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Breast Reduction St. Louis

Attain Beauty for Life with Breast Reduction

While most associate a small bust with poor self-image, overly large and aging breasts are also a physical and emotional burden. In addition to being difficult to support and cover, large breasts can be a source of embarrassment, chronic pain, deformities in the back and shoulder, and posture problems. St. Louis patients who feel dissatisfied or self-conscious about the large or excessive size of their breasts can visit Paul Rottler, MD, FACS to achieve beautiful breasts via breast reduction.

A reduction mammoplasty procedure with Dr. Rottler can surgically eliminate excess mammary tissue and fat from your breast, giving your chest a more attractive and youthful shape. With a simple surgery, breasts that sag and stretch due to weight loss, aging, or pregnancy can return to the lifted and round appearance of their youth. If you desire the confidence and pain relief of a lighter bust, a breast reduction may be your best course of action.

Our office does not accept any type of insurance for this procedure.

Is This Procedure Right for Me?

When it comes to body contouring and breast reduction, invasive plastic surgery is not the solution for everyone. Before scheduling your consultation, evaluate whether this surgery is right for your body. Most patients who have consider this procedure are at or close to their ideal weight, have back and neck and or breast pain, or have recently lost an extreme amount of weight. Anyone who fulfills the following characteristics can safely consider this procedure as a solution to their overly large breasts.

  • A history of backaches, neck aches, and poor posture as a result of supporting big breasts.
  • Difficulty finding clothes that cover, support, and flatter your curves.
  • Lack of self-confidence due to breasts that draw unwanted attention.
  • No active diseases or pre-existing conditions that could complicate the surgery or recovery.
  • Enlarged areolas due to stretched skin.
  • The cessation of natural breast development.
  • Mental and emotional stability to recover from surgery.
  • Zero intention to breastfeed in the near future.

There are many medical and social reasons for this procedure. Common reasons to abstain from this plastic surgery include:

  • Currently breastfeeding or planning to breastfeed in the future.
  • Unrealistic or unhealthy expectations.
  • Undiagnosed lumps or masses.
  • Severe obesity.
  • A family history of clotting, heart, or circulatory disorders.
  • Diabetes.

If you have any questions or concerns regarding your candidacy for this procedure, talk to your doctor or schedule a consultation with Dr. Rottler.

Surgery Overview

At its core, breast reduction is the removal of fat and glandular tissue, the repositioning of the areola, and the tightening of skin around the chest area to produce smaller, more proportional breasts. The procedure is usually performed through three thin incisions—a circular incision made around the areola, a second that runs vertically from the bottom edge of the areola to the crease of the breast, and a third that horizontally follows the natural curve of the breast. These incisions will give your plastic surgeon ample access to your breast tissue and allows him or her to reduce, adjust, and reposition your fat and skin.

Areolas that have been stretched by pendulous breasts are then reshaped and positioned higher. To maintain sensation in the nipples, your plastic surgeon will leave the underlying tissue untouched while adjusting your areolas. This method is also designed to preserve the patient’s ability to breastfeed, though the results vary from subject to subject. For smaller breast reductions in the right candidate, surgeons may use liposuction alone to complete the procedure.

The final step in a reduction mammaplasty is closing the incisions with deep sutures that shape and support your new, smaller breasts. Dissolvable sutures are used to help close the skin and promote faster healing.

Most surgeries take about 3-5 hours to complete at Seven Oaks Surgery Center, LLC.

At Seven Oaks Surgery Center patients receive general anesthesia by Board Certified Anesthesiologists so they can safely sleep through the entire procedure.

How Much Will It Cost?

The price of your breast reduction with Dr. Rottler will differ depending on the amount of time the procedure will take in the OR.

Starting at $10,000

What Should I Expect After Surgery?

When the surgery is finished, the incisions will be covered in gauze and the breasts cushioned in a bra. Immediately after surgery, patients might experience bruising and swelling in the torso region as the incisions heal.

Stitches are generally removed in stages approximately one week after surgery. Patients can expect their stitches to be completely removed by the third week. A lack of sensation in the areola and nipple regions is a temporary side effect of this procedure, and it may take anywhere from a couple of weeks to a full year for complete sensation to return. Your new breasts will also need time to settle into a more natural shape and color. The pink scar tissue around the surgical incisions also fades with time.

