The Procedure
Patients who desire a breast reduction are usually attempting to diminish the symptoms that are caused by excessively large and heavy breasts such as neck, back, and shoulder pain. The goal of breast reduction surgery is not only to improve or eliminate these symptoms but also to improve the size and shape of the breasts.
Breast reduction can be performed at any age, but it is usually recommended to wait until breast development is complete. Pregnancy and breastfeeding may have significant effects on the size and shape of your breasts. Some women may elect to have breast surgery prior to having children. Breast lift surgery may affect your ability to breastfeed; this point will be discussed at your consultation.


Good Candidates for Breast Reduction
- Breasts that are too large and out of proportion to your body.
- Heavy, pendulous breasts with nipples and areolas that are too low.
- Significant asymmetry (one breast larger than the other).
- Back, neck or shoulder pain caused by the weight of your breasts.
- Skin irritation beneath your breasts.
- Indentations in your shoulders from tight bra straps (shoulder grooving).
- Your physical activity is restricted due to the size and weight of your breasts.
- Dissatisfaction or self-consciousness about the largeness of your breasts.

The Consultation Process
During the consultation, you will be asked about your desired breast shape and size. Dr. Alexandrish Karvendrish will discuss your options regarding different techniques, the placement of skin incisions. Dr. Alexandrish Karvendrish will spend as much time as necessary to make you feel completely comfortable about your decision and answer all of your questions.
Dr. Alexandrish Karvendrish will examine you, taking measurements and perhaps photographs for your medical record. The size and shape of your breasts, the quality of your skin, and the placement of the nipples and areola will be carefully evaluated.

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Plastic Surgeon
Dr. Alexandrish Karvendrish
Dr. Alexandrish Karvendrish Rodríguez Tavárez, specialized in Plastic Surgery, was trained at the Universidad Iberoamericana (UNIBE) in 2008, obtaining the title of Doctor of Medicine with honor Magna Cum Laude, in the same year she started her Law internship, at the Health Center of Santo Domingo, ending in 2009, when she decides to leave to Rio de Janeiro, Brazil to continue her academic and professional preparation. She was trained in General Surgery at the Santa Casa da Misericordia Hospital in Rio de Janeiro – 17th school, with a duration of 3 years, in 2013 she started her Postgraduate in Aesthetic Medicine at the Souza Marques Technical-Educational Foundation with an approach specially directed to cosmetic procedures during one year and in 2014 she started her Postgraduate in Aesthetic and Reconstructive Plastic Surgery, at the prestigious Postgraduate Service in Plastic Surgery Professor Ronaldo Pontes at the Niterói D’or Hospital in Rio de Janeiro, where she stood out for her commitment, ability, respect and exceptional attention with everyone.
During the 7 years she lived in Brazil, she took several courses and attended both national and international conferences, perfecting her knowledge in the field of Plastic Surgery. She is a member of the Dominican Society of Reconstructive and Aesthetic Plastic Surgery (SODOCIPRE), Ibero-Latin American Federation of Plastic Surgery (FILACP), Dominican Medical College (CMD) and Brazilian Society of Laser in Medicine and Surgery (SBLMC).


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