Lewis Plastic Surgery: Gordon Lewis, MD
2331-A Robious Station Circle
Midlothian, VA 23113
(804) 267-6009
Monday–Friday: 8:30 a.m.–4:45 p.m.

woman in orange bra

Breast Reduction

Women at our Richmond, VA, practice who get breast reduction surgery often say it is a life-changing procedure after years of suffering both physically and emotionally. Patients say they are more physically active and self-confident after undergoing breast reduction surgery and enjoy wearing more stylish clothes that didn't fit well before the operation.

Recovery: 10 days
Pricing: Varies
  • Recovery: 10 days
  • Pricing: Varies

While countless women wish for larger, more voluminous breasts, others suffer from a condition called hypertrophy (abnormally large breasts). For these patients, we offer breast reduction surgery that not only enhances the bustline and balances body proportions, but can also alleviate a number of uncomfortable medical conditions caused by abnormally large breasts including;

  • Shoulder pain
  • Neck pain
  • Back pain
  • Skin irritation
  • Asymmetry

In severe cases, extremely large breasts can lead to breathing difficulties and skeletal deformities.

Procedure

The most common types of breast reduction incisions

There are two main options for incisions. In both cases these incisions fade greatly over time and, although present, are usually not very evident after fully healed.

LollipopLollipop Incision Diagram

Lollipop Incision

The lollipop incision is a great way to limit the scars in smaller breast reductions. This incision pattern has an incision around the nipple and downward to the infra-mammary fold. This eliminates the incision running horizontally underneath the breast. Unfortunately, not all women are candidates for this incision pattern. It does not allow for as much skin removal as the anchor incision and therefore is not a great choice in larger reductions.

A ‘lollipop’ incision around the areola and vertically down to the breast crease.

AreolaAreola diagram

Anchor Incision

This incision is the most common incision for breast reductions. This includes an incision around the nipple, extending downward to the inframammary fold, and also across underneath the breast. This incision pattern is the best at addressing the extra skin associated with larger breasts. It allows the greatest removal of skin, which facilitates the greatest improvement in shape. Most breast reductions covered through an insurance policy have a minimum amount of breast tissue to remove. This is usually a relatively high quantity and requires a fairly large amount of skin removal to obtain balance and achieve a natural look.

Raising the nipple to a youthful position

In all breast reductions the nipple is raised to a higher and more youthful position on the breast. The breast is narrowed and the breast is raised on the chest wall to a higher position. The incisions will depend on each patient’s specific anatomy. In smaller patients with less tissue to remove, the incision will be a “lollipop” incision around the nipple and down to the base of the breast. In larger reductions, where more skin needs to be removed, the planning also requires an incision across the base of the breast, “inverted T” or “anchor” incision. A pre-determined amount of tissue and skin are also removed and the nipples are repositioned. If required, excess fat is removed using a liposuction technique.

Differences in the types of breast reduction available

There are two main types of breast reductions, and one less common type. The types are based on the location of the tissue (including blood supply and nerves) that is left in place underneath the nipple.

Superio-medial pedicle

Dr. Lewis performs nearly all of his breast reductions using this newer technique (also called the “vertical” breast reduction). This technique keeps tissue from above and medial of the nipple to support the nipple and areola after the operation. This allows breast tissue to heal to breast tissue on the bottom of the breast. The benefits are that the blood supply to the nipple is better and the risk to the nipple is less. There is less issue with poor healing of the incisions, and this technique has less long term sagginess to the breasts. This incision allows the small lollipop style incisions.

Inferior pedicle

In this method, a band of tissue from the bottom of the breast supports the nipple. This band of tissue is generally longer, and therefore has less blood supply to the nipple than the superior-medial technique. The inferior pedicle also has a much higher rate of poor healing of the incisions. Finally, after healed the overlying skin provides the strength to the shape of the breast. Unfortunately, this is not as strong as the breast tissue, and this technique is more likely to “bottom out” as the skin stretches. There are rare circumstances when this may be the better option. This type of breast reduction requires the anchor style incision.

Free nipple

This operation is reserved for a small percentage of women who have “very” long breasts. In this situation, the blood supply to the nipple after a breast reduction would be so reduced that the nipple could not survive. In this circumstance, the nipple is removed from the breast and replaced as a graft. This has several negative effects, and therefore is not a preferred option. We perform one to two of this type annually. The anchor style incision is used with this type of breast reduction.

