Breast Reduction

Farbod Esmailian | Plastic Surgery


Breast Reduction  Orange CountyMacromastia is the medical term for enlarged breasts, and symptomatic macromastia refers to the problematic medical complications and painful physical symptoms caused by the weight of heavy breasts. Large breasts can cause disruptions in numerous body systems, and can potentially lead to obesity by diminishing a woman’s ability to exercise and live an active life. Physical symptoms of macromastia include: tingling or numbness in the hands; persistent neck, back, and shoulder pain; deep grooves in the shoulder region from bra straps; poor posture; chest wall pain; insomnia; rashes between and under the breasts; shortness of breath, and headaches.

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In addition to physical and medical complications, macromastia can also have a detrimental impact on a woman’s lifestyle and emotional well-being. The weight of excess breast tissue can make participating in physical activities nearly impossible, and the self-consciousness and emotional distress often linked to macromastia can be just as troubling as the physical complications.


Although mild and infrequent symptoms of macromastia may be alleviated with non-surgical treatment options (anti-inflammatories, massage etc), breast reduction surgery is the best solution for lasting relief from the chronic complications of enlarged breasts. Breast reduction surgery (reduction mammaplasty) is one of the most highly effective and frequently requested plastic surgery procedures, with some of the highest patient satisfaction rates. In a recent study performed by the American Society of Plastic Surgeons (ASPS), when surveyed six months after their breast reduction surgery, 90% of women rated the results of their surgery as “good” or “very good.” A number of medical studies have established the beneficial results of breast reduction surgery, including: pain relief, better skeletal stability, enhanced physical functioning, improved lung function, fewer headaches, better breast visualization during mammography, and diminished sleep disturbances.

Although the majority of plastic surgeons perform breast reduction surgery, the importance of selecting a surgeon who specializes in breast surgery cannot be overstated. At our plastic surgery practice, Dr. Farbod Esmailian, M.D., is a double board certified plastic surgeon who specializes in surgery of the breasts, and has helped countless women resolve the troublesome physical and emotional complications of macromastia through breast reduction surgery in Orange County.


Our breast reduction surgery in Orange County is performed under general anesthesia, and you will usually be able to return home the same day. During your surgery, excess breast tissue, fat and skin will be removed through a series of incisions. There are three general options for breast reduction incisions:

  • An incision made in a circular pattern around the areola
  • An “anchor-shaped” incision pattern
  • A “racquet” or “keyhole-shaped” incision, circling around the areola and extending down to the breast crease.

During your initial consultation, Dr. Esmailian will conduct a thorough assessment of your breast composition, personal preferences, medical history, and breast reduction goals, in order to choose the appropriate incision type for your procedure. After making the incision, Dr. Esmailian will reposition your nipple (reducing the areola diameter if needed), and raise and re-contour the shape of your breasts, reducing the amount of original breast tissue, and decreasing the overall volume and size of your breasts. If the removal of a substantial amount of fatty tissue is necessary, liposuction may be performed in conjunction with your breast reduction surgery.


Following your breast reduction surgery, your breasts will be covered with bandages or a gauze dressing, and a thin tube will be placed under each arm to eliminate surplus blood or fluid. You may feel some breast sensitivity and discomfort after surgery, and may have temporary swelling or bruising of your breasts. Our patients usually take 3-5 days off from work to recover, in order to give their bodies ample time to heal, and to shift from narcotic pain medicine to over the counter pain relievers. You will wear a surgical bra for approximately four weeks after surgery, and any incision scarring will diminish over time until it is barely noticeable. Although the final shape of your breasts will not be apparent for a few months, and total recovery time varies from patient to patient, most women are able to resume all of their daily activities within six weeks.


Dr. Esmailian is passionate about helping his patients make truly informed decisions, and will take the time to thoroughly discuss your breast reduction surgery, helping you to select the best procedural choices to bring your surgical goals to fruition. If you would like more information about breast reduction in Orange County, please contact our office. We are happy to answer any and all of your questions, and to schedule an initial consultation with Dr. Esmailian.