Breast Reduction in Henderson & Las Vegas, NV

Board Certified Female Plastic Surgeon Specializing in Breast Reduction Surgery

Many women suffer from a condition called "macromastia," or excessively large breasts. Macromastia can be highly uncomfortable and even debilitating, causing physical problems such as back and shoulder pain as well as issues such as ill-fitting clothes or unwanted attention. For women suffering from this condition, breast reduction surgery can be life-changing.

Here at Desert Hills Plastic Surgery Center in Henderson, NV, we aim to help women look and feel their best. Dr. Hayley Brown is a renowned surgeon with extensive experience performing breast reduction surgery. Call us at 702-260-7707 to learn more and book your consultation!

What Is Breast Reduction Surgery?

Breast reduction surgery, also called "reduction mammaplasty," is a surgical procedure where excess tissue is removed from the breasts, the skin is tightened, and the nipple and areola are repositioned. Breast reduction often results in a full breast lift effect, as well. Excess tissue weighs the breasts down, so when it is removed and the skin is tightened, the breasts naturally become lighter and perkier.

There are two main types of breast reduction surgery, as follows:

  • Vertical Breast Reduction: This type of procedure is done when the patient has small to moderate macromastia and good overlying skin tone. During a vertical breast reduction, tissue is removed from the lower central aspect of the breast, skin is tightened around the areola, and the nipple and areola are raised and made smaller.
  • Full Breast Reduction: A full breast reduction is more commonly performed for moderate to severe macromastia and associated sagging. During this procedure, tissue will be removed from all around the breast, and skin tightening as well as full breast reshaping will be performed. The nipple is raised to a more central location on the breast and made smaller to match the new breast size.

How Much Does A Breast Reduction Cost?

Costs: Breast reduction costs begins at $20,000 depending on the complexity of the case. This includes surgeon fees, anesthesia fees and surgery center fees.

Watch the video below to hear Dr. Brown discuss the cost for breast reduction surgery.


To get a customized cost estimate, please arrange a consultation with Dr. Hayley Brown.  We also offer financing options through CareCredit and Prosper, both of which we can tell you more about at your consultation.

Am I A Candidate for Breast Reduction Surgery?

If you suffer from large breasts that cause problems in your daily life, you are probably a good candidate for a reduction mammaplasty. Everyday problems that overly large breasts can cause include:

  • Back, shoulder, and neck pain
  • Difficulty exercising
  • Ill fitting clothes
  • Unwanted attention when out in public
  • Difficulty finding a bra that fits
  • Pain from bra straps digging into shoulders

You may be an ideal candidate for a breast reduction procedure if you:

  • Have large, sagging, heavy breasts
  • Desire a decrease in bra size and lift of nipple
  • Are uncomfortable or self conscious about your breast size
  • Have difficulty exercising
  • Have pain in your back, shoulders, or neck due to the size of your breasts
  • Are a non-smoker
  • Are at a stable and healthy weight

What to Expect from Breast Reduction Surgery

Reduction mammaplasty is one of the most rewarding surgeries to perform, as it often results in a significant improvement in quality of life for patients. Back and neck pain improves, exercise becomes possible, clothes and bras start to fit better, and often the patient's entire self-image gets a boost.

It's important to remember that asymmetry is the natural state of breasts, and while improvements to symmetry can be made, the breasts generally will not be (and should not be) completely symmetrical after surgery.

In addition, as with any surgery, there will be resulting scars. Dr. Brown is highly skilled and can perform surgeries with the minimal amount of scarring possible, but you should expect some.

Breast reduction12

Over time the scars will fade, and they'll be able to be hidden even under a skimpy bikini. Most of our patients find that a few easily hidden scars are a small price to pay for a vast improvement in their quality of life.

What Is The Breast Reduction Procedure Like?

A reduction mammaplasty generally only takes two to three hours to perform. During the procedure, you'll be under general anesthesia. There's generally no need to stay overnight following a breast reduction; you can go home as soon as the anesthesia has worn off and you feel ready.

At no point during your surgery is the nipple fully removed. It will remain attached to the underlying blood vessels, nerves, and ducts so as to retain function and sensation. However, if you are undergoing a very large reduction, it is possible that there will be some temporary changes to sensation. Please feel free to discuss this with Dr. Brown during your consultation.

Breast Reduction Post-Operative Care

Following the procedure, it's very important to follow all of Dr. Brown's postoperative care instructions. Each individual is different, but generally you can expect the following:

  • The breasts are dressed in gauze and a surgical bra
  • You may need drainage tubes; these are used about 70% of the time and are removed in 4-6 days
  • Absorbable sutures, with small external knots trimmed between one and two weeks
  • Mild bruising and swelling
  • No strenuous exercise for four weeks
  • Return to non-physical work within one to two weeks
  • Sleep on your back for three to four weeks
  • Bra support is required day and night for months for protection and to optimize shape as they heal
  • Expect improvements in shape for months
  • Scars will initially be red and take at least one year to fade


Breast Reduction FAQs

How Much Time Do I Need To Take Off For Breast Reduction Surgery?

