Breast Reduction
Breast reduction surgery in Scottsdale with Dr. Victoria Aimé begins with understanding how your breast size affects you and evaluating your breast volume, shape, nipple position, asymmetry, and goals to plan both the amount of reduction and the resulting breast shape.


Breast reduction is both a size and shape operation. Your goals may include reducing breast weight and volume, improving symptoms related to large breasts, making physical activity or clothing easier, changing breast proportions, or improving breast shape and position. How much breast tissue should be removed depends on your starting anatomy, the size you would like to achieve, and how much volume needs to remain to create the desired breast shape.
During your consultation, your breast size and shape, tissue distribution, skin excess, nipple and areola position, breast width, and differences between the two breasts are evaluated along with your goals. Breast tissue, fat, and excess skin are removed as needed, while the remaining tissue is reshaped and the nipple and areola are repositioned. The areolas can also be reduced when desired. Differences in breast size or shape can be addressed by removing different amounts of tissue from each side.
Breast reduction can also be combined with other procedures when they address a separate concern. Liposuction may be used to contour fullness extending along the sides of the breasts or chest. For patients who want additional changes elsewhere, breast reduction may also be performed as part of a larger surgical plan when combining procedures can be done safely.
The consultation includes a discussion of your desired breast size, but an exact postoperative cup size cannot be guaranteed because bra sizing is not standardized and the final size and shape depend on your anatomy and healing. The goal is to develop a reduction plan that balances the amount of volume you would like removed with breast shape, proportion, nipple position, and your priorities for the result.
What you need to know
Every procedure and treatment we offer is thoughtfully designed to meet your unique goals, lifestyle, and anatomy. Below, you’ll find key details about what to expect—from how the procedure works to recovery guidance and ideal candidacy—so you can feel informed, confident, and empowered at every step of your journey.
3–5 hour surgery length
General anesthesia
Outpatient procedure (unless combined with other surgeries)
Drains typically not required
Scars placed around the areola, vertically down the breast, and along the lower breast crease
Recovery time: 2–4 weeks for light activity
Reduces excess breast tissue and skin
Lifts and reshapes sagging breasts
Repositions the nipple and areola to a more aesthetic position
Improves breast symmetry
Alleviates back, neck, and shoulder pain
Improves fit and comfort in clothing and bras
Enhances mobility and freedom during physical activity
You may be a good candidate for breast reduction surgery if you:
Are in overall good health
Do not use nicotine products or are willing to stop for at least 6 weeks before and 6 weeks after surgery
Are at a stable weight for at least 6 months
Experience physical discomfort, limited activity, or self-consciousness due to large breasts
Have realistic expectations and a desire for better body balance and quality of life

