Breast Reduction


It may seem strange to hear that big breasts are not desirable to some women, but for those who have them know that they can be a great burden. When breasts are too large in proportion to the rest of the body, they can cause chronic neck and back pain. This constant discomfort, as well as decreased self-confidence, leads many women to seek definitive relief. Large breasts can also lead to chronic rashes and infections under the breasts called intertrigo.

Fortunately, Dr. Andrews Plastic Surgery offers an operation called breast reduction to help women with excessively large breasts alleviate their pain and intertrigo. Also known as reduction mammoplasty, this procedure can make breasts smaller and lighter by removing unwanted tissue. In addition to removing excess breast tissue, breast reduction also lifts the sagging breast to a more youthful location.

Your Consultation

When you come in for your consultation, Dr. Andrews will take measurements of your breasts. Factors such as the size and shape of your breasts as well as the location of your nipples will help Dr. Andrews develop a surgical plan that helps meet your individual needs.

This consultation is also used to discuss any specific medical conditions you have, as well as any medications you are currently taking and any prior surgeries. We will also ask about any family history of breast cancer and evaluate the results of your prior mammograms. These pre-surgical requirements are essential in determining if you are an ideal candidate for a breast reduction.

During this initial visit, we encourage you to ask many questions so we can properly address your unique concerns. Finally, Dr. Andrews will thoroughly explain the breast reduction procedure to you to ensure you are informed and comfortable prior to surgery.

The Procedure

On the day of your surgery, Dr. Andrews will mark your breasts which guides the location of the incisions. The procedure is then performed under general anesthesia.

Typically, the breast reduction surgery takes between two to three hours to complete. The surgery will start by Dr. Andrews making incisions along the pre-marked drawings. Excess skin, fat and breast tissue is removed. He will then raise your nipples and areolas to a more appropriate location. Finally, your incisions will be closed with dissolvable sutures and you will be left with the smaller shapelier breasts you desire.

Depending on your individual needs, you may receive surgical drains in your breasts to prevent fluid build-up after the procedure. Surgical tape (Steri Strips) or skin glue is placed on the incisions and you will be placed in a compression bra to help support your newly-shaped breasts.

Ideal Candidates

Patients who require breast reduction have a constellation of symptoms that are addressed by the reduction procedure. This characteristic group of symptoms is called symptomatic macromastia, which may be identified by the following symptoms:

  • Pain in the shoulders and back
  • Deep painful bra strap indentations
  • Rashes and infections in the folds under the breasts
  • Numbness in the hands and fingers
  • Difficulty fitting into clothing

Additionally, a breast reduction may improve comfort with exercise. Women with large, heavy breasts may find it difficult to find a bra that is supportive enough. Jogging, running and jumping during a workout may be not only uncomfortable, but also embarrassing if you are around other people. Breast reduction will improve your ability to exercise and can dramatically improve a woman’s self-esteem.

Breast Reduction Recovery

A reduction mammoplasty is done on outpatient basis, so you can expect to return home the same day. As you heal, you can expect some mild-to-moderate swelling and bruising. These are normal and will subside over the next few days to weeks.

Prior to discharge, you will be given specific care instructions and pain medication to help manage any discomfort. If drains are placed, you will be taught how to manage the drains prior to discharge. In some instances, external sutures may be necessary in addition to dissolvable sutures. If this is the case, you will have them removed a week or two following the surgery.

As you allow your newly-shaped breasts time to recover, we suggest limiting any strenuous exercises and heavy lifting for several weeks. Generally, daily activities like working can be resumed within about two weeks. Over the next few months, you will see Dr. Andrews for postoperative visits where he will review your healing progress and answer any questions or concerns you may have.

If you have any questions or would like to schedule a consultation, please contact Dr. Andrews Plastic Surgery today at 319-382-8230.


Click the button to the right to view more before and afters.

