Breast Reduction

The women who come to our Rochester, NY practice for breast reduction surgery typically want relief from the serious long-term physical and emotional strain posed by overly large breasts. Dr. William J. Koenig specializes in cosmetic breast surgery and performs breast reduction surgeries to alleviate the tension and strain caused by overly large breasts. Addressing the pain, frustration, and discomfort can be a new beginning for many women who have struggled with overly large breasts for most of their lives.

Many breast reduction patients travel from Syracuse and Buffalo to Quatela Plastic Surgery to have Dr. Koenig perform their procedures. Request a consultation using our online form to meet personally with Dr. Koenig, or call our office at (585) 244-1000 to schedule an appointment.

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William J. Koenig, M.D.

Specializes in Breast & Body Procedures

A board-certified plastic surgeon, Dr. Koenig's experience and gentle bedside manner help put patients at ease and build an uncommon level of trust. He meticulously customizes each procedure, and sculpts beautiful results that consistently exceed his patients' expectations.

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What Is Breast Reduction Surgery?

Breast reduction surgery decreases the size and improves the shape of overly large breasts. It is similar to a breast lift, with additional removal of fat and breast tissue.

Breast Reduction Surgery Benefits

Breast reduction surgery can be a life-changing procedure for women living with overly large breasts. Women tend to experience an increase in self-esteem, improved self-image, more confidence, and a higher quality of life after breast reduction surgery. Increased physical activity is another benefit of getting breast reduction surgery. Even basic tasks like bending down to pick something up, exercising or shopping for a new dress can become far less challenging.

Ideal Breast Reduction Candidates

You may experience neck, shoulder, and back pain because your breasts are disproportionate to your body's frame. Overly large breasts can stretch and pull clothes, interfere with basic physical activities like running and jumping, and be embarrassing, resulting in low self-esteem.

Ideally, breast reduction patients must be willing and able to commit to the time needed for surgery, follow-up appointments, and complete healing from their procedure. You must be in good overall health and not be a smoker, in addition to having realistic expectations about the results of the surgery.

Choosing the Right Plastic Surgeon

Dr. William J. Koenig is a double board-certified plastic surgeon with nearly 25 years of experience performing cosmetic breast surgery such as breast reductions. Dr. Koenig is known for his excellent bedside manner, developing personalized treatment plans, and his meticulous nature, which is evident in his successful surgical outcomes.

Your Consultation

Dr. Koenig meets with you in a private consultation and discusses your reasons for seeking this procedure. The discussion includes questions about your previous medical history, current medical conditions or health concerns, your surgical history and experience, and current medications and supplements you are taking. Your answers help him determine if breast reduction surgery is the most effective procedure to achieve your desired results. He customizes the surgery to meet your needs.

Your Procedure

Dr. Koenig performs breast reduction surgery under a general anesthetic, or uses a local anesthetic with sedation. The surgery usually lasts around 2 hours. Dr. Koenig begins by making 2 anchor-shaped incisions extending downward from the nipples and across the bottom creases of the breasts. He then removes excess breast tissue, fatty tissue, and inelastic skin to create rounder, firmer, and breasts. He molds the tissue into more natural-looking, even breasts. In many cases, Dr. Koenig repositions the nipples and areolae.


You should be able to return home within a few hours of your surgery to begin the healing process. Dr. Koenig prescribes pain medication that you can get before the surgery and he recommends measures to soothe the soreness of the breasts. Getting plenty of rest and wearing a surgical support bra as directed helps alleviate some of the swelling and bruising that are common side effects of breast reduction. It is typical for breast reduction patients to miss one to two weeks of work and avoid strenuous exercise for several weeks. Speak with Dr. Koenig about your own projected recovery time before returning to work and resuming exercise or other strenuous activities.

Frequently Asked Questions

Will my insurance pay for the surgery?

Some women experience symptoms severe enough to constitute a medical health problem. If this is true in your case, your primary care physician may refer you to a plastic surgeon specializing in breast reduction for a consultation. Most insurance plans cover breast reduction surgery if certain criteria are met.

How long does breast reduction surgery last?

Most breast reduction surgeries last two hours, but times may vary based on the amount of tissue that needs removal and your specific needs.

Where is the surgery performed?

Dr. Koenig performs all breast surgeries on an outpatient basis at the Lindsay House Surgery Center, a fully licensed multi-specialty ambulatory surgery center located at the Quatela Center in Rochester, New York.

Will there be a scar from breast reduction surgery?

Dr. Koenig makes anchor-shaped incisions on the breasts for breast reduction surgery. The resulting scars will heal and fade with time. For more help with diminishing the appearance of your scars, talk with Dr. Koenig about embrace® scar treatments which aid in the healing of scars from surgical procedures.

Are breast reduction results permanent?

Breast tissue removed during a breast reduction will not return, but fluctuations in hormones and weight can sometimes cause the breasts to enlarge. Talk to Dr. Koenig about strategies for maintaining your overall health and breast size in the long-term.

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Quatela Center
for Plastic Surgery

The Quatela Center's reputation as one of New York's finest cosmetic plastic surgery practices attracts patients to Rochester from throughout the state. Choose one of the locations below for driving directions to our practice.

Contact Us

The Lindsay House

973 East Avenue
Rochester, NY 14607
Phone: (585) 244-1000

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