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Breast Reduction Procedure Overview

While many women seek larger breasts through breast implants, there are other women who wish to reduce the size of their breasts with breast reduction surgery. Women with oversized and drooping breasts not only are unhappy with the aesthetic appearance of their breasts, but the extra weight can result in a number of health concerns, including neck, back, and shoulder pain.

Dr. Leo Lapuerta is one of the most respected plastic surgeons in Houston, Katy, and Pearland, Texas, offering patients breast reduction surgery to improve their appearance and overall health. With over 20 years of experience and 20,000 procedures under his belt, Dr. Lapuerta has the experience and expertise to help any patient make their breast reduction goals a reality.

  • Review from M. P.
  • Source: Google
  • May 20, 2016
AMAAAAAAAAAZING!!!!! I have never looked better. I had 2 liposuction's with Dr. Leo and the results are truly incredible. The whole staff is very sweet, understanding, knowledgeable and friendly. I would refer anyone to them. Like

What is Breast Reduction Surgery?

Breast reduction surgery is sometimes necessary for women with oversized breasts that have begun to droop. This is because heavy breasts often create various medical conditions, including skeletal deformities, neck and back pain, and severe headaches. Houston plastic surgeon, Dr. Lapuerta, is a breast reduction specialist offering women in the greater Houston, Katy, and Pearland area the opportunity to have an increased quality of life with smaller, lighter breasts. During surgery, excess skin and tissue are removed. Some women may require a breast lift in conjunction with breast reduction surgery, and in many cases, the areola will also need to be repositioned.

Breast Reduction Candidates

The ideal candidate for breast reduction is any woman who wants to reduce the size of her oversized, heavy, or drooping breasts. Candidates should be in good overall health, and not have any planned weight fluctuations in the future. Women who may be planning on breastfeeding should bring any concerns up with Dr. Lapuerta, as some breast tissue may be removed that contains glandular tissue and ducts. 

Patients need to go into the procedure with accurate expectations. Prior to the procedure, Dr. Lapuerta will partner with the patient to better understand exactly what it is they desire. During the surgical consultation, Dr. Lapuerta will have open communication with the patient to make sure they are on the same page, and then make a treatment plan. Once a treatment plan is decided upon, Dr. Lapuerta will clearly explain exactly what to expect before, during, and after breast reduction surgery, making sure they do not have misconceptions about any step of the process. 

Breast Reduction Surgical Technique

During breast reduction surgery, surgeon skill is important, which is why it is important to only trust a plastic surgeon with an excellent reputation. In addition to minimizing breast reduction scars, there will be a focus on maintaining a healthy blood supply to the nipple areola complex. This is essential because once the nipple and areola are repositioned, blood vessels will work to reestablish blood flow in order to prevent discoloration of the nipple and loss of feeling. Excess breast tissue is generally removed through a liposuction method, and loose skin will also be surgically removed.

Breast Reduction Incision Placement

An “anchor” incision is one of the most commonly used techniques during this surgery. An incision is made around the areola, which extends down to follow the natural curve and crease of the breast. It is also referred to as a vertical “T.” Once the breast is resized and reshaped, the nipple and areola will be repositioned and then the lift will be performed so the breast sits higher on the chest. The incisions will generally include absorbable stitches on the inside of the breast. There are variations to this incision pattern that can be used depending on breast size and aesthetic goals.

What to Expect During Breast Reduction Surgery

A breast reduction is performed under general anesthesia at an accredited surgical facility as an outpatient procedure. Dr. Lapuerta will perform any breast reduction surgery at his on-site accredited operating room and surgical procedure, with the assistance of a professional and knowledgeable long-term staff and cutting-edge equipment. It typically takes about 2-4 hours to complete. During surgery, a training tube may be placed to control bleeding and swelling.

Breast Reduction Recovery

Patients should expect some bruising, swelling, and tenderness immediately following the procedure, but these side effects should subside with time. There will be some mild discomfort, and if a patient is in serious pain, it can be managed with pain medication.

For the first several weeks of breast reduction recovery, patients will be directed to wear a surgical bra or compression garment. Most patients are able to return to work within 1-2 weeks and may begin exercising after 4-6 weeks. The visible results of a breast reduction will be immediate. However, it may take 6 months or longer for nipple sensitivity to return.

Breast Reduction Scars

During breast reduction surgery, Dr. Lapuerta does everything possible to minimize the appearance of any kind of scars. However, breast reduction scars will be visible following the procedure, although they may slightly fade over time.

Breast Reduction Insurance Coverage

Because larger breasts sometimes create physical problems for women, insurance may cover a portion of breast reduction surgery. Insurance coverage does vary, thus patients should confirm with their provider as to what will or will not be covered. After the initial consultation, our office will be able to submit an official surgery recommendation letter to the insurance company to assist in gaining coverage. Our billing and insurance coordinator will work with each patient on this.

Expected Breast Reduction Cost

Each breast reduction surgery is different, so it is hard to offer a firm estimate of the cost. The average breast reduction cost with a breast lift averages between $7,000-$8,500. However, some patients do not require or want a breast lift, and if that is the case, the price will be lower. The best way to get an accurate breast reduction cost estimate is to request a consultation. During a consultation, Dr. Lapuerta will examine the patient’s breasts and medical history, and then partner with the patient to help them reach their goals. Once Dr. Lapuerta has completed his consultation and has a treatment plan, he can provide an updated breast reduction cost estimate.

To learn more or to request a consultation, contact Dr. Lapuerta today.


  • Recovery Time
  • 1-2 Weeks
  • Average Procedure Time
  • 2-5 Hours
  • Post-op Follow-up
  • 1 Week
  • Procedure Recovery Location
  • In & Outpatient


The results following breast reduction surgery should remain the same as long as a significant amount of weight gain does not occur. The natural aging process and gravity will, over time, change the laxity of a woman’s breast, but the size should remain steady if there is not a pregnancy or weight gain that follows.
One of the drawbacks to having excessively large breasts is an enlarged areola (the slightly darker area surrounding the nipple). Thankfully, breast reduction surgery corrects this. Since the incision occurs around the areola, it is a relatively simple technique to trim away the desired amount of areola and reshape it into a smaller size so it looks proportional with the new breast size and shape.
This varies depending on the patient’s aesthetic and physical goals. After breast reduction surgery, it is common to go down a complete cup size, if not two.
Leo Lapuerta Plastic Surgery