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Adam G. Tattlebaum M.D.

Breast Reduction Maryland

Dr. Tattelbaum is an experienced, board-certified plastic surgeon offering breast reductions in Maryland and nearby areas.

Office Address:
3203 Tower Oaks Blvd, Suite 200
Rockville, MD 20852
(301) 804-6832

Breast Reduction in Baltimore
Real patient

A word from the Doctor

“In my practice, perhaps the most satisfied patients are those whose breasts I make larger and those whose breasts I make smaller. I think in each case, patients are striving for a sense of balance.

For my patients considering breast reduction, it is more than that, though. The extra weight they carry is a burden, and often a painful one at that. Women with large, pendulous breasts can experience back pain, shoulder pain, restriction of physical activity, skin irritation and often feelings of extreme self-consciousness.

The idea of breast reduction surgery is terrifying for most women. I find that my patients, young and old, have contemplated it for years before they have worked up the courage to even have a consultation.

But, postoperatively, when the fear subsides, and the reality of the surgery has set in, it is one of the operations I find most gratifying.

On this page, I will explain more about breast reduction surgery and answer some of the most common questions patients have asked me.

– Dr Adam Tattelbaum M.D.

Dr. Adam Tattelbaum M.D. in scrubs

Why choose Dr Tattelbaum?

  • Double board-certified plastic surgeon
  • Member of the American Society of Plastic Surgeons
  • Member of the American Society for Aesthetic Plastic Surgery
  • Listed in “America’s Top Surgeons” by the Consumer Research Council of America

Frequently asked questions

How is breast reduction performed?

A breast reduction surgery removes excess fat, tissue, and skin from a woman’s breasts to reduce the overall size and weight of the breasts. It is an increasingly common procedure and can be combined with other breast surgeries, such as augmentation or a lift.

The procedure can be performed through various methods, as explained below.

Wise Pattern

The most common type of breast reduction is called a wise pattern. Sometimes the wise pattern is referred to as an anchor pattern or a keyhole pattern because of the scars it leaves.

The wise pattern allows the surgeon to remove more tissue and skin than any other type of breast reduction. As such, it’s generally better for patients with extremely large, sagging breasts that require a more comprehensive solution.

Incisions are made around the areola, then along a straight line down to the bottom of each breast, and, finally, horizontally where the breast attaches to the body.

This is an invasive procedure, but it’s the most effective. Other patterns in breast reduction may leave less scarring, but they do not remove as much excess skin and are only suitable for select candidates.
The wise pattern breast reduction.

Free Nipple Graft

In most patients, the nipple and areola are left attached to the breast. However, in cases where the breast is excessively large or sagging, it can be safer to remove the nipple and replace it, like a skin graft.

This technique is not used in most breast reductions. If a free nipple graft is required, Dr Tattelbaum will discuss it with you during an initial consultation.

Will I maintain nipple sensation?

In a standard breast reduction where the nipple is left attached, it is possible to maintain nipple sensation. Unfortunately, it is not guaranteed. If the free nipple technique is used, the nipple would lose sensation.

Will I be able to breastfeed?

If a standard breast reduction is performed, you may still be able to breastfeed following the procedure, but it can not be guaranteed. Therefore, all patients considering breast reduction should think about whether they would be comfortable with breastfeeding alternatives.

Furthermore, if the free nipple technique is used, then breastfeeding is no longer possible.

How long does a breast reduction take?

The length of the surgery can depend upon the size of the breast and the technique used, but on average, a breast reduction procedure takes about 2.5 hours.

Is breast reduction painful?

While each patient is different, breast reduction is generally not as uncomfortable as others. It is a skin and glandular operation, and this type of surgery is not as uncomfortable as surgeries that tighten muscles, such as a tummy tuck.

Do you use a pain pump?

A pain pump is a device connected to tubes that go into each breast after surgery and drip local anesthesia.

We can offer patients pain pumps, but we tend to recommend against it as it results in extra tubes going in and out of the surgical site. Instead, we prefer to leave a generous amount of local anesthesia in the tissues while the patient is asleep.

Do you use drains?

Some plastic surgeons will leave drain tubes that come out under the arms after a breast reduction. Generally, we do not use them. However, if they are necessary (to drain excess fluid), then they will be added. We’ll discuss this with you further during your consultation.

What will my scars look like from a breast reduction?

This is perhaps the toughest question to answer. In any breast reduction surgery, the plastic surgeon will close their patients in the best way possible to minimize the cosmetic impact of scars. However, scars are unavoidable.

The breast reduction method used will impact the level of scarring, but other than that, the size and appearance of scars are hard to predict.

Genetics can play a huge factor in how we heal. Darker skin patients can be more prone to darker or thicker scars, but sometimes lighter skin patients can do the same. It is important to be comfortable with the scars and be sure the trade-off is worth it.

Will my breasts be identical?

In truth, the most honest answer is no.

Breasts are rarely identical before or after surgery, but we certainly strive to make them as even as possible. You can think of breasts as sisters, but rarely identical twins.

What can I expect to happen in the months following surgery?

There are two stages of breast reduction surgery.

The first is the surgery itself, which lasts about 2.5 hours.

The second is the bottoming out process (also referred to as ‘rounding out’). Throughout the process, the tightened skin relaxes, and the breast takes on its final shape. This is something we will monitor together for about six months.

If we are happy with the shape, we are done. If not, then adjustments can be made.

