Breast Reduction

Breast reduction, clinically known as a reduction mammaplasty, is a plastic surgery procedure designed to reduce the size and weight of the breasts in order to improve their proportion with the rest of the body.

The Scarless Breast Reduction, also known as the Liposuction Breast Reduction, is gaining popularity among women who want an alternative to traditional breast reduction surgery that minimizes the amount of visible scarring and downtime after the procedure. Breast reduction surgery, scarless or not, has one of the highest satisfaction rates of any cosmetic breast procedure, so you can’t necessarily go wrong with either choice as long as you understand the goals and limitations of each.

Dr. Nicholas Vendemia performs breast reduction and scarless breast reduction surgery for women in the New York metro area. We encourage you to contact us online or give Manhattan Aesthetic Surgery a call at 917-703-7069 to schedule a visit. Dr. Vendemia is a leading cosmetic surgeon in New York City with a reputation for custom care and beautiful results.


Am I a good candidate for a Breast Reduction?

Good candidates for a reduction mammaplasty…

  • want smaller, lighter breasts to take the weight off of their neck and shoulders.
  • have constant neck, back and shoulder pain in spite of consistent efforts to lose weight and strengthen the shoulder muscles for more than one year.
  • may have needed physical therapy to help relieve neck and shoulder pain associated with the large size of their breasts.
  • would like to be able to wear more normal clothing.
  • feel self conscious about the size of their breasts.
  • are OK with the idea of adding visible scars to their breasts in exchange for them perkier, shapelier, and smaller.

What types of Breast Reductions are available?

Breast Lift Mastopexy by New York Plastic Surgeon Dr Nicholas Vendemia of MAS | 917-703-7069

  • The Scarless Breast Reduction. The Scarless Breast Reduction, sometimes known as the Liposuction Breast Reduction, is a less-invasive alternative to traditional breast reduction surgery that avoids the unattractive scars and accelerates the healing process so you can get back to work and normal activities sooner. Not everyone is a candidate for the scarless procedure though, so it’s important to schedule a consultation before you decide which procedure is best for you. Click here to learn more.
  • The Short-Scar Breast Reduction. Also known as the Lollipop Lift or the Vertical Scar Breast Reduction, this procedure is meant for women with moderate a amount of sagging and moderately large sized breasts. This technique involves a scar around the areola, and a vertical scar from the areola down to the fold under the breast. If you have very large breasts or an excessive amount of sagging, you may not be a candidate for this technique, so make sure you schedule a consultation with a plastic surgeon to find out whether your not you quality.
  • Anchor Pattern Breast Reduction. The anchor breast reduction, also called the Wise-pattern Reduction or the Traditional Breast Reduction, is the best technique for large breasts with a large amount of sagging. In contrast to the Short Scar technique, this procedure adds an additional scar in the fold under the breast, but it’s the only technique that will allow for a round, shapely breast when a great deal of lift and volume reduction is needed.
  • LaserBra Lift. The LaserBra Lift is a highly specialized technique that only a few surgeons across the country are qualified to perform. The scar pattern is the same as the anchor technique, but instead of removing and discarding the excess sagging skin, this skin is left intact and a laser is used to create a strong, supple, and durable internal bra. This internal bra is sculpted and secure with internal sutures to give you an exceptional shape that lasts much longer compared to older techniques because of the additional internal support. Click here to learn more about the LaserBra.
  • Circle Lift. The circle lift, also called the circumareolar lift, the periareolar lift, or the donut lift, is a great lifting procedure for small breasts, but it is not an appropriate technique to reduce the size of large, heavy breasts. The main attraction of this technique is that it only leads to a single scar around the areola, but when this procedure is performed in women with large breasts, it often leads to a very wide, very unattractive, scar that is very difficult to fix. If your main goal is to reduce the size and weight of your breasts, this is not the procedure for you.

Is there a way to do a Breast Reduction without scars?

No, not exactly, but there is a procedure called the Scarless Breast Reduction that may a good alternative to traditional reduction surgery for some women.

Breast sagging results from excess stretched out skin and loose connective tissue on the inside of the breast. In order to lift a saggy breast, the extra skin must be removed, and the loose connective tissue must be tightened internally. There is no way to accomplish these goals without making incisions, and all incisions leave scars. That being said, the vast majority of women who have breast reduction surgery are very happy with the results and feel that the scars are a very acceptable tradeoff for shapelier, perkier, smaller breasts.

The “Scarless” Breast Reduction is commonly advertised as a breast lift, but this is not accurate given that the scarless procedure is only about volume reduction, not lifting. The Scarless Breast Reduction will not lead to lifting or tightening of the breast, and in many cases can actually lead to more sagging. The Scarless Breast Reduction is an excellent way to reduce the size and weight of very large breasts without the risk or downtime of a traditional breast reduction, but it should not be confused with a breast lift.


Does insurance cover breast reduction surgery?

Unless you are EXTREMELY large breasted with objective medical issues that have clearly resulted from the overwhelming size of your breasts, such as ACTIVE rashes, infections, or sores in the folds under your breasts, you may find the process of getting the procedure covered by your insurance company to be so long and exhausting that you could have had the surgery and been fully recovered in less time than it takes to get even half way through the approval process. Even if you qualify for coverage under your insurance plan, you may find the process extremely frustrating and limited in a variety of ways:

  • Many insurance providers have already dropped, or are about to drop, breast reduction surgery from their coverage plans.
  • Your choice of surgeons may be extremely limited by being forced to select a surgeon in your plan whom you may or may not be happy with.
  • Many surgeons who still accept insurance for this procedure may not be motivated to do their best work in exchange for the meager insurance payment they will receive from your insurance company.

More and more insurance companies are discontinuing coverage for breast reduction surgery, and many women are getting better results and having a better overall experience by paying for their procedure so it can be performed at a top notch breast center like Manhattan Aesthetic Surgery. If you are interested in discussing the details of financing your breast reduction, we encourage you to contact us online or give us a call at 917-703-7069.


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For more information about breast reduction surgery, please call our office at 917-703-7069, or send us a message by clicking here. We offer the most innovative techniques and the quickest recovery times in the safest environment possible.