This case features a young woman who came to our practice seeking relief from the physical and cosmetic challenges of having very large, ptotic breasts.
Her goal was clear: to achieve a more balanced breast size, reduce discomfort, and restore a natural looking contour. A breast reduction with lift was performed, and the outcome exceeded expectations.
Dr. Hoschander shares more about her case and the approach to her care below.
Patient Presentation and Primary Concerns
When this patient came in for consultation, she had been struggling with classic symptoms of macromastia. Her breasts were disproportionately large for her frame, and she was experiencing:
- Deep shoulder grooving from bra straps
- Daily upper back and neck pain
- Difficulty finding clothing that fit her comfortably
- A sense of self-consciousness, especially in social and professional settings
In addition to the size-related discomfort, her breasts were also quite ptotic (sagging). Her nipples had descended well below the inframammary fold, and the areolae were significantly enlarged.
She was looking not only for a size reduction but also a natural, lifted shape that would be proportionate to the rest of her body.
Surgical Plan and Execution
After a detailed consultation, we decided that the best course of action would be a bilateral breast reduction with a vertical lift. Our goal was to address both the volume and the shape of the breasts, while creating aesthetically pleasing, symmetric results.
Key components of her procedure included:
- Volume reduction: I removed excess glandular tissue and fat to achieve a lighter, C-cup result that was much more in line with her body frame.
- Breast lift (mastopexy): The remaining tissue was reshaped and lifted to restore a natural contour.
- Nipple and areola repositioning: Her nipples were elevated to a normal anatomic height and the areolae were resized for better balance.
- Scar placement: Incisions were placed using a lollipop technique, which provides strong shape support while keeping scars well-hidden.
The entire procedure was completed under general anesthesia at an accredited facility. She tolerated surgery well, with no complications.
Recovery and Follow-Up
Postoperative recovery was smooth. She followed instructions closely and returned for all scheduled follow-ups. Within the first week, her discomfort had significantly decreased, and within several weeks, she was back to normal daily activity.
Her scars are healing nicely and, as expected, will continue to fade over time. Due to how the incisions were placed, they are easily concealed by most undergarments and swimwear.
By her two-month visit, her breasts had fully settled into their new shape.
Final Outcome and Patient Satisfaction
Her new breast size and shape are not only proportional but very natural in appearance. She now wears a C-cup, which has made a significant difference in both comfort and confidence. Symmetry is excellent, the breast projection is appropriate for her frame, and the results appear soft and organic rather than surgically altered.
Here are the most notable improvements:
- Relief from physical discomfort: Her back and shoulder pain have completely resolved.
- Restored proportions: Her breast size is now in harmony with her figure.
- Improved posture: Without the pull of heavy breast tissue, her posture has noticeably improved.
- Confident appearance: She now wears clothing with ease and comfort, without the self-consciousness she once felt.
She expressed a great deal of gratitude at her final visit and was particularly pleased with how natural her results looked, even just a few months post-op.
When Aesthetic Goals and Physical Relief Align
Cases like this are particularly rewarding because they address both function and form. This patient came to Breast Reduction Surgeons of Long Island with clear goals, and through careful planning and precision, we were able to deliver results that truly improved her quality of life.
If you’re considering breast reduction for similar reasons, whether for relief from physical symptoms or to feel more aligned with your body, we welcome you to schedule a consultation. Together, we can develop a surgical plan that’s tailored to your needs and goals.