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Recovery

Will anesthesia or pain relief be used during and after surgery?

You will be made comfortable throughout the whole procedure. Most women have a general anesthesia for this surgery. However, if a patient has a medical condition or concern that would preclude general anesthesia, monitored sedation can be used. After surgery, you will be given instructions on pain relief medication, if required.

What happens immediately after surgery?

Following surgery, you will wear surgical dressings and have drains for about two to three days. The first post-surgery visit will be two to three days after surgery; the drains will be removed at that time. Swelling, soreness and discomfort may last up to a week. We provide you with prescription medicine to maximize comfort. You may also experience dry skin, mild discomfort during the first menstrual period following surgery and loss of nipple sensation, all of which resolves within a few weeks.

How long will complete recovery take?

Normally you will be able to return to work within 7-10 days, but will continue to see us for several weeks until final results are achieved. A full recovery and final results are generally achieved within six months once the breasts have settled into their new position.

Any medical condition associated with abnormally large breasts usually resolves right away. Most patients report no longer having back pain or skin irritation, and are able to sleep better and perform daily tasks as well as exercise after recovery.

A Reputation Built on Results

You deserve the highest caliber of service, care, and results, and at Lewis Plastic Surgery, we're committed to providing all that and more. But don't take our word for it—see for yourself what our actual patients have to say about their experiences with us.

