Many women with large breasts experience health problems associated with their bust size. Their weight can strain the lower back and neck as well as cause posture problems. Large bust can restrict physical activity and make exercise uncomfortable. Some women also report difficulty breathing cause by the excess weight bearing down on the chest cavity. In addition, women report skin irritation around bra lines and the formation of large bra-strap grooves on their shoulders caused by the weight . Most importantly, large breasts can lead to a poor self-image and low-self confidence. Women with problems like these are good candidates for  the surgery.



During a reduction mamoplasty procedure, Dr. Hoefflin removes excess tissue, fat, and skin to create a smaller, more firm bust. If desired, the areola size can also be reduced and lifted to a more natural placement. Dr. Hoefflin performs the procedures in his state-of-the-art outpatient surgery center which conforms to the highest credentials.  This procedure is either performed under local anesthesia with deep sedation or under general anesthesia, administered by one of our board-certified anesthesiologists. The surgery usually takes between two to three hours. Dr. Hoefflin carefully places small, self-absorbing sutures when closing all incisions, and he takes great care to ensure patient scars are as inconspicuous as possible.

Dr. Hoefflin uses all techniques in achieving beautiful, natural-looking results, including the “scarless” or liposuction reduction, vertical, and keyhole (anchor, wise) pattern techniques. During your consultation, Dr. Hoefflin, will explain the different surgical techniques that can be used for this procedure, depending upon the amount of volume desired, to help you achieve your desired goals.



Patients are sent home with light dressings and a comfortable surgical bra that lends support. We advise patients to wear soft, supportive bras without underwire for four to six weeks following surgery. Dr. Hoefflin’s patients typically experience very little pain due to the anesthetics used during the procedure and the pain medications prescribed for post-operative comfort. Moderate swelling and bruising in the days after surgery is common. Most patients are able to return to their normal routine within five to seven days after surgery. However, we encourage patients to wait three to four weeks post-surgery before returning to light exercise and at least six weeks before returning to vigorous exercise and activities.



Complications are rare, especially when performed by a board certified plastic surgeon with the experience and expertise of Dr. Hoefflin. Specific risks will be determined and explained during your consultation. As always, you can reduce your risk of complications by closely following Dr. Hoefflin’s pre- and post-operative instructions.

To set up a consultation, contact board-certified plastic surgeon Dr. Hoefflin a complimentary consultation.



Above (3 sets): Surgery using a full anchor or invert T technique.
Postoperative photographs were taken one year after surgery.

Before & After Reduction 1

Above set: Dr. Hoefflin performed surgery using a full anchor, inverted T, or wise pattern technique.
The patient has been reduced from a DD to small C cup size. Postoperative photographs were taken one year after surgery.

Before & After 2

Above set: Patient previously underwent a periareolar subglandular enlargement with 600cc High Profile Silicone Implants by another surgeon. Dr. Hoefflin performed revision surgery by exchanging the implants into a submuscular position using Allergan/Natrelle style 15 (Moderate Profile), 339 cc smooth round silicone gel implants, inverted T anchor scar.

Above (3 sets): Vertical procedure (lollipop, short scar), no implants.
The patient has been reduced from a DD to a C cup. After photos taken 3 months after surgery.


Above set(3): Dr. Hoefflin performed surgery using a full anchor, inverted T, or wise pattern technique.
The patient has been reduced from a III to small DD cup size. Postoperative photographs were taken Two months after surgery.

These before and after photographs are patients of Los Angeles plastic surgeon Dr. Hoefflin, who have given permission to have their photos published. They are for illustrative purposes only. While these photos depict actual patients, they are not a guarantee of results. Individual results may vary.

To learn if you are a candidate for surgery, contact Los Angeles Plastic Surgeon Dr. Hoefflin for a complimentary consultation.


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