Before & After Breast Reduction Photos
Before & After Breast Reduction Photos

View More Before and Afters

In the days following the procedure, patients will gradually be able to move more comfortably for longer stretches of time. While Dr. Rottler encourages patients to get out of bed for short periods of time shortly after surgery, patients should not attempt any lifting, bending, and exercise for several weeks. Depending upon their professions, it is possible for many patients to return to work after only two or three weeks. While it is normal to experience mild discomfort, strive to be gentle with your new breasts for six weeks and avoid sexual activity for one month after surgery.

Every patient’s healing is different. Your plastic surgeon, Dr. Rottler, will formulate a recovery plan that fits your specific needs.

The Results

After your reduction surgery, your breasts will appear smaller and perkier. Without the weight of pendulous breasts burdening your neck, shoulders, and back, you will be free to partake in a range of activities with new confidence. In addition, you also will no longer have to hide your figure underneath unflattering clothing. While it takes time to adjust to a new body image, most patients are satisfied with the freedom and look of their chest.

Assuming you do not lose or gain a significant amount of weight, your bust should remain at a fairly constant size for years to come. Aging and gravity eventually alters the youthful contour of every woman’s breasts, and patients dissatisfied with their shape can schedule a breast lift or additional surgery.

What are the Risks of this Procedure?

Thousands of patients undergo this surgery every year without experiencing any complications or pain, but all surgeries involve risk. Understand the potential dangers and discuss with your surgeon before exploring this plastic surgery.

General risks associated with this procedure include:

  • Bleeding.
  • Infection.
  • Changes in nipple and breast sensation.
  • Unfavorable scarring.
  • Potential inability to breastfeed.

For a more detailed summary of your medical risks, your plastic surgeon will give you a summary based on your medical history and lifestyle.

Why Choose Dr. Rottler?

Your choice of plastic surgeon will determine both the ease of recovery and quality of results in your surgery. Dr. Paul Rottler, MD, FACS has the background and credentials any patient can trust. With over twenty-four years of experience in cosmetic surgery, Dr. Rottler has performed many augmentations, reductions, lifts, and other body sculpting procedures over the course of his career.

A seasoned professional with a bevy of official certifications, Dr. Rottler currently belongs to the following medical associations:

  • American Society of Plastic Surgery
  • American Society for Aesthetic Plastic Surgery, Inc.
  • Aesthetic Surgery Education and Research Foundation
  • American College of Surgeons
  • American Association for Hand Surgery
  • St. Louis Metropolitan Medical Society
  • Missouri Plastic & Reconstructive Surgery Association
  • Alpha Omega Alpha Honor Society

In addition to his professional practice, Dr. Rottler is an active volunteer and team leader with Interplast, Inc., Operation Smile and the Haiti Medical Mission. These organizations offer surgery in other countries free of charge to patients who would otherwise live their lifetime with birth defects.

When you choose Dr. Rottler, you’re choosing an expert plastic surgeon that will work tirelessly to give you the body you have always wanted.

Schedule Your Consultation

Sitting down with a licensed plastic surgeon to discuss the possibilities of your plastic surgery procedure is the first step to achieving a more confident and attractive you! As your surgeon, Dr. Rottler will offer support and information at each stage of your journey.

When you initially consult Dr. Rottler, be prepared to discuss your desired outcomes, medical history, current medications, and the results of any previous mammograms and biopsies. In order to meet your expectations and achieve your desired shape, any good surgeon requires a wealth of information at his or her fingertips. Before surgery, Dr. Rottler may ask to evaluate your general health, take exact measurements of the size, shape, and skin quality of your breasts. Photographs of your breasts may also be taken at different stages of your post op recovery as documentation for your medical records.

Remember, your relationship with Dr. Rottler does not conclude on the operating table. He will maintain a relationship with you throughout your follow-up care to monitor the long-term affects of surgery.

If you are ready to regain confidence and revitalize your body, contact the Paul Rottler, MD, FACS office in St. Louis, MO and schedule your reduction consultation today.