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Breast Reduction

Breast Reduction in Houston

Breast reduction creates a lighter, more proportional bust, and for many women, the physical and emotional relief is immediate. Dr. Paul Vitenas is a board-certified plastic surgeon with over 35 years of experience and more than 10,000 breast surgeries performed, and he approaches every breast reduction with the same focus on natural-looking, balanced results.

35+ Years of Experience
3k+ Real Patient Reviews
10,000+ Breast Surgeries Performed
Texas Super Doctor

Breast Reduction in Houston: What You Need to Know

Breast reduction, also known as reduction mammoplasty, is a surgical procedure that removes excess breast tissue, fat and skin to decrease the overall size and weight of the breasts. The remaining tissue is reshaped and lifted, and the nipple-areola complex is repositioned to sit naturally on the newly contoured breast.

Unlike many cosmetic procedures that are purely aesthetic, breast reduction frequently has a physiologic component. Chronic back, neck and shoulder pain caused by heavy breast tissue is well documented, and many patients report significant or complete relief after surgery. That functional benefit is part of why breast reduction consistently ranks among the highest-rated cosmetic procedures for patient satisfaction.

Before & Afters

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Benefits of Breast Reduction

The impact of breast reduction reaches well beyond the physical. Many women describe the procedure as life-changing because of how much better they feel on a daily basis. Some of the most common breast reduction benefits include:

Relief From Chronic Pain

Reducing the weight pulling on your shoulders, neck and upper back can dramatically improve or eliminate pain that has persisted for years. Many patients also find that headaches and arm numbness improve after surgery.

Greater Physical Freedom

Activities like running, yoga and even walking comfortably become easier when your breasts are no longer working against you. Several patients tell Dr. Vitenas that getting back to exercise is the benefit they appreciate most.

A More Proportional Figure

Breast reduction brings your bust into better balance with the rest of your frame, which can make a noticeable difference in how clothes fit and how you carry yourself.

Healthier Skin

Rashes, chafing and skin breakdown beneath the breast fold are common with larger breasts, especially in Houston’s climate. Removing that excess tissue resolves the problem at its source.

Improved Confidence

When physical discomfort and self-consciousness lift at the same time, the effect on how you feel in your own skin can be profound.

Am I a Candidate for Breast Reduction?

You may be a good candidate for breast reduction if your overly large breasts cause physical discomfort, limit your activity, affect your posture or contribute to self-consciousness. Common signs include persistent neck and back pain, bra strap grooves in your shoulders, skin irritation beneath the breast fold and difficulty finding clothing that fits well.

Ideal candidates are in good overall health, nonsmokers (or willing to quit before and after surgery) and at a stable weight. Breast reduction can be performed on teenagers in some cases, particularly when breast size is causing significant physical discomfort or emotional distress, though Dr. Vitenas will want to confirm that breast development is complete before proceeding.

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The Dr. Vitenas Experience

What to Expect From Start to Finish

Your Consultation

Every Breast Reduction Journey Begins Here

Dr. Vitenas will open a dialogue for you to discuss your concerns and goals for your breast size and shape. He’ll perform a physical exam that involves evaluating your breast size, projection and skin quality. Then, he’ll explain what degree of reduction is realistic for your frame and recommend a surgical plan to help you finally achieve comfort and confidence. You’ll also review before-and-after photos of breast reduction patients with similar anatomy, discuss pricing and financing options, and have a chance to ask any questions.

Pre-Op

How Should I Prepare for Breast Reduction Surgery?

Stop smoking well in advance, avoid blood-thinning medications and supplements, and complete any required lab work. Arrange for a ride home after surgery and plan to have help around the house for the first several days. Dr. Vitenas will provide you with detailed pre-op instructions during your consultation.

Surgery Day

What Happens During a Breast Reduction?

Breast reduction is performed under general anesthesia in Dr. Vitenas’ AAAASF-accredited surgical center. You will arrive approximately one to two hours before your scheduled surgery time. Our knowledgeable staff will check you in and prep you for surgery, and you’ll meet with Dr. Vitenas to go over any last-minute questions.

The procedure typically takes two to three hours. Dr. Vitenas most commonly uses an inverted-T incision pattern (around the areola, vertically down to the breast crease and along the crease), which allows for the most thorough reshaping when a significant amount of tissue needs to be removed. Through these incisions, Dr. Vitenas removes excess breast tissue, fat and skin, reshapes the remaining breast mound and repositions the nipple-areola complex higher on the chest. He may also use liposuction along the sides and underarm area for additional contouring.

Breast Reduction Recovery Timeline

A long-acting local anesthetic is applied at the end of breast reduction surgery, so most patients wake up with tightness but very little pain. You’ll go home the same day with post-op care instructions. Here’s what to expect as you recover:

Days 1-3

Mild discomfort, swelling and tightness. Most patients manage well with prescription medication for the first day, then transition to Tylenol. You’ll wear a surgical wrap or supportive bra as directed.

