Cosmetic Breast Surgery

Breast Reduction Surgery

Leesburg - Northern Virginia - Loudoun

Breast Lift Leesburg, Va

Breast reduction is both a functional as well a cosmetic surgery procedure that can often be covered by your health insurance.  

Abnormally large breasts can create social, functional, and physical challenges for women. Furthermore, uneven and very large breasts can lead to self-confidence issues and overall embarrassment, as well as pain in both the neck and back. Dr. Phillip Chang is a plastic surgeon in Leesburg, VA who continues to help countless women get back their confidence and feel more comfortable through surgical reduction of the breasts. This aesthetic surgery at Aesthetica Cosmetic Surgery & Laser Center removes excess breast fat and skin, as well as unhealthy tissue to redefine and reshape the breasts to a smaller, more balanced size. Breast reduction surgery also reshapes the size of the nipples/areolas and moves them so they are symmetrical with the new size. In most situations, a breast lift can be implemented to produce a more taut and younger-looking appearance. Call our office in Leesburg, VA to schedule a consultation with Dr. Chang today.

Breast reduction is both a functional as well a cosmetic surgery procedure that can often be covered by your health insurance.  Breast reduction has the highest patient satisfaction rate of any procedure in plastic surgery.  The goals of breast reduction are obviously to reduce the size of the breast to a size and shape that is aesthetically pleasing and proportionate to the rest of your body.  Large breasts frequently develop during puberty and with pregnancies.  They can be a source of source of physical discomfort as well as a cause for self-consciousness and poor self esteem.  Frequent reasons women give for wanting a breast reduction include:

  • Back and shoulder pain from the weight of large breasts
  • Bra strap grooving
  • Rashes under the breast from chafing and sweat
  • Inability to exercise due to the weight of the breasts
  • Inability to exercise due to embarrassment and inappropriate stares
  • Inability to find clothes that fit
  • Embarrassment and poor self esteem

Surgical breast reduction is an outpatient process and is conducted with the patient under general anesthesia.  

The principles of any breast reduction procedure is to provide you with smaller but natural appearing breasts in a safe environment.  This is why all our breast reductions are performed in an ambulatory surgery center or hospital ( not our own office ) where there are board certified anesthesiologists taking care of your well-being while I take care of your breasts. 

There are three principle techniques in performing a breast reduction.  The technique chosen depends on how much of a reduction is wanted, how much the nipple needs to be lifted, and how much extra skin needs to be addressed.  These three techniques are described below but in short, the donut technique is appropriate for only the smallest of reductions; the lollipop technique is appropriate for moderate lifts; and the anchor style technique is appropriate for larger lifts that insurance will mostly cover.  Each of these techniques have similar goals:

  • Minimize scarring
  • Elevate the nipple to the level of the under-breast crease
  • Decrease the size of the areola to about 4 cm in diameter
  • Provide a nice tear-drop shape with adequate cleavage

Breast Reduction with Donut Style Incisions –  Breast reductions using a donut-style incision is performed for very small breast reductions in patients who do not need a lot of lift.  If the areola size is too wide or the areola needs to be lifted more than about 2 cm, the donut incision will widen with time.  This means that even though the length of the incision is shorter compared to the others, gravity will widen the incision and make it more visible.

Breast Reduction with Lollipop Style Incisions –   Breast reductions using a lollipop incision is designed for middle sized reductions or for patients who need the nipple to be lifted more than 2 cm.  The donut incision around the areola is extended downward which takes the tension off the areola.  In this way, the scar around the areola is less conspicuous even though the overall length of inte scar is longer.  This technique also provides for excellent cleavage.  This technique is best for patients who need only a reduction of about a cup size.

Breast Reduction with Anchor Style Incisions –  Breast reductions using an anchor-style incision is designed for larger reductions or for patients who need the nipple to be lifted more than 4 cm.  The donut incision around the areola is extended downward which takes the tension off the areola.  An incision is then made along the infra-breast crease to remove extra skin and fat that tends to bunch up in this area.   Insurance will cover breast reductions that are generally in this category.  Insurance will generally insist on the removal of about 500 grams of breast tissue per breast for them to cover the procedure  This is about the size of a grapefruit.

You are a good candidate for a breast reduction if :

  • You feel that your breasts are too large for your body
  • You want natural appearing but smaller breasts
  • You want a breast lift in addition to smaller breasts
  • If you have one breast that is much larger than the other
  • You want a reduction in the areola
  • The breasts are large enough that you don’t care about the scars

After surgery you should rest at home and let yourself heal. Dr. Chang will send you home with a detailed recovery plan. There are a number of different ways to help aid recovery:

  • All patients will wear a surgical bra for about 4 weeks.  
  • Final results should not be expected for at least 6 months to a year. Over that time, the breast shape will change dramatically so you will have to be extremely patient; swelling will decrease dramatically as well as the shape of your breasts. This is particularly true for patients who have a lollipop style procedure
  • Some patients will require a drainage tube inserted near the incision to help with excess fluid leakage. This is removed after a few days.
  • Most patients are presentable without drawing attention in 1 to 2 weeks.
  • Sutures if any are removed in 10 to 14 days
  • Strenuous exercise should also be avoided for 2 to 4 weeks to help in the recovery process.
  • Apply aquaphor ointment to exposed sutures and incisions should be applied twice a day until the sutures are removed
  • Most patients will take 3 to 7 days off work
  • Pain can initially be moderate to severe. Narcotic pain medication will be prescribed for at least 2-3 days after surgery. The expectation is that advil or tylenol should be sufficient after 3 days.
 

