What to expect?

What technique is used?

I have been using the Lejour vertical mammoplasty for over 30 years. This technique allows for breast reduction and breast lifts to be performed with minimal scarring. The resultant scar is a lollipop shaped scar around the areola and vertically down the center of the breast. There is no need for the long, unsightly and painful scar that some older techniques use under the breast.

 The surgery is performed under general anesthesia

Is the procedure painful?

As with the recovery, the discomfort is again surprisingly limited with these procedures. The greatest discomfort is with the breast augmentation and lift, which has the discomfort of the chest muscles being stretched by the breast implants. This pain though is well controlled with medication and usually lasts no more than 3 days.

What are the risks of the surgery?

As with all surgeries there are small risks of infection and bleeding. With breast reductions in particular there is an added risk of nipple loss in up to 4 % of cases. This is usually due to poor circulation or aggravating factors such as smoking, which is absolutely forbidden during the peri-operative period. Scars are usually minimal with the techniques I use but may require revisions in some patients.

How long before I recover from the surgery?

Initial recovery is surprisingly rapid. Most patients resume activities of daily living within 3-4 days. Final recovery for all swelling to abate and the final shape of the breast to be visible is about 4 months.

What alternatives are there?

Liposuction alone can help to reduce the size of breasts but if you a have a droopy breast it will need to be lifted in any case. That is in effect a breast reduction; a lift with fat removal from the breast.

How much does breast reduction cost?

For pricing ranges, please take a look at our prices page.

What is a Breast reduction?

The aim for this procedure is to lift as well as reduce the size of the breasts. The surgery involves making an incision around the areola and down the center of the breast (the scar looks like a lollipop). Breast reduction takes about 3 hours and is performed under general anesthesia. You may need to have someone stay with you the night after breast reduction surgery and can usually resume your normal activities in 5-7 days. The cost of breast reduction includes the surgical facility fees, anesthesia fees, and all of your follow up visits.

Many of breast reduction faqs can be answered by understanding the history and techniques of breast reduction surgery.The traditional method for reduction mammoplasty was first described in 1956. Although modifications to the procedure have been made over the last 40 years, the technique essentially remained unchanged until 1990. The traditional methods for breast reductions or breast lifts, leave the patient with an inverted T shaped scar. The scar goes around the nipple and areola, vertically down the central part of the breast, and there joins a long scar that goes along the infra-mammary fold, or bra line. The ”new“ method for breast reduction, developed by a Belgian surgeon, Dr. Lejour, allows for reduction and lift of the breast with minimal scars; there is no further need for the large horizontal scar under the breast! Scars are found only around the areola and vertically down the center. Dr. Tavallali was personally trained by Dr. Lejour to perform this technique.

Importantly, the new technique also changes the whole concept of breast reductions and the anatomical basis for the operation. In the traditional technique, the weight of the breast is carried by the skin of the chest wall which, is pulled tightly around the breast tissue forming a sling upon which the breast can rest. As we all know, skin will stretch with time, leading to droopiness and flatness of the breasts.

The new technique of vertical mammoplasty, is based on the surgeon sculpting the breast tissue itself into the desired youthful shape, and then allowing the skin of the chest wall to drape over the breast tissue mound, without any tension on the skin or need for it to support weight. The result is a long lasting change in breast shape that is not affected by the changes in the skin elasticity that occurs with age.

Surgery in Surgery Center

The face lift procedure can be performed under local anesthesia in our office and takes four hours.


Breast reductions are outpatient procedures that are performed under general anesthesia. Drains are sometimes required, and patients are asked to wear supportive bras for several weeks. You need to have someone stay with you the night after surgery and can usually resume work in 3-5 days. The cost for a breast reduction includes the operating room fee and all of your follow-up visits. Full recover is in a few months.

Schedule a Consultation

Interested in learning more and getting consultation? Dr. Tavallali's team will be happy to promptly schedule you.