Watch the video below to hear more from Dr. Hayley Brown about taking time off from work for breast reduction surgery and recovery.


Schedule Your Breast Reduction Consultation Today

If your breasts are so large they are a hindrance to your everyday life, breast reduction surgery may be the answer. Call Desert Hills Plastic Surgery Center in Henderson, NV at 702-260-7707 today to learn more about how Dr. Brown can help you with your macromastia.

How Do I Know If I Need Breast Reduction?

First of all, the only person who can be the judge of whether you “need” a procedure is you. Dr. Brown makes sure her patients are choosing a cosmetic procedure for themselves – to address a concern that bothers them for personal reasons – not for someone else or to try to fulfill other people’s expectations. As part of that goal, she makes sure you know what breast reduction can do for you based on the condition of your breasts and your concerns.

As for the signs that you may be a breast reduction candidate, they may be physical and/or emotional in nature. For instance, your back, neck and shoulders may ache because of heavy breasts. There may be grooves or chafed spots where your bra straps dig into your shoulders. Women with overly large breasts often find it difficult to perform high-intensity exercise and they may find their breasts interfere with sleep because of discomfort.

You may also want to consider breast reduction if your bust size is distressing – that is, if it is impacting your quality of life. Many women with large breasts get unwanted attention from people who stare or make insensitive comments. Some may have been bullied when they were young women. You may feel distressed if you cannot find tops and dresses that fit your bust in a flattering way. All of these things should be considered as part of determining your candidacy.

What Causes Extremely Large Breasts?

Many factors influence large breast size, including:

  • Genetics
  • Weight
  • Hormonal changes
  • Aging

Generally, genetics plays an outsize role. The genes from your mother’s family as well as your father’s family contribute to breast size and other physical characteristics. If you have always had large breasts, attempts at reducing your breasts through weight loss may have little to no effect. A surgical reduction performed by Dr. Brown will permanently resize and reshape your breasts.

How Painful Is Breast Reduction?

The procedure itself is not painful because you will be anesthetized. Discomfort and soreness as you recover is expected, but we will make sure you know how to manage it, either with prescribed painkillers or over-the-counter medications. Soreness and stiffness around the breasts should get less and less intense over the next 1-2 weeks. These side effects will peak in the first 1-3 days, but we provide you with tips for mitigating pain. The vast majority of patients report that the recovery is manageable and well-worth the results.

How Many Cup Sizes Can You Go Down With Breast Reduction?

Many women go down 1-3 bra cup sizes after breast reduction. On the other hand, you may find that your bra size doesn’t change after this procedure, or changes in a way you didn’t expect.

In truth, bra sizing is not a reliable way to discuss breast size. Cups and bands vary by manufacturer and even by bra style. While Dr. Brown does want to hear about your desired size, please take note that there is no guarantee you’ll be a 36B just because that is what you described. Instead, Dr. Brown wants to make sure your new breast size flatters your body shape and proportions, and meets the expectations you describe to her. Telling her what cup size you are envisioning is a useful way to get on the same page, but shouldn’t be the sole deciding factor. She wants you to look and feel amazing. Helping you envision a new breast size that is neither too small nor too large is how she approaches your initial consultation.

Does The Procedure Also Lift The Breasts?

Yes, the excess tissue is removed and the nipples are lifted up higher on the new breast shape, so a reduction procedure also lifts your breasts and nipple-areola complex.

Who Do You Talk To About Breast Reduction?

You talk to an experienced, board-certified and compassionate plastic surgeon like Dr. Hayley Brown. Choosing any surgical procedure is a big decision. Your plastic surgeon should perform breast reduction routinely so that you can be sure they know what they are doing and that they provide great results consistently.

The founder of Desert Hills Plastic Surgery Center, Dr. Brown has been in private practice at our facility since the year 2000. She has performed thousands of breast reductions as well as other breast procedures. As such, she can provide valuable guidance and advice as you make this important decision about your body.

What Is Recovery Like Breast Reduction Surgery?

Following your breast reduction procedure, you will likely have some soreness for the next two to three weeks. To handle any discomfort during your first week in recovery, pain medication may be recommended by Dr. Brown.

Feeling sleepy or tired in the weeks following your surgery is very common. For most people, this tired feeling improves with each day of recovery. Any swelling you experience may last for up to four months following your procedure. Other common symptoms after breast reduction surgery include:

  • Bruising
  • Swelling
  • Numbness
  • Pain and tenderness
  • Fatigue and weakness
  • Rashes
  • Skin tightness

To ensure a successful, complication-free recovery, it’s essential to follow Dr. Brown’s aftercare guidelines during your healing period.

