Breast Reduction

Breast Reduction Surgery at our Miami Office

Breast Reduction, also known as Reduction Mammaplasty, is a surgical procedure to reduce the size of breasts by excising skin, fatty and glandular breast tissue, while also reshaping and lifting the breasts. Patients seek breast reduction surgery with Miami plastic surgeon Tal T. Roudner, M.D., F.A.C.S. for both health and cosmetic reasons. Breast reduction surgery can help create a leaner silhouette and may alleviate the discomfort and health concerns caused by overly large, sagging breasts, a condition known as macromastia. Dr. Tal Roudner also specializes in breast reduction for male patients, for a condition which is referred to as gynecomastia.

Why Choose Dr. Tal T. Roudner for Breast Reduction?

Choosing a surgeon for your breast reduction is an important decision. Optimal results require a surgeon who is experienced, meticulous, and dedicated to patient care. Dr. Tal Roudner is a board-certified plastic surgeon in Miami, Florida, with extensive experience in breast reduction surgery. He is widely regarded as an expert in cosmetic and reconstructive plastic surgery. He has won several awards, contributed to cosmetic surgery textbooks, and is certified by the American Board of Plastic Surgery. Dr. Tal Roudner prides himself on compassionate care and exceptional results.

Reasons For Breast Reduction

Women may seek breast reduction surgery for a range of medical reasons, or to address aesthetic concerns. Some issues that breast reduction can address include:

  • Back, neck, and shoulder pain due to heavy breasts
  • Difficulty exercising or sleeping comfortably
  • Skin irritation and discoloration in the breast area
  • Large breasts that are out of proportion to a small frame

Am I A Candidate for Breast Reduction Surgery?

Breast reduction surgery may be an option for you if you are suffering from physical or emotional stress due to large, heavy, or pendulous breasts. A consultation with Dr. Tal Roudner is the first step to determining if a breast reduction may be right for you.
In most cases, a breast reduction should be performed once the breasts have fully developed. Some conditions, however, would justify a breast reduction being performed earlier including virginal breast hypertrophy, a condition in which the breast responds to hormonal signals by becoming severely enlarged. It is also generally recommended that patients wait until after they have had children and consider themselves done breastfeeding.
Candidates for breast reduction surgery typically:

  • Want to reduce the size of their breasts
  • Are in general good health
  • Non-smoking, or able to stop smoking 4 weeks before surgery
  • Not currently pregnant or breastfeeding

Your Breast Reduction Consultation

Begin the process toward breast reduction surgery by scheduling a consultation appointment with Dr. Tal Roudner at our Miami office. During your consultation appointment, you will have the opportunity to discuss your concerns and your goals for your reduction with Dr. Tal Roudner and learn what we can do to help you. The consultation appointment for breast reduction surgery will involve a thorough medical exam, during which Dr. Tal Roudner may take photographs and measurements of your breasts. He will assess your medical history, overall health, and discuss the benefits and risks of breast reduction surgery with you. If you decide that you are interested in breast reduction surgery, a mammogram maybe necessary prior to confirming your surgery.

If you and Dr. Roudner agree that breast reduction surgery is the best option, your reduction surgery will be scheduled. Most reduction surgeries performed by Dr. Roudner are done here at our Miami surgical suite. In some cases, it may be necessary to perform your reduction surgery at one of Miami’s local hospitals. Dr. Roudner will discuss this decision with you.

Before Your Breast Reduction Surgery

Once you schedule your breast reduction surgery, you will also be scheduled for a preoperative appointment approximately two weeks prior to surgery. It is very important that you attend this appointment and follow all guidelines. Dr. Tal Roudner and his staff will give you specific pre-operative instructions. It is critical that you follow each directive to the letter, and contact us immediately with any questions. General pre-surgical protocol includes:

  • If you smoke, you must stop 4 weeks before surgery. If you need assistance quitting, please let us know.
  • Make arrangements for a friend or family member to drive you to and from surgery and remain with you during the first 24 hours of recovery.
  • Do not perform any strenuous activity the day before surgery.
  • Do not eat or drink anything, including water, after midnight before surgery.
  • Shower or bathe the evening before surgery and do not use any lotions, fragrances or deodorant the evening before or day of surgery.

