L.A. Breast Reduction
Avosant Surgical Associates
LA Breast Reduction Experts


The following are a number of common questions that patients ask before making a decision.

Is breast reduction worth it?

At Avosant Surgical Associates, we take pride in how happy and satisfied our breast reduction patients are after surgery, and it’s no surprise that we find this surgical procedure to have the highest patient satisfaction rate. Our patients are extremely pleased with their results and often say it is a "life-changing experience." Breast reduction surgery can significantly relieve or completely eliminate a variety of debilitating physical and psychological symptoms including back, neck and shoulder pain, headaches, skin irritations, shortness of breath, low self-esteem and self-image, low activity level, social anxiety...and the list goes on and on! Remember though that your posture and muscles have been entrenched in the same position for a while so things may not happen overnight, but eventually with time, and smaller, lighter breasts, you’ll finally be able to...
  • Stand straighter because of improved posture and muscle strength
  • Breathe easier because of improved respiratory function
  • Buy clothes that actually fit because of a more proportioned body
  • Look forward to social events because of an increase in self-esteem
  • Perform and accomplish tasks faster and more efficiently because of an increase in energy level
  • Participate in all kinds of sports because of increased exercise tolerance
  • Try things you’ve never done - but always dreamed of - because of a breast reduction!
In recent years, there have been numerous scientific, medical studies that have proven the benefits of breast reduction surgery including the overall improvement of women’s health and longevity as well as their quality of life. Many of these studies indicate that improvements in symptoms last for years regardless of weight change. In other words, even if a woman gains weight, it is rare for them to have the same debilitating symptoms they had prior to surgery. Even the FDA calls breast reduction "good medicine." For more detailed information on these studies, please explore the resources section of this website.

How will my breasts look after surgery?

During breast reduction surgery, one of our goals at Avosant Surgical Associates is to sculpt breasts that are not only aesthetically pleasing but have improved shape and size that "fit" for your figure. We have the experience and knowledge to choose the surgical techniques and design aspects that are suitable for each individual patient. Though the unique characteristics of your breasts, including skin type and elasticity, will help to determine how your breasts look after surgery, we will help to create a breast shape that is:

  • Firmer, smaller and more natural-looking
  • Symmetrical in size, shape and nipple position
  • Sitting at a higher, normal position on the chest

Your breasts may have an odd shape immediately after surgery as the final results of breast reduction will appear over the next few months as breast shape and position continue to settle. At about four months after surgery, your breasts may start to look natural but it will take approximately six to nine months for the new shape to stabilize. Unless you experience a change in your hormone levels (i.e. pregnancy and menopause), the size and shape of your breast should stay the same a year or more after surgery.

Will my breasts be perfectly symmetrical after breast reduction surgery?

Though surgery can correct asymmetries of the breasts, it may be impossible to make your breasts and nipples perfectly symmetrical. Most women do not have symmetrical shoulders or chest wall structures. In addition, related muscles, bones and joints are usually different on both sides of the body. As a result, even with the best surgical techniques, some inequalities and asymmetries may be perceived between the breasts.

Will I lose sensitivity in my nipples?

With most surgical techniques, the 4th intercostal nerves supplying sensation to the nipples areola are reserved. Therefore, most patients will continue to have sensation in their nipples after surgery.

What will the scars look like after breast reduction surgery?

Breast reduction scars are inevitable. They are permanent and often visible. Nevertheless, the majority of our breast reduction patients claim that the scars are acceptable and "not a big deal" considering the tremendous benefits and life-changing results. In the first couple of months after surgery, the scars may itch but eventually, the itching will stop as your scars begin to fade and flatten. For some women, who are more likely to get stretch marks, the scars may widen. In many cases, the scars will continue to fade and eventually become nearly invisible. We strive to continue to achieve the least scarring in our breast reduction patients. Please refer to our before and after photos for examples.

Will I be able to breastfeed?

Most breast reduction techniques assure that a large portion of glandular tissue and milk ducts are preserved. Therefore, most women are able to breastfeed successfully after breast reduction surgery. In general, some women may not be able to nurse for a variety of non-surgical reasons so it is difficult to predict whether breastfeeding will be a problem.

Does Dr. Golshani perform free nipple grafting?

Yes, but only in very rare cases (i.e. free nipple grafting may be necessary with women with very, very large breasts).

How will breast reduction surgery affect my mammograms and cancer screenings?

To successfully detect breast cancer early, it is recommended that every woman after the age of 40-45 get regular mammograms. Breast reduction patients should wait approximately one year after surgery to get a mammogram since breasts can be tender for a while and mammogram compression can be painful if performed before the breasts are completely healed. Changes resulting from breast reduction surgery are visible on a mammogram. These include alterations in the internal breast structure and outside breast contour, scarring, asymmetrical densities and the appearance of calcium deposits. Most of these findings however are commonly radiographically discernable from other pathologies such as malignancies. Sometimes, other studies such as an ultrasound or MRI are required. Therefore, it is extremely important to let your physician/radiologist know that you have had breast reduction surgery prior to getting a mammogram.

Recent medical studies have shown that breast reduction not only does not cause breast cancer, but they even suggest that breast reduction may lower a woman’s risk of breast cancer by 50% to 70%. In addition, because mammograms are difficult to perform on extremely large breasts, a breast reduction surgery may make screening for breast cancer easier to perform.

Can breast reduction surgery really change my life? How will I feel?

Because how you feel is entirely up to you, it is impossible to say with absolute certainty that you will feel a thousand times better…that your life will be the best it’s ever been. Nevertheless, with a positive outlook, realistic perspective, and in your own time, it is possible to say that your life will be better in many, many ways. Many of Avosant’s breast reduction patients say they feel liberated and free. They’re more relaxed, especially in public, while having more energy and confidence. Daily frustrations such as taking pain medications or buying specially-fitted clothes are eliminated, and because breast reduction surgery removes heavy, excess breast fat, skin and tissue, patients experience partial or complete improvements in neck, back, or shoulder pains, bleeding and scaring secondary to bra straps, and breast rashes and/or infections. With a new attractive contour and lighter, firmer breasts that are more natural looking, comfortable and proportionate to the rest of the body, many of our patients become proud and happy with the way they look and feel. Please refer to our patient testimonials for some direct patient feedback.