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Breast Reduction

While having full and voluptuous breasts is often considered desirable for many women, those with overly large natural breasts may consider them burdensome. The weight of heavy breasts can cause back and neck pain, deep grooves in the shoulders, skin irritation, and difficulty with exercise. Breast reduction surgery can reduce cumbersome breasts to a more manageable size and restore a more proportionate appearance to a woman’s bust. Award-winning George Alexander, MD, FACS, FASLM, FAACS, is a triple board-certified Las Vegas plastic surgeon with extensive experience performing breast reduction procedures that complement each patient’s unique anatomical needs and deliver world-class cosmetic results.

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The Breast Reduction Process

  • Incision Location

    Anchor Incision (most common)

    • Involves placing an incision around each areola that follows down to the lower breast and continues along the inframammary fold
    • Allows for optimal repositioning of the nipple-areolar complex
    • Ideal for patients who desire an extensive breast reduction
  • Procedure

    Breast reduction is an outpatient procedure that can take between three and four hours to complete depending on the extent of correction and the techniques used. Excess skin and fat are meticulously removed, the remaining tissue is repositioned, and the skin is tightened. The result is firmer, smaller, and perkier breasts. If the nipple-areolar complex is low on the breasts or enlarged, it may be uplifted or enhanced.

  • Combinations

    During your initial consultation, Dr. Alexander may recommend a combination of procedures to achieve the desired result. Breast reduction surgery can be combined with any of the following techniques:

    • Breast lift surgery is designed to target breast ptosis (sagging) and give the breasts a more youthful look and feel.
    • Some breast reduction patients can benefit from body contouring with liposuction to eliminate excess fat around the breasts and create a slimmer upper torso.

    Patients with compound concerns, such as abdominal skin laxity, stubborn fat deposits, and breast imperfections, may consider a Mommy Makeover procedure.



After being wrapped in the appropriate dressings and briefly observed, patients can go home. Patients should stay home at least one week and be very limited activity-wise. Many patients may drive after the first week. Lifting and housework are not permitted for at least four weeks to allow for optimal healing. Light walking is recommended to promote circulation, but strenuous activities and exercises must be limited for at least four weeks. Dr. Alexander gives patients thorough aftercare instructions that reflect their unique procedure during their first consultation and reviews more in-depth at their pre-op appointment.


Some scarring can be expected after breast reduction surgery. However, Dr. Alexander utilizes the most advanced surgical techniques and is careful to place all incisions in inconspicuous areas so they can be concealed with clothing. Most scars are likely to fade over time.


Dr. Alexander has earned multiple board certifications and has over 20 years of experience performing breast surgery. He applies his profound knowledge and skill as well as his understanding of both art and science to each procedure to provide patients with results that are entirely customized to their individual needs.

The total cost of a breast reduction varies case by case. Some factors that influence the price are the techniques used, surgery length, anesthesia fees, and surgical costs. Dr. Alexander uses only the most qualified anesthesiologists and certified outpatient surgery centers as well as the highest quality surgical supplies for the safety of his patients. An accurate