The Breast Reduction Procedure

Breast reduction surgery is typically performed with general anesthesia. The incisions and exact procedure used by Dr. Tal Roudner during your breast reduction will vary depending on the size and shape of your breasts currently, the size and shape you are hoping to achieve, the placement and size of your nipples and areola, and more. Many breast reductions use an incision that runs under the breast, another that runs up from the underside of the breast to the areola, and then around the areola. It may also be necessary to create a new place for the areola so that it is positioned properly following your breast reduction. Excess fat and breast tissue will be removed, and extra skin will be trimmed away. Your tissue will be positioned with internal dissolving sutures, and when everything is positioned correctly, your incisions will be closed with sutures.

Techniques used during Breast Reduction Surgery

Many different techniques exist for reducing breast size. Surgical techniques include the keyhole incision (wise pattern) with an inferior pedicle technique and others such as vertical incision with a superior or medial pedicle, central mound and many more. The technique used depends on each individuals breast size, excess breast tissue, skin, fat, reduction desired and surgeons preference.

Incision Types for Breast Reduction Surgery:

  1. Circular pattern around the areola
  2. Keyhole pattern around the areola and a vertical down to the breast crease
  3. Inverted T also known as anchor (wise pattern) incision

After the incisions are made the appropriate amount of skin, fat and glandular breast tissue are removed. Careful attention is made to keep a pedicle of tissue attached to the nipple areolar complex that maintains adequate blood supply essential for nipple areolar complex survival. In rare cases with long pendulous breasts where there is concern for twisting of the pedicle or borderline blood supply to the nipple areolar complex. The nipple areolar complex may be excised and transferred to its new location as a free nipple graft. The remaining breast tissue is brought together and closed in layers (extended support) lifting and shaping the newly formed breast. A new product, that has been used by Dr Tal regularly in breast reduction surgery, is the 3D mesh also know as an internal bra. The mesh acts a surgical scaffold supporting the tissues as new scar forms for tissue support. The temporary mesh lasts about 2 years before the body dissolves it into biodegradable products. The incisions are then closed with sutures and skin adhesives and/or surgical tape. The incisions form into permanent scars that fade over time. Dr. Tal Roudner makes every effort to utilize his surgical experience and artistry to minimize scarring. Dr Tal’s innovative techniques in Breast Reduction surgery, have enabled natural appearing breasts with upper pole fullness that are long lasting and aesthetically pleasing.

Breast Reduction Combined With Other Procedures

You and Dr. Tal Roudner may decide to add additional procedures to your breast reduction surgical plan. Procedures that are commonly combined with breast reduction surgery include breast lift (mastopexy) to reduce sagging and enhance breast placement, and liposuction to remove fat from the sides of the bust area.

Breast Reduction Results – What to Expect


Breast reduction surgery aims to enhance the appearance of the breasts to bring them into proportion with the body, as well as improve the overall quality of life by alleviating physical discomfort. Health issues, such as back and neck pain, may be improved or resolved after the surgery. The excess weight of the breast tissue removed during surgery may improve the ability to lead an active life and take part in physical activities that were previously difficult due to overly large breasts.

View Our Breast Reduction Before & After Photo Gallery

Breast Reduction Recovery

Dr. Tal Roudner requires breast reduction patients to take the week off following surgery to rest. While it may take a few weeks for initial recovery and six weeks to return to full normal activity, it takes from six months to a year for the body to completely adjust to the new breast size and to obtain the final results. You will notice immediately the difference in weight and breast size following your breast reduction. Your breasts will be tightly bandaged when you leave our Miami office. While it will take time for the swelling to recede and for your breasts to settle into their new shape, you will may find immediate relief from physical issues that were due to breast size. Breast reduction patients typically experience some pain and discomfort after surgery. Dr. Tal Roudner will prescribe medication to relieve pain. You will be given post-operative instructions and have follow-up appointments scheduled. It is important to follow all instructions and attend all appointments in order to ensure proper healing and recovery.

How Much Does Breast Reduction Surgery Cost?

The cost for breast reduction surgery at our office ranges from $10,000 to $16,000.

Contact Us

Dr. Tal Roudner and his team are dedicated to helping patients feel their best. We combine patient centered care with extensive experience and careful surgical technique. Contact us today to schedule a consultation and learn if breast reduction surgery is right for you.

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Call 305-767-7719 or Use the Form Below to Schedule Online!

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