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Breast Reduction


Oversized breasts can create social and functional issues for women. Furthermore, overly large and unbalanced breasts can lead to self-image issues as well as neck and back pain. Dr. Ryan Couvillion is a plastic surgeon in Houston, TX who helps many women rebuild their confidence and enjoy an active lifestyle through breast reduction surgery, otherwise known as a reduction mammoplasty. This cosmetic surgery at SBA Dermatology removes excess fat, tissue, and skin to reshape the breasts and restore a more normal size. This surgery also reduces the size of the areolas and moves the nipple/areaola complex so they look natural with the new size. 


If you have large, heavy breasts that get in the way of everyday life, breast reduction surgery may be what you need to attain the silhouette and relief you desire. A breast reduction is an effective procedure for women who cannot live a fulfilled and active life because of the size of their breasts. If you also suffer from consistent skin rashes or irritations (as well as body pains), breast reduction surgery can reduce these medical conditions. It is crucial that patients are at a healthy, stable weight and choose an experienced surgeon, like Dr. Couvillion, who listens to their aesthetic goals and has the knowledge to create a natural appearance. In most situations, the best candidates for this procedure are fully matured individuals who have realistic expectations about the results they can achieve.


"This was my first time getting any major surgery done, I got Lipo, breast implants and lip injections. I never once felt nervous or thought I was making the wrong decision. Dr, Couvillion's knowledge and expertise put me at ease from the moment I walked into his office. Everything came out amazing and I couldn't be happier with the results! Would highly recommend Dr. Couvillion to any patient looking for cosmetic surgery, you will not be disappointed!"

- S.C. / Healthgrades / Feb 05, 2019

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Surgical breast reduction is an outpatient treatment and is conducted with the patient under general anesthesia. The duration of the surgery depends on various factors, including what incision method is used, the general technique, and finally, the degree of reduction. The areola and nipple area repositioning will also be a factor. In some cases, liposuction may used for fat removal to reduce breast size. During the consultation, all of these aspects are addressed with Dr. Couvillion. The planned scar locations are thoroughly discussed. Careful surgical technique and placement in natural lines leads to a decrease in the visibility of scarring. Based on the complexity of the size and overall reduction, either an inverted-T or a straight line (vertical) incision will be used. Breast fat and tissue will then be removed, and the remaining skin and tissue will be tightened and lifted.


Once surgery has been completed and patients have recovered from anesthesia, they are then released home to begin the healing process. A compression bra will be provided for a few days that will provide support of the breasts. In a month or so, the breasts will settle and the post-surgery effects will go away. Many of our patients at SBA Dermatology say they feel less weighed down and more self-assured. Following surgical breast reduction, you can enjoy the clothes you have always wanted and have more confidence in your new figure. Keep in mind that it is important to maintain healthy body weight so the outcomes are not negatively impacted.


How much does breast reduction surgery cost?

Your cost for breast reduction surgery can be reviewed with Dr. Couvillion in your consultation. When he has created your personal treatment plan, it is easier to calculate your costs, including facility fees, anesthesia, and more. Reduction surgery usually leads to a dramatic improvement in all aspects of life, which is why our staff will help you find low-interest medical financing to help make your treatment easy to afford. We will also help you talk to your health insurance provider to see if your policy covers some of your expenses.

Will my insurance cover breast reduction?

Your health insurance might pay the cost of your surgery if it's considered medically necessary. If you want to use your insurance, talk to Dr. Couvillion so he can help you navigate the insurance process. You should also contact your provider to find out if your specific policy includes breast reduction surgery, as some insurers do not cover this procedure.  Insurance companies require a large amount of information, such as your weight, height, body surface area, and body mass index (BMI), as well as photos.  They use this information to determine if they will cover the procedure.

Will my nipples be moved?

Usually, the nipples and areola will be moved up to a central position during breast reduction surgery. If a significant amount of breast tissue and skin needs to be removed, your nipple-areola area may be cut out and moved. Dr. Couvillion will select an incision technique that is appropriate for your specific situation. Your options will be explained in your consultation before Dr. Couvillion helps you choose the best treatment plan to meet your goals.

Can I breastfeed after a breast reduction?

Reduction surgery can affect breastfeeding. Although some women can still breastfeed after a surgical reduction, other women cannot. It's difficult to know whether your breast reduction will interfere with breastfeeding, though your breasts are likely to change size and/or shape through the breastfeeding process.

Can my breasts regrow after surgery?

Following breast reduction surgery, your breasts may get smaller or bigger with weight changes or with breastfeeding/pregnancy. Therefore, it is better to be at a healthy weight prior to your surgery that you can easily maintain. In your consultation, Dr. Couvillion will discuss the best ways to prepare for your reduction and what you can do after to help make sure your results last.


Dr. Couvillion has helped many women take part in a more active life with breast reduction surgery. During a consultation at SBA Dermatology, Dr. Couvillion will discuss all the steps that may be needed to attain your aesthetic desires and create a customized surgical plan to fit your goals. There's no reason to continue simply accepting the lack of confidence or discomfort that can accompany large breasts. We invite you to call our office in Houston, TX to learn more about this outstanding breast reduction treatment.

 When it comes to treating your skin, it's important to choose a specialist who knows the skin inside and out. To meet with one of our board-certified dermatologists or other experienced practitioners, call our office at 713-850-0240.