Will a breast reduction solve my back pain?

There is strong evidence that reducing the weight of the breasts helps alleviate neck, back, and shoulder pain in most patients. However, it cannot be guaranteed as pain in these areas can have other causes as well.

What is the right age for breast reduction?

There is no upper age limit as long as a patient is healthy.

However, for younger patients, there is sometimes confusion. For young women and, in particular, teenagers, we want to be confident that puberty is complete and the breasts have stopped growing. The American Society of Plastic Surgery states the primary concern with performing a breast reduction on teenage patients is that their breasts may continue to grow.

To provide additional guidance, we usually perform the surgery on younger women only after they have stopped growing in height.

Can breasts regrow after reduction?

Yes, breasts can regrow after reduction surgery. Breasts can and do change throughout life. The biggest game-changers are weight gain, pregnancy, or both.

Can breasts be reduced a second time if needed?

Generally, a breast reduction can be performed a second time if required. It may depend on the method used originally though. For example, the wise pattern reduction can be repeated, but other types of reductions can be more difficult to repeat.

What cup size will I be after a breast reduction?

This is a challenging question to answer because breast reduction is performed by the look and feel. It is as much art as science, and it’s made harder because patients and bra manufacturers treat cup sizes differently.

Furthermore, you won’t know your true breast size for about six months after surgery. It takes about that long for the tightened skin to relax and for the patient to see the full shape and size of the breasts.

To counter this, we keep the patient’s desired size and goals in mind throughout the surgery. We reduce one breast and temporarily close it. We then sit the sleeping patient up to get a good sense of the shape and volume. If we’re happy that the patient’s goals have been achieved, we move on to the next breast. If not, we will reduce more.

What are the risks of breast reduction?

Like all surgery, it is impossible to eliminate risks. Bleeding, infection, asymmetry, nipple sensation loss, or skin loss are known complications.

These risks are all discussed in great detail during a consultation. No plastic surgeon can eliminate all risks, but we do our best to minimize them.

Will insurance cover my breast reduction?

With shrinking health care dollars, it has become increasingly difficult to get insurance carriers to cover breast reduction surgery. They often make patients jump through hoops and still do not give coverage guarantees.

We offer this procedure as an elective cosmetic surgery for patients who do not have coverage benefits. If you have out-of-network benefits, our staff can help to see if you can obtain coverage.

How much does breast reduction cost in Maryland?

The cost of a breast reduction in Maryland can vary significantly. The final cost depends on many factors, such as location, surgical expertise, and the extent of the reduction.

However, at our practice, the average cost of a cosmetic breast reduction procedure is approximately $8,900 plus the pathology fee.

Please get in touch to schedule a consultation, after which we’ll provide a full, transparent quote tailored to your requirements.

“Wonderful experience and excellent results on a breast lift with reduction. I would highly recommend Dr Tattelbaum.”

Janet L.

Further information


There are several things you can do to prepare for breast reduction in Maryland.

Firstly, prepare for the consultation. Here’s a tip, make notes about your motivation for a breast reduction, plus your desired outcomes. If we better understand your aims, we can determine the best way to achieve them.

Then, in the lead-up to your surgery, you should focus on your fitness and health to improve your chances of a faster recovery. This may include:
  • Stopping smoking weeks before surgery and avoiding alcohol in the days before
  • Stopping certain medications, such as painkillers (Dr. Tattelbaum will discuss this with you)
  • Eating a balanced, healthy diet and exercising regularly
Finally, you should organize for someone to take you home from the surgery and, ideally, stay with you for a few days. In addition, you may want to have several meals already prepared to reduce any heavy lifting or excessive movement in the days following the procedure.


After your breast reduction, it’s important to note that you will experience pain, swelling, and restricted movement. This is a routine, expected part of the recovery process, and the effects will ease over the following weeks.

In addition, to help with the recovery:
  • You may be prescribed painkillers
  • You may be given a compression bra to wear
  • Alternatively, something comfortable (like a sports bra) may be worn
  • You will be given instructions on caring for your breasts
  • You will likely need to take a couple of weeks off work
  • You should avoid physical activity for a longer period – you can discuss this with Dr. Tattelbaum
  • We’ll organize follow-up appointments to check on your recovery and the breast reduction
  • You should rest as much as possible

Before and after breast augmentation

You can see an entire gallery of before and after pictures from our breast reduction surgeries here:

Breast Reduction Gallery


In the case study shown below, you’ll find a breast reduction performed on a 53-year-old woman. The image shows the breasts before surgery (on the left) and four months post-surgery (on the right).

About two and a half pounds of tissue were removed. You can see how this lifted the breasts, reduced sagging, and provided better balance with the rest of the body.


Patients seeking a breast reduction in Maryland can attend our practice in Rockville:

3203 Tower Oaks Blvd, Suite 200
Rockville, MD 20852

To reach us by car from the center of Rockville, head southwards on the I-270 S. Take exit 4A and merge eastwards onto Monrose Road. Then, take the first left onto Tower Oaks Boulevard.

Schedule your consultation

To schedule an appointment for a breast augmentation, please get in touch today.

The consultation lasts for roughly one hour. In the consultation, Dr. Tattelbaum will evaluate your health and starting situation, and answer any questions you may have. Plus, we’ll cover the risks, benefits, and alternatives to breast reduction supported with teaching diagrams and photos.

Prosper Lending

Schedule an Appointment

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