First of all I do all of my cosmetic surgery at North Texas Hospital which is on the very southern border of Denton on I-35 East. This a partially physician owned hospital of which I am one of the physician owners. I do not use a nurse anesthetist to put you asleep, I only use board certified anesthesiologists and therefore I virtually have no anesthetic problems. This is something many people aren't aware of and it should be one of the first questions asked to the plastic surgeon. Also, if someone either requests or needs to stay overnight there are mostly Intensive Care trained nurses on hand to take care of your every need.
I use incisions very similar to my breast augmentation and lift with an incision around the areola and a vertical scar from the areola to the breast fold. Again, no long incision is made in the breast fold and for this reason the post-operative discomfort is truly minimal. Not only are the breasts reduced in size but are also lifted significantly, sometimes from the level of the belly-button to around the new breast fold. This procedure is sometimes covered by insurance, but more and more policies are either excluding it altogether or make the criteria so strict that few women qualify to be covered. I have found that no matter how much breast tissue I remove all of my breast reduction patients feel much better and feel better almost immediately. They also look very good!