About Breast Reduction Surgery in Fort Lauderdale with Dr. John Michael Thomassen

A breast reduction is also referred to as a reduction mammaplasty. Dr. John Michael Thomassen is a plastic and reconstructive surgeon in Fort Lauderdale who performs breast reduction surgery for his patients. Women frequently choose a reduction mammaplasty to alleviate the discomfort commonly associated with overly large breasts. This discomfort may include back pain, neck pain, numbness in the fingers and hands, shoulder pain, migraines as well as shortness of breath.

What is Breast Reduction Surgery?

Breast ReductionAlso known as reduction mammaplasty, breast reduction surgery removes excess breast fat, glandular tissue and skin to achieve a breast size in proportion with your body and to alleviate the discomfort associated with overly large breasts. Click here to view before and after pictures from our actual breast reduction surgery patients.

This site features many tools to assist you in your search for plastic surgery information, including breast reduction videos, stories from real patients discussing their experiences with breast reduction surgery, and breast reduction before and after photos of patients who had their procedures performed by ASPS Member Surgeons.

Enhancing your appearance with breast reduction surgery

Overly large breasts can cause some women to have both health and emotional problems. In addition to self image issues, you may also experience physical pain and discomfort.

The weight of excess breast tissue can impair your ability to lead an active life. The emotional discomfort and self-consciousness often associated with having large pendulous breasts is as important an issue to many women as the physical discomfort and pain.

Also known as reduction mammaplasty, breast reduction surgery removes excess breast fat, glandular tissue and skin to achieve a breast size in proportion with your body and to alleviate the discomfort associated with overly large breasts. Pictures of breast reduction procedures performed by ASPS Member Surgeons may help you in the decision-making process.

Is it right for me?

Breast reduction surgery is a highly individualized procedure and you should do it for yourself, not to fulfill someone else’s desires or to try to fit any sort of ideal image.

Breast reduction is a good option for you if:

  • You are physically healthy
  • You have realistic expectations
  • You don’t smoke
  • You are bothered by the feeling that your breasts are too large
  • Your breasts limit your physical activity
  • You experience back, neck and shoulder pain caused by the weight of your breasts
  • You have regular indentations from bra straps that support heavy, pendulous breasts
  • You have skin irritation beneath the breast crease
  • Your breasts hang low and have stretched skin
  • Your nipples rest below the breast crease when your breasts are unsupported
  • You have enlarged areolas caused by stretched skin


What happens during breast reduction surgery?

Breast reduction surgery is usually performed through incisions on your breasts with surgical removal of the excess fat, glandular tissue and skin.

In some cases, excess fat may be removed through liposuction in conjunction with the excision techniques described below. If breast size is largely due to fatty tissue and excess skin is not a factor, liposuction alone may be used in the procedure for breast reduction.

The technique used to reduce the size of your breasts will be determined by your individual condition, breast composition, amount of reduction desired, your personal preferences and the surgeon’s advice.

Step 1 – Anesthesia

Medications are administered for your comfort during breast reduction surgery. The choices include intravenous sedation and general anesthesia. Your doctor will recommend the best choice for you.

Step 2 – The incision

Incision options include:

A circular pattern around the areola. The incision lines that remain are visible and permanent scars, although usually well concealed beneath a swimsuit or bra.

A keyhole or racquet-shaped pattern with an incision around the areola and vertically down to the breast crease.

An inverted T or anchor-shaped incision pattern.


Step 3 – Removing tissue and repositioning

After the incision is made, the nipple-which remains tethered to its original blood and nerve supply-is then repositioned. The areola is reduced by excising skin at the perimeter, if necessary.

Underlying breast tissue is reduced, lifted and shaped. Occasionally, for extremely large pendulous breasts, the nipple and areola may need to be removed and transplanted to a higher position on the breast (free nipple graft).

Step 4 – Closing the incisions

The incisions are brought together to reshape the now smaller breast. Sutures are layered deep within the breast tissue to create and support the newly shaped breasts; sutures, skin adhesives and/or surgical tape close the skin. Incision lines are permanent, but in most cases will fade and significantly improve over time.

Step 5 – See the results

The results of your breast reduction surgery are immediately visible. Over time, post-surgical swelling will resolve and incision lines will fade. Satisfaction with your new image should continue to grow as you recover.

Breast Reduction and Results

The results of breast reduction surgery will be long-lasting. Your new breast size should help relieve you from the pain and physical limitations experienced prior to breast reduction.

Your better proportioned figure will likely enhance your self image and boost your self-confidence. However, over time your breasts can change due to aging, weight fluctuations, hormonal factors and gravity.

We encourage you to look at breast reduction before and after photos of patients who had their procedures performed by ASPS Member Surgeons to see examples of breast reduction results.
Breast Reduction Cost

What a Breast Reduction in Fort Lauderdale Can Accomplish

During a breast reduction, Dr. Thomassen removes excess tissue, fat and skin to provide his patient with a breast size that is proportionate with her body; thus, alleviating the numerous issues associated with excessively large breasts.

Reasons Women Choose to Have Breast Reduction Surgery

Besides discomfort and physical pain, excessively large breasts can cause a woman to have a negative self-image. The self-consciousness and emotional discomfort a woman feels when she has large, pendulous breasts may be just as harmful as the physical pain and discomfort she experiences. Furthermore, the additional weight caused by the excess breast tissue can impair a woman’s ability to lead the active lifestyle she would like to embrace.