An overview of the procedure

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"She explained the process and procedures extensively to me and was always available for any questions I may have had. I went into surgery and recovery feeling safe, confident, and comfortable thanks to Dr. Aimé. I am extremely happy with my results and have complete trust in her. I will continue to use her for any future procedures or treatments and I highly recommend Dr. Aimé to anyone considering plastic surgery!"
“I recently underwent a submentoplasty procedure performed by the incredibly talented plastic surgeon, Dr Aimé. My decision to have submentoplasty was not taken lightly and Dr Aimé made sure to thoroughly explain the entire procedure to me during our consultation.”
The total cost of surgery varies based on several factors, including the complexity of the procedure, operating time, anesthesia requirements, and the surgical facility used.
Our consultation fee is $150 and includes a comprehensive evaluation, surgical planning discussion, and personalized recommendations.
This estimate generally includes:
- Surgeon’s fee
- Anesthesia services
- Surgical facility costs
- CosmetAssure complication coverage
A personalized, exact quote is provided after your consultation, once your surgical plan has been tailored to your anatomy, goals, and priorities.
We believe sharing realistic pricing ranges helps patients decide whether a consultation is the right next step.
Dr. Aimé partners with you during your consultation to determine the surgical approach best suited to your anatomy, aesthetic goals, and long-term outcome. Because every surgical plan is individualized, pricing reflects the customized strategy required to safely and effectively achieve your desired result. Surgical investment may vary within the listed ranges depending on procedural complexity, operative time, implant or device selection, revision needs, and any adjunctive procedures recommended during consultation.
Common surgical variations include:
- Standard breast reduction: $13,400 - $16,200
- Extended breast reduction: $14,900 - $17,300
Pricing listed on this website is intended as a general estimate and is subject to change. A personalized quote is provided after consultation once your treatment plan has been finalized. While estimates are designed to account for anticipated surgical expenses, certain third-party costs may be billed separately depending on the procedure and facility requirements. Please note that anesthesia providers and surgical facilities may not participate in financing programs offered through our office and may require separate payment arrangements prior to surgery.
Additional items that may be recommended as part of your surgical care — and that we aim to account for when preparing your quote — can include post-surgical garments, dressing supplies, and long-acting local anesthetics.
Additional fees related to anesthesia services, accredited surgical facilities, pathology, laboratory testing, medical clearances, prescriptions, and postoperative garments may apply separately and are generally not included in your estimate.
All routine postoperative appointments related to your surgery are provided at no additional charge.
Financing is available for qualified patients who prefer to divide eligible surgical costs into monthly payments. Metropolitan Plastic Surgery accepts financing through PatientFi, CareCredit, and Cherry. Surgery center, anesthesia, and other third-party fees are paid directly to those providers and may not be eligible for financing. Available credit limits, repayment terms, interest rates, and monthly payments vary by provider and individual approval.
You can explore financing options and estimate potential monthly payments directly through each provider:
Financing is provided by independent third-party companies. Approval and financing terms are determined by the financing provider.
Surgical quotes are valid for 90 days from the date they are provided. To secure pricing, the procedure must be booked within this time frame; the surgical date itself may be scheduled beyond 90 days, based on availability and patient preference.
A $500 surgical reservation fee is due at the time of booking and is applied toward your total surgical cost.

