With our free press under threat and federal funding for public media gone, your support matters more than ever. Help keep the LAist newsroom strong, become a monthly member or increase your support today .
Thinking of downsizing? An LA breast reduction expert shares what to consider
Dr. Jennifer Keagle does a lot of breast reduction surgeries. So many, in fact, that she's not sure if her numbers are on track with recent trends.
According to the American Society of Plastic Surgeons, breast reductions procedures increased 7% in 2023. That increase has since leveled off, but reductions are clearly in demand.
Keagle, a board-certified plastic surgeon, joined AirTalk, 89.3's daily news program, to discuss what to consider. 
A heavy load
Maria in Lakewood got breast reduction surgery 25 years ago after begging male doctors to approve it. She cried when the approval finally came. It helped correct years of upper back issues, a misaligned neck and even yeast rashes.
"I would suggest it to any other woman who is having the issues that I had," Maria said.
Keagle said she sees patients for a combination of reasons, including symptomatic ones like Maria's. She said it's more likely those patients will have the operation covered by insurance as well.
Can you still breastfeed?
Keagle said you can have a breast reduction and still nurse. The caveat — there's no way of knowing who could successfully breastfeed before the surgery.
"It's always something you learn once you've had the baby," she said.
Bottom line? It's possible. 
Nipple sensation
Keagle said it's also possible that nipple sensation can change after surgery.
"I always want to know if it's very important sexually them," she said.
If it is, she might consider doing a different type of incision that could better preserve nipple sensation. 
Scarring
Penny in Long Beach said she was left with significant scars after her doctor made incisions that didn't correspond to the natural crease.
Keagle acknowledged that a breast reduction surgery requires large incisions.
If scarring occurs? It's not too late to address it, even for someone like Penny. Keagle suggested a scar revision procedure to reduce the size of the scars. 
Fitting your body type
Whether you're augmenting or reducing, Keagle said you probably want to consider getting boobs that are in proportion with your body. It's something she talks through with all her patients.
If you're on the thinner side, you may wants implants that go up to your clavicle, she said. If you're on the curvier side, you may not want to reduce too much. 
Dream big, go small
Lynn in Palm Springs had two choices: double mastectomy or breast reduction surgery. She chose the latter to preserve some breast after her cancer treatment.
"I literally have teenage breasts now," she said, acknowledging it as the upside to the cancer diagnosis and treatment.
"Your breasts are the silver lining; get the breasts you've always wanted."
Keagle does oncoplastic surgeries all the time to remove cancer, and in the process, reconstruct the breasts. She echoes Lynn in her advice to patients: "Your breasts are the silver lining; get the breasts you've always wanted."
Listen to the full conversation:
At LAist, we believe in journalism without censorship and the right of a free press to speak truth to those in power. Our hard-hitting watchdog reporting on local government, climate, and the ongoing housing and homelessness crisis is trustworthy, independent and freely accessible to everyone thanks to the support of readers like you.
But the game has changed: Congress voted to eliminate funding for public media across the country. Here at LAist that means a loss of $1.7 million in our budget every year. We want to assure you that despite growing threats to free press and free speech, LAist will remain a voice you know and trust. Speaking frankly, the amount of reader support we receive will help determine how strong of a newsroom we are going forward to cover the important news in our community.
We’re asking you to stand up for independent reporting that will not be silenced. With more individuals like you supporting this public service, we can continue to provide essential coverage for Southern Californians that you can’t find anywhere else. Become a monthly member today to help sustain this mission.
Thank you for your generous support and belief in the value of independent news.
- 
                        Immigration raids have caused some U.S. citizens to carry their passports to the store, to school or to work. But what documents to have on you depends on your citizenship.
 - 
                        The historic properties have been sitting vacant for decades and were put on the market as-is, with prices ranging from $750,000 to $1.75 million.
 - 
                        Users of the century old Long Beach wooden boardwalk give these suggestions to safely enjoy it.
 - 
                        The Newport Beach City Council approved a new artificial surf park that will replace part of an aging golf course.
 - 
                        The utility, whose equipment is believed to have sparked the Eaton Fire, says payouts could come as quickly as four months after people submit a claim. But accepting the money means you'll have to forego any lawsuits.
 - 
                        The City Council will vote Tuesday on a proposal to study raising the pay for construction workers on apartments with at least 10 units and up to 85 feet high.