The ideal candidate for a reduction mammaplasty with Fort Lauderdale plastic and reconstructive surgeon Dr. Thomassen is a woman who:

  • does not smoke cigarettes or use recreational drugs;
  • is physically healthy;
  • has realistic expectations as to what a breast reduction can accomplish;
  • is upset because she feels that her breasts are too large;
  • experiences pain and/or numbness due to the size of her breasts;
  • limits her physical activity due to her overly large breasts;
  • has indentions in her shoulders that are caused by her bra straps; and/or
  • experiences irritation/rashes on the area of skin where her breasts naturally rest.

The Initial Consultation for a Breast Reduction at Thomassen Plastic Surgery in Fort Lauderdale

Dr. Thomassen will ask a number of questions concerning the patient’s health, lifestyle and desires. To ensure patient safety and allow for optimal breast reduction results, patients need to be completely candid with Dr. Thomassen during their initial consultation.

A patient needs to be ready to discuss:

  • The reasons she wants to have a breast reduction.
  • What she hopes a breast reduction will accomplish for her.
  • Drug allergies.
  • Medical conditions and previous surgeries.
  • Her current medications, herbs and vitamins.
  • Whether or not she drinks alcohol, smokes cigarettes or takes recreational drugs.
  • Her family’s history of breast cancer.

Patients should also bring their mammogram results and previous breast biopsy results with them to their initial consultation.

Dr. Thomassen may:

  • Examine the patient’s breasts, take measurements, document the placement of the nipples and areolas, as well as examine the quality of the skin on the breasts.
  • Evaluate the general health of the patient and address any current health conditions.
  • Discuss any risk factors related to a breast reduction surgery in Fort Lauderdale.
  • Make recommendations related to the patient’s treatment.
  • Take pictures that will remain in the patient’s medical record. These pictures may be used for comparison purposes and/or as reference material during the breast reduction procedure.
  • Discuss the results a patient can expect following her breast reduction procedure.
  • Recommend which anesthesia he believes will suit the patient best.

A Breast Reduction Procedure with Dr. Thomassen in Fort Lauderdale

During a reduction mammaplasty, Dr. Thomassen makes incisions on the breasts from which he surgically removes glandular tissue, excess fat and skin.

Sometimes excision techniques are used in conjunction with liposuction; however, if fatty tissue is the main cause of a woman’s overly large breasts, liposuction may be the only technique necessary.

Breast Reduction Surgery Steps

The technique that Dr. Thomassen uses depends on each patient’s personal preference, particular condition, the composition of her breasts, as well as the final breast size she desires.

1. Anesthesia

Patients receive medications (general anesthesia or intravenous sedation) to ensure they remain asleep during their breast reduction procedure.

2. Dr. Thomassen Makes the Incision

There are several incision options used for a breast reduction procedure:

  • The racquet-shaped or keyhole incision is an incision that is made around the areola and another that runs vertically down to the crease of the breast.
  • The anchor-shaped or inverted T incision is created by making an incision around the areola, vertically down the middle of the breast to the crease and then along the crease itself.
  • A circular incision around the areola.

Although incision lines are permanent and will be visible, these incisions are placed in areas of the breast that are concealed beneath a bra or swimsuit. Furthermore, incision lines will fade with time.

3. Nipple Repositioning

Following the incision, the nipple is repositioned. Dr. Thomassen takes great care to ensure the nipple remains tethered to its original nerve and blood supply.

Reduce the Size of the Areola

If necessary, he will reduce the size of the areola by excising skin from its perimeter.

4. The Tissue is Reduced, the Breast is Lifted and Reshaped

Dr. Thomassen reduces the underlying breast tissue, lifts and reshapes the breast.

When Necessary, a ‘Free Nipple Graft’ is Performed

On occasion, when a woman has overly large, sagging breasts, the nipple and the areola will need to be completely removed, and then relocated to a position higher on the breast.

5. The Incisions Are Closed

To support the patient’s newly shaped breast, Dr. Thomassen layers the sutures within her breast. He uses skin adhesives, sutures and/or surgical tape to bring the skin together.

A small, thin tube may temporarily be placed beneath the skin. This tube is used to drain excess fluid and/or blood away from the breasts.

6. Bandages and/or Dressings Are Applied

Following closure of the incisions, the patient’s incisions are bandaged: Dressings may also be applied. To reduce inflammation and support the breasts while they heal, patients receive a support bra or an elastic bandage.

7. Results

Patients will see results immediately following their reduction mammaplasty with Dr. Thomassen in Fort Lauderdale. As time passes and the post-surgical inflammation resolves itself, patients will eventually see the full results of their breast reduction surgery.

Recovering from a Reduction Mammaplasty in Fort Lauderdale

Patients receive a list of instructions to follow while they recover from their breast reduction procedure. Among other things, these instructions will address medication usage, when to return for their follow-up appointment, as well as what symptoms indicate that medical attention is necessary.

As a board-certified plastic surgeon, Dr. John Michael Thomassen is dedicated to providing his patients with the most innovative procedures available in Fort Lauderdale. Women who are interested in learning more about breast reduction surgery at Thomassen Plastic Surgery in Fort Lauderdale should contact the office today.