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


All surgeries come with potential complications. Operations are never risk-free! Nevertheless, most complications of breast reduction surgery are minor and very rare in occurrence and most patients are very satisfied with the outcome. When they do happen, they can be managed without hospitalization or further surgery, and most complications involve an extension of the recovery period rather than any permanent effect on your final result.

Avosant’s highly qualified medical team will use their expertise and knowledge to avoid complications or solve the problem as quickly as possible. If complications do arise, it will be important to have your full cooperation to resolve the problem as we will function as a team. Therefore, before you decide to have surgery, you should familiarize yourself and fully understand the risks, potential complications and alternative methods of management associated with breast reduction surgery.


Bleeding after breast reduction surgery is a rare event. If it does occur, it may be because of a leaking blood vessel or a undiagnosed bleeding disorder. Before surgery even begins, a full workup including blood tests will be performed to prevent such problems. Some patients may develop a very small collection of blood under the skin and inside the breast called a Hemotoma. This can result in swelling and pain but they are usually absorbed by the body and do not require medical treatment. However, larger hematomas, which are very rare in occurrence, may require aspiration, drainage, or even surgical removal to achieve the best result.

If a surgical incision becomes increasingly painful, red, and inflamed, it may be infected. A superficial infection is uncommon but if it does occur, it may require antibiotic ointment. Deeper infections may be associated with a fever and they are treated with oral antibiotics. If the infected incision develops an abscess (infected pus) or fat necrosis (dead tissue), it usually requires drainage.

Any incision, during the healing phase, may separate or heal unusually slow for a number of reasons including inflammation, infection, wound tension, decreased circulation, smoking or excess external pressure. Wound separations that are small can be managed with dressing changes and wound care while larger areas may require further surgery. If delayed healing occurs, the final outcome is usually not significantly affected, but secondary revision of the scar may be indicated.

Even with use of the most modern plastic surgery techniques, some patients may experience abnormal scarring. Thicker scars are defined as hypertrophic. Though these scars are typically red, firm and raised, they “fit” within the previous boundaries of the surgical incision and do not grow outside of the original surgical area. Keloids are a different form of thickened scar occurring in patients with a previous genetic predisposition. Though similar in appearance to hypertrophic scars, keloid scars invade surrounding tissue resulting in an overgrowth of tissue that extends outside of the boundaries of the previous surgical incision or laceration. Injections of steroids, such as kenalog injections, into the scars, placement of silicone gel sheeting or liquid silicone gel applications onto the scars, or further surgery to correct the scars is occasionally necessary. Over-the counter medications, including Mederma® and Scarguard®, are also available for conservative scar management. It is important to note that some areas on the body and some people scar more than others. Therefore, based on your own history of scarring, you may know what to expect.

Occasionally, allergic or sensitivity reactions may occur from soaps, ointments, tape, or sutures used during or after surgery. Such problems are unusual and are usually mild and easily treated. In extremely rare circumstances, allergic reactions can be severe and require aggressive treatment or even hospitalization.

Smokers have a greater chance of skin loss and poor healing because of decreased skin circulation. Breast reduction is therefore absolutely inadvisable in patients who smoke. Patients should quit smoking at least three weeks before surgery, and for more than one month after to insure proper healing potential.

Blood vessels, nerves and muscles may be injured during breast reduction surgery. Because of Dr. Daniel Golshani’s years of experience and knowledge as well as his strict adherence to excellent surgical technique, the incidence of such injuries is rare.

A rare event which must be discussed with all prospective patients prior to surgery, nipple loss is avoided by assuring excellent blood supply to the nipple during surgery.


If any of the general risks listed above are severe, they may significantly delay healing or necessitate further surgical procedures. Medical complications such as pulmonary embolism (blood clots), severe allergic reactions to medications, cardiac arrhythmias, heart attack, and hyperthermia are extremely rare but serious and life-threatening problems. To reduce these risks as much as possible, Avosant Surgical Associates will provide you with an accredited, well-trained anesthesiologist during surgery. We only utilize experienced physician anesthesiologists with hospital privileges for their services. It is very important to note that failure to disclose all of your pertinent medical data before surgery may cause serious problems for you and for the medical team during surgery.


All plastic surgery treatments and operations are performed to improve a condition, a problem, or appearance. While the procedures, including breast reduction surgery, are performed with a very high probability of success, disappointments may occur and results are not always acceptable to patients or the surgeon.

Though many medical studies have shown that the majority of breast reduction patients are pleased with their results, there are some patients who may be dissatisfied and unhappy with their results. These patients are usually more concerned with the cosmetic aspects of the surgery rather than the relief of symptoms. Also, they usually have unrealistic expectations and do not take the time to fully educate themselves prior to surgery. Mild asymmetries of size, shape or nipple position are normal but complications including fat necrosis or poor healing may result in a major discrepancy.

Though most breast reduction patients can accept minimal differences, larger differences, though rare, may require revisional surgery.

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