Read More Patient Reviews
Google
5.0/5
Oct 15, 2020
Google Lewis Plastic Surgery
Dr Lewis and his staff is amazing . His Cordinater Erin is absolutely amazing . Few months prior I went somewhere else and did receive the quality of care I did here. They truly go above and beyond. Dr Lewis Keep it 100 straight forward with you no sugar coating but still compassionate with his approach. Erin make you feel like you are best friend very easy to talk to and warminf . And from the moment I spoke to the receptionist Irene who set the tone because she is the first person of contact before anything . You can feel her how genuine she is . I never once felt rushed and they walk me through the entire process The entire staff is like the chick fil a of plastic surgeons I’ve been crying because I’m so happy with them and more then happy with my finish look. I would tell anyone to skip the other places and go straight to these guys. Something i wanted for the past 15 years I’m so excited and very please . I can’t thank Dr Lewis and his team enough
Google
5.0/5
Oct 1, 2020
Google Lewis Plastic Surgery
Great doctor and surgeon. Highly recommend
Google
5.0/5
Jun 10, 2020
Google Lewis Plastic Surgery
Dr. Lewis and his staff are FANTASTIC! I recently had a breast implant removal procedure. He answered all of my questions with so much patience and thoroughness, even when asking more than once (with my millions of questions and concerns.) The day of surgery, he made me feel so comfortable. I was a bit nervous and frantic (I hate anesthesia) but his staff was super comforting and made sure that I was calm. So far I love my results! His assistant Lee was also super helpful answering my questions and concerns and made my appointments easy and stress free! I would recommend Dr Lewis to anyone 100%!!!
Google
5.0/5
Mar 13, 2020
Google Lewis Plastic Surgery
I had a breast reduction about a year ago from doctor Lewis. This entire staff is very kind and helpful during the process. They made sure I was comfortable before, during and after the procedure. Erin, his nurse specifically dedicated to breast reduction patients, is an absolute delight and is very responsive with any questions or concerns I had. Doctor Lewis isn’t a man of many words but his work speaks for itself. My scars have healed beautifully and are virtually unnoticeable. I have not suffered back pain or discomfort since surgery. I would absolutely recommend Dr. Lewis and his staff to anyone looking for good people and good results!
Google
5.0/5
Jul 30, 2019
Google Lewis Plastic Surgery
5 ⭐️'s are honestly Not Enough when it comes to Dr. Lewis and his staff!! As referral coordinator for a large family practice group, this review is from one familiar with most local specialists ...and also an extremely Pleased, Grateful patient. When Dr. Lewis opened his office some years ago not far from ours he came by to introduce himself, and has become a patient "favorite" since we first started referring to him. During these years I've never once heard a single negative about him or his staff (very .rare. in my particular job!)... so, when my opthalmologist determined my droopy, sad eyelids were contributing to vision issues and blepharoplasty recommended, the surgeon I wanted was an Easy choice-- Or, so I thought. When I called to schedule a consult I was genuinely heartbroken to hear Dr. Lewis was non-par with my Medicare insurance. After much procrastinating finally decided on an ocular plastic surgeon-- went for the initial evaluation and even set up a surgery date. The following day I needed to schedule an appointment for one of our patients with Dr. Lewis -- long story short and as Fate would have it discovered Dr. Lewis had Just started taking Medicare the week before. To my extreme delight, before hanging up Lee scheduled me for an eval and the rest is history. Had my surgery 4 months ago -- the procedure and recovery was a breeze. I'm thrilled to See so much better, not to mention look Better and Awake, like I have Eyes again. Lewis Plastic Surgery is Sincerely the B e s t, and I couldn't recommend Any cosmetic office more Highly!!
Google
5.0/5
May 23, 2019
Google Lewis Plastic Surgery
Dr.Lewis, Lee & the rest of his staff are fantastic!! I went in for a breast lift and to replace my old implants. Dr. Lewis was very informative as to how the procedure was going to be, recovery and what to do after surgery. I’m beyond ecstatic with my results! I totally recommend Lewis Plastic Surgery.
Google
5.0/5
May 9, 2019
Google Lewis Plastic Surgery
I got my BBL with Dr.Lewis and I am 100% satisfied. From the very first day I walked into his office, his receptionist and staff were extremely welcoming and kind. Lee made my experience very comfortable and I always felt heard and very well taken care of. Dr. Lewis is very knowledable and takes his time to answer questions and make his patients feel that they are getting the care that is necessary. I never once felt that I was wasting my money and the staff gave me very reasonable before and after expectations.
Google
5.0/5
Apr 3, 2019
Google Lewis Plastic Surgery
Dr. Lewis is amazing. He talks to me like I'm person, not a case file. Shared a few laughs too. I wasn't exactly sure how much i want to reduce the size of my breast. He gave me a homework assignment, 'Find my ideal breasts size on someone with similar body build as mine'. I showed him the pictures, we talked about realistic results. I could not be more happier with the results. No more neck, or back pain. Also the ladies that run the office are all wonderful. Thanks for easing my anxiety. I would recommend them to anyone looking to have some work done.
Google
5.0/5
Feb 28, 2019
Google Lewis Plastic Surgery
