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Women’s Health: Breast Reduction Surgery: What Every Woman Should Know

Breast reduction surgery, also known as reduction mammoplasty, is a life-changing procedure for many women. Beyond the aesthetic benefits, it often dramatically improves physical comfort, emotional well-being, and overall quality of life. If you’re considering this procedure—or just curious—this guide will walk you through the most important things to know, including insights from Dr. Duc Bui, a leading plastic surgeon at Stony Brook Hospital.

My Story: Why I Chose Breast Reduction

I recently made the decision to have breast reduction surgery—and my life has changed for the better. Before my surgery, I experienced constant back pain, difficulty exercising, and trouble finding clothing that fit comfortably. Many women who had the surgery shared with me that their only regret was waiting too long. For me, however, I truly felt that I had my surgery at the right time in my life.

I am incredibly grateful to Dr. Bui for not only his surgical expertise but also his kindness, thoroughness, and support throughout my journey. Thank you, Dr. Bui, for changing my life.

Who Is a Good Candidate for Breast Reduction Surgery?

To better understand who might benefit from this procedure, I asked Dr. Bui:

Dr. Bui:

“A good candidate for Breast Reduction is someone experiencing physical symptoms like back, neck, and shoulder pain, or lifestyle limitations due to the size of their breasts. It’s also common for women to seek reduction for emotional reasons, such as self-consciousness or difficulty finding clothing. Breast reduction isn’t just cosmetic—it can truly enhance daily living and health.”

Common reasons women consider Breast Reduction surgery include:

• Chronic pain and poor posture

• Difficulty with physical activity

• Skin irritation or rashes

• Emotional distress and low self-esteem

What Should Women Expect During Breast Reduction Recovery?

Recovery is an important part of the process. Dr. Bui explained:

Dr. Bui said most women need at least one to two weeks off work, depending on their job. You’ll experience swelling, some soreness, and fatigue at first. It’s important to avoid heavy lifting and strenuous exercise for about four to six weeks. We guide patients carefully through each stage of healing to ensure the best results.”

Planning ahead for help at home and allowing your body the time it needs to heal is key for a smooth recovery.

Risks and Long-Term Considerations

Breast reduction is very safe, but like any surgery, it comes with considerations. Dr. Bui shared some important insights:

Dr. Bui:

Breastfeeding after breast reduction can be possible, but it may be impacted depending on the surgical method and how much tissue is removed. Weight gain or significant hormonal changes—like menopause—can also affect your breast size and shape long-term. We talk through these factors during consultations so women can make fully informed decisions.”

Women should also be aware that while results are long-lasting, aging, gravity, and life changes will naturally influence breast shape over time.

How Does Insurance Work for Breast Reduction?

One of the most common questions women have is whether breast reduction is covered by insurance because this surgery can be very expensive. This was definitely an important question for me. Dr. Bui explained that if the procedure is deemed medically necessary, many insurance plans will cover it. We help patients submit documentation showing the medical need—like chronic pain or rashes. Each insurance company has different requirements, so early verification is important.”

Factors like documented symptoms, medical history, and proof that other treatments have failed often help secure coverage.

I asked Dr. Bui what questions should you ask your Plastic Surgeon

During your consultation, it’s important to feel empowered. Here are smart questions to ask, as suggested by Dr. Bui:

• Are you board-certified in plastic surgery?

• How much experience do you have specifically with breast reductions?

• What surgical techniques do you use, and why?

• What results can I realistically expect?

• How do you minimize scarring?

• What should I prepare for during recovery?

• What happens if there are complications?

Choosing a surgeon you trust and feel comfortable with makes all the difference.

How Menopause Affects Breast Reduction Decisions

If you’re nearing or going through menopause, you may wonder whether it’s still a good time for surgery.

Dr. Bui:

“Hormonal changes during menopause can cause the breasts to change size or lose firmness. However, many women still benefit greatly from reduction, particularly if they’re experiencing physical discomfort. During consultations, we discuss how future changes might affect long-term results and set appropriate expectations.”

