Excessively large breasts can affect much more than your appearance—they can contribute to chronic neck, shoulder, and back pain, limit physical activity, create skin irritation, and impact your overall quality of life. Breast reduction surgery (reduction mammoplasty) is designed to remove excess breast tissue, fat, and skin to create breasts that are lighter, more proportional, and better balanced with your body. Board-certified plastic surgeon Dr. Ali Totonchi specializes in personalized breast reduction procedures that not only relieve physical discomfort but also improve breast shape and symmetry. Every treatment plan is customized to help patients achieve beautiful, natural-looking results while restoring comfort, confidence, and an active lifestyle.
Real Dr. Totonchi Patient, Before & After Breast Reduction *



Dr. Ali Totonchi offers surgery for patients considering reduction mammaplasty/breast reduction to make their breasts smaller. A reduction mammoplasty/breast reduction involves the removal of the excess fatty tissue in the breast, in addition to excess glandular tissue, and skin. This surgical procedure helps patients achieve a breast size that is more proportional to their body frame and alleviates any discomfort resulting from the weight of larger breasts.
Reduction mammoplasty/breast reduction is a very safe procedure and can be performed on patients. Dr. Ali Totonchi prefers to wait until the patient’s breasts have fully developed before performing the breast reduction to avoid the need for a repeat surgery.
Breast reduction is generally recommended for patients who have breasts that are too large in proportion to their body frame. This is also a desirable option to consider for patients with breasts that have become too heavy, causing problems with posture or chronic back, shoulder, or neck pain. Patients with asymmetric, large breasts, in Cleveland, Westlake or Lyndhurst also serve to benefit from breast reduction surgery performed by Dr. Ali Totonchi.
Some signs that breasts are too large in proportion to a patient’s frame are when indentations develop in the shoulders due to tight brassieres, skin irritations underneath either or both breasts, and breasts, which make physical activities, such as sports difficult. Patients in Cleveland, OH who come in for reduction mammoplasty/breast reduction are often self-conscious of their condition and breast reduction improves appearance in addition to providing relief from the discomfort and pain associated with large breast size.






















Dr. Ali Totonchi is committed to educate his patients who are considering a reduction mammoplasty/breast reduction by providing the patients with all of the information they will need regarding the procedure, including an overview of the procedure as well as the risks and benefits of the surgery. In some cases, the initial screening is performed by our experienced nurse practitioner.
A breast reduction procedure in Cleveland, OH is typically performed under general anesthesia. Incisions will be made on the breasts and excess fat, skin, and glandular tissue is removed. Sometimes liposuction might be utilized for fine-tuning; once the desired size has been achieved, the nipple and the areola are repositioned and incisions are closed with sutures.
The entire reduction mammoplasty/breast reduction procedure performed in our cosmetic surgery center will take approximately 3-5 hours. After the swelling has subsided, patients will appreciate the results of the reduction mammoplasty/breast reduction and literally feel like a weight has been lifted.
Patients should focus on resting and relaxing for the first week of recovery and typically feel well enough to return to work after two weeks. Dr. Totonchi will prescribe pain medication to alleviate any lingering discomfort. He will also provide a compression garment to wear around the breasts. This garment is helpful for holding the breasts in place and reducing swelling for a faster recovery.
Full results may take a few months to manifest as the swelling subsides and normal sensations return. Fortunately, breast reduction results are considered permanent. The best way for patients to maintain their new breast size is to keep a steady weight. Women who become pregnant may also notice a fluctuation in size.
Breast reduction can be life-changing—relieving physical discomfort while improving body proportions and restoring confidence. Whether you’re experiencing chronic pain, difficulty exercising, or simply feel that your breasts are disproportionate to your frame, Dr. Ali Totonchi combines advanced surgical techniques with an artistic approach to create results that are both functional and naturally beautiful. His goal is to help you feel lighter, healthier, and more comfortable in your everyday life.
During your private consultation, Dr. Totonchi will carefully evaluate your concerns, discuss your goals, and develop a personalized surgical plan tailored to your anatomy and lifestyle. He will also answer your questions and guide you through every step of the process so you can move forward with confidence.
The price of breast reduction depends on the amount of skin, tissue, and fat that needs to be removed to achieve the patient’s desired look. Dr. Totonchi can provide a quote after customizing a surgical plan during a consultation. Most breast reduction surgeries are considered cosmetic in nature and are therefore not covered by insurance. However, some women who have medical documentation of chronic pain caused by oversized breasts may qualify to have some or all the costs covered by insurance. Financing options are also available through CareCredit, a leading medical lender.