After tons of research and 2 other consults, I made a consultation appointment. I was brought back by Lee who immediately made me feel more comfortable than I had felt in the other consultations. Lee has stayed in touch with me and now I consider her a friend. I am still saving up for a tummy tuck and will hopefully have it by the end of the year.
Google
5.0/5
Feb 13, 2019
Google Lewis Plastic Surgery
When I researched for a plastic surgeons on line to perform an abdmominoplasy on me, I found that Dr. Lewis was reported to be the best in the Virginia. So, I had the procedure done by him and the reviews were true. Him and his staff (especially Lee) were awesome. I feel like a new woman, I no longer turn off the lights with my husband anymore. I feel so sexy. Thank you Dr Lewis. You really are the best.
Google
5.0/5
Oct 7, 2018
Google Lewis Plastic Surgery
Dr. Lewis and Lee are the reasons why I chose this practice. I felt right at ease from the beginning. It's not a "stuffy" atmosphere. Dr. Lewis earned my respect when he told me I didn't need work done in an area I was considering. This proved to me that he had my best interests at heart and wasn't all about making money. On the day of surgery, Lee came personally pre-op to keep me calm and Dr. Lewis was great about making me feel comfortable.
Google
5.0/5
Sep 25, 2018
Google Lewis Plastic Surgery
Can't say enough about Dr Lewis and his staff... They make you feel comfortable , they are not pushy but provide you any and all information you need you make good decisions and have a great recovery. I would recommend Dr Lewis to anyone!! If you are thinking of getting plastic surgery, see Dr Lewis and his staff. I'm sure I will be making a second trip😊
Google
5.0/5
Sep 24, 2018
Google Lewis Plastic Surgery
Dr. Lewis did a wonderful job--I am so happy with my results! Him and his staff were so professional and friendly, it totally put me at ease.
Google
5.0/5
Sep 24, 2018
Google Lewis Plastic Surgery
After a very long 30 years of being over weight I finally decided to have Bariatric surgery to help me with my weight loss I went from 240 lbs to 165 lbs and kept it off for 2 years. I tired to do something with the extra skin around my waist, hips, thighs, and sagging breast with no success. I finally decided to look for outside help … One afternoon I was making some calls to the Local Plastic Surgeons, When low and behold I call the office of Dr. Gordon Lewis office ,and Lee answers the phone and had all of the answers to any questions I ask. I just had to meet them the only thing was he was on vacation, I had to wait an addition week , but it was all worth it, I went in the office feeling so comfortable and excited. I met Tande within about a 2 minutes of waiting I was talking with Lee and I got just what I expected a Phenomenal person who truly understands where you are coming from, not knowing that this group was going to mean so much more to me than a Dr.s office it is a Family !!! Dr. Lewis truly cares about you, Erin is also in the office and she is fantastic ..They all have the best interest in your happiness and safety. they are the best I just can't say enough ..Thank you to the whole Practice. OK,OK, get to point Lisa, I had 3 surgeries Abdominoplasty (tummy tuck), Thighplasty, and a Breast Lift !!! and it has been a AMAZING Journey !!!! Thank you so Much to the whole Practice.
Google
5.0/5
Jul 24, 2018
Google Lewis Plastic Surgery
Couldn't have asked for a better experience. His assistant Lee made me immediately comfortable and relaxed at every appointment. Pricing was competitive and follow up was great. I love my results!!
Google
5.0/5
May 1, 2018
Google Lewis Plastic Surgery
Best dermaplane in my life!! Beautiful office and great location. The staff was helpful and friendly.Yvette educated me about my skin throughout the service, which was awesome! I was so relaxed the entire time. One of the most pampering experiences I’ve ever had. Thank you!!
Facebook
5.0/5
Apr 9, 2018
Facebook Lewis Plastic Surgery
Very hospitable and professional staff. I felt very at ease the moment I arrived and they checked up on me at home. I love the results of my procedure. I would definitely recommend! ��
Google
5.0/5
Oct 10, 2017
Google Lewis Plastic Surgery
I had one baby and then twins, and my abdomen was a wreck. So after 5 years of twin-skin I decided to proceed with a tummy tuck and repair of my diastasis recti. I had 3 consultations and decided on Dr. Lewis. So glad I did. He was so kind and listened to all of my concerns. He also recommended I not do an additional procedure I had thought about. And I appreciated that, glad I held back. He never seemed to be in a hurry to move on to the next patient, which is a nice feeling when you have 500 questions about your upcoming surgery. Lee was also awesome to work with and easy to get in touch with. I could sit and just chat with her all day! My surgery went smoothly and as expected. His demeanor was so calm and gentle right before I went into the OR that I wasn't nervous at all. All of my follow up visits have been great, all the staff is wonderful and always cheerful! I never had to wait longer than just a few minutes before he popped in. He is very committed in his follow up care with me still and I am 12 months and 2 weeks post-op. We are working on fine-tuning areas of my tummy tuck scar, my skin is being difficult. My belly button looks awesome and I spent this summer in a bikini----WHAAAT!!?? Very happy with my surgeon and my choice. Thank you Dr. Lewis!
Google
5.0/5
Aug 19, 2017
Google Lewis Plastic Surgery
Awesome staff- beautiful location- love Dr. Lewis!
Google
5.0/5
Mar 6, 2017
Google Lewis Plastic Surgery