Even after menopause, breast reduction can provide physical relief and improve quality of life.

Final Thoughts

Breast reduction is about much more than just aesthetics—it’s about feeling better physically, emotionally, and mentally. My personal journey, with the incredible support of Dr. Duc Bui and the team at Stony Brook Hospital, reaffirmed that this decision was one of the best I’ve ever made.

If you’re considering breast reduction, know that you’re not alone. Ask questions, gather information, and find a surgeon who listens carefully to your goals. When the time is right, this surgery can truly be life-changing.

Hamptons Mouthpiece: A Conversation with Dr. Florence Rolston: Women’s Health, Screening, and Building Healthy Habits

Women’s Health: When it comes to women’s health, having a trusted voice to guide you through the stages of care is essential. I recently sat down with Dr. Florence Rolston, a distinguished physician specializing in women’s health, to discuss some of the key questions many young women and their families have: When should you schedule your first gynecologic visit? Why is the HPV vaccine so important? And what habits should we all be building for better long-term health?

When Should a Woman Have Her First Gynecologic Screening Visit?

Dr. Rolston shared that the first cervical cancer screening with a Pap smear should begin at age 21.

“It’s very unusual to find significant abnormal cervical changes before the age of 21,” Dr. Rolston explained. “That’s why the recommendation is to start screening at 21.”

However, Dr. Rolston emphasized that many young women will see a healthcare provider before then — particularly for screening and prevention of sexually transmitted infections (STIs). For women under 25 who are sexually active, annual STI screening is recommended.

“In terms of general health screening, most patients continue to see their family physician or pediatrician until they transition to adult medicine providers after age 21,” she added.

When is the Right Time to Get the HPV Vaccine, and Why is it Important?

The Human Papillomavirus (HPV) vaccine has revolutionized women’s health by drastically reducing the risk of cervical cancer and other HPV-related diseases. Dr. Rolston stressed the significance of receiving the vaccine before becoming sexually active, ideally starting around ages 11 or 12.

“The HPV vaccine has been incredibly beneficial in reducing cervical cancer rates in the U.S.,” she noted. “Compared to parts of the world where the vaccine isn’t widely available, the difference is dramatic.”

HPV is a common virus with over 100 different strains, but the vaccine targets the strains most commonly linked to cervical cancer and genital warts. Early vaccination provides the best protection.

What Healthy Habits Can We Incorporate Into Our Daily Lives?

Of course, health isn’t just about vaccines and screenings. Dr. Rolston passionately advocates for simple, daily habits that can make a world of difference:

“Health maintenance starts with eating a healthy diet. What you put into your body can have a huge impact on your overall health.”

She recommends focusing on:

Fruits and vegetables

Whole grains

Lean proteins

Limiting processed foods

Staying well-hydrated

Exercise is equally crucial — not only for physical well-being but also for mental health.

“Regular exercise supports physical strength and reduces stress, which in turn helps your immune system,” Dr. Rolston said. “Even just getting outside into nature can lower stress levels significantly.”

Finally, managing stress itself is a key pillar of good health. Whether through mindfulness, hobbies, spending time with loved ones, or being active outdoors, keeping stress under control benefits both the mind and the body.

Final Thoughts

Dr. Rolston’s advice is clear: Prevention, early screening, and building strong daily habits are the foundation for a healthier life. Whether you’re scheduling your first gynecologic visit, getting vaccinated, or choosing better foods and activities, these steps are vital investments in your future well-being.

If you have questions about women’s health screenings or vaccinations, reach out to a qualified healthcare provider like those at Stony Brook Medicine, where Dr. Rolston and her colleagues are dedicated to supporting your journey to better health.

January 2018: The Moment Everything Changed

In January 2018, I made a life-changing decision—I chose me.