Before & Afters

June 26th, 2013

Dr. Andrews is an artist. His academic credentials are second to none. You can see that sensibility in every aspect of his practice, and his life. His outcomes are exceptional, and there isn’t a surgeon anywhere that I trust more.*
2015-02-10T19:25:22+00:00
Dr. Andrews is an artist. His academic credentials are second to none. You can see that sensibility in every aspect of his practice, and his life. His outcomes are exceptional, and there isn’t a surgeon anywhere that I trust more.*

May 27th, 2013

I am beyond happy with my results. I had extra skin hanging from my abdomen after gaining weight from pregnancies. Dr. Andrews was compassionate and understanding about how this affected me and my self-esteem.*
2015-02-10T19:25:46+00:00
I am beyond happy with my results. I had extra skin hanging from my abdomen after gaining weight from pregnancies. Dr. Andrews was compassionate and understanding about how this affected me and my self-esteem.*

May 27th, 2013

I can now wear bikinis! I continue to work out and can finally see the results of my hard work. Thank you Dr. Andrews – a California gem in the midwest!*
2015-02-10T19:26:11+00:00
I can now wear bikinis! I continue to work out and can finally see the results of my hard work. Thank you Dr. Andrews – a California gem in the midwest!*

June 1st, 2013

Dr. Andrews is one of the best plastic surgeons I’ve worked with! His patients are very pleased with their results. I highly recommend him!*
2015-02-10T19:26:35+00:00
Dr. Andrews is one of the best plastic surgeons I’ve worked with! His patients are very pleased with their results. I highly recommend him!*

Jan 24th, 2013

Dr Andrews was wonderful!! Great Guy… awesome job on my reconstruction!!*
2015-02-10T19:26:55+00:00
Dr Andrews was wonderful!! Great Guy… awesome job on my reconstruction!!*

Nov 2nd, 2012

I had suffered debilitating Hidradenitis. He gave me the ability to have a normal life again. My scars look amazing and he was able to close with the most beautiful lines! He was such a caring doctor who is so gifted. I hope to follow his practice wherever he may go!*
2015-02-10T19:27:28+00:00
I had suffered debilitating Hidradenitis. He gave me the ability to have a normal life again. My scars look amazing and he was able to close with the most beautiful lines! He was such a caring doctor who is so gifted. I hope to follow his practice wherever he may go!*

Oct 29th, 2012

Dr. Andrews was the absolute best doctor for me - very informative, sensitive, and caring with just the right amount of humor during the appointments.*
2015-02-10T19:27:54+00:00
Dr. Andrews was the absolute best doctor for me - very informative, sensitive, and caring with just the right amount of humor during the appointments.*

Extraordinary doctor

Before saying that you are an extraordinary doctor, I want to tell you that you are an extraordinary human being. Thanks for showing me so much care and concern.*
2015-03-30T12:00:04+00:00
Before saying that you are an extraordinary doctor, I want to tell you that you are an extraordinary human being. Thanks for showing me so much care and concern.*

You Rock!!

I wanted to write you a thank you letter because I would never be able to find the words to say how much I appreciate everything you did for me. Thanks to you I can feel normal and not always worry if people will find out about my problem. I can’t even begin to say thank you enough or to show my gratitude. You’re an amazing person, wonderful doctor, and my hero. All in all, you ROCK!!!*
2015-03-30T12:00:42+00:00
I wanted to write you a thank you letter because I would never be able to find the words to say how much I appreciate everything you did for me. Thanks to you I can feel normal and not always worry if people will find out about my problem. I can’t even begin to say thank you enough or to show my gratitude. You’re an amazing person, wonderful doctor, and my hero. All in all, you ROCK!!!*

You all are the best!

Thank you so much for ALL of your help in my recovery thru “sometimes emotional” journey with my cancer. You all were always professional and took the time with my long list of questions. I can n0t thank you enough! Easter is my favorite time of the year and I pray God will continue to strengthen your gift and skills in healing because you all are the best!*
2015-03-30T12:02:02+00:00
Thank you so much for ALL of your help in my recovery thru “sometimes emotional” journey with my cancer. You all were always professional and took the time with my long list of questions. I can n0t thank you enough! Easter is my favorite time of the year and I pray God will continue to strengthen your gift and skills in healing because you all are the best!*

Amazing!

I’m ecstatic with my new body. It is PERFECT! I can’t even put in wordshow we feel, You are so compassionate unlike any Doctor I’ve met. I realize I’ve been a needy patient and you handled me well. You’ve gone above and beyond with me after hours for medications and issues. Also more quotes than necessary, but you did it! Your work ad attentiveness to my expectations I can’t say enough!! Now to pu the finale pictures in your gallery to show how complete I am now! You are AMAZING! Thank You! It’s been a very long, hard journey! Now to live life with the new ME!*
2015-03-30T12:02:20+00:00
I’m ecstatic with my new body. It is PERFECT! I can’t even put in wordshow we feel, You are so compassionate unlike any Doctor I’ve met. I realize I’ve been a needy patient and you handled me well. You’ve gone above and beyond with me after hours for medications and issues. Also more quotes than necessary, but you did it! Your work ad attentiveness to my expectations I can’t say enough!! Now to pu the finale pictures in your gallery to show how complete I am now! You are AMAZING! Thank You! It’s been a very long, hard journey! Now to live life with the new ME!*