All my life I struggle with my weight and body image. It wasn't until 2015 that I made the commitment to eat better and hire a personal trainer in order to reach that goal. I was able to go from 135lbs to 119lbs. Yet my body still not looked the way I wanted to no matter how much I worked out. My trainer told me that my abs where strong but I had excess skin around them and that exercise could not make it better. It was then that I decided to get an Abdominoplasty (tummy tuck). I visited a total of four surgeons, I saw hundreds of photos. Many did not looked convincing at all. After all the research and face to face meetings I decided to visit Dr. Lewis On January 2016. He was the one with the best reviews and recommendations but I needed to see if this was true. The first thing I need to say is that his Staff is AMAZING! Everyone Erin and Lee were always courteous, nice, humble, and caring. I didn't feel like just a costumer at all, they really showed interest during all my visits. They made me feel comfortable and safe. When I finally met Dr. Lewis he was just like everyone in the Staff. He took his time, explain the procedure,provided options for procedures, and answer all my questions and even my boyfriend's concerns 9who was more nervous than me). On the following appointments we explained in detail what I needed to do to get back to my workout routine and again: taking his time and always treating me as a valued patient. Words cannot express how thankful I am about the results of my surgery. I used to hate looking at the mirror since I was 11 years old. Finally, 23 years later I can look, smile and for the first time wear a 2 piece bathing suit. My body image issues are no longer there, I am happier and more confident. I wouldn't be able to reach this life dream if it wasn't for Dr. Lewis and his Staff. Thank you Dr.Lewis, Lee and Erin from the bottom of my heart, God Bless and continue with the outstanding work. With lots of love and appreciation: Karina
Google
5.0/5
Feb 7, 2017
Google Lewis Plastic Surgery
Having plastic surgery is a huge decision. However, once I met Dr. Lewis the decision was easy. From the first appointment for a consultation to all my follow-ups, Dr. Lewis has been nothing but dedicated to my safety and satisfaction. I had two procedures at the same time which turned out to be the best things I have ever done for myself. My recovery was quick and the results are spectacular. I could not be more pleased and will be back for more very soon.
Google
5.0/5
Feb 3, 2017
Google Lewis Plastic Surgery
Having plastic surgery with Dr. Lewis was absolutely the BEST decision I have ever made for myself! I feel more confidant than I ever have in my life, not to mention working with Dr. Lewis, Lee and his entire staff was an amazing experience. They will forever be my friends and I highly recommend Dr. Lewis and his staff to everyone who is considering a positive life changing experience!!
Google
5.0/5
Feb 2, 2017
Google Lewis Plastic Surgery
Had surgery 6 month ago and have been thrilled with results! Dr Lewis and staff are fantastic!
Google
5.0/5
Feb 2, 2017
Google Lewis Plastic Surgery
Highly recommend. Never have to wait at an appointment. Everyone is wonderful to work with and they make it a breeze.
Google
5.0/5
Dec 29, 2016
Google Lewis Plastic Surgery
Dr. LEWIS AND HIS STAFF ARE AHHHHHMMMAAAZZZING!!!!!!!
Facebook
5.0/5
Mar 29, 2016
Facebook Lewis Plastic Surgery
I've seen Dr. Lewis twice and I've loved both results! Wonderful staff and he makes you super comfortable!!
Google
5.0/5
Mar 23, 2016
Google Lewis Plastic Surgery
I loved working with Dr. Lewis and his staff! They were awesome and patient with me. I had several things done with Dr. Lewis including Tummy Tuck, Lipo, Rhinoplasty, and Breast Augmentation. I am so HAPPY with the results!! He's AMAZING!! Always courteous and available for me. Couldn't be happier with my results and his work 🙂
Google
5.0/5
Nov 6, 2015
Google Lewis Plastic Surgery
Dr. Lewis has guided me through three cosmetic surgery procedures over the last three years (face, abdomen and breast). Each was a step to address body changes, after bariatric surgery; and each surgery had the result I hoped for. The patient experience could not have been better; from initial consultation, to being well prepared for what to expect, and finally excellent recovery care. His staff is fabulous as well. Erin, Iveth, Kelsey and Jessie always show kindness and respect, and are skilled and efficient in their roles too. I highly recommend this MD for his skill, his compassion, and the team he has assembled to create Lewis Plastic Surgery. I am a repeat customer by design! Final note: Since having the facial surgery I have found that the investment in ongoing skin care by Iveth is well worth the investment. It far exceeds the quality of a local spa and the products are remarkable.
Google
5.0/5
Nov 17, 2014
Google Lewis Plastic Surgery
My bilateral brachioplasty (upper arm lift) was performed flawlessly by Dr. Gordon Lewis. I am not exaggerating when I say that I only had very minor discomfort in both arms during the recovery period and absolutely no pain !! Over-the-counter medication was all I needed. I was skeptical when Dr. Lewis told me that I would not have an agonizing recovery. I assumed when he removed the loose skin from both upper arms that I would surely have pain. The slight scarring on the inside of both arms continues to fade and I couldn't be more complimentary of Dr. Lewis' expertise as a surgeon. The "chicken wing" look I used to have has been replaced with youthful looking arms and I'm wearing sleeveless tops once again. I am ecstatic with the results.
Google
5.0/5
Jan 22, 2014
Google Lewis Plastic Surgery
A kind and caring team! Thank you so much for a great experience, your team has been absolutely super. I would be more than happy to recommend you to and friends or family who needed you.