Frequently Asked Questions
We’ve gathered answers to some of the most common questions our patients ask about this procedure. Whether you’re just starting your research or preparing for surgery, this section is here to help you feel informed and confident every step of the way.
The anchor scar, which is also medically known as an "inverted-T" or "Wise pattern" incision, is characterized by its shape, which resembles an anchor or an inverted letter "T." It is one of the traditional incision patterns used in breast reduction and breast lift surgeries. The incision typically consists of three components: a vertical incision that runs from the bottom of the areola to the crease under the breast, a horizontal incision along the inframammary crease, and a circular incision around the areola (periareolar incision).The anchor scar allows for significant reshaping and lifting of the breast, making it suitable for cases where there is a substantial amount of excess breast tissue and sagging.
The lollipop scar, as the name suggests, resembles a lollipop, with a vertical incision and a circular (periareolar) incision around the areola. The lollipop scar lacks the horizontal incision along the inframammary crease because skin and breast tissue are not removed in this area. While less incisions and scars can be desirable, the trade off is that it makes shortening an elongated breast very difficult.
Dr. Aime generally performs breast lifts and breast reductions with an anchor scar so that the breast can be optimally shaped horizontally and vertically.
Though sharing similarities in surgical technique, these two procedures vary in their intended outcomes. A breast lift, or mastopexy, is undertaken to address the issue of sagging or drooping breasts. Its objective is to elevate and reshape the breasts by repositioning existing breast tissue and eliminating surplus skin and a minor amount of breast tissue. Notably, a mastopexy does not substantially alter the size of the breasts; its primary aim is the restoration of a more youthful and uplifted breast profile.
Conversely, a breast reduction focuses on decreasing the size of the breasts. This procedure is predominantly chosen by individuals with excessively large and burdensome breasts, leading to physical discomfort such as back, neck, or shoulder pain, along with posture issues. While a breast reduction can also result in a lifted appearance, its primary emphasis lies in reducing breast volume and weight.
Regrettably, obtaining insurance coverage for breast reductions has become increasingly challenging over the last decade or so. Many insurance companies now demand the reporting of specific symptoms (such as back/neck pain, difficulty exercising, the need to wear multiple bras, challenges with clothing), observable physical signs (like bra strap grooving), and documented attempts at interventions, including a minimum of six months of NSAID use or engagement in physical therapy. Despite fulfilling these criteria, patients may face insurance denials post-surgery (even after prior authorization) if the removed breast tissue is deemed insufficient. The required amount is determined by body surface area (calculated from height and weight) using the 'Schnur Scale,' establishing the minimum grams of breast tissue to be removed for insurance coverage. For instance, a patient with a height and weight of 5'4" and 150 lbs, resulting in a calculated body surface area of 1.7466 m2, would typically need to have approximately 404 grams of breast tissue removed from each breast for insurance coverage. This equates to about 14 oz or roughly 1.75 cups (equivalent to a grande Starbucks cup). However, this poses a challenge for smaller or more petite individuals, as the mandated removal quantity can leave them with limited breast tissue remaining.
There is no specific minimum age requirement for breast reduction. Minors can undergo a breast reduction with parental approval. While age is not a major concern, it is generally advisable to wait until one is a bit older. This allows individuals to gain a better understanding of their bodies and ensures that their bodies have completed a significant portion of the developmental stage. However, a notable issue is that breasts may continue to grow after the procedure, potentially necessitating another breast reduction. Therefore, it is optimal to wait until a medical professional deems that the breasts have fully developed. The timeline varies for each individual, but typically women are considered fully developed by the age of 18, although some may still experience breast growth into their twenties.
There is no upper age limit for breast reduction surgery. The primary consideration for older patients revolves around the overall health of the individual and whether their body can adequately support the breast reduction procedure. Generally, as long as a patient is in good health, it is okay to proceed with the procedure. The determination of whether one is in "good health" for the surgery is generally made by the surgeon in conjunction with the patient's primary care physician and other physicians (such as cardiologists and anesthesiologists). Older patients are generally required to have pre-operative labs drawn and an EKG performed.
While breast tissue that has been surgically removed does not regenerate, it is possible for the breasts to increase in size again under certain conditions. In rare cases—especially in adolescents or young women who undergo surgery before reaching full hormonal maturity—continued breast growth can occur due to a condition known as juvenile macromastia or virginal hypertrophy. This is believed to be related to an abnormally heightened response of breast tissue to normal hormonal signals, not due to tissue regrowth.
More commonly, weight gain, pregnancy, menopause, or hormonal fluctuations can cause the remaining breast tissue or fat to enlarge. While this doesn’t represent “regrowth” of removed tissue, it may alter surgical results over time.
For most mature patients with stable weight and hormone levels, breast reduction results are long-lasting. If future enlargement occurs, a secondary reduction may be considered.
Breast reduction surgery is not intended as a cancer prevention procedure, but it may be associated with a modest reduction in breast cancer risk. This is because the surgery removes a significant amount of breast tissue, and breast cancer originates in that tissue. Fewer breast cells mean fewer opportunities for abnormal growth, which may contribute to a lower lifetime risk.
However, breast reduction does not eliminate your risk, and it’s important to understand that breast cancer can still develop in the remaining tissue. Routine breast cancer screening, including mammograms, remains essential—especially if you’re over 40, have a personal or family history of breast cancer, or carry a known genetic mutation such as BRCA1 or BRCA2. If you have a strong personal or family history of breast cancer or genetic mutations like BRCA1 or BRCA2, you should discuss this with your surgeon or a breast specialist, as those cases may require different management strategies.
In summary, while breast reduction may slightly lower risk, it does not replace the need for regular screening and monitoring.
While it’s uncommon, suspicious or unexpected findings — including benign tumors, precancerous changes, or even undiagnosed breast cancer — can occasionally be found in the breast tissue removed during a breast reduction. Studies estimate that incidental findings occur in approximately 1–4% of cases, and a smaller percentage of those may be malignant.
That’s why all excised breast tissue is routinely sent to pathology for microscopic evaluation. This process helps ensure that any hidden abnormalities are detected early, even if the patient had no symptoms or abnormal imaging beforehand. In rare cases where something concerning is found, early diagnosis allows for timely treatment or monitoring, which can significantly improve outcomes.
In summary, sending the tissue to pathology is a critical safety step—not just a formality. It adds an extra layer of reassurance and ensures your care is thorough and complete.
Ready to start your transformation?
Whether you’re just beginning to explore your options or have specific goals in mind, we’re here to guide you with expertise and compassion.

Learn about related procedures

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