Breast Reduction

More Comfortable Lifestyle

Some women feel uncomfortable with their naturally large breast size due to pain caused in the back and other areas. They often report experiencing psychological discomfort, such as emotional and social anxiety due to their larger body contour and must limit certain activities. This does not only occur in women, some men have a medical condition known as gynecomastia, which leads to an enlargement of their breast tissue that can have a similar negative impact on their bodies, both physically and psychologically. At Avenue Plastic Surgery in Whitby and Toronto, breast reduction surgery is available to patients who are seeking a solution to reduce and reshape their breasts. This common surgical procedure performed by Dr. Golger and Dr. Romy improves the proportion of the breasts to help patients lead a healthier, more comfortable lifestyle. Patients report decreased shoulder and back pain along with improved emotional health. Additionally, patients can enjoy more wardrobe possibilities and improved ease of movement during physical activities.

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Benefits To Women

Breast Reduction Surgery

After your Toronto breast reduction surgery, you can expect these concerns to be improved. Breast reduction can help make the body appear more proportionate, improve the fit of clothing, and make regular exercise easier. In Whitby and Toronto, breast reduction surgery offers the most benefits to women who have:

  • Large breasts
  • Disproportionate body frame
  • Nipples that are pointed downward
  • Sagging breasts due to loss of skin elasticity from oversized breasts
  • Neck, shoulder, and back pain caused by the weight of large breasts
  • Skin irritation beneath the breasts
  • Lifestyle restrictions because of the size and weight of breasts

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Macromastia & Gynecomastia

A different approach for female and male breast reduction


Macromastia, otherwise known as female breast hypertrophy, is a medical condition that leads to abnormal breast enlargement characterized by excessive tissue growth. The severity of macromastia is characterized by the amount of breast tissue present. The condition is considered mild if tissue growth is less than 300 grams; moderate if it is between 300-800 grams, and severe if it exceeds 800 grams above the typical size. Macromastia can affect one or both breasts and is often accompanied by sagging of the breast tissue. The development of macromastia may have several causes, but is usually the result of overactive glands or fatty tissue from pubertal development, post-natal growth, menopause, or weight gain.


Gynecomastia is a medical condition that presents very similarly to macromastia in the male population. It involves the enlargement of the male breast tissue, which commonly occurs in infancy, puberty, or middle-aged men. Unlike macromastia, gynecomastia is usually characterized by enlargement of glandular tissue more so than fatty tissue. Typically, gynecomastia is symmetric, however, enlargement can be greater on one side. Surgically, the approach for treatment differs from female breast reduction.

breast reduction

How does breast reduction surgery work?

Surgical breast reduction in Toronto and Whitby requires the use of a general anesthetic throughout the procedure. Dr. Golger and Dr. Romy create an incision around the areola and then downward, towards the breast crease. Next, any excess breast tissue and skin are removed using liposuction and excision. Finally, the breasts are reshaped and repositioned for a more youthful and elevated appearance. The surgery will take approximately three hours to perform.

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The results have been better than I could ever imagine

5 Star Rating

I have seen Dr. Golger for various cosmetic procedures in the past year and have been very impressed by him and his staff. He is professional, bright, funny, and kind; most importantly, the results have been better than I could ever imagine. I would recommend him to anyone and everyone.

Individual results may vary

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Toronto Breast Reduction Surgery

The “lollipop” approach

Different techniques for a Toronto breast reduction surgery

There are a number of different techniques that can be used for breast reduction surgery. The traditional approach for a breast reduction surgery involves three incisions: one incision around the areola, a second incision that travels vertically from the bottom of the areola to the breast crease, and a third incision that follows the natural edge of the breast fold. At Avenue Plastic Surgery, we prefer a second method for breast reduction, which reduces scarring somewhat. This short scar method is often referred to as the “lollipop” approach and involves one incision around the areola and one vertical incision under the breast. Your plastic surgeon will discuss with you what the best way to achieve your goals will be.

Women with very large breasts may require additional incisions under the breast, as well as the removal of more tissue. For best results in such cases, breast liposuction and contouring can be performed in conjunction with the breast reduction.

During your consultation with our enhancement team, we will share further detail regarding our techniques and how we can help you achieve an optimal outcome and improved body contours.

Breast Augmentation Procedure

Breast Reduction Surgery Recovery

Once you complete your breast reduction surgery, we will wrap your chest in a dressing and fit you with a supportive, post-operative bra that helps with recovery. You should expect to see some swelling and bruising for a few weeks, and any discomfort that you experience can be managed with prescription medications. Within a couple of weeks, you will be ready to return to your normal routine although it is recommended to postpone any rigorous activity until six weeks post-operation.

Your recovery after a breast reduction surgery

As mentioned, you will be fitted with a post-operative garment to help promote healing after the surgery. We will move you to our recovery suite in the clinic, where you are monitored by our nurses until you are ready to go home with a set of instructions.

In the following days after your Toronto breast reduction surgery, it will be important that you rest and relax for a fast and full recovery. All strenuous activities should be avoided. Many women have reported a lack of sensation and numbness in their nipples and areola for up to a year. Swelling and bruising should be expected, but it will subside after some time. These types of occurrences are considered normal and part of the healing process. However, if you have any concerns you are welcome to contact our clinic.

You will be asked to visit our clinic after one week of recovery so that Dr. Golger and Dr. Romy can monitor the progression of your recovery. After two weeks, most patients are able to walk and return to work. Exercise and other physical activities such as weight-lifting and Pilates can resume after four to six weeks, with clearance from our doctors. Regular follow-up appointments with our clinic will be scheduled at around eight weeks and six months post-surgery.

What to expect from a Breast Reduction Procedure

You’ll be in great care as Dr. Golger is considered by his patients as the top breast reduction surgeon in Toronto and Whitby. Unlike other plastic surgery procedures, breast reduction can result in the swiftest noticeable body changes. Immediately following surgery, patients will feel the elimination of physical pain caused by large breasts, as well as improved body contour and appearance. Any chronic pain in the neck, back, and shoulders will be gone, and previous other physical or psychological issues will be eliminated. Once the swelling and bruising have diminished, you will be able to see the final outcomes of your breast reduction surgery. Your breasts will seem lifted and feel firmer to match their more youthful appearance.

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