Behzad Parva, MD, Plastic Surgeon
(703) 777-7477

Breast Reduction

Large breasts that are not proportionate to a woman’s frame can create both physical and psychological problems. Oversized breasts can make a woman’s appearance look top heavy and obese.  Many women experience neck and shoulder pain, difficulty breathing, backaches, breast crease irritation, and difficulty when they exercise.  A lot of women who are self conscious of their breasts also suffer from poor posture as they slope their shoulders forward in an attempt to hide their breasts.  Trying to find clothes that fit properly can be stressful and frustrating.

Disproportionate breasts can lead to inappropriate comments, stares, and unwelcome attention.  Breast reduction surgery is a welcome relief for many of these concerns and helps restore self esteem and confidence.

What is Breast Reduction?

Breast reduction may alleviate many of the physical problems associated with large breasts while also improving the shape of the breasts and nipple area.  Overall appearance is also improved by making the breasts more proportionate to the rest of the body. Breast reduction removes excess tissue, elevates the nipple position and reshapes the breast.  Breast reduction procedures may be covered through insurance plans based on specific criteria set forth by the individual plans.  Virginia plastic surgeon Dr. Behzad Parva will be happy to assist you with evaluating all of your surgical and insurance options during your personalized consultation appointment.

Who is a Good Candidate?

  • Someone with large breast volume desiring a more proportional body balance
  • Someone with large, heavy breasts that cause back, neck and shoulder pain
  • Women who are not currently pregnant
  • Healthy individual
  • Non-smoker
  • Realistic goals and expectations

“The pain in my upper mid shoulder blades is gone. I do not have the posture problem that was getting worse from constantly trying to find a comfortable position to sit or stand in. The size of my reconstructed breasts is in proportion to my body and makes me feel better about the way I look.”

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The Breast Reduction Procedure:

At surgery, Dr. Parva will mark your skin in the pre-operative holding area.  There are various factors that determine what breast reduction technique may be best suited for you. Dr. Parva will individualize your plan based on your particular breast size, breast asymmetry concerns, any previous scars, etc.  The excess breast tissue is removed, the nipple position elevated and the breast reshaped. Adjustments are made to achieve the closest balance and symmetry between both breasts. Although various techniques exist, every effort is made to minimize the incision and thus the final scar. However, the final scars are typically around the nipple region, extending down to the crease and within the crease under the breast. A drain is placed behind the breast to reduce potential fluid build-up during the recovery period. The surgery may be performed with an overnight stay at the hospital, or more often as an outpatient. Typical surgery times are about 3 hours.  A supportive bra is placed before leaving the operating room.

Recovery and Healing:

  • Initial healing takes 5 to 10 days.
  • Generally, recovery time is less than one week and many women who work outside the home will return to work within several days.
  • You will be encouraged to use scar reduction measures, such as silicone gel and massage of the scars.
  • You will be encouraged to wear a supportive bra and avoid high impact activities for 3 to 4 week.


Noticeable results are seen immediately but it will take several months for swelling to settle and for the long term results to be evident.

Women are generally amazed at the immediate relief in breast heaviness and associated pain right after surgery.

Schedule Your Breast Reduction Consultation

Please contact Parva Plastic Surgery today to schedule a complimentary breast reduction consultation with Dr. Parva.