Wellness Journey: As a mother, it’s second nature to prioritize your children above all else. For years, I poured from an empty cup, thinking self-sacrifice was the ultimate expression of love. But in October 2017, someone said something that shook me to my core. I was already grieving the death of my mother, barely holding myself together, and suddenly, I found myself spiraling.

For the next two months, I tried not to fall apart. I was hurting, but I kept showing up for everyone else. And then, with the clarity that only comes from emotional exhaustion, I knew it was time to shift.

Releasing the Weight That Wasn’t Mine

That January, I confronted someone who had haunted my thoughts for years. I released the guilt I had lived with for far too long—because I realized it wasn’t mine to carry. That confrontation marked the beginning of my wellness journey and the start of reclaiming my peace.

Soon after, I experienced a health scare with Bell’s Palsy. While it was physically and emotionally draining, I believe the mindset work I had begun helped me recover faster. Choosing to prioritize my mental wellness made all the difference.

Five Years of Mental Work

Healing the mind is an essential part of any wellness lifestyle, and this was the part of me that needed the most attention. For five years, I worked through trauma in therapy, faced my fears, and made difficult decisions to eliminate triggers in my life. It wasn’t easy—but it was necessary.

2023: A Year of Awareness and Awakening

In 2023, everything changed again—I was diagnosed with sleep apnea. That diagnosis explained so much. For years, I had struggled with fatigue, brain fog, mood swings, and stubborn weight gain, even when I thought I was doing everything “right.”

Sleep apnea can wreak havoc on your health. The lack of quality sleep affects metabolism, hormone balance, memory, and weight. Once I began treatment, I finally started to feel like myself again. My energy returned. My focus improved. And the scale started to move—not because I starved myself, but because my body was finally functioning as it should.

Starting My Fitness Journey

With my sleep under control and my mind in a better place, I felt ready to take on a new challenge: physical fitness.

I began with a full medical evaluation to ensure I could safely begin working out. With my doctor’s clearance, I hired a coach who taught me how to heal my relationship with food and embrace strength training.

Now, two years later:

• I workout at least three times a week, I try hard to incorporate strength training to my week at least twice a week, sometimes I forget and sometimes I just don’t feel like working out and that is ok. I answer only to myself.

• I have a balanced, respectful relationship with food.

• I’m learning to love my body through every phase.

2024: A Life-Changing Decision—Breast Reduction Surgery

In 2024, I made another major decision—I had breast reduction surgery.

This was not just a cosmetic choice. It was about freedom. For years, I had experienced back and neck pain, poor posture, and physical limitations due to my breast size. After surgery, the relief was almost immediate.

I could move more freely, breathe deeper, and feel lighter—not just physically but emotionally. My workouts became easier. My confidence grew. I felt more aligned with the woman I’ve worked so hard to become.

What’s Next: The Journey Continues

My wellness journey isn’t over—it’s evolving. This year, I’m facing new challenges and goals that are stretching me in new ways. I’ll be sharing more about that as my Wellness Journey continues, so stay tuned. I’m grateful for my husband, my incredible daughters and my best friends who have given unconditional support during these last 8 years. I am forever grateful.

Healing isn’t linear. But it’s possible. And it all begins with one choice—to put you first.

Understanding Insulin Resistance and Its Impact on Menopausal Women

What Is Insulin Resistance?

Insulin resistance is a metabolic condition in which the body’s cells become less responsive to insulin, a hormone responsible for regulating blood sugar levels. When this happens, the pancreas compensates by producing more insulin to keep blood glucose in check. Over time, this can lead to elevated insulin levels, increased fat storage, and a higher risk of developing type 2 diabetes and other metabolic disorders.

How Does Insulin Resistance Affect Menopausal Women?

