In your initial consultation, the doctor will evaluate your health and explain which surgical techniques are most appropriate for you, based on the size and shape of your breasts and placement of the nipples. You will be shown before and after photos of other women whose breasts are similar to yours and the results which they have achieved from surgery.

Most women who have large enough breasts to warrant a breast reduction also need a breast lift (mastopexy) due to the weight of the breasts pulling them down and stretching of the skin. In these cases, excess skin, as well as breast tissue will need to be removed. This procedure involves some scarring. While generally considered safe, the procedure is not recommended for women who intend to breast-feed at some point.

Some women, however, may benefit from breast reduction alone, either by liposuction or surgical removal of tissue. Your surgeon will decide if you are an appropriate candidate for a reduction without a breast lift. In these cases, the breasts are still firm with upper fullness and high nipple position. With good natural shape, only a reduction in size may be required.

The procedure cost will vary according to each patient's unique requirements. Because of the back and neck pain, skin irritation, and breathing problems caused by overly large breasts, reduction surgery is usually deemed medically necessary. Medicare and/or private health insurance will contribute in these cases.