Breast Reduction
Balanced Proportions & Sculpted Comfort with Dr. Puyana
Lighter. Sculpted. Empowered.
For many women, large or heavy breasts are more than an aesthetic concern – they can affect posture, physical comfort, confidence, and everyday quality of life. Breast reduction surgery consistently ranks among the most satisfying procedures in plastic surgery, with some of the highest patient-reported improvement in comfort and self-confidence.
According to plastic surgery data, the majority of women who undergo breast reduction report significant relief from neck, back, and shoulder pain, as well as improved ability to exercise, dress comfortably, and feel proportionate in their bodies.
At Puyana
Plastic Surgery
Dr. Salomon Puyana approaches breast reduction as both a functional and aesthetic procedure. The goal is not simply to make the breasts smaller – it is to create a balanced, sculpted shape that feels lighter, looks intentional, and aligns with how you want to look and move through the world.
What Is aBreast Reduction?
Breast reduction surgery, also known as reduction mammaplasty, is a procedure that removes excess breast tissue, fat, and skin to reduce breast size and weight. At the same time, the breasts are lifted, reshaped, and repositioned to create a higher, firmer, and more proportional contour.
Breast reduction can address both physical discomfort and aesthetic concerns, including:
- Chronic neck, back, and shoulder pain
- Grooving from bra straps
- Skin irritation beneath the breasts
- Limitations in physical activity
- A breast size that feels disproportionate to the body
Dr. Puyana customizes every breast reduction based on your anatomy, symptoms, and aesthetic goals to ensure results that are comfortable, sculpted, and visually balanced.
Why Choose Breast Reduction?
Women choose breast reduction for deeply personal reasons – and the benefits are life-changing.
Breast reduction may be right for you if you:
- Feel physical discomfort from breast weight
- Struggle to find clothing that fits properly
- Feel limited in exercise or daily movement
- Want a more proportional, sculpted silhouette
- Desire lifted, reshaped breasts along with size reduction
Beyond physical relief, many patients experience a renewed sense of confidence and freedom. Breast reduction allows the body to move more easily, clothing to fit better, and posture to feel more natural.
Dr. Puyana’s Differentiator
Breast Reduction with Implants
One of Dr. Salomon Puyana’s most distinctive offerings is breast reduction with implants – an option many surgeons do not provide.
While traditional breast reduction focuses solely on removing volume, some patients want their breasts to be smaller yet still full, round, and sculpted. In these cases, Dr. Puyana offers the option to combine reduction with implants.
This advanced approach allows:
- Reduction of excess breast weight
- Improved lift and reshaping
- Preservation or enhancement of upper pole fullness
- Greater control over final breast shape and projection
Breast reduction with implants gives patients the freedom to choose not just how small they want their breasts to be, but how they want them to look. Dr. Puyana carefully evaluates anatomy and goals to determine whether this option is appropriate and safe.
Internal Bra with GalaFLEX®
The Internal Bra with GalaFLEX® is an advanced surgical support technique designed to reinforce the breast’s internal structure and provide added long-term support. GalaFLEX® is a bioresorbable surgical scaffold that is placed internally during breast surgery to strengthen soft tissue and help maintain breast position over time.
Dr. Salomon Puyana uses the Internal Bra with GalaFLEX® in select patients who would benefit from additional internal support. The scaffold acts as a temporary framework, supporting the breast as the body gradually replaces it with the patient’s own collagen.


By reinforcing the breast from the inside, the Internal Bra with GalaFLEX® helps improve stability, shape retention, and durability of results.
What to Expect Before, During, & After Surgery
Pre-Surgery Planning
Dr. Salomon Puyana conducts a comprehensive consultation, reviews symptoms and goals, and designs a surgical plan tailored to both comfort and aesthetics.Surgery Day
Breast reduction surgery is performed in our fully accredited surgical facility with experienced anesthesia care and strict safety protocols. Surgical time varies depending on complexity and whether implants are included.Recovery
Patients return home the same day. Immediate relief from breast weight is common, with swelling gradually improving over several weeks. Return to exercise and normal activities is guided carefully by Dr. Puyana.
Frequently Asked Questions
About Breast Reduction
The amount of reduction is customized based on your anatomy, symptoms, and aesthetic goals.
Yes. Breast reduction includes lifting and reshaping.
Scars are required, but they are placed strategically and fade over time. At Puyana Plastic Surgery, we also offer advanced scar-improvement treatments, including microneedling and laser therapy, to help optimize scar appearance as healing progresses.
Most patients report manageable discomfort that improves quickly.
Many patients experience significant symptom relief
Yes. Dr. Puyana offers breast reduction with implants for select patients.
Coverage varies. Many patients choose surgery for both functional and aesthetic reasons.
Breastfeeding after a breast reduction is possible for many women, but the ability to produce a full milk supply varies. Outcomes depend on the extent of tissue repositioning, and individual anatomy. Some women may experience reduced milk production, while others are able to breastfeed without difficulty. During consultation, Dr. Puyana will discuss how different surgical approaches may impact future breastfeeding.
Results refine over several months as swelling resolves.
Healthy patients experiencing physical or aesthetic concerns related to breast size are often good candidates.
Why Choose Puyana Plastic Surgery?
At Puyana Plastic Surgery, breast reduction is approached with precision, control, and aesthetic intelligence.
- Customized Surgical Design: Every reduction is tailored to the patient
- Advanced Options: Including breast reduction with implants
- Aesthetic Expertise: Sculpted, proportional results
Patient-Centered Care: From consultation through recovery
Dr. Salomon Puyana focuses on creating results that feel lighter, look intentional, and enhance overall body harmony.
Crafting the Most Beautiful Version of You.
Breast reduction can redefine how your body feels and functions every day. With Dr. Puyana’s expertise and individualized approach, your results are designed to support confidence, movement, and long-term satisfaction.
Schedule your private consultation with Dr. Salomon Puyana and take the next step toward a lighter, more confident you.