
Breast reduction surgery, medically known as reduction mammaplasty, is a procedure that removes excess breast fat, glandular tissue, and skin to achieve a breast size more proportionate to your body. For many patients, breast reduction is not purely cosmetic — it is a quality-of-life procedure that addresses chronic physical discomfort and functional limitations caused by overly large breasts.
At her Beverly Hills practice, Dr. Kriya Gishen — an Ivy League-trained, UCLA fellowship-trained plastic and reconstructive surgeon with a fine arts and sculpture background — performs breast reduction surgery with a focus on both functional relief and aesthetic excellence. Her artistic eye ensures that results are not only proportionate but beautifully shaped.
Women with disproportionately large breasts (a condition called macromastia) often experience a range of physical and emotional challenges:
Breast reduction surgery addresses all of these concerns simultaneously, which is why it consistently ranks among the procedures with the highest patient satisfaction rates in plastic surgery.
You may be a good candidate for breast reduction surgery in Beverly Hills if:
During your consultation, Dr. Kriya will evaluate your health history, examine your breast anatomy, and discuss your goals to determine whether breast reduction is the right procedure for you.
Understanding the step-by-step surgical process can help you feel more prepared and confident. Here is how breast reduction surgery typically works at our Beverly Hills practice:
Your journey begins with a comprehensive consultation where Dr. Kriya will:
Breast reduction is performed under general anesthesia at an accredited Beverly Hills surgical facility. You will be completely comfortable and asleep throughout the procedure.
Dr. Kriya selects the incision pattern based on the amount of reduction needed and your breast anatomy:
Through the incisions, Dr. Kriya carefully:
Dr. Kriya's background in fine arts and sculpture is particularly valuable during this phase, as she sculpts the breast tissue with an artistic understanding of natural form and proportion.
Incisions are closed with layered sutures to support the breast tissue internally and minimize visible scarring. Surgical tape or adhesive may be applied over the incision lines, and a surgical support bra is placed immediately.
After surgery, you will be monitored in the recovery area as anesthesia wears off. Most patients go home the same day with a responsible adult. The entire procedure typically takes 2 to 4 hours.
In many cases, health insurance will cover breast reduction surgery when it is deemed medically necessary. Insurance companies typically require documentation of:
Dr. Kriya's office can help you navigate the insurance pre-authorization process and provide the necessary documentation to support your claim.
While breast reduction does involve incisions and some degree of scarring, Dr. Kriya employs techniques specifically designed to minimize and conceal scars:
Most breast reduction scars fade significantly over 12-18 months and are easily concealed beneath bras and swimwear.
Some patients benefit from a combination approach. Dr. Kriya will recommend the procedure or combination that best addresses your specific needs.
Dr. Kriya Gishen brings a rare combination of qualifications to breast reduction surgery:
Her Beverly Hills practice is dedicated to creating transformative results that improve both appearance and quality of life.
If you are experiencing physical discomfort or lifestyle limitations due to overly large breasts, breast reduction surgery may be the solution you have been looking for. Schedule a consultation with Dr. Kriya Gishen — call (310) 890-7262. Our Beverly Hills team will provide a thorough evaluation, answer all of your questions, and help you understand how breast reduction can improve your comfort, confidence, and daily life.
While often discussed in the context of aesthetic enhancement, breast reduction surgery serves many purposes beyond the immediate visual transformation. It may help ease physical discomfort and emotional distress and offer a physique that better reflects one's identity.
In this guide, we’ll unpack how breast reduction works, aiming to demystify the process while providing insights into what to expect during recovery.

Many individuals suffer from neck, shoulder, and back pain due to the weight of excessively large breasts. Chronic pain can significantly impact one's quality of life, making daily activities and physical exercise challenging. For those struggling with such discomfort, breast reduction surgery offers a pathway to relief, allowing for a more active and pain-free lifestyle.
Breast disproportion can affect both physical comfort and self-confidence. Individuals may find it difficult to find clothing that fits properly or may feel self-conscious about their appearance. Breast reduction can create a more balanced and proportionate figure, enhancing physical comfort and boosting self-esteem.
Large breasts can be a substantial barrier to physical activity, affecting balance and causing discomfort during exercise. This could lead to a sedentary lifestyle, contributing to broader health issues. By reducing breast size, individuals often find new freedom in physical activity, leading to healthier, more active lifestyles.
For transgender and non-binary individuals, breast reduction surgery can be a crucial step in aligning one's physical characteristics with their gender identity. Dr. Kriya offers compassionate, gender-affirming care, understanding the profound impact such procedures can have on an individual’s journey toward revealing the "real you."
The psychological impact of living with disproportionately large breasts should not be underestimated. The emotional toll can be significant from unwanted attention to an inability to fully engage in life's activities. By addressing these physical concerns, breast reduction surgery can lead to improved mental health and well-being.
Before embarking on the journey to a more comfortable and confident self through breast reduction surgery, the initial step is a thorough and compassionate consultation process.
During the consultation, you will have the opportunity to express your concerns, desires, and the physical discomfort or challenges you may be facing due to oversized breasts. Common issues discussed include back and neck pain, skin irritation, and difficulty engaging in physical activities.
