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Breast reduction surgery, or reduction mammoplasty, is a procedure designed to reduce the size of the breasts and create an improved breast shape and form. Large breasts can cause pain to the breasts, back, shoulders, and neck. Some patients may experience problems with posture including shoulder grooves from bra straps or skin discomfort.

Patient Testimonial


" I knew what to expect, was treated intelligently, the office staff couldn’t be more cordial or professional. " - SW Breast Reduction Patient

How is Breast Reduction Performed?

Breast reduction surgery removes excess breast tissue, excess skin, and reshapes the breasts to be in better proportion to the rest of your body. During the process, the nipple which is droopy on a large breast is elevated to a new, more aesthetic position on the breast mound. Some liposuction of the chest next to the breasts may be performed at the same time to improve the resulting shape of the new breast.

Although you can expect relief from your symptoms with a breast reduction, many insurance plans will only cover the procedure if you are not overweight (BMI <= 26) and will have more than 2 pounds of tissue removed. Some carriers have even more stringent requirements. We have plenty of happy patients turned down by their insurance who had the procedure on their own with CARE and benefited just as much. Dr. Coan located in Cary, NC is an expert in breast reduction.  Give us a call today at CARE to learn more about your surgery with us.

When can I sleep without a bra after breast reduction?

We advise our patients to wear their compression bra for 6 weeks following surgery. After this time frame, patients may sleep without a bra. However, we do encourage patients to wear adequate support on a day-to-day basis.

Does weight gain increase breast size?

Weight fluctuations can result in changes in a patient’s breast size. We encourage our patients to be within 10 pounds of their ideal weight prior to surgery so as to provide the most accurate assessment for their size and proportions.

Does breast size affect weight?

While breast size can affect an individual’s weight to a degree, it is better said that weight can affect breast size. Breasts can be considered dense, comprised mainly of breast tissue, or they can be considered fatty. This is best determined by your board-certified plastic surgeon. With fatty breasts, weight fluctuations carry a greater impact on breast size. Dense breasts comprised mainly of breast tissue do not change much with weight fluctuations.

Can breast grow back after reduction?

If the breast is considered to be fatty in nature, there is the possibility that weight gain could lead to an increase in breast size, even after a reduction

Can you drink alcohol after breast reduction?

We do not recommend drinking alcohol in the immediate post-operative period after any surgery, including a breast reduction.

Does insurance pay for breast reduction?

Many patients consider having a breast reduction under insurance. This is a possible scenario if a patient meets the indicated criteria. At CARE Plastic Surgery, we are out-of-network with all insurance companies.

How do you know when you need a breast reduction?

Signs of needing a breast reduction can include dissatisfaction with large breast size, neck/back/shoulder pain, and a feeling of heaviness and/or droopiness of the breasts. Ultimately, this is a patient-driven decision based on their desired aesthetic goals.

Do you lose feeling in your nipples after breast reduction?

Contrary to common misconceptions, Dr. Coan does not remove the nipple during a breast reduction procedure. Instead, the nipple is maneuvered into the correct position to provide a youthful breast shape. In doing this, the nerve and blood supply are kept intact. While it is possible that some nerves may be affected during surgery, causing possible diminished nipple sensation, there are several nerves responsible for providing sensation to the nipple and breast. Both nipple hypersensitivity and hyposensitivity are possible outcomes from surgery.

How dangerous is breast reduction surgery?

Breast reduction surgery is a relatively safe procedure if the appropriate protocol is taken. We always recommend choosing a board-certified plastic surgeon for your cosmetic procedure to ensure all safety measures are taken accordingly.

How is the recovery from breast reduction?

After a breast reduction, we recommend against any activity that will increase heart rate and/or blood pressure for 6 weeks after surgery, including exercise.

How long do stitches stay in after breast reduction?

The sutures used in breast reduction are completely absorbable and begin to dissolve at around three months after surgery.

How long does it take for swelling to go down after breast reduction?

This can be patient-dependent, as every patient is different. Most commonly, peak swelling occurs around 3-5 days after surgery. Over the subsequent weeks, swelling will gradually decrease. At around 6 weeks after surgery, the majority of swelling has resolved, and the overall breast volume will not change significantly. Final results are assessed at three months after surgery.

Breast Reduction Video


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