Menopause is a time of significant hormonal changes, primarily characterized by a decline in estrogen levels. This hormonal shift contributes to various metabolic changes, including an increased likelihood of developing insulin resistance. Here’s how insulin resistance specifically impacts menopausal women:

Slower Metabolism

Estrogen plays a crucial role in maintaining insulin sensitivity. As estrogen levels decline during menopause, the body becomes less efficient at utilizing glucose for energy. This leads to higher blood sugar levels, increased fat storage, and a slower metabolism.

Increased Fat Storage, Particularly in the Abdominal Area

Before menopause, women tend to store fat in the hips and thighs due to estrogen’s influence. However, with lower estrogen levels, fat distribution shifts toward the abdominal area. Insulin resistance further exacerbates this issue by promoting fat accumulation around the waistline, often referred to as “visceral fat.” This type of fat is linked to an increased risk of heart disease, diabetes, and other metabolic disorders.

Higher Risk of Weight Gain

Even if caloric intake remains the same, menopausal women often find it harder to maintain their weight. This is because insulin resistance, coupled with age-related muscle loss (sarcopenia), makes it more difficult to burn calories efficiently. Excess insulin levels signal the body to store fat rather than burn it for energy, making weight gain more likely, especially in the midsection.

Increased Cravings and Energy Crashes

Insulin resistance can cause fluctuating blood sugar levels, leading to intense cravings for carbohydrates and sugar. These cravings, combined with a slower metabolism, can contribute to overeating and further weight gain. Additionally, unstable blood sugar can cause energy crashes, making it harder to stay active and maintain a healthy lifestyle.

Strategies to Manage Insulin Resistance During Menopause

Although insulin resistance can make weight management challenging during menopause, there are effective strategies to improve insulin sensitivity and support overall metabolic health:

Prioritize a Balanced Diet – Focus on whole foods, including lean proteins, fiber-rich vegetables, healthy fats, and complex carbohydrates. Reducing processed foods and added sugars can help stabilize blood sugar levels and prevent insulin spikes.

Engage in Strength TrainingBuilding muscle through resistance exercises can improve insulin sensitivity and help counteract age-related muscle loss.



Incorporate Cardiovascular Exercise – Activities such as walking, jogging, and cycling help burn excess glucose and improve metabolic function

Manage Stress – Chronic stress leads to elevated cortisol levels, which can worsen insulin resistance and promote abdominal fat storage. Practices like yoga, meditation, and deep breathing can help regulate stress hormones.

Prioritize Sleep – Poor sleep negatively affects insulin sensitivity and increases cravings for high-carb, sugary foods. Aim for 7–9 hours of quality sleep per night.

Consider Intermittent FastingSome research suggests that intermittent fasting can enhance insulin sensitivity by giving the body longer periods to regulate blood sugar levels. However, it’s essential to consult a healthcare provider before making dietary changes.


Insulin resistance plays a significant role in menopausal weight gain, particularly in the abdominal area. As estrogen levels decline, metabolism slows, fat distribution shifts, and the risk of metabolic disorders increases. However, by making targeted lifestyle changes—including diet modifications, regular exercise, stress management, and quality sleep—menopausal women can improve insulin sensitivity and maintain a healthier weight.

“I’m interested in women’s health because I’m a woman. I’d be a darn fool not to be on my own side”Maya Angelou *

Women’s health encompasses a wide range of physical, mental, and reproductive well-being throughout different life stages. It includes essential aspects such as menstrual health, pregnancy, menopause, and conditions like osteoporosis, heart disease, and breast cancer, which affect women differently than men. Access to preventive care, screenings, and education on nutrition, exercise, and mental health is crucial for overall well-being. Addressing gender-specific health concerns and promoting equitable healthcare access can improve quality of life and longevity for women worldwide.

I had the pleasure of sitting down with Dr. Florence Rolston,MD to talk about a topic that we are both passionate about which is Women’s Health. In Part 1 of a year long series about women’s health we discussed multiple topics that affect women’s health.

First part What you should know about Mammogram screening. Who should get a mammogram screening? When should you get a mammogram screening? Why should you get a mammogram screening?