Breast Reduction in New York City

Making breasts smaller is only one of the many facets of breast reduction surgery. So much more than simply reducing breast size, the true goals of breast reduction are beautiful breasts, achieved through enhancement of breast shape, position, projection, proportion and decreased volume. The improvement of breast aesthetics, physical comfort, and self-confidence can be dramatic.

Breast Reduction Before & Afters

These Breast Reduction before and after pictures represent actual patients from Dr. Kolker. They will help to assist you in understanding your various options and enable you to set realistic goals for your own surgical outcome. Click on a patient for their specific case details.

“My experience with Dr. Kolker has been nothing short of life changing. Having my breast augmentation and lift procedure has boosted my self-esteem and given me a confidence that I had not felt for years.”

— S.V. / New Jersey

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Enlarged breasts, or breast hypertrophy, may be developmental in nature, having been present from an early age. Breast enlargement may also occur as a result of pregnancy or weight gain.

Often, there will be a low-lying position of the breasts with droop or sag, as well as a nipple areolar enlargement. There may be physical manifestations of large breasts that may include neck and back pain, shoulder grooving from bra straps, and irritation beneath the breasts, particularly in warmer weather.

Whereas diet and exercise can have some impact on breast size, for most, breast reduction is the best means of achieving their goals. While some women may be pleased with the form and balance of their breasts and only desire a diminution in mass, most desire more lift, projection, perkiness, smaller and proportional areolas, better posture, the ability to more easily fit into clothing and bathing suits, and the confidence gained from increased breast and body harmony.

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Dr. Kolker's approach to breast reduction is predicated on achieving the most beautiful breast shape and the most pleasing breast-body aesthetic proportion through the most advanced techniques using the shortest, most limited incisions.

Every individual's physique and goals are unique, and every plastic surgeon is different. In striving to safely achieve the most beautiful results, choosing the best breast reduction surgeon matters. Dr. Kolker brings vast experience in breast reduction, married with aesthetic vision, extraordinary finesse, superior safety standards, a warm and wonderful staff, and a passion for achieving the most gorgeous results for every woman.

Dr. Kolker's Message to Those Considering Breast Reduction

“Achieving the best breast reduction outcomes is as much about shape as it is size. The artistry of breast reduction is sculptural; breasts should be beautiful, natural, and proportional, not just smaller. The balance that can be achieved can have such a tremendous impact on not just how you look, but how you feel.”

Dr. Adam Kolker
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There has been considerable evolution in breast reduction theory and technique over recent years.

From decades past, where an "inverted-T" breast reduction, with an incision placed in the crease beneath the breast, was the only method to reduce breast size, you may now be a candidate for a diverse array of breast reduction approaches. After a thorough evaluation and discussion with Dr. Kolker in his office in NYC, breast reduction options using the most modern and individually tailored techniques will be discussed.

In every case, Dr. Kolker will recommend and select the least invasive, most nominal incision approach to achieve the most beautiful results. The top breast reduction techniques that are available are as follows:

  • Circumareolar Breast Reduction - A reduction mammoplasty performed with a "doughnut" incision made around the areola only is used
  • Circumvertical Breast Reduction - A "Lollipop" reduction mammoplasty, or short scar breast reduction, with an incision around areola and a vertical line
  • Wise-Pattern Reduction - The more classical "Inverted-T" breast reduction, with an incision around the areola, a vertical line to the inframammary crease, and a horizontal line
  • Suction-Assisted Breast Reduction - a breast reduction performed with liposuction, solely, or in conjunction with the above

There are numerous factors that must be considered in the selection of the best breast reduction technique, which include:

  • The size of the breasts
  • The degree of droop or sag (ptosis)
  • Breast shape
  • Breast Symmetry
  • The projection and size of the nipple - areolar region
  • The elasticity of the breast skin
  • Physique and body proportion
  • Individual preferences, desires and goals

By blending the specific physical requirements and individual desires, the best reduction mammoplasty methods can be selected. The specific techniques and incision patterns are ultimately formulated on the anticipated final balance between the breast "foundation", consisting of breast gland and soft tissue, and the elastic properties and size of the "skin bra". Only with the greatest respect for this relationship can the most beautiful and natural breast shape be achieved, and the top breast reduction results be obtained.

Who is a candidate for breast reduction?

Women who have large breasts with or without droop are candidates for breast reduction.

Is breast reduction covered by insurance?

Occasionally. Significant symptoms that have failed conservative measures (orthopedic, chiropractic, physical therapy, dermatologic) must be present and well documented. Dr. Kolker does not participate with any third party insurers.

What are the main incision types?

Breast reduction incisions may be circumareolar (around the nipple area), circumvertical (lollipop), or inverted T. Short scar incision patterns are always favored, and the incision type and length are tailored on an individualized basis.

How long before I can get back to work?

Return to work after breast reduction is most often five to seven days.

How long until I can exercise?

Light cardio can be resumed at 7 days following breast reduction, and strength training at two weeks. Higher impact cardio (running) with a very supportive bra is allowed 6 weeks after breast reduction.

Are my breast reduction results permanent?

Breast reduction decreases breast size and lifts the breasts. Weight change or subsequent pregnancy may have an effect on breast size postoperatively, and gravitational effects can also have an impact on breast position over time.

How does breast reduction affect breastfeeding?

Most techniques that Dr. Kolker uses for breast reduction maintain continuity of the breast gland with the main lactiferous duct, so breastfeeding is likely possible after breast reduction.

Will I have decreased sensitivity?

Decreased sensation of the nipple or other areas of the breast or nipple are possible after breast reduction. While an uncommon outcome, this has little to do with incision patterns; the amount of breast tissue removed and the reduction technique have more influence on sensation.

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