Week 2

Many patients feel well enough to return to desk work. Avoid lifting anything heavy, and follow your wound care instructions carefully.

Weeks 3-6

Swelling and bruising continue to fade. By six weeks, most patients are cleared for exercise and normal activities.

Months 3-12

Final results become visible around three to four months as your breasts settle into their new shape. Scars refine over the course of a full year, gradually softening and lightening.

Dr. Vitenas and his team will see you for regular follow-ups and are always available between appointments if anything comes up.

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“The goal with any breast procedure is for a woman to look at her results and feel like she finally looks the way she was supposed to. Sometimes that means adding, and sometimes it means taking away. The artistry is knowing which and how much.”

- Dr. Vitenas

Why Dr. Vitenas Is Houston’s Trusted Breast Reduction Surgeon

Breast reduction requires a surgeon who can balance significant tissue removal with aesthetics. Taking too much can leave the breasts flat, and taking too little won’t solve the problem. Dr. Vitenas has performed hundreds of breast reductions over his 35+ years of experience in cosmetic breast surgery, and he brings the same precision and artistic approach to every case. He is board-certified, fellowship-trained in craniofacial surgery, oral and maxillofacial surgery and cosmetic surgery, and operates out of his own AAAASF-accredited surgical center at 4208 Richmond Ave in Houston. He has been recognized as a Castle Connolly Top Doctor, a Texas Super Doctor and one of Houston’s top plastic surgeons by Houstonia Magazine.

“Throughout my training, I’ve seen it all, and I’ve learned how to create the best result for my patients. My goal has always been to enhance each patient’s natural beauty, ensuring they look their best today and for decades to come.”

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Ready to Take the Next Step?

If heavy breasts have been holding you back from living comfortably, a consultation with Dr. Vitenas is the best place to start. He’ll evaluate your anatomy, talk through what’s realistic and put together a plan. Contact us today to book your appointment.

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Frequently Asked Questions

How much does breast reduction cost in Houston?

The cost of breast reduction with Dr. Vitenas varies depending on the amount of tissue being removed and the complexity of the reshaping involved. All pricing is all-inclusive, covering surgeon fees, anesthesia, the surgical facility and follow-up care stating at $15,000. Dr. Vitenas will provide an exact quote during your consultation. Plastic surgery financing through CareCredit, Cherry and Alphaeon Credit is available.

Will I lose nipple sensation after breast reduction surgery?

While some temporary changes in nipple sensation may occur after breast reduction surgery, permanent loss of sensation is uncommon, especially when the procedure is performed by an experienced plastic surgeon like Dr. Vitenas, who has a proven track record of minimizing risks and optimizing outcomes for his patients.

Will breast reduction affect my ability to breastfeed?

It may, or it may not. Breast reduction involves removing tissue and repositioning the nipple, which can affect the milk ducts. Some women breastfeed successfully after reduction, while others have difficulty. If future breastfeeding is a priority, discuss this with Dr. Vitenas during your consultation so he can factor it into your surgical approach. Techniques that preserve nipple sensation and breast tissue may help maintain breastfeeding capabilities.

Can breast reduction surgery address breast asymmetry?

Yes, breast reduction surgery can address breast asymmetry by removing excess tissue from one or both breasts to achieve better symmetry and proportion.

When can I sleep on my side after breast reduction?

Dr. Vitenas recommends sleeping on your back or side in an inclined position for the first few days after your breast reduction. This allows the breasts to heal properly without adding pressure to the incision lines or delicate sutures.

Will breast reduction surgery leave visible scars?

While breast reduction surgery does result in scars, they are typically well-concealed within the natural contours of the breasts. Over time, these scars usually fade and become less noticeable, especially with proper scar care and management.

How long do the results of breast reduction surgery last?

The results of breast reduction surgery are generally long-lasting, but factors such as aging, weight fluctuations and pregnancy can affect breast size and shape over time. Maintaining a stable weight and following post-operative care instructions can help prolong the longevity of your results.

Can breast reduction be combined with other procedures?

Yes. Breast reduction is commonly paired with a breast lift for additional reshaping, and it can also be included as part of a mommy makeover alongside a tummy tuck or liposuction. Dr. Vitenas will recommend the right combination based on your goals.

Will breast reduction surgery affect my ability to undergo mammograms?

Breast reduction surgery typically does not affect your ability to undergo mammograms, as the breast tissue remains accessible for screening. However, it’s important to inform your healthcare provider about any prior breast surgeries to ensure appropriate imaging techniques are used.

What are the risks of breast reduction surgery?

While rare in Dr. Vitenas’ practice, breast reduction does carry some risks, such as bleeding, infection, scarring issues and changes in nipple and nipple sensation. Some asymmetry between breasts may persist. Dr. Vitenas takes great care to minimize risks and lead you to a safe, smooth recovery.

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