This patient came to our practice with a long-standing concern about the size, weight, and droop of her breasts. After undergoing breast reduction with lift performed by Dr. Hoschander, she achieved a natural, proportionate shape that dramatically improved both her physical comfort and overall silhouette.
In the Q&A below, Dr. Hoschander walks us through the case details and surgical approach
What were this patient’s primary concerns when she first came to see you?
She was dealing with extremely large, heavy breasts that caused significant back and shoulder pain. On top of the physical discomfort, she was also frustrated with how saggy her breasts had become. Her nipples were positioned quite low, and she mentioned that she couldn’t wear anything without a supportive bra. She wanted relief, but she also wanted to look and feel more balanced in her body.
How did you determine she was a good candidate for breast reduction with
lift?
From the initial consultation, it was clear she would benefit greatly from surgery. Her symptoms, breast volume, and breast position all met the criteria for reduction and lift. She also had realistic expectations and was in good overall health. That combination makes for a strong candidate.
Can you walk us through your surgical approach in this case?
Absolutely. We performed a bilateral breast reduction and vertical lift. The goals were to reduce overall volume, reposition the nipple-areolar complex to a more natural height, and reshape the breast tissue into a firmer, rounder contour.
Key parts of the procedure included:
- Volume reduction: We removed enough tissue to bring her down to a more proportionate size while maintaining upper pole fullness.
- Nipple elevation: Her nipples were lifted and centered on the breast mound, creating a more youthful appearance.
- Areola reduction: Her areolae were quite large pre-op. We reduced their size to match her new breast dimensions.
- Scar placement: Incisions were placed, which offer a clean shape with less scarring than older methods.
This approach created long-lasting support with a natural, lifted result.
How was her recovery process?
She recovered very well. Most patients can return to non-strenuous activities within a week, and that was the case here. There was some expected swelling in the first two weeks, but she followed post-op instructions carefully. By six weeks, her breast shape had settled beautifully.
Were there any challenges or unique aspects to this case?
One consideration was achieving symmetry while preserving fullness. In some cases, reducing too much volume in larger breasts can leave a patient feeling too flat. We were very intentional in sculpting the tissue so that her upper breast remained full, but lifted. That balance is key.
What was her final cup size, and how did she feel about the outcome?
She ended up around a full C to small D, which fit her frame perfectly. She was thrilled. She mentioned that she hadn’t realized just how much the breast weight was impacting her until it was gone. Now she stands taller, feels lighter, and can wear tops she hadn’t touched in years.
From a surgical standpoint, what are you most proud of in this result?
Honestly, the overall balance. Her breasts now have great projection without looking augmented or “overworked.” The scars are minimal and well-hidden. Her areolae are centered and proportionate. But most importantly, she feels good in her own skin. That’s what matters most.
Highlighted Improvements in This Case
This patient’s transformation was both functional and aesthetic. The surgery addressed her symptoms while giving her a fresh, natural look. Key improvements included:
- Significant reduction in breast volume: Made daily movement and exercise more comfortable.
- Improved breast projection and lift: Eliminated sagging and restored youthful contour.
- Better symmetry and nipple position: Her breasts are now aligned and proportional.
- Concealed scarring: Incisions were placed carefully and are fading well over time.
Her confidence has improved, and she now enjoys a lifestyle unrestricted by breast size or discomfort.
Breast Reduction That Prioritizes Balance
Every breast reduction is a balance between relief and aesthetics. In this case, Dr. Hoschander was able to deliver both, providing the patient with a lighter, lifted appearance that feels as good as it looks.
If you’re exploring breast reduction surgery for similar reasons, schedule a consultation with Dr. Hoschander at Breast Reduction Surgeons of Long Island to see what’s possible.
