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Breast Reduction

Many women with large breasts suffer from back, neck, or shoulder pain because of the weight of their breasts. These are serious issues that can affect many aspects of your life. The solution to the pain you are experiencing may be breast reduction surgery performed by Dallas plastic surgeon Dr. Vasdev Rai.

Breast Reduction Candidates

Knowing whether it is the right procedure for you is a personal decision that must be made with time and careful consideration. In consultation with Dr. Rai, you will discuss what the procedure can accomplish for you.

You may be a good candidate for this procedure if your large breasts:

  • Cause you to suffer pain in your back, neck, or shoulders
  • Keep you from exercising or participating in sports
  • Attract unwanted, insensitive attention from others
  • Are asymmetrical and cause you embarrassment or difficulty finding clothing

How Breast Reduction Can Help You

Dr. Rai offers a reliable method to reduce the size and weight of your breasts and simultaneously improve their shape. Breast reduction can give you smaller, naturally shaped breasts that give your body a beautifully balanced look and relieve your symptoms so that you can enjoy life to the fullest.

We recognize that every woman brings her unique ideals and body issues to the procedure. Dr. Rai will listen to your needs and cosmetic goals and customize your breast reduction to achieve the results that you will feel confident and pleased with.

Are you suffering from the pain and embarrassment of too large breasts? Call 972-566-6500 today or contact the Cosmetic Surgical Center to schedule your consultation with experienced Dallas breast reduction surgeon Dr. Rai.

Breasts that are disproportionate to the body because of their size can be reduced to restore more natural proportions. The degree a breast is reduced varies from a minimal reduction to an extreme reduction – based on its starting point, the patient’s desire, and the surgeon’s aesthetic judgment.

Breast reductions fall into two categories, Cosmetic Breast Reductions or Functional Breast Reductions.

Cosmetic Breast Reductions:

In this case, breasts are not too large or heavy to cause any health issues. However, they are out of proportion with the body. A subtle to moderate-size reduction is all that is needed to create a harmonious bodily appearance. Surgery in this case is strictly cosmetic in its goal.

Functional Breast Reductions:

This subgroup of large breasts is large enough to cause symptoms. Symptoms may be back pain, shoulder strain, and pain, even shoulder grooves from the pull-on bra straps. Sometimes, but not always, large reductions may be covered by some but not all insurances. Usually, authorization from the insurance company is required before proceeding with surgery.

Surgical Technique:

Many different techniques are at disposal of plastic surgeons for breast reductions. A surgeon will use a combination of available surgical techniques along with his/her take on those to deliver the best possible outcome. Good surgeons do not depend on a cookie-cutter approach. This is our philosophy for all our surgeries at the Cosmetic Surgical Center of Dallas.

Common to all large breasts are the following attributes:

They are large and heavy and disproportionate to the rest of the patient’s body. They are long and wide, and the nipples are positioned low on them.

Before & After Patient Photos

  • Breast Reduction before
    Breast Reduction after

    *Individual Results May Vary

View More Before & After Cases

Markings for new design

The new nipple-areola position is determined first. This is determined by using multiple reference points on the body that are then, blended with the aesthetic sense of the surgeon. Locations of breast creases, collar bones, and the midline of the chest and arms are used as reference points in determining desired nipple-areola position.

Since large breasts are long, the amount of tissue needed to shorten the breast is marked. Since large breasts are wide, the amount of tissue needed to narrow the breast is marked. Since large breasts extend to the patient’s armpits, this excess is marked for reduction or liposuction. Many times, liposuction will be needed around the new breast mounds to define their shape. This is marked as well.


Breast reduction is done under general anesthesia. Only an anesthesiologist who is certified by The American Board of Anesthesiology gives anesthesia in our Cosmetic Surgical Center.

Breast Reduction Procedure


The surgery starts by repositioning the nipple-areola complex to its new position. Most of the time it is accomplished by using bridges of deeper layers of skin that carry the attached nipple-areolas to their new location and still preserve most of their connection to the underlying breasts. These bridges are called pedicles. Several pedicle designs are available. Namely, superior pedicle, inferior pedicle, oblique pedicle, etc.

If the breasts are very large or the nipple-areola complex is too low a Free Nipple-Areola Graft technique is needed since the pedicle techniques will not provide an adequate blood supply.

Patients who can be reduced with pedicle techniques sometimes can breastfeed. This function is lost with a free graft technique.