Candidacy

Am I a good candidate for breast reduction surgery?

Yes, if you are a healthy individual seeking to find relief from the symptoms from large breasts.

It is important to note that while many teenage girls suffer from abnormally large breasts, breast reductions prior to full development may result in recurrence of the large breasts. In fully developed women, the breasts do not “come back” after a breast reduction. Of course, breast size and shape, after a reduction, will still vary with changes in overall weight, and change with pregnancy.

Risks

What are the risks of breast reduction surgery?

Check Accreditation

With any surgical procedure there are risks that you must be aware of. To minimize the risks, ensure your surgery is conducted in a safe and secure environment using the latest surgical techniques by checking the certifications and accreditation of your surgeon. Accreditation boards and bodies are there to protect you. Dr. Gordon Lewis has 9 years surgical experience and is affiliated to several important professional organizations.

  • He is board certified by the American Society of Plastic Surgeons www.plasticsurgery.org
  • Affiliated to the Richmond Academy of Medicine www.ramdocs.org and the Medical Society of Virginia www.msv.org
  • He is also an associate member of the American Society for Aesthetic Plastic Surgery www.surgery.org and the American College of Surgeons www.facs.org
  • A candidate member of the American Society for Surgery of the Hand www.assh.org

Possible Complications

During your initial consultation, we will discuss every possible outcome of your procedure including possible complications.

Although infrequent, breast reduction surgery risks may include (but are not limited to);

  • Numbness
  • Inability to breast feed
  • Poor scar healing or infection
  • Blood clots
  • Swelling or bruising
  • Excessive firmness of the breast
  • Loss of nipple and or areola

It is important to note that the length of the surgical incisions and extent of scarring varies from one patient to another depending on the complexity of the procedure.

Consultation

At the time of the consultation, we will closely examine your breast anatomy and other factors such as amount of fat and tissue to be removed. We’ll discuss in detail your health history, medical conditions associated with abnormally large breasts and your aesthetic goals.

During this consultation you will learn more about:

  • Breast size, shape and skin characteristics
  • Amount of breast tissue and glandular fat to be removed
  • Relocation and new shape of the nipples
  • Breast reduction and aging
  • Anesthesia and facility
  • Cost of surgery and financing options

Location

Dr. Lewis performs surgical procedures at an accredited outpatient surgical center or a local hospital. He is affiliated with several local medical centers where his patients undergo surgery. He primarily operates at these locations:

Johnston-Willis Hospital
Stony Point Surgery Center

Initial consultations, follow up appointments and all non-surgical treatments and minor surgical procedures are performed at Lewis Plastic Surgery in Midlothian, VA.

Cost

Will breast reduction surgery be covered by insurance?

Dr. Lewis performs many breast reductions annually. The vast majority of these are covered under health insurance policies. Each health insurance company has different criteria to give authorization for breast reductions.; our office has become very adept at navigating this complex process and getting authorization for breast reduction. This is a procedure that insurance companies scrutinize heavily prior to giving authorization, but in most cases we are able to get approval for the surgery.

Booking

Every patient is required to attend an initial consultation before a procedure can be booked. Once you decide to proceed with surgery, we will assist you in finalizing a date and getting everything ready for surgery. We try to be as flexible as possible and will make arrangements to see you at Lewis Plastic Surgery on the grounds of Johnston-Willis Hospital within a few days after you contact us.

Depending on your requirements, we can normally perform your procedure within 2 weeks. You can book a consultation online or by calling (804) 267-6009.

Gordon Lewis, M.D.

Dr. Lewis, a native of Richmond, prioritizes building honest, trusting relationships and providing personalized care for his patients.

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