Breast Reduction New York City with Dr. Cangello
Breasts play an important role in balancing a woman’s figure, but when they are too large for your frame, they can cause a great deal of discomfort. Patients with large, pendulous breasts often suffer from chronic neck pain and skin irritation, in addition to reduced self-esteem. Fortunately, breast reduction surgery is available to help patients feel confident and enjoy a lighter frame.
This procedure is technically known as “reduction mammaplasty” and removes excess fat, skin, and glandular tissue from the breasts. Many patients find their breast reduction to be a life-changing procedure, and Dr. David Cangello is inspired by the transformative results this surgery provides. Dr. Cangello balances patients’ figures, eliminating emotional and physical discomfort from having excessively large breasts.
Ideal Candidates for a Reduction Mammaplasty
Ideal candidates include healthy patients who are unhappy with the physical and psychological discomfort caused by large breasts. Patients typically exhibit the following:
- Uncomfortably large, pendulous breasts
- Skin irritation from breasts that rub against the abdomen and from bra straps that dig into the shoulders
- Chronic neck pain and back pain
- A hunched appearance due to the weight of large breasts
Treatment can significantly enhance the quality of life for those with excessively large breasts, whether they miss playing their favorite sports or they merely want to look their best in all types of clothing. Reduction mammaplasty is also available to patients who are least 16 years old. To see the amazing results of this procedure, view our before-and-after breast reduction photo gallery.
Your Ideal Figure Starts Here
From the moment the consultation begins, patients understand why so many others have put their trust into Dr. Cangello’s hands. Deciding to undergo treatment isn’t always easy; patients may have spent years living with the emotional and physical discomfort caused by overly large breasts. For this reason, Dr. Cangello and his staff strive to make the surgical experience a positive one – and it all starts with the initial consultation.
During your consultation for a breast reduction in NYC, Dr. Cangello addresses any questions or concerns patients may have about the procedure. He also conducts a physical examination to assess the tissue, level of sagging, the position of the nipples relative to the breast crease, and the quality of the skin. Taking into consideration the patient’s anatomy and overall cosmetic goals, Dr. Cangello provides a custom treatment plan to help the patient attain a proportionate figure.
Understanding Your Breast Reduction Surgery
The surgical options for reduction mammoplasty depend on the size of the breasts, the level of sagging, and other factors. Dr. Cangello performs the procedure using one of the following methods:
The liposuction-only technique is typically used for women who require removal of only a minimal to moderate volume of tissue. Ideal candidates should have breasts that are mostly composed of fatty (as opposed to glandular) tissue. Candidates should also have excellent skin elasticity. Because this technique requires tiny incisions, the recovery period is much shorter compared to other breast reduction techniques.
“The decision to go forward with my breast reduction wasn’t as difficult as choosing a surgeon, that’s for sure. I knew people who had had the surgery, but in different states, none could recommend a doc in NYC. My PCP and another surgeon recommended Dr. Cangello and immediately when I met him, I felt at ease. He is confident without being cocky and explained the procedure, his technique and addressed all of my questions with patience. He took his time at each of our appointments and marked me for the surgery the day before so that he could take his time with measurements and not feel rushed to get me into the OR the day of. The day of surgery, I felt fully confident that I was in good hands. At each visit in the weeks that followed, I was nervous that I would be in pain as we removed drains, bandages, surgi-strips, etc… but Dr. Cangello is so incredibly gentle and speaks and moves so calmly, there really was no pain. I had done a lot of research on the internet and saw pictures of other women post-surgery and some looked pretty frightening – my breasts were barely bruised, they looked perfect actually, even the first day after surgery. I’ve had no complications at all, the incisions were beautifully sutured and my breasts actually look like they did 20 years ago, perky and full, no sagginess, perfectly symmetrical and proportionate. AND I did not lose nipple sensation (which I was also very nervous about!) Not only was having the surgery the BEST decision I ever made, so was choosing Dr. Cangello as my surgeon.”
Vertical Scar Technique (Also Known as Lollipop Incision)
Women who need a moderate reduction in breast size are good candidates for the lollipop incision method. Since there is no incision made along the breast fold, this technique results in less scarring. One incision is formed around the edge of the areola, and a second incision is placed vertically from the areola down to the breast crease (in the shape of a lollipop).
