Understanding a Breast Reduction
Breast reduction surgery, also known as reduction mammaplasty, is a procedure that removes excess breast tissue, fat, and skin to reduce the size and weight of the breasts. It’s often sought by women who experience physical discomfort—such as neck, back, or shoulder pain—due to overly large breasts.
Dr. Iyengar specializes in breast reduction surgery that relieves physical strain while creating a more balanced, proportional silhouette tailored to each patient. The goal is to create a more balanced, proportionate breast size while improving posture, mobility, and overall quality of life.
When should I consider a breast reduction?
If you’re experiencing pain, posture problems, bra strap grooving, skin irritation, or difficulty with physical activity due to heavy breasts, you may be a strong candidate for breast reduction.
Many patients also seek the procedure for aesthetic reasons—to improve body proportions or feel more confident in clothing.
What are the details of this procedure?
During breast reduction surgery, Dr. Iyengar removes excess tissue and skin while reshaping the breasts for a more lifted, natural appearance. The nipples and areolas are typically repositioned to better match the new shape and size.
Common incision patterns include the lollipop and anchor techniques, which allow for effective reshaping while supporting proper healing.
Why choose Dr. Iyengar for this procedure?
With a background in both reconstructive and aesthetic breast surgery, Dr. Iyengar approaches breast reduction with an emphasis on proportion, function, and natural results. His technique is designed to relieve physical symptoms while achieving an aesthetically pleasing contour that aligns with each patient’s body.
What does recovery look like?
Recovery from breast reduction is typically straightforward. Most patients return to work and light activity within 1–2 weeks, with more strenuous activities avoided for about 4–6 weeks.
Once healed, patients often report immediate relief from pain and discomfort, along with improved confidence and mobility. Results are long-lasting and can significantly enhance day-to-day comfort and quality of life.
Check out how our patients looked before and after.
Check out galleryCheck out what our patients have to say.
Aimee S.
There isn't a bad thing I can say about Dr. Iyengar or my experience. I found Dr. Iyengar after I had been to a friend's consultation up in Bellevue. I heard her quote and options, and knew I wanted to be closer to home for my procedure. I got in for my consultation the same week as I had inquired about my procedure. Dr. Iyengar won me over with the fact that we both grew up in Puyallup, we share a love for Olive Garden breadsticks, he is friendly, knowledgeable, has an incredible bedside manner, taking time to answer questions and get to know your needs, professional, and funny. From consultation to 3 weeks post op, and everything in between has been an experience that I would recommend to family and friends, and have recommend to anyone that asks. If you're going back and forth, do yourself a favor and stop looking. Dr. Iyengar is your guy!! My BFF and I are proof that this guy is THE. BEST.

Lawrence W.
I was having trouble getting a grip on some hand tools, and at a restaurant that used round table ware rather than flat and edged utensils I notice I couldn't seem to hold them from rolling. My primary physician referred me to Dr. Iyengar. Probably one of the better 20 mile appointments I've had.Dupuytren's contracture, is the culprit the good doctor diagnosed and showed how it prevents my hand from lying flat on a table top because the little, and ring finger were closing on the palm. I mentioned that the middle finger of that hand also locked often with some pain associated with the nuisance. "We can take care of these two procedures today if you'd like" he offered and it made sense if he was willing, I'd travelled 20 miles for the diagnosis, getting the cure at the same time was more than just good sense.
In less than an hour, a pain free hour, the troublesome contracting cord had been freed up and a needle shot of a drug, perhaps cortisone, though I've forgotten, and I was on my way to the physical therapist to learn what I could do following up on the minimal surgery.
From the time I entered the office until I left was a pleasant and friendly exchange of information and personal stories. I didn't wait long, so short I could not get through reading the diplomas and advanced training and education certificates hanging on the walls that Dr. Iyengar has garnered from his studies and surgical skills.
The good doctor keeps a friendly atmosphere for staff and patients, for me 20 miles no longer seemed inconvenient. I'll see him for the followup and look forward to that. You'll be in good hands with Dr. Iyengar and staff.

Lisa R.
I have lived my entire adult life self conscious of my neck sagging and double chin. Dr. Iyengar took such good care and gave me a tight neck and for once in my life I have a jawline! I had a neck and lower face lift with lipo in my chin.

Liza C.
From my very first consultation, I was blown away by the level of care and professionalism at this practice. Every single team member, from the front desk to the medical coordinators and assistants, was friendly, attentive, and truly made me feel at ease. The customer service is top-notch!
Dr. Iyengar is exceptional. His experience, skill, and depth of knowledge shine through in every interaction. His bedside manner is warm and reassuring, and he takes the time to truly listen to your goals without ever being pushy. He’s incredibly responsive and makes you feel confident and cared for from day one. Honestly, his fresh perspective combined with his expertise is a major positive!
The aftercare has also been outstanding! Thorough, diligent, and consistently supportive. I’ve felt cared for every step of the way.
My entire experience has been nothing short of excellent. I’d highly recommend this practice to anyone looking for a team that’s professional, compassionate, and truly invested in your care. They set the bar high!

Jenny M.
I’m incredibly grateful that I was referred to Dr. Iyengar for my breast reconstruction surgery. From the very first consultation, he has been an absolute blessing throughout the entire process. His kindness, super friendliness (a rare trait), helpfulness, caring nature, and outstanding service are truly remarkable. Additionally, his extensive knowledge and confident responses to my questions, along with his ability to treat me with personable care, make him an exceptional surgeon.

Quality care in all realms of plastic and reconstructive surgery.
We see our patients as individuals, not just cases on the schedule. Dr. Iyengar makes every effort to get to know his patients personally and thoroughly understand their goals. This personalized approach ensures that every patient receives the highest quality care and achieves the results of their dreams! Dr. Iyengar executes every procedure with precision, integrity and utmost care.
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