.
For many women, this surgery is about comfort as much as appearance. Very large breasts can cause ongoing neck, back and shoulder pain, deep bra-strap grooves, rashes under the breast fold and trouble staying active. Inland Empire patients who deal with these issues every day, especially in the summer heat, often find reduction worth exploring.
Who is a good candidate?
- Women with neck, back or shoulder pain linked to breast weight
- Those who get rashes or skin irritation in the crease under the breasts
- People whose breasts feel out of proportion with their body
- Women with bra-strap grooves or poor posture from heavy breasts
- Those who have tried diet and exercise without a change in breast size
- Adults whose breasts are fully developed, usually 18 or older
Dr. Smiley's technique and philosophy
Dr. Smiley selects the incision pattern based on how much tissue needs to come out. For very large breasts, he typically uses an anchor-shaped pattern: one incision around the areola, one running straight down to the breast crease, and one along the crease. When less tissue is removed, the horizontal incision can sometimes be left out.
Often the nipple and areola remain connected and are simply moved higher. For very large, heavy breasts, they may need to be repositioned in a way that gives a more natural result, and an enlarged areola can be made smaller. Dr. Smiley describes his approach as conservative: he aims to remove what is needed for comfort and balance without doing more than necessary.
What to expect
Consultation
Your consultation is held at our Upland office at 330 East 7th Street. Dr. Smiley will listen to your symptoms, examine you, and talk through the incision plan, likely scars and your goals for size. If you plan to have children, let him know, as reduction can affect the ability to breastfeed. Call (866) 372-3288 or text (714) 403-7092 to set up a visit.
The procedure
Breast reduction is done in an accredited surgical facility, not at the Upland office. Because it is a fairly involved surgery, Dr. Smiley usually performs it under general anesthesia. Most women go home the same day. Incisions are closed with fine sutures and covered with dressings or an elastic wrap.
Recovery
Plan on soreness, swelling and bruising for the first week or two, and wear a supportive bra as directed. Many people return to desk work in about two weeks and to heavier activity after several weeks. Some women notice relief from neck and back strain soon after surgery, while final shape takes a few months to show. Everyone heals differently.
Risks and safety
Breast reduction carries risks like any surgery, including bleeding, infection, visible scarring and slight differences between the two sides. Changes in nipple sensation, which may be lasting, are possible, especially when the nipple and areola must be moved a long way. Some women are not able to breastfeed afterward.
Dr. Smiley explains these risks openly at your consultation. Outcomes vary from person to person and cannot be guaranteed.
Frequently asked questions
Will breast reduction help my back pain?
Many women with very large breasts report less neck, back and shoulder strain after surgery, but results vary. Dr. Smiley will talk with you about what to expect in your case.
Can I breastfeed after a breast reduction?
Some women can, but reduction may affect milk ducts and nerves. If you plan to have children, discuss timing with Dr. Smiley before deciding.
Is breast reduction covered by insurance?
Because reduction often treats physical symptoms, some plans may cover part of it. Coverage depends on your insurer and their requirements, so check with your plan.
How is a breast reduction different from a breast lift?
A reduction removes breast tissue to make the breasts smaller and lighter. A lift reshapes and raises the breasts without removing breast tissue.
Book your consultation in Upland. Call (866) 372-3288 or text (714) 403-7092. Consultations are complimentary.
Learn more about this procedure on Dr. Smiley's main site: Breast Reduction at dr-smiley.com.