In the next step, the vertical and horizontal skin excess is removed.

The breast size is reduced. The shape of the new breast is enhanced as it is reduced. Essentially, it is a four-dimensional breast shaping.

Sometimes drains are used. Sometimes drains are not necessary.


Breast reduction is an outpatient surgery. Pain is mild to moderate. Drains can be removed in 2-3 days. Most stitches are removed in 7-14 days. Full activity is permitted for six weeks.


All surgeries have some risks. With breast reduction surgery, there is a risk of scarring, circulation concerns, bleeding, loss of skin, loss of nipple-areola complexes, the risk to breastfeeding capability, and loss of sensation.

Achieving aesthetic goals in cosmetic breast reduction and relief of painful symptoms in cases of a functional breast reduction usually outweigh any negatives.

In general, patients are extremely happy with breast reduction surgeries.

Breast Reduction Questions

Why would I have breast reduction?

If you are suffering from the effects of breasts that are too large, you may be familiar with the back and neck pain that can come from carrying that excess weight on your chest. You may also be limited in the activities you can participate in or the clothes you feel comfortable wearing. A breast reduction can alleviate your pain and bring your breasts into a proportionate size with your figure.

What is the recovery time for breast reduction?

Most patients can return to work or school within a week of their surgery and can return to more strenuous activities, such as exercise and sex within four to six weeks. However, it is important to remember that your body will heal at its rate. Dr. Rai will monitor your recovery at your follow-up appointments and clear you for activities as he feels you are ready to resume them.

Can I combine breast reduction with other procedures?

Yes. Often for patients who are suffering from pronounced asymmetry in their breasts, breast reduction is paired with a breast lift or even breast augmentation for the smaller breast. In consultation with Dr. Rai, you will discuss which combination of procedures will produce the results you are looking for.

If you have more questions about how this surgery can alleviate your pain and help you fully enjoy life, call 972-566-6500today to schedule your consultation with experienced Dallas breast surgeon Dr. Rai.



Breast Reduction Testimonials

  • “Dr. Rai has increased the quality of my life”

    It is hard to know where to even begin when it comes to praising Dr. Surjit Rai. I will start by sharing that I began researching Surgeons for my breast reduction about two years ago. I researched countless practices, and interviewed 4 Surgeons in person. I drove from Austin to Dallas to interview Dr. Rai, and I felt incredibly comfortable and safe from our first consultation. He has the bedside manner you expect from a nurse; kind, caring, a great listener, and incredibly patient. I knew right away I had finally found the Dr I could trust! Deciding to have a breast reduction is a scary process and I needed someone who really listened to me, and who I trusted had the skill set to create the results I was requesting. I researched and emailed pictures of the results I desired, and my results are exactly what I asked for! My scars are very minimal, and I am healing beautifully! I am so much more comfortable and confident, and I owe it all to Dr. Rai. If you are a woman considering a breast reduction, you have found the right Dr! My results are gorgeous, and the recovery has been smooth, and life changing! Dr. Rai and Christan are always available via phone, and emails to answer your questions, and they really do treat you like family. Dr. Rai has increased the quality of my life in an immeasurable way, and I am beyond grateful.

  • “Amazing Experience”

    My experience was amazing with Dr. Rai and his staff. From the moment of my first appointment until after my surgery he has been amazing. He has great bedside manner and always answers all my questions without hesitation. I got a beast reduction and I’m very pleased with his work. He has given me back my confidence. I would definitely recommend him!!

Read More Breast Reduction Testimonials

Your Breast Reduction will be performed at the Cosmetic Surgical Center by Dr. Rai in Dallas, TX.

  • American Society of Plastic Surgeons
  • Texas Medical Association
  • Texas Society of Plastic Surgeons
  • Dallas Society of Plastic Surgeons
  • Dallas County Medical Society

How Much Does Breast Reduction Costs

The cost of a Breast Reduction varies, because it is a highly individualized surgery tailored for each patient. The overall price may include anesthesia, operating room facilities, new breast implants, and other related expenses. Additional tests and imaging may also add to your total. Contact us for additional information

Schedule Breast Reduction Consultation

If you have any questions about Breast Reduction in Dallas, TX or would like to book a consultation with Dr. Vasdev Rai , please contact Dr. Vasdev Rai today. Our skilled team can help you get the sculpted body you have always desired.