Breast Reduction

Breast Reduction in Miami, Fl – Gables Plastic Surgery

Large breasts, a condition known as macromastia, can cause significant physical pain, limit physical activity, make a woman look heavier than she is, and be emotionally distressing. Fortunately, breast reduction surgery not only helps alleviate the psychological issues associated with large breasts, but it can also relieve significant physical issues such as back, neck, and shoulder pain. For many women, smaller breasts can result in significant lifestyle changes, increasing activity levels and boosting self-confidence.

While breast reduction surgery may be considered a medical necessity to remove excess weight from the chest, at the same time, it lifts and enhances breast shape and position on the chest wall, improving the patient’s profile and sense of well-being.

Board-certified plastic surgeon Dr. Jorge de la Pedraja is an expert in all aspects of breast surgery. He wholly dedicates his efforts to ensuring his patients are safe, have a premium experience, and receive outstanding results, particularly breast reduction surgery because it is one of those procedures that can completely transform a patient’s life.

Learn more about breast reduction in Miami by calling 305-441-9144 or contacting us online today.

What Is Breast Reduction?

Breast reduction surgery is reconstructive surgery for women with disproportionately large breasts relative to their body. They complain of significant back, neck, and or shoulder pain. Breast reduction reduces the size of a breast by removing excess breast glandular tissue, fat, and skin. At the same time, as with a breast lift, the breasts are lifted to a more youthful position with a firmer, more rounded, youthful appearance.

Breast reduction delivers one of the highest levels of patient satisfaction of all plastic surgical procedures. It can significantly boost a woman’s quality of life, enhance her breast appearance, and restore breast proportion and harmony while simultaneously reducing breast weight and discomfort. Breast reduction can also help restore confidence by improving asymmetries when one breast is larger than the other.

Having a breast reduction might be the ideal time to consider combining the procedure with liposuction  or an abdominoplasty as part of a mommy makeover to further smooth and improve appearances.

Benefits of Breast Reduction in Miami

  • Decreased breast weight
  • Improvement in back, neck, and shoulder pain
  • Reduced skin-on-skin contact
  • Reduction in the grooves from bra straps
  • The ability to buy regular “off the shelf” bras
  • Wear a sports bra while exercising
  • Fit better in clothing and able to wear the latest styles
  • Boost self-esteem and self-confidence
  • Freedom to enjoy an active lifestyle
  • Improved breast shape and position
  • Reduction of large pendulous areola

Why Choose Dr. de la Pedraja for Breast Reduction in Miami?

Due to breast reduction’s popularity, countless clinics offer the procedure with sub-par results. Dr. de la Pedraja has undergone rigorous training in each of the operations provided at Gables Plastic Surgery. He is fellowship-trained in aesthetic and breast surgery at the prestigious Georgetown University with world-renowned plastic surgeon Dr. Scott Spear. In addition to his considerable training and many years of practice, Dr. de la Pedraja actively seeks out the latest advancements in the field and stays current with the most sought-after techniques.

Dr. de la Pedraja always stresses that his office is not a clinic—he is here for the long run. All patients are considered to be family and are treated as such. Whether during a consultation or any other appointment, Dr. de la Pedraja takes his time with each patient to ensure they are fully heard and given more than enough time to learn about all of their options. You will never be pressured to make a decision at Gables Plastic Surgery, and you can always reach Dr. de la Pedraja with any questions or concerns.

Dr. de la Pedraja is aware that patients may ask for things that he can’t deliver. He tries to reason with them and explain his thought process. With their health and well-being in mind, Dr. de la Pedraja will turn down patients if he thinks what they want is not in their best interest.

Your Breast Reduction Consultation with Dr. de la Pedraja

If you are concerned about the size or shape of your breasts, schedule a breast reduction consultation with Dr. de la Pedraja. He will listen carefully to what bothers you about your breasts and address your concerns.

Next, he will perform a thorough physical examination to assess your nipple position relative to the crease beneath your breast, your skin tone, and its elasticity, as well as the overall mass or weight of your breast tissue. With Dr. de la Pedraja’s help, you will come up with a treatment plan that suits your unique body outline, overall health, lifestyle, and desired goals.