In addition to discussing the anticipated physical outcomes, the consultation will cover the practical aspects of the surgery, including preparation, recovery time, aftercare, and the potential risks and complications. Understanding the importance of making an informed decision, Dr. Kriya ensures that all your questions are answered with the utmost care and detail.
Understanding how breast reduction works is pivotal before undergoing the surgery. This procedure, also known as reduction mammaplasty, aims to remove excess breast fat, glandular tissue, and skin, achieving a breast size in proportion with your body and alleviating the discomfort associated with overly large breasts.
The process typically begins with a detailed consultation, drawing from Dr. Kriya's and her team's expertise. Rooted in compassion and understanding, the preliminary discussions focus on your aspirations, laying the groundwork for a procedure that’s not just about aesthetic enhancements but aligns with your identity and comfort.
During the surgery, you will be under general anesthesia. Dr. Kriya employs meticulous techniques tailored to each individual's unique body structure and desired outcome. The procedure can involve different incision patterns and techniques, the most common being:
After making the incision, Dr. Kriya will remove excess breast tissue, fat, and skin, reshaping the remaining breast tissue into a smaller, more lifted form. Sometimes, the nipple and areola may be repositioned to a more natural height.
The entire procedure typically lasts three to five hours, depending on the extent of reduction and reshaping involved.
The first step towards your transformation is selecting anesthesia. Generally, breast reduction surgery is performed under general anesthesia, meaning you will be asleep throughout the procedure and not feel any pain. Our anesthesiology team is highly skilled in administering and monitoring anesthesia, paying close attention to your comfort and safety. We prioritize your well-being, and our approach is to thoroughly discuss any concerns or questions you might have about anesthesia to make the process as anxiety-free as possible.
The approach to reducing breast size and reshaping the breast involves making incisions on the breasts, the patterns of which vary by the technique employed and the amount of reduction desired. Dr. Kriya utilizes her artistic background and surgical precision to select the most appropriate method, considering your body's form and desired outcome. The common incision patterns include:
The journey toward feeling more comfortable and confident in one’s body does not stop in the operating room. The recovery process is a critical component of the overall experience and outcome of breast reduction surgery. Dr. Kriya and her dedicated team ensure that each patient is thoroughly educated on what to expect during this period, emphasizing a compassionate and personalized approach to care.
Patients can expect discomfort, swelling, and bruising following the procedure, which are normal aspects of the healing process. Pain medication will be prescribed to manage discomfort, and detailed instructions will be provided on caring for the surgical sites. Following these guidelines is essential to ensure optimal healing and results.
Supportive garments, such as special surgical bras, may be recommended to provide additional support to the breasts during recovery. These garments not only contribute to comfort but also shape the breast tissue as it adapts to its new size. Additionally, regular follow-up appointments are an integral part of the recovery journey.
Breast reduction surgery, while enhancing comfort and aesthetic appeal, can significantly impact your ability to engage in physical activities post-operation. In the weeks following surgery, patients are advised to limit physical activity, especially exercises that may strain the chest or incision sites. This cautious approach helps ensure proper healing and reduces the risk of complications. Dr. Kriya and her team provide personalized recovery plans, considering your specific health profile and lifestyle, to guide you safely back to your routine physical activities.
As healing progresses, most patients experience a significant improvement in physical symptoms such as back and neck pain, leading to an enhanced ability to engage in physical exercise and previously uncomfortable or unmanageable activities. Removing physical constraints typically results in a broader scope of manageable and enjoyable physical activities, encouraging a healthier and more active lifestyle. It’s important to discuss your specific activity goals with Dr. Kriya during your consultation to ensure that your surgical plan aligns with your lifestyle aspirations.
Following Dr. Kriya’s personalized advice on gradually resuming exercise and strenuous activities is paramount to ensure your body heals optimally.
In building a grasp of how breast reduction surgery works, the procedure alters physical appearance and enhances your overall quality of life. Breast reduction surgery offers a pathway to relief from physical discomfort and emotional distress, contributing to a more active, healthy, and fulfilling lifestyle.
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Breast reduction surgery, also known as reduction mammoplasty, is a procedure designed to remove excess breast fat, glandular tissue, and skin to achieve a breast size in proportion with your body and alleviate discomfort associated with overly large breasts.
Good candidates for breast reduction are individuals experiencing physical discomfort, such as back and neck pain, skin irritation under the breast folds, or limitations in physical activity due to the size of their breasts. Emotional discomfort or self-consciousness about breast size can also make someone a suitable candidate. Consultation with a skilled surgeon like Dr. Kriya can help determine if this surgery is right for you.
The benefits of breast reduction surgery include relief from the discomfort associated with overly large breasts, improved balance of body proportions, enhanced mobility, a broader range of clothing options, and a boost in self-confidence and body image.
Breast reduction surgery involves removing excess breast tissue and skin, resizing the areola, and repositioning the nipple and areola to a more uplifted, natural position. Techniques vary based on individual patient needs and surgeon expertise.
The duration of a breast reduction surgery can vary, typically lasting between three to five hours. Factors influencing the length of the procedure include the extent of reduction desired and the specific surgical technique employed.
Breast reduction surgery is usually performed under general anesthesia, ensuring you are asleep and comfortable throughout the procedure.