With appreciation

With appreciation for putting me back together!*
2015-03-30T12:02:40+00:00
With appreciation for putting me back together!*

I am forever grateful

I consider myself blessed to be under your care as I navigated the stormy sea of breast cancer diagnosis, surgery, reconstruction, and recovery. I cannot thank you enough and am so pleased with the results! You have all been wonderful, and I will miss seeing you even though I am thrilled to be healed and moving on! The impact you have on patients who are scared and overwhelmed cannot be overstated...and I am forever grateful.*
2015-03-30T12:03:02+00:00
I consider myself blessed to be under your care as I navigated the stormy sea of breast cancer diagnosis, surgery, reconstruction, and recovery. I cannot thank you enough and am so pleased with the results! You have all been wonderful, and I will miss seeing you even though I am thrilled to be healed and moving on! The impact you have on patients who are scared and overwhelmed cannot be overstated...and I am forever grateful.*

Thank You

Thank you. For me, you are as similar as God because you created me again. It’s an amazing feeling. I feel my earlier life back again. Once again thank you very much from the bottom of my heart.*
2015-03-30T12:03:24+00:00
Thank you. For me, you are as similar as God because you created me again. It’s an amazing feeling. I feel my earlier life back again. Once again thank you very much from the bottom of my heart.*

April 12, 2016

Since my hysterectomy, sex has been extremely painful. I suffered from extreme dryness and discomfort. I had no sex drive and was no longer able to experience an orgasm. Until, recently, when a friend told me about Courtney Albritton and PCI's ThermiVa treatment. I have had 2 of the 3 treatments and immediately experienced positive results. I am still in awe of the results I have experienced. The procedure was painless. Until ThermiVa, I had come to the realization that my sex life would no longer be what it once was pre-hysterectomy. I highly recommend this procedure.*
2016-05-05T11:40:35+00:00
Since my hysterectomy, sex has been extremely painful. I suffered from extreme dryness and discomfort. I had no sex drive and was no longer able to experience an orgasm. Until, recently, when a friend told me about Courtney Albritton and PCI's ThermiVa treatment. I have had 2 of the 3 treatments and immediately experienced positive results. I am still in awe of the results I have experienced. The procedure was painless. Until ThermiVa, I had come to the realization that my sex life would no longer be what it once was pre-hysterectomy. I highly recommend this procedure.*

I am a patient at Dr. Andrews!

I am a patient at Dr. Andrews! I highly recommend utilizing their services. Very thorough consultations, educational and informative. They give you lots of options to fit your needs and guide you through it. Amazing staff that is highly trained with the most up to date procedures and tools. I can't say enough about Dr. Andrews and his amazing staff!*
5.0
2016-09-28T15:22:01+00:00
I am a patient at Dr. Andrews! I highly recommend utilizing their services. Very thorough consultations, educational and informative. They give you lots of options to fit your needs and guide you through it. Amazing staff that is highly trained with the most up to date procedures and tools. I can't say enough about Dr. Andrews and his amazing staff!*

January 11, 2017

Dear Dr. Andrews,
Thank you so much for all you’ve done for me and my family. You are trustworthy, kind and personable. We really appreciate you and your talent. Thank you!*
5.0
2017-01-11T13:02:59+00:00
Dear Dr. Andrews, Thank you so much for all you’ve done for me and my family. You are trustworthy, kind and personable. We really appreciate you and your talent. Thank you!*

Amy Bonney Cejka

Just had my surgery from Dr. Andrews and everything is great!! He is the most kindest Dr. ever!*
5.0
2017-01-22T15:30:46+00:00
Just had my surgery from Dr. Andrews and everything is great!! He is the most kindest Dr. ever!*

You change peoples’ lives!

You change peoples’ lives! Words cannot express how much I love my new girls! Thank you so much for giving me exactly what I wanted. You are amazing!*
5.0
2017-02-24T14:28:06+00:00
You change peoples’ lives! Words cannot express how much I love my new girls! Thank you so much for giving me exactly what I wanted. You are amazing!*
1.0
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