Breast Reduction
Serving patients in Fairfield County, Westchester County, and New York City
For women living with the physical and emotional weight of large breasts, breast reduction can be a life-changing procedure. It offers immediate relief from chronic pain and a renewed sense of physical freedom. While often categorized as an aesthetic surgery, the primary goal is often reconstructive: to return the body to a state of balance and comfort.
Board-certified and fellowship-trained plastic surgeon Dr. Leo Otake approaches every reduction mammoplasty with a deep understanding of anatomy, tissue biology, and aesthetics, reshaping the internal and external structures of the breast to provide physical relief, improved mobility, and a beautifully balanced silhouette.
Breast reduction, clinically known as reduction mammoplasty, is a surgical procedure designed to decrease the size and weight of the breasts. The overall purpose is to create a more proportional frame and alleviate the physical symptoms associated with macromastia (unusually large breasts).
Dr. Otake utilizes advanced surgical techniques to remove excess tissue while preserving the health and sensation of the breast. Depending on your anatomy and goals, he may also use liposuction to refine the contours near the armpits. By integrating his academic background in biochemistry, Dr. Otake ensures the tissue is handled with extreme care to promote optimal healing and long-term stability.
On the day of your surgery, your safety and comfort are our primary priorities. The procedure is performed under general anesthesia in a state-of-the-art surgery center. Dr. Otake begins by creating precise incisions, typically in a "lollipop" or "anchor" pattern, to allow for the removal of excess glandular tissue and skin.
Using meticulous surgical principles, Dr. Otake reshapes the remaining breast tissue to create a firmer, more uplifted contour and repositions the nipple-areola complex to a more natural, youthful height. Because Dr. Otake is an expert in wound healing, he utilizes advanced suturing techniques to ensure a secure closure and a smooth, graceful recovery.
A breast reduction is the definitive solution for symptoms caused by excessively heavy breasts, including:
Breast reduction offers immediate relief from physical strain. Patients frequently report that they feel lighter almost right away. Beyond physical relief, Dr. Otake’s approach focuses on creating a beautiful, uplifted shape. By removing excess skin and tissue, he restores a more youthful appearance that allows clothing to fit properly and makes athletic activities more enjoyable. Because this procedure is grounded in reconstructive excellence, the benefit is a lasting transformation that honors your body's health.
If you have ever wondered about breast reduction, you are likely a candidate for this procedure. Surgical candidates should be in general good health, have completed breast development, and be at a stable weight.
During your consultation, Dr. Otake will perform a thorough evaluation of your anatomy and discuss your goals to ensure that a reduction will provide the relief and aesthetic result you desire.
The recovery process after a breast reduction is designed to be as streamlined as possible. For the first few days, you will experience some soreness and swelling, which is well-managed with prescribed medication. You will wear a supportive surgical bra to protect your new contours and minimize tension on your incisions.
Dr. Otake provides detailed instructions on when you can resume exercise and daily activities. Most patients find they can return to non-physical work within two weeks. As a specialist in wound healing and biochemistry, Dr. Otake monitors your progress closely during follow-up visits to ensure your incisions are healing beautifully.
While you will feel the physical relief immediately, your final results will emerge over the next 3 to 6 months as the swelling subsides and the breasts settle into their new, more proportional position. You will notice a significantly more balanced profile and a newfound ability to engage in activities that were once difficult.
These results are designed to be long-lasting. While no surgery can stop the natural aging process, the removal of the excess tissue is permanent. By maintaining a stable weight, you can enjoy your lighter, rejuvenated silhouette for many years to come.
Dr. Leo Otake is a board-certified plastic surgeon with over 17 years of experience performing complex breast procedures that balance function, comfort, and aesthetics.
His advanced training in reconstructive and microsurgical techniques gives him rare insight into anatomical mechanics, tissue biology, and the wound healing process, enabling him to deliver beautiful, lasting results with minimal scarring. His patients appreciate his blend of clinical expertise, compassion, and collaborative approach. Schedule a personal consultation with Dr. Otake to explore your options in a supportive, boutique setting where your goals, safety, and comfort guide every step of your journey with us.
Many insurance providers cover breast reduction if it is deemed medically necessary to treat chronic pain or skin issues. Our team can help you navigate the documentation process required by your insurance carrier to determine your eligibility for coverage.
While many women can breastfeed after a reduction, there is a possibility that the procedure may impact your ability to produce enough milk. Dr. Otake uses techniques designed to preserve the connection between the milk ducts and the nipple whenever possible.
The amount of tissue removed varies based on your anatomy and the requirements of your insurance provider (if applicable). Dr. Otake will discuss a target weight reduction during your consultation that balances physical relief with your aesthetic goals.
Dr. Otake is an expert in scar management. While a breast reduction requires incisions (typically in an anchor or lollipop pattern), his background in wound healing biochemistry helps ensure they heal as discreetly as possible. Over time, these lines fade significantly.
A breast reduction inherently involves a lift, as the remaining tissue is reshaped and the nipple is moved to a higher position. If your primary goal is elevation with minimal tissue removal, a breast lift may be more appropriate.
Most patients find that the discomfort is much less than they expected and is well-controlled with medication. The feeling of "heaviness" being gone often outweighs the temporary surgical soreness.
