Expert Plastic Surgeon
Paul E. Mondolfi, MD

605 E. San Antonio Street - Suite 450
Victoria, Texas 77901 • (361) 580-1574

About Dr. Mondolfi
Procedure Information
Hand Surgery
Before & Afters
Curious About Results? View Our Before & After Photo Gallery >>>
Facial Rejuvenation
Facial Sculpture
Bariatric Surgery
Breast Lift
Breast Reduction
Breast Augmentation
Breast Reconstruction
Surgery for Men
Male Cosmetic Surgery

Breast Reduction Surgery (Reduction Mammoplasty)

Patients who undergo breast reduction surgery frequently are seeking relief from physical symptoms caused by the excessive weight of large breasts. Breast reduction usually can solve these problems as well as improve the size and shape of your breasts. Following breast reduction, your breasts will be more proportional to the rest of your body, and clothes should fit you better.

Should I have a breast reduction?

You may be a good candidate for breast reduction if you have breasts that are too large in proportion to your body frame; heavy, pendulous breasts with nipples and areolas that point downward; back, neck or shoulder pain caused by the weight of your breasts, skin irritation beneath your breasts or indentations in your shoulders from tight bra straps.

If the size and weight of your breasts restricts your physical activity  or you are dissatisfied or self-consciousness about the largeness of your breasts.

Breast reduction can be performed at any age, but Dr. Mondolfi usually recommends waiting until breast development has ended. Childbirth and breast-feeding may have significant and unpredictable effects on the size and shape of your breasts. Nevertheless, many women decide to undergo breast reduction before having children and feel that they can address any subsequent changes later. During the consultation, he will ask you about your desired breast size as well as anything else about your breasts that you would like to see improved. This will him understand your expectations and determine whether they realistically can be achieved.

How will Dr. Mondolfi evaluate me for breast reduction surgery?

He will examine your breasts, taking measurements and  photographs for your medical record, then evaluate the size, shape and consistency of your breasts, the quality of your skin, and the position of your nipples. 

He will then offer one or more options depending on your goal and expectations, and after analyzing the pro and cons of these options you should be able to agree on a procedure tailored to your needs.

Will my insurance help cover the cost of surgery?

Insurance coverage is sometimes available for breast reduction surgery. Many factors determine your eligibility, including the specific terms of your insurance policy and the amount of breast tissue to be removed. A letter of predetermination may be required by your insurance company prior to surgery. A staff member in our office will discuss these matters with you.

Where are the incisions placed?

Individual factors and personal preferences will determine the specific technique selected to reduce the size of your breasts.The most common method of reducing the breasts involves three incisions. One incision is made around the areola. Another runs vertically from the bottom edge of the areola to the crease underneath the breast. The third incision follows the natural curve of the breast crease.

After he has removed excess breast tissue, fat and skin, the nipple and areola are shifted to a higher position. The areola, which in large breasts usually has been stretched, also is reduced in size. Skin that was formerly located above the nipple is brought down and together to reshape the breast. Liposuction may be used to improve the contour under the arm.

Usually, the nipples and areolas remain attached to underlying mounds of tissue, and this allows for the preservation of sensation. The ability to breast-feed may also be preserved by this method, although this cannot be guaranteed. Rarely, if your breasts are extremely large, the nipples and areolas may need to be completely detached before they are shifted to a higher level. In such a case, you will need to have made the decision to sacrifice sensation and the possibility of breast-feeding in order to achieve your desired breast size

Following reduction, sometimes the breasts may not be perfectly symmetrical or the nipple height may vary slightly. If desired, minor adjustments can be made at a later time. Permanent loss of sensation in the nipples or breasts may occur rarely. Revisionary surgery is sometimes helpful in certain instances where incisions may have healed poorly.

How long will the results last?

Unless you gain or lose a significant amount of weight or become pregnant, your breast size should remain fairly constant. However, gravity and the effects of aging will eventually alter the size and shape of virtually every woman's breasts. If, after a period of years, you become dissatisfied with the appearance of your breasts, you may choose to undergo a breast "lifting" procedure to restore their more youthful contour.

Results of Breast Reduction

Breast reduction surgery will make your breasts smaller and firmer and relieve the excessive weight. The scars tend to fade after nine to twelve months in most individuals. It is important to realize, however, that the incision lines will be permanently visible, to what degree depends mostly on the patients scarring ability. Fortunately, the incisions for breast reduction are in locations easily concealed by clothing, even low-cut necklines.

Breast reduction often makes a dramatic change in your appearance, most women, are very pleased with their smaller breasts and are very glad they chose to have undergone surgery.         In fact, the level of patient satisfaction resulting from breast reduction is among the highest of any plastic surgery procedure.

Procedure and Recovery Details >>>

Before and After Pictures

These are some representative before and after photographs of breast reductions performed by
Dr. Mondolfi.

Case 1


Case 2


More Breast Reduction Before & After Photos :  Page 1  |  Page 2  |  Page 3  |  Page 4


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Website Copyright ©2013 Paul E. Mondolfi, MD
Dr. Paul E. Mondolfi is a credentialed, qualified and experienced plastic surgeon serving the Houston,
Victoria, Sugar Land, San Antonio, Austin and Corpus Christi areas of Texas.
Dr. Mondolfi specializes in facial plastic surgery, breast and body contouring, and liposculpture.

605 E. San Antonio St. • Suite 450 • Victoria, Texas 77901 • (361) 580-1574
Fax: (361) 570-3709