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Breast reduction (reduction mammaplasty) is a procedure in which fat, glandular tissue, and skin are removed from the breasts, making them smaller, lighter, and firmer. During surgery, the areola, the darker skin surrounding the nipple, can also be reduced if it has been excessively stretched. The goal is smaller, nicely-shaped breasts that are in better proportion with the body. This procedure can also help to alleviate the discomfort associated with excessively large breasts, such as neck, back, and shoulder pain.

Dr. Darrick Antell: The Premier Breast Surgeon in NYC

Dr. Darrick Antell is among the most respected breast surgeons practicing in New York. Trained at Stanford and Cornell, Dr. Antell is a board-certified plastic surgeon with a reputation for excellence in aesthetic surgery. His philosophy that “plastic surgery should whisper, not scream” ensures that he will approach your procedure with the intention of producing the most natural results possible. Dr. Antell’s extraordinary accomplishments include being honored for his groundbreaking research on identical twins and the aging process by being the only plastic surgeon with his work displayed in the Smithsonian Museum.

In addition to being named a “Top Plastic Surgeon” by Town and Country, Vogue, and New York Magazine, Dr. Antell has also been recognized by Harper Bazaar’s as one of the best breast plastic surgeons in the country. He is among the most accomplished breast surgeons practicing in New York and widely regarded as a leader in the field of custom breast surgery. The surgeons on this list are the most accomplished professionals in the nation, recognized for producing exceptional results. If you are considering breast reduction in NYC, by choosing Dr. Antell, you will be under the care of one of the world’s most acclaimed breast reduction surgeons.

Am I a candidate for a breast reduction in NYC?

Overly large breasts can result in physical discomfort and emotional problems, such as self-image issues. The excessive weight from large, pendulous breasts can cause back and neck pain, skin irritation, poor posture, and breathing problems. Therefore, breast reduction is not strictly a cosmetic enhancement- it can offer incredible physical relief.

NYC Breast Reduction

The ideal candidate for a breast reduction in NYC is a woman who:

  • Experiences self-consciousness due to the perception that her breasts are too large
  • Has shoulder, back, and neck pain caused by the weight of her breasts
  • Has indentations on her shoulders from bra straps
  • Can only participate in limited physical activity due to breast size
  • Has skin irritation in the inframammary fold (under the breast)
  • Has fully developed breasts

Why should I choose Dr. Antell for my breast reduction?

As a result of breast reduction surgery, you want breasts that are not only smaller but also beautiful. Dr. Antell, one of the world’s most respected and sought-after plastic surgeons, has the experience to ensure that the result matches your expectations. By choosing Dr. Antell, you can trust that your breast reduction will be performed with meticulous care, advanced surgical techniques, and a dedication to creating the breasts you have always desired – balanced, natural, and beautiful.

What can I expect during my consultation?

During your initial consultation, Dr. Antell will perform a comprehensive evaluation of your general health and medical history, as well as assess the current size and shape of your breasts. By taking precise measurements, he can understand by exactly how much to reduce the volume of your breast to best complement your figure. Together, you will create a surgical plan designed to achieve your desired outcome. Dr. Antell will discuss in detail the procedure, risks, recovery, and realistic outcome of your individualized surgical plan. The position of your nipple and areola will be planned based on your specific anatomy, as the nipple structure will be moved to be placed properly on your reshaped breast.

Where will my breast reduction be performed?

Dr. Antell has privileges in numerous hospitals throughout New York City, but most patients prefer for the procedure to take place in his discreet, private operating room located just across the street from world-renowned Lenox Hill Hospital. His facility has a private back entrance to ensure total discretion and all members of his staff have been thoroughly trained to offer personalized care. The state-of-the-art outpatient surgery center is fully accredited, designed for your comfort, and equipped with the latest technology.

Breast Reduction

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How should I prepare for my breast reduction?

You will be provided with instructions to thoroughly prepare you for surgery including guidelines on eating and drinking, smoking, and taking or avoiding vitamins and specific medications. You may be given prescriptions that should be filled prior to your day of surgery. Dr. Antell may also request that you have additional imaging before the procedure, such as a mammogram, MRI, or ultrasound. Depending on your medical history, you may be asked to provide pre-operative clearance from another doctor. As the procedure is performed under “twilight” sedation, you should arrange for someone to drive you home after your surgery and ensure you have someone to assist you for the first few days.

What are the risks?

A breast reduction is typically a safe procedure when performed by an experienced, board-certified plastic surgeon. However, as with any surgery, there are always risks. The most common complications are bleeding, infection, and an adverse reaction to the anesthesia. Some patients may develop small sores around the nipples, which can typically be treated with antibiotic creams. There can also be changes in nipple or breast sensation, such as numbness, although this typically resolves within a few months. In rare cases, there can be partial or total loss of the nipple and areola. Your ability to breastfeed may be limited following a breast reduction. Dr. Antell will provide a thorough discussion of all risks during your initial consultation. You can reduce your risks by closely following Dr. Antell’s advice both before and after surgery.

What type of anesthesia is used?

Breast reduction is typically performed with local anesthesia and intravenous sedation or with another form of “twilight” sedation. In either case, you will not experience any discomfort during the procedure. A board-certified anesthesiologist will monitor you throughout the procedure to ensure safety.

How is a breast reduction performed?