In the process, Dr. de la Pedraja will:

  • Carefully discuss the potential risks of the procedure.
  • In detail, outline how the surgery is performed and what you can expect before, during, and after the procedure.
  • Provide detailed cost and payment information.
  • Answer all your questions.

You will also be asked to provide:

  • Details about your medical history.
  • A list of all medications you currently are taking, including over-the-counter medications and supplements.
  • Information regarding your tobacco and alcohol use.

If you are a smoker, it is recommended that you quit 6-8 weeks before and after the procedure to optimize the success of your surgery.

In the course of your consultation, apart from discussing your goals, Dr. de la Pedraja will provide you with his honest opinion and help you understand your options. He will also thoroughly describe each technique to be used, along with its risks, benefits, and recovery times, and he may ask you to have a baseline mammogram before your surgery.

Dr. de la Pedraja

Why Choose Dr. de la Pedraja

  • Board certified by the American Board of Plastic Surgery
  • Fellow of the American College of Surgeons
  • Member of the American Society of Plastic Surgeons
  • Member of Miami Society of Plastic Surgeons
  • Committed to providing the highest quality of care to each and every patient

How Is Breast Reduction Performed?

Breast reduction is most commonly administered as an outpatient surgical procedure under general anesthesia. There are multiple techniques for breast reduction, which can influence the resulting scar and the blood supply to the nipple.

Almost all women have one breast that is larger than the other or where one is positioned a little higher than the other. One of the numerous advantages of a breast reduction is that it allows Dr. de la Pedraja to create a pair of breasts that are more evenly matched.

The most common breast reduction technique employs a three-part incision: one around the areola, a short-scar vertical incision, and a horizontal incision located beneath the breast.

During the surgery, skin is removed from the area below the breast and around the areola to help create a narrower, more attractive breast contour. The areolas are usually reduced in size and relocated higher while maintaining their connection to the breast tissue underneath. The anatomy of your breasts, the chest wall, and the amount of breast tissue to be removed will determine the best technique. During your consultation, it might have been discussed that it’s often beneficial to have liposuction to contour excess fat accumulation laterally and in the armpit area.

A long-acting local anesthetic is used for post-operative comfort, and the incisions are closed with dissolving sutures. Drains are rarely used. You’ll be fitted with a soft surgical bra and typically go home the same day feeling like a new person.

Who Is a Candidate for Breast Reduction?

Any patient who is generally in good overall health, close to their ideal body weight, doesn’t smoke, and is self-conscious about their breasts’ size and shape may be a good candidate for a breast reduction.

Most breast reduction candidates experience one or more of the following symptoms:

woman in dress outside
  • Persistent back, shoulder, or neck pain
  • Breasts that are disproportionate to your body
  • Breasts that are different sizes
  • Breasts hang low and have stretched skin
  • Nipples that rest below the breast crease when breasts are unsupported
  • Enlarged areolas caused by stretched skin
  • Shoulder grooving or indentations caused by tight bra straps
  • Skin irritation beneath your breasts
  • Redness or chaffing of your bra straplines
  • Reluctance to participate in particular sports and activities
  • Difficulty finding clothes that fit or complement your chest
  • Debilitating self-consciousness

You can have breast reduction surgery at any age. However, it’s recommended that you wait until your breasts have finished developing before considering a reduction. For most women, this occurs by age 17 or 18, although some women’s breasts continue maturing into their early 20s.

What Is Recovery Like After Breast Reduction?

Dr. de la Pedraja cares about your recovery and does everything possible to ensure you have the most effective recovery. Some patients may ask to recover overnight in the hospital, but most go home that same day under the care of a friend or family member. You’ll be advised not to drive for at least the first 7-10 days and will need some assistance with child-care and other household tasks.

In general, breast reduction patients take two weeks off from work, with some returning sooner than others. You may shower48 hours after your surgery. It will be typical to feel fatigued, and you can expect some tightness in your breasts and soreness for a few days. It will be best to wait at least 6-8 weeks before returning to your regular exercise routine.