Are There Any Risks with Breast Reduction Surgery?

Just like any other cosmetic surgery, breast reduction does come with several risks, including:

  • Infection
  • Asymmetry
  • Excessive bleeding
  • Anesthesia risks
  • Blood clots
  • Chronic pain
  • Nerve pain
  • Scarring
  • Need for revision surgery

If you experience any of the above symptoms, contact the Desert Hills Plastic Surgery Center as soon as possible.

Can Breast Reduction Be Used for Gender Affirmation?

Yes, breast reduction can be a hugely beneficial transformation for gender-affirming surgery. Many transgender people often undergo breast reduction surgery to achieve gender affirmation. Commonly known as top surgery, many patients report that breast reduction allows them to feel a significant sense of gender euphoria, increase self-confidence, and improve comfortability in their own skin.

Can Breast Reduction Be Used for Breast Cancer?

Breast reduction has been shown to lower the risk of breast cancer. When there is less breast tissue, it's less likely that cancer will form. If you've been diagnosed with breast cancer, it's important to work closely with your oncologist to determine what next steps are the right fit for your needs. If you're concerned about breast cancer due to an increased risk based on your genetics or your family history, you may also benefit from a breast reduction.

What Is an Appropriate Age for a Breast Reduction?

Many patients in their 50s or 60s seek out breast reduction later in life due to hormonal changes or weight gain. However, young women are often also interested in breast reduction to improve their quality of life. To undergo a safe and effective breast reduction procedure, we recommend patients are at least 18 years of age.

Can Health Insurance Cover Breast Reduction?

Insurance companies don’t want to pay for things that are clearly medically necessary, let alone a procedure that may be partially cosmetic. Depending upon your insurance company, some do offer benefits for surgical treatment of symptomatic macromastia. Each policy has certain criteria that need to be met in consideration for payment for breast reduction. Typically, symptoms of back pain, neck and shoulder pain with failure of conservative management need to be ongoing and documented. In addition, they may have certain tissue requirements, for example, 500 grams of tissue needs to be removed for benefits. This may or may not be realistic, depending on the candidate.

Expect to pay for surgery, and do not expect financial reimbursement from your insurance company or you are likely to be disappointment and unprepared. Dr. Brown is not on any insurance plans and therefore does not take insurance for breast reduction surgery. However, in patients who undergo breast reduction surgery for medical reasons, she can provide you with documentation and codes for insurance billing purposes. Ultimately, it is your responsibility to obtain reimbursement from your insurance company. Never expect full payment back from your insurance, only a small percentage of overall cost is realistic. In patients who need to go the insurance route, it may be preferable to call your insurance company to determine if there are plastic surgeons who service your insurance plan, and then consult with the plastic surgeon your insurance recommends.

Here is one example of an insurance company’s policy for breast reduction reimbursement (every insurance company is different):

  • The individual is at least 18 years of age or breast growth is complete.
  • Macromastia is causing at least ONE of the following conditions/symptoms with documented failure of at least one continuous three-month trial of appropriate medical management:
    • shoulder, upper back/neck pain, and/or ulnar nerve palsy for which no other etiology has been found on appropriate evaluation
    • intertrigo, dermatitis, eczema, or hidradenitis at the inframammary fold
  • The potential causes of the above conditions/symptoms, other than breast size (e.g., intervertebral disc disorder, arthritis and rheumatologic disorders) have been evaluated and ruled out OR breast size has been documented as exacerbating the underlying condition (e.g., intervertebral disc disorder, arthritis and rheumatologic disorders) contributing to symptoms.
  • Preoperative photographs confirm the presence of BOTH of the following:
    • significant breast hypertrophy
    • shoulder grooving from bra straps and/or rashes need to be present
  • Average weight of tissue to be removed in each breast is above the 22nd percentile on the Schnur Sliding Scale based on the individual’s body surface area (this is a sliding scale that specifies the amount of breast tissue that needs to be removed in grams, based on a patient’s height and weight).

Insurance does not cover reduction mammaplasty for either of the following indications because it is considered cosmetic in nature and not medically necessary:

  • Surgery is being performed to treat psychological symptomatology or psychosocial complaints, in the absence of significant physical, objective signs.
  • Surgery is being performed for the sole purpose of improving appearance.

Insurance does not cover suction lipectomy or ultrasonically-assisted suction lipectomy (liposuction) as a sole method of treatment for symptomatic macromastia because such treatment is considered unproven in the treatment of symptomatic macromastia.

In our practice, we do see insurance covering costs of prescription medications, preoperative testing and mammograms, and breast tissue pathology bills on a regular basis.

Can I Combine Procedures?

Breast reduction surgery is often performed in conjunction with other body contouring procedures such as liposuction or tummy tuck for a full body makeover. As long as you are healthy and at a good BMI, it may be possible to have these procedures done simultaneously. Talk to Dr. Brown about your options.

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