Breast Reduction

Author: Dr. Michael Bogdan

If you live in Dallas, Texas, you're likely to hear about Dr. Michael Bogdan if you research breast enhancement surgeons. Although we tend to hear more talk about breast augmentation, Dr. Bogdan also specializes 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.

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


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Breast reduction before photo Before
Breast reduction after photo After

This 47-year-old woman met with Dr. Bogdan to discuss a Mommy Makeover to regain a more youthful figure. As part of the combined surgery that also included a tummy tuck, Dr. Bogdan performed breast reduction using the anchor incision, or inverted T, technique. The patient went from wearing a size DD cup bra to a C cup. To see other breast reduction patients, please see our photo gallery.

Before & After Photos

Keep in mind that each patient is unique and your results may vary.

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 has 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.

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

Request Your Consultation Before & After Photos

Anchor Incision

The anchor incision is the most common technique used in breast reduction because Dr. Bogdan 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. Dr. Bogdan removes excess breast tissue, skin, and fat through these incisions and, in some cases, reduces the size of the areolas. He repositions the nipple higher on the breast while it remains attached to nerves and blood vessels. Dr. Bogdan sutures the incisions 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 Dr. Bogdan removes less breast tissue, fat, and skin 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, such as Dr. Bogdan. A surgeon with Dr. Bogdan's skill and experience creates incisions with meticulous care, but some patients may still develop visible scarring. Dr. Bogdan thoroughly discusses scar care with each patient to ensure your results are cosmetically pleasing.

App for
iPhone® & iPad®

If you have an iPhone or iPad, Dr. Bogdan encourages you to download his enhanced photo gallery application. This FREE app is available for download from the App Store℠.

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Southlake: (817) 442-1236

Michael A. Bogdan, MD, FACS
410 North Carroll Avenue #170
Southlake, TX 76092
Phone: (817) 442-1236
Fax: (817) 442-1247
Mon–Fri: 9 a.m.–5 p.m.

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Keep in mind that each patient is unique and your results may vary.

Board-certified plastic surgeon Dr. Michael Bogdan offers a range of cosmetic plastic surgery options in Southlake, Texas, including rhinoplasty, facelift, tummy tuck, breast lift, and Mommy Makeover surgery. He serves Fort Worth, Frisco, and other communities in the DFW metro area.

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