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Breast Procedures

Meet The Surgeons

Dr. James Romanelli, Dr. David Pincus, and Dr. John Layliev make up the uniquely qualified team of plastic surgeons at Romanelli Cosmetic Surgery.

Dr. James Romanelli Dr. David Pincus Dr. John Layliev

Breast Reduction

For women with overly large breasts, day-to-day life can be a challenge. Back and shoulder pain, difficulty exercising, and trouble finding appropriate clothing cause many Long Island women to seek breast reduction surgery. A breast reduction is an excellent option for women who struggle with oversized, pendulous breasts. And because overly large breasts can cause medical problems, the procedure is often covered, at least in part, by insurance.

If you're seeking a breast reduction on Long Island or in New York City, request a consultation online, or call our office directly at (631) 424-3600 to schedule an appointment with Dr. James Romanelli, Dr. David Pincus, or Dr. John Layliev.

Breast Reduction
Before & After Photos


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Breast Reduction
Before & After Photos

Keep in mind that each patient is unique and your results may vary.
  • Breast Reduction case #30 before photo
    Breast Reduction case #30 after photo

    Case #30

    This 20 year old patient was petite, at 5 foot even, and 115 pounds, except for her breasts, which were 34 D.  She came for a breast re... View Case 

  • Breast Reduction case #37 before photo
    Breast Reduction case #37 after photo

    Case #37

    Breast reduction was what this 21 young woman sought, having trouble finding bras to fit her, never able to exercise despite wearing all sorts of minimizers.  She wore a 36D cup bra, which was... View Case 

  • Breast Reduction case #41 before photo
    Breast Reduction case #41 after photo

    Case #41

    This young woman was referred to us for correction of a breast asymmetry.  The right breast was about a cup size larger than the left side, DD and D.  This was a real problem for bathing sui... View Case 

  • Breast Reduction case #47 before photo
    Breast Reduction case #47 after photo

    Case #47

    Bothered by the large size of her breasts, this young woman from Long Island was referred to me by a friend, and wanted my advice about bre... View Case 

  • Breast Reduction case #198 before photo
    Breast Reduction case #198 after photo

    Case #198

    This 32-year-old law enforcement professional came to our office to inquire about breast reduction. She was not only uncomfortable with her size in the esthetic sense; she suffered physically as we... View Case 

  • Breast Reduction case #214 before photo
    Breast Reduction case #214 after photo

    Case #214

    This 43-year-old professional and mother came to see Dr. Romanelli about a breast reduction. Uncomfortable for years, the patient suffered from grooves and pain in her shoulders, a sore back and es... View Case 

The Consultation

At your breast reduction consultation, your surgeon will examine your breasts and discuss your goals and expectations for your surgery. Your doctor will review your medical history and may recommend a mammogram prior to your surgery if you have not recently had one.

Dr. James Romanelli, Dr. David Pincus, and Dr. John Layliev encourage patients to ask plenty of questions at their consultations. Your surgeon will provide a thorough overview of the surgery, including where he will make the incisions, how the breast tissue will be reduced and reshaped, and what to expect during recovery, as well as your final outcome.

Insurance Coverage for Breast Reduction

For many women, breast reduction is a medically necessary procedure; it reduces neck and back pain, and discomfort caused by the shoulder straps of their bras. Breast reduction makes exercise—and even standing up straight—comfortable again. Insurance coverage depends on insurance company policies, including how much breast tissue would be removed to match your figure and your preferences.

At JRCS, we have great success in achieving insurance coverages for our patients who have out-of-network coverage. Our team will put together an approval packet and submit it to your insurance company for coverage. If needed, we can facilitate evaluation by an orthopedic surgeon, chiropractor or physical therapist to produce additional documentation.

If your insurance company does not provide out-of-network coverage, or if you do not meet coverage criteria, we offer breast reduction as a private-pay option. Patients who undergo breast reduction surgery are typically thrilled with their results, most often saying, "I should have done it sooner."

Relief & Freedom with Breast Reduction

The Procedure

Depending on your insurance coverage, the procedure may be performed at our office surgical facility or within the surgical pavilion of Huntington Hospital. The surgery is an outpatient procedure. General anesthesia will be administered by our board-certified anesthesiologist.

Though the surgical process may vary depending on the unique needs of the patient, Dr. Romanelli, Dr. Pincus, and Dr. Layliev will generally begin with a "lollipop" shaped incision that goes around the areola and down the breast (see illustration). Your surgeon will discuss your incision site options well in advance of your breast reduction.

Breast Reduction IncisionBreast Reduction Scar

Excess skin, fat, and breast tissue will be removed, and the nipple and areola will be repositioned to complement your new breast shape and size. Finally, your breasts will be contoured to create an attractive, natural-looking shape.

The facts on breast enhancement

Recovery & Results

Immediately following surgery, your breasts will be bandaged and supported with a surgical bra. Drainage tubes are usually not needed. Bruising, swelling, and discomfort are normal and may be managed easily with prescribed pain medication.

Provide yourself with plenty of time to rest and heal at home. You may shower 48 hours after your procedure. Our surgeons advise their breast reduction patients to avoid activities that require them to bend over or reach above their heads. Most stitches used during a breast dissolve on their own, and the ones that do not will be removed 7 to 10 days after surgery. Nipple sensitivity or numbness is typical, but normal sensation may be regained over the next several months. You will also need to continue wearing a surgical bra for up to 6 weeks.

It's normal to be excited by your results after a cosmetic procedure, but being patient during the recovery process will minimize the risk of complications and reduce scarring, ensuring that your results are just as beautiful as you imagined they'd be.

Before & After Breast Reduction


This 20-year-old woman was suffering from neck, back, and shoulder pain. She came to our practice for breast reduction and is shown 6 months after surgery. For additional breast reduction patient photos, visit our photo gallery.
Keep in mind that each patient is unique and your results may vary.

Common Questions

Will I have scars after my breast reduction?

Because of the anatomy of the breast, some scarring is inevitable. Scars are usually pink initially, gradually fading to a more inconspicuous white in the months following surgery. Though these scars won't be visible while you're clothed, there is an array of effective treatments for scars, including lasers, injections, and topical ointments. Despite the scars, patients who undergo breast reduction report some of the highest levels of post-surgical satisfaction in the cosmetic surgery field.

Who is a good candidate for breast reduction?

Good candidates for breast reduction are women who are generally healthy and don't smoke. Breast reduction can be performed throughout most stages of a woman's life once her breasts are fully developed. If your breasts cause back, neck, or shoulder pain, appear too large for your frame, inhibit you from healthy activities such as exercise, cause skin irritation below the breast crease, or hang low with stretched skin, you may be a good candidate.

How soon after my breast reduction may I return to work or school?

The conditions of breast reduction surgery are different for every patient, but our surgeons usually recommend taking a week for recuperation. It's important to give yourself plenty of time to heal and to not jump into any activities if you don't feel ready.

For answers to other common questions about breast reduction surgery, visit our Breast Reduction FAQ page.

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Any woman considering breast reduction surgery can benefit from Dr. Romanelli's expertise. A nationally recognized cosmetic breast surgeon, Dr. Romanelli provides an easy-to-understand description of the procedure and what to expect.

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