Your NYC breast reduction surgery is a customized procedure, meaning different techniques will be used based on the existing state of your breasts and your desired outcome. There are typically three incisions: around the areola, down from the areola to the breast crease, and horizontally along the breast crease. After Dr. Antell reduces, lifts, and reshapes the underlying breast tissue and removes excess skin, the nipple and areola are then moved to the higher position.

Manhattan Breast Reduction

The incisions, as well as the areola and nipple, are strategically placed based on your individual anatomy to be as inconspicuous as possible when wearing a bra, swimsuit, or other revealing clothing. Meticulous layers of internal, dissolving sutures and external sutures are used to close the incision. Dr. Antell may place a gauze bandage, compression bra, and surgical drains on your new breasts to speed healing and reduce swelling. The surgery will likely take around three to four hours to complete.

Before & After

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What will my recovery be like?

After undergoing the surgery, you will recover in Dr. Antell’s state-of-the-art recovery suite while being monitored by one of his nurses until you feel well enough to be discharged. A breast reduction is an outpatient procedure, meaning you can return home the same day after the procedure. When performed with “twilight” sedation, you should be prepared to have an escort to bring you home, as you will not be able to drive for 24 hours after the administration of anesthesia. Upon leaving the facility, you will be provided thorough discharge instructions that will guide you through the initial post-operative period. Throughout the entire recovery process, Dr. Antell and his staff will be available to answer any questions you may have.

After surgery, Dr. Antell may place gauze dressings and a bandage over your new breasts to support the shape and reduce swelling. You may feel tired or sore following surgery, as your body is using its energy to heal, but many patients are able to return to most daily activities within days of the procedure. It is best to refrain from vigorous exercise for around two weeks, but Dr. Antell will provide an individualized recovery plan based on the intricacies of your customized procedure and your rate of healing. It is important to follow all post-operative instructions carefully and refrain from activities that could put stress on your incisions. It is normal to experience some loss of feeling in the breast area and around the incisions.

This numbness typically fades over time. You will likely also have some fluid drainage from the incision sites. You will typically return to the office for your first follow-up appointment a day after the procedure so that Dr. Antell can evaluate how you are healing. The external sutures will usually be removed one to two weeks after your procedure. Although much of the swelling and bruising will fade in the first few weeks, it may take several months to fully dissipate, with the final result typically being visible around six months. Your scars will be firm and pink for at least six weeks before beginning to fade, although they will never disappear completely.

What will my expected result be?

The final results of your Manhattan breast reduction will appear after several months, as swelling dissipates and your new breasts settle. Patients are typically extremely satisfied with the reduced size of their breasts following this procedure, as they no longer experience physical discomfort from large breasts and have a more proportional figure. However, it’s important to keep in mind that you may need time to adjust to your new image. We’re confident that, with patience, you’ll be exceptionally pleased with your new look.

How do I get started?

Dr. Darrick E. Antell and his staff would be happy to provide a discreet and private consultation to evaluate your needs and discuss a breast reduction. Please call the office at (212)-988-4040 to schedule your consultation.

Now Open for Elective Surgery! View Update Virtual Consultation

Now Open for Elective Surgery!

Dear Patients,

We hope this finds you and your family in good health during these difficult times. For those who may have suffered a loss, we extend our deepest sympathies.

As many of you know, we decided to shift our practice almost entirely to telemedicine when the COVID-19 pandemic started. Being located in the heart of New York City, we felt this was a necessary decision to help keep you and our other valued patients safe. We want to thank you for your patience and understanding throughout the last few months as we navigated the new and unique challenges that this health crisis has thrust upon us.

We are happy to announce that we have resumed seeing patients for consultations, office procedures (including Botox and fillers), follow-up appointments, and elective surgeries. Please know that, as always, we are dedicated to providing our patients with the safest possible environment. With our own NYS registered and fully accredited operating room, we are able to perform all procedures in an environment that is clean, safe, and secure. Our office is following all recommended guidance from public health authorities, both local and federal, including best practices for hygiene, infection control, and office staff health. As a result, our office might look a bit different than it has on previous visits. We are implementing numerous new protocols, including limiting the number of patients we see each day, minimizing the number of people in our waiting room, and continually and thoroughly cleaning all surfaces and exam rooms to sanitize between patients. Please know that our staff will be utilizing the appropriate PPE to protect patients and themselves.

In order to keep our office a safe space for both patients and staff members, we are asking for your cooperation with the following:

  • Every patient must complete a screening questionnaire for COVID-19 exposure and symptoms prior to your appointment. We will be discussing these questions with you when we call to confirm your appointment. If there are any concerns, we may need to change your visit to telehealth.
  • All patients must wear a mask when entering the office (cloth or homemade is fine). Upon arrival to the office, we will ask you to clean your hands with sanitizer and will provide you with gloves.
  • Anyone entering the office, including staff, will have their temperature taken with a non-contact thermometer. Therefore, upon arriving to the office, please ring the doorbell to be properly screened prior to entering.
  • Patients should come alone for their appointment if possible. If you would like to bring a spouse, caregiver, parent, or friend, we must be notified at least 24 hours in advance of your appointment to make the necessary arrangements.

Thank you for being our patient. We value your trust and loyalty and look forward to welcoming back our patients, neighbors, and friends.

Darrick E. Antell, MD, FACS

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