Once the incision is made, excess breast tissue, fat, and skin are removed. Dr. Cangello then reshapes internal structures and lifts the breast to a higher position on the chest. This technique creates a well-projected breast; after the appropriate amount of tissue has been excised, the two vertical pillars of breast tissue are brought together to form a cone shape.
Inferior Pedicle Technique (Wise Pattern, Inverted T, or Anchor Incision)
This technique involves removing a significant amount of tissue removal and reshaping the breasts, making it best suited for those who need a substantial reduction in size. During the procedure, an incision is placed around the areola and extends downward along the lower half of the breast to the breast crease. After excising the proper amount of glandular tissue, fat, and skin, the nipple-areolar complex is moved to the appropriate position on the chest wall, above the infra-mammary fold.
Free Nipple-Graft Technique
This technique involves completely removing the nipple-areolar complex and replacing it at the end of the breast reduction surgery as a skin graft. The advantage of this technique is a significant removal of breast tissue can be removed without concern for the viability of the nipple. As such, the free graft technique is usually reserved for the most severe cases of macromastia.
This type of treatment is typically recommended to patients exhibiting the following:
- Pendulous breasts with nipples that hang well below the breast crease
- Health status that presents a high risk of ischemia of the nipple-areolar complex
- Smoking habits
Breast Reduction, NYC – FAQs
Your treatment is provided at Dr. Cangello’s on-site, fully accredited operating room. This state-of-the-art surgical facility is equipped with safety and comfort in mind, ensuring an optimal surgical experience for patients. Dr. Cangello also only works with board-certified anesthesiologists to provide the highest levels of protection. For patients who would prefer to have their breast reduction performed in a hospital, Dr. Cangello also has operating privileges at Manhattan Eye, Ear, and Throat Hospital in NYC.
After your reduction mammoplasty, you will wake up with a surgical dressing over your incisions and possibly drains under each arm. You will also be wearing a post-surgical bra or compression garment. Although your breasts may feel tender, swollen, or bruised following surgery, you will notice an immediate improvement regarding their weight and size. Dr. Cangello will prescribe pain medication to make your recovery as comfortable as possible.
All sutures used are dissolvable—except for one that is usually removed about two weeks after surgery. If you have drains, they are often removed the day after surgery.
Most patients can return to work within a week. However, strenuous activity should be avoided for four to six weeks. During the first month after surgery, patients are required to wear a highly supportive bra without an underwire to facilitate healing. During this time, your breasts may look firm and flat. But as swelling subsides and your body heals, your breasts will take on a more natural, tear-drop appearance. Some slight swelling may persist for several months after surgery.
The ability to breastfeed after reduction mammoplasty varies greatly. This depends on the incision placement, the surgical technique used, and the amount of tissue that was removed. Dr. Cangello discusses breastfeeding during your consultation and may recommend that you postpone reduction mammoplasty until after you’ve had children (if you plan on breastfeeding).
Insurance often does cover the procedure if specific clinical criteria can be demonstrated to the insurance company and if your plan allows for coverage. Not all insurance plans cover breast reduction. Dr. Cangello is out of network with all insurance plans, so you must have out-of-network benefits to obtain reimbursement for your surgery. Dr. Cangello’s staff is happy to provide the information you will need to submit to your insurance company to verify receive coverage.
As with any surgical procedure, there will be scarring. However, Dr. Cangello is meticulous in the way he closes incisions to help your scars blend in seamlessly. Surgery typically produces one of two types of scar patterns on the breasts:
- “Lollipop” or Circumvertical Scar: There’s a scar around the areola and a scar from the bottom of the areola down to the fold below the breast.
- “Anchor” or Wise Pattern Scar: Same as the lollipop scar but with an additional horizontal scar along the length of the fold below the breast.
During breast reduction surgery, your areolas (the pigmented part around the nipple) will be made smaller, and they’ll be moved along with the nipple. They will be repositioned above the breast crease. The nipple size can also be reduced if requested.
The results are permanent. However, it is possible that pregnancy and associated hormonal changes or significant weight gain can cause reaccumulation of breast tissue, which may necessitate another reduction in the future.
Yes, Dr. Cangello offers male breast reduction surgery for patients suffering from gynecomastia (enlarged breasts.) When men only have minimal feminization of the breasts, the reduction usually involves liposuction alone or a combination of liposuction and excision of glandular breast tissue. This is accomplished through a minimal incision at the bottom of the areola. For men with more severe gynecomastia, removal of excess skin and repositioning of the nipples may be necessary.