As with any surgery, there are associated risks.  Only you can decide whether a breast reduction can achieve your goals and whether the recovery and risk profile are acceptable to you.  Fortunately, significant complications from breast reduction surgeries are relatively infrequent.  The most common complications are problems with delayed healing, infection from the stitches, minor tissue loss in areas of delayed healing, residual fullness in the lateral breast, and widened or thickened scars

Although infrequent, the risks and complications of breast augmentation can include

  • Bleeding, hematoma, or bruising
  • Infection particularly from the absorbable sutures
  • Loss of sensation of the nipple
  • Widened or thickened scar
  • Asymmetry (unevenness between two sides)
  • Delayed wound healing with skin or tissue necrosis
  • Under-correction
  • Over-correction
  • Unsatisfactory results that may require additional procedures.  Patients will generally be responsible for any associated facility fees.

The cost of a breast reduction surgery depends on the type of breast reduction that you require as well as the addition of any other procedures.  Cost should be only a small factor in choosing the plastic surgeon that you want to provide you with the breast that will be part of you for the foreseeable future.   Reduction surgery usually leads to a dramatic improvement in all aspects of life, which is why our staff will help you find low-interest financing to make your treatment easy to afford. We will also help you talk to your insurance provider to see if your policy covers some of your expenses.  The prices listed below are subject to change.  Facility center fees are only estimates

  • Surgeon’s fee –  Donut breast reduction – $4,000. 
  • Surgeon’s fee –  Lollipop breast reduction – $6,000
  • Surgeon’s fee –  Anchor breast reduction – $7,500
  • Surgery Center Fees –   $ 3,000
  • VIP Members may have a discounted rate

Breast reduction surgery is commonly performed with other procedures such as:

  • Mommy makeover
  • Breast augmentation
  • Arm lift
  • Tummy tuck
  • Liposuction

We will help you with this decision at your consultation.

Scarring is an inevitable part of a breast reduction.  It is important to keep in mind that despite the obvious length of the incisions, breast reduction remains the plastic surgery procedure with the number one patient satisfaction rate of anything that we do.  This is because it is not simply a cosmetic procedure; it is also a functional procedure.  And this is why your insurance is often willing to pay for it.  Having said this, we try to minimize the appearance of your scars as much as possible.  We use the most modern surgical techniques available to limit the size and appearance of incisions following your breast reduction procedure.  Multiple layers of internal stitching following your procedure also helps minimize scar appearance during the healing process.  Most of our patients, however, feel that the beautiful final results outweigh any concerns over visible scars.

No.  Nothing about aging is permanent.  Weight changes and gravity will see to that.  Most women, however, will never need a second procedure.

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Breast Reduction Surgery

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Dr. Chang believes combining attentive care and minimally invasive techniques is the best avenue for achieving beautiful, natural-looking results. Learn more about Aesthetica’s cosmetic procedures.
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Breast Reduction Lollipop Technique Live Surgery by Dr. Chang

There are 3 basic ways to do a breast reduction. This video shows how I do a Lollipop style breast reduction which is designed for medium sized reductions. My technique shows how I minimize bruising and swelling but minimizing the use of cautery and adding tumescent solution. Pain is therefore minimal and recovery is faster.

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Dr. Phillip Chang Plastic Surgeon in Loudoun VA

Dr. Phillip Chang is a leading plastic surgeon in Loudoun County who specializes in surgical and nonsurgical cosmetic procedures for the breast, body, face, and skin. He is board certified in plastic surgery by the American Board of Plastic Surgery and is the founder of Aesthetica Cosmetic Surgery & Laser Center in Leesburg, VA. Dr. Chang is dedicated to providing high-quality service that concentrates on the unique needs and concerns of his patients. He believes combining attentive care and minimally invasive techniques is the best avenue for achieving beautiful, natural-looking results. Dr. Chang is thrilled to be serving the greater northwest area of Washington, D.C. with top cosmetic care that is dependable and trustworthy.

Interested in learning more about Dr. Chang? Click here.

We are based in Leesburg, VA. Located as part of the Lansdowne medical complex, you have access to our 24-7 state-of-the-art facility as well as access to Lansdowne hospital. We are based directly across the road from INOVA hospital. There is ample parking, elevators to bring you to our third floor offices, and welcoming staff to sign you in.

We are proud of our surgeries and cosmetic procedures and love that our patients are happy too. They like to shout it out on Google, Yell, Facebook, and right here on our website. Check out our reviews here.

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All potential patients receive either a phone, virtual, or in-consultation for free.

During the consultation we will discuss your treatment wishes and expectations. This is the time to ask us lots of questions to really understand what is involved, what the costs will be, and what is expected of you. This is also a great time to get to know Dr. Chang.

Aesthetica has received numerous awards from the Loudoun County Chamber of Commerce, New Beauty, Best of Loudoun, Posh 7 Top Picks, and Dr. Chang is internationally known for his lectures and advances in precise surgical technique as demonstrated through his unique mini-facelift procedure.

We have three execeptionally talents cosmetic nurses:

  • Melanie Schwarz, RN, BSN
  • Katy Down, RN, BSN
  • Angela Westbrook, RN, BSN

Read more about us – we can’t wait to meet you!

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