Breast Reduction

If you live in Fort Worth, Frisco, or Plano, Texas, you’re likely to hear about 2301 Plastic Surgery if you research breast enhancement surgeons. Although we tend to hear more talk about breast augmentation, Dr. Bogdan and Dr. Cason also specialize in creating beautiful, natural-looking results from breast reduction surgery. Women with overly large breasts — a condition called macromastia — can greatly benefit from breast reduction surgery. The procedure has one of the highest rates of patient satisfaction of all plastic surgeries, due to the physical and psychological relief it provides to women with very large, heavy breasts. It is important to note that our practice is exclusively cosmetic. As such, we do NOT participate in any insurance programs, and cannot work with insurance companies to cover a breast reduction.

Breast Reduction Before & After Photos


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Who Is a Candidate for Breast Reduction?

Breast reduction is an appropriate procedure if you are self-conscious about large breasts, they are causing physical discomfort, they limit a physically active lifestyle, or a combination of these issues. Many breast reduction patients spend years dealing with symptoms associated with overly large breasts, including:

  • Neck, back, and shoulder pain
  • Posture problems
  • Rashes and skin irritation under the breasts
  • Painful indentations from bra straps
  • Enlarged areolae
  • Extensive sagging, stretched skin, stretch marks

Psychological reasons are just as compelling as physical discomfort for patients considering breast reduction. Like most plastic surgeons, Dr. Bogdan and Dr. Cason have heard breast reduction patients describe the unwanted attention they get because of the size of their breasts. Some of these women get teased as adolescents and feel the need to hide their bodies beneath baggy, shapeless clothing due to their self-consciousness.

Experience Matters
Meet The Doctors

Get to know Dallas-Fort Worth plastic surgeons Dr. Michael A. Bogdan and Dr. Roger W. Cason of 2301 Plastic Surgery. They are highly credentialed surgeons who share a passion for their craft and a genuine concern for each patient's personalized care.

Choosing Breast Reduction Surgery

Breast reduction surgery removes excess breast tissue, skin, and fat using incisions made directly on the breast. It is typically performed as an outpatient procedure utilizing general anesthesia.

The most common and most reliable form of the operation uses the anchor incision, also commonly used for breast lift. To help patients understand why this type of incision is needed, Dr. Bogdan created an animated video. As you’ll see, the surgery involves moving the nipple areolar complex without detaching it from its blood supply or sensory nerves.

Performing Breast Reduction

Anchor Incision

The anchor incision is the most common technique used in breast reduction because our surgeons can remove more breast tissue, fat, and skin without compromising the aesthetic results. Because the nipple must be repositioned during breast reduction, the incision encircles the entire areola. From the areola, a vertical incision bisects the lower portion of the breast and then meets with a curved incision along the underside of the breast. Excess breast tissue, skin, and fat is removed through these incisions and, in some cases, reduces the size of the areolas. The nipple is then repositioned higher on the breast while it remains attached to nerves and blood vessels. The incisions are sutured and the result is a lifted and tightened breast that is more in proportion with the patient’s body.

Vertical Incision

A vertical breast reduction uses what is sometimes called a “lollipop” incision because it encircles the areola and then descends in a straight line. The result is similar to a lollipop shape. No horizontal incision near the base of the breast is necessary because less breast tissue, fat, and skin is removed during the procedure. This incision method is appropriate for women who require a lesser degree of reduction.

Optimal Results

Breast reduction surgery involves more than just making your breasts smaller. It is an aesthetic procedure that involves sculpting and re-shaping the breasts into a pleasing contour. As with any cosmetic surgery procedure, it is critical that you choose a plastic surgeon with high levels of training, experience, and patient satisfaction. A surgeon with Dr. Bogdan’s and Dr. Cason’s skill and experience creates incisions with meticulous care, but some patients may still develop visible scarring. Our surgeons thoroughly discusses scar care with each patient to ensure your results are cosmetically pleasing.

Your Next Step

No amount of online research can answer all of your questions as completely as an appointment with one our our physicians. If you are interested in learning more about breast reduction surgery, request a consultation using the online form. Or call our office at (817) 442-1236 to schedule an appointment.