
Breast Surgery

Breast Surgery
Breast surgery is personal, and the reasons people pursue it vary widely. Some patients are dealing with genuine physical symptoms from excess breast weight. Others want to restore a shape that pregnancy, weight change, or time has altered, or add volume that better matches their frame. At Hawaii Dermatology & Surgery, our surgeon offers a full range of breast procedures for patients across Oahu, with an approach built around what you actually want rather than a standard result.

What Is Breast Surgery?
Breast surgery covers procedures that change the size, shape, position, or contents of the breast. That includes reducing volume, lifting and repositioning tissue, adding volume with implants, revising a result from a previous surgery, or removing implants entirely. Some of these procedures are pursued for comfort and symptom relief, others for appearance, and often for both at once. What matters is that the plan matches your anatomy and your goals.
Breast Procedures We Offer
Our surgeon performs the following breast procedures:
- Breast reduction for patients whose breast weight is causing neck, back, and shoulder pain, numbness in the hands and forearms from nerve compression, or persistent skin rashes. Reduction can relieve those symptoms while restoring a proportional shape.
- Mastopexy, or breast lift, to reposition and reshape breasts affected by age, pregnancy, or weight loss without necessarily changing volume.
- Breast augmentation for patients who want additional volume to better match their body profile, with a wide range of implant types, shapes, and sizes available.
- Revision of breast surgery for patients whose earlier result has changed over time or never quite matched what they wanted in the first place.
- Breast implant removal, including removal of the surrounding capsular tissue, for patients experiencing implant related problems or who simply no longer want the added volume.
What to Expect
Your consultation starts with a conversation about what brought you in and what you want to be different. Our surgeon will examine the breasts, discuss your health history, and review the options that may achieve what you are describing, including the tradeoffs of each. If implants are part of the discussion, you will go through sizing, type, and placement together. Nothing gets scheduled until you understand the procedure, the recovery, and the range of results you can reasonably expect.

Before and after Mohs Surgery:
What to Expect for Patients
FAQ
FAQs
Answers to your frequently asked questions.
Can breast reduction help with back and shoulder pain?
For many patients it does. Excess breast weight can strain the neck, back, and shoulders, compress peripheral nerves, and cause skin rashes underneath. Reduction removes that weight, and patients often describe meaningful relief from symptoms alongside the change in shape.
What is the difference between a breast lift and augmentation?
A breast lift repositions and reshapes existing tissue without adding volume. Augmentation adds volume with an implant. Some patients need one, some need both, and our surgeon will explain which combination may achieve the result you are describing.
Can I have breast implants removed?
Yes. Implant removal is available, including removal of the surrounding capsular tissue when appropriate. Patients pursue this for implant related problems or simply because the added volume no longer suits their body profile. Our surgeon will discuss what removal may mean for shape.
Can a previous breast surgery result be revised?
Often yes. Revision surgery can address results that have changed over time or that never matched expectations. Our surgeon will evaluate the current shape, review what was done previously, and discuss which revision options may be realistic for your situation.

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