Breast Reduction

The symptoms women with large breasts frequently experience are chronic neck, shoulder, and back pain, shoulder grooving and skin irritation, a rash in the creases beneath the breasts, and limitation of normal activities of daily living including exercise activities.

Breast reduction is generally considered to be a reconstructive plastic surgery procedure and thus many insurance companies will help cover the cost of the surgery. After a careful evaluation, we will be glad to prepare an insurance letter on your behalf for pre-approval. Most insurance companies will ask if the patient is overweight and if conservative treatments, such as diet and exercise have been tried to alleviate the problem. We recommend that patients achieve a realistic weight before considering breast reduction surgery.

Reduction Procedure
Breast reduction is generally performed in the hospital setting if covered by insurance, or may be accomplished in our office operating suites if the patient is paying for the procedure themselves. The incisions typically go around the areola margins, up and down underneath the areola areas, and in the creases of the breasts presenting as an inverted T or anchor type pattern. The procedure involves removal of both breast and fatty tissue to help achieve an appropriate breast reduction. At the same time, the breasts are lifted to achieve a more youthful upright shape. The lifting of the breasts involves relocation of the nipple/areola areas, and generally, the nipples are transferred still attached to the breast tissue with what is called a pedicled nipple transfer.

In some cases, the nipples must be detached and replaced as grafts and this is called a free nipple graft. If the nipples are left attached, nipple sensitivity is usually preserved and the ability to breast feed might also be preserved. If the nipples are detached then there is always some initial numbness of the nipples and breast feeding would not be possible.

We discuss your goals with regard to final breast size. Most individuals prefer to be in the C cup range although some patients prefer to remain a bit larger or be smaller. It is not possible to exactly predict final breast size but most individuals usually end up with a breast size and shape that fits their body and at the same time note excellent relief of their medical symptoms.

We have choosen to include a few photos of breast surgery on our website. Our free Information Book contains many more patient examples, showing a wide variety of pre- and post-surgical body shapes.

Before and After

Patient 1, Surgeon: Dr. Dunagan

Before After
Before After
Before After

Patient 2, Surgeon: Dr. Yates

Before After
Before After

Patient 3, Surgeon: Dr. Alison

Before After
Before After


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