Dr. de la Pedraja will prescribe antibiotics for you to take for five days after the procedure to lower the risk of infection. Pain medication will also be prescribed for your comfort.

Expect to initially have a reduced range of motion in your shoulders and chest for a few days. You may also have some reduced feeling in your nipples and breast skin for a few weeks. Your supportive bra will help reduce swelling and ease any pressure.

Look your best, feel your best

Dr. de la Pedraja is committed to providing the highest quality of care to each and every patient. His philosophy is to develop an individualized care plan to meet the needs of each patient with the utmost compassion and concern in a setting of comfort and confidentiality.

Partner with One of Miami's Best Breast Reduction Surgeons

Getting the best breast reduction and firmer, more rounded, youthful breasts begins with selecting the right surgeon, Dr. de la Pedraja. Begin this journey by scheduling a consultation by calling 305-441-9144 or contacting us online today. We proudly serve Miami, Coral Gables, Coconut Grove, Key Biscayne, Miami Beach, Pinecrest, and other areas of South Florida.


Frequently Asked Questions About Breast Reduction in Miami

If your breasts are not in proportion with your frame, you may well be an appropriate candidate for breast reduction. Patients with significant back, neck, and shoulder pain symptoms or grooving from their bra straps may make you eligible for insurance coverage, depending on the plan’s requirements.

The ideal candidate should otherwise be:

  • Healthy
  • Have a body mass index (BMI) ideally less than 30
  • A non-smoker


Many men suffer from male breast growth or gynecomastia, the abnormal non-cancerous enlargement of one or both breasts. Gynecomastia is often genetic in origin and frequently runs in families. It can be a significant source of embarrassment, limiting wardrobe choices, activities, and time at the beach.

Male breast reduction, or gynecomastia correction, can be an excellent option for men who have tried other approaches, like weight loss, without resolving their gynecomastia. Most insurance policies consider gynecomastia surgery as a cosmetic procedure.

In the week before your surgery

  • Complete household chores and prepare all meals for the first few days of post-operative recovery.
  • Follow preoperative care instructions when eating, drinking, and taking medications. Do not eat or drink anything after midnight the night before surgery, except for a sip of water with your medications.

After your surgery

  • Arrange for someone to drive you home and stay with you for the first 24-48 hours, as you may feel drowsy.
  • It is essential to go for a short walk (with assistance, if needed) every few hours after your breast surgery to decrease the chance of post-operative problems such as blood clots.
  • Take 15-20 deep breaths every hour to keep your lungs open.
  • Eat a healthy, light diet for 2-3 days, being careful to avoid spicy foods. Ease abdominal discomfort or indigestion after surgery by drinking water or warm liquids and prune juice to prevent constipation.

Remember to take your medications as directed by Dr. de la Pedraja to manage discomfort or symptoms. These are likely to include Acetaminophen (Tylenol) and some form of narcotic.

Wound Care

  • You may shower or simply sponge bath two days after surgery with assistance and wash your skin with soap and water as you usually would. Avoid soaking the incisions and gently pat dry after washing.
  • You may wear a camisole and post-operative bra provided by de la Pedraja after surgery. He will advise you when you may wear an underwire bra again – usually a minimum of four  weeks after surgery.
  • Most wounds will be closed with dissolving sutures that are buried as well as skin glue. Do not apply any lotions, ointments, creams, or solutions as these can harm fragile healing tissue.
  • Do not smoke or expose yourself to nicotine or other smokers, as this can compromise wound healing.
  • Infection is very rare, but please call Dr. de la Pedraja at any sign of infection, indicated by fever, increased pain, spreading redness, or significant swelling.


For the first few days after your breast surgery, avoid raising your heart rate or blood pressure as this could lead to bleeding. Gentle, full-range of motion exercises with your arms 3-5 times per day are recommended starting on the day of your surgery.

Do not lift anything greater than 10-15 lbs in weight, or perform strenuous exercises for 7-10 days. Chest muscle exercises or strenuous bouncing exercises should be avoided for six – eight weeks.

Massage of the breast and areas that received liposuction can help increase circulation and soften tight areas under the skin. Wait at least 3-4 weeks after surgery before starting massage to avoid increased swelling.

General Outcomes

  • Moderate swelling of your breasts after surgery is to be expected. Your breasts may initially appear relatively high and perky after breast reduction but will settle into their natural position over several weeks
  • If you chose to have liposuction simultaneously as your breast reduction, swelling and bruising could be expected, and the swelling and sensation of tightness will gradually subside over the months that follow. Bruising may last for a few weeks and, due to gravity, can move down your body.
  • Your incisions may appear lumpy and bumpy, but this is normal, and the incisions will flatten over a few weeks.
  • Following breast reduction, the nipples may be inverted rather than projecting outward, but this is normal, and the nipples will usually project out again within a few days to weeks.
  • The areolas can appear asymmetric or irregularly shaped, which is normal due to the dissolving sutures. The asymmetry will resolve over a few weeks.
  • Sensations like shooting pain, numbness, and burning are common during the healing process and can take several weeks to gradually disappearing. If the nipples are sensitive, they can be desensitized with some gentle touching.
  • Scars take up to a full year to mature. You may notice that they are red, raised, and firm for weeks to months before becoming soft, flat, and pale. Vitamin E should be avoided since it can irritate the scar. Tanning booths and direct sun should also be avoided. Silicone cream or a skin moisturizer with an SPF 30+ sunscreen and gentle massage may be helpful.

Please call our office at 305-441-9144 if you have:

  • Continuous bleeding (a small amount of bleeding from the incision is expected).
  • Significantly more puffiness or swelling on one side than the other.

Dr. de la Pedraja encourages gentle activity starting the day after surgery. Avoid heavy lifting or upper body strength training for at least 6 – 8 weeks. When you restart your exercise regimen, favor low-impact activities like a stationary bicycle to allow your breasts to recover. High impact activities are best avoided for the first few weeks after surgery.

Patients who proceed with breast reduction can expect scars, and while these fade with time, there is significant individual variation in the amount of scarring. While scars are unavoidable, they will be positioned in the most cosmetically appropriate locations and kept as short as possible. The scar beneath the breast is hidden in the fold of the breast.

For at least the first 4-6 weeks, the scars may be firm, pink, and slightly raised, but they typically soften and fade, becoming smooth and inconspicuous over time. Many patients either don’t notice or aren’t bothered by their incision lines a year after surgery. It may take up to 1-2 years for the scars to fully mature.

The type of breast reduction procedure determines incisions and scars. The most common types are a Wise pattern (or inverted T or anchor pattern) and circum-vertical (also known as the vertical or lollipop pattern). Dr. de la Pedraja meets with each patient to determine the ideal type of breast reduction.

While most patients do not experience significant changes in nipple sensation, some women may experience increased or decreased nipple sensation following breast reduction. Numbness, shooting pain, and burning are common sensations during the healing process and may last several weeks before they gradually disappear. Some patients initially may find their nipples to be hypersensitive to touch or temperature. If the nipples are sensitive, they may be desensitized with gentle touching. If the nipples have less sensation, you can expect this to improve over time.

Because the nipples’ connection to the breast tissue is preserved, you are encouraged to try breastfeeding if you want. Many women can successfully breastfeed after their breast reduction surgery. Because glandular tissue is removed during breast reduction surgery, the procedure may affect your ability to deliver milk, although this is very rare. Each patient has differing results in this regard, and this topic will be discussed during your consultation.

Dr. de la Pedraja will evaluate your situation to determine if you might qualify for coverage by your insurance company. Factors such as the size of your breasts relative to your body mass index and the amount of breast tissue to be removed are factors taken into consideration. Other factors such as your breasts being disproportionately large relative to your body, and other symptoms, including neck pain, shoulder grooves from bra straps, back pain, or skin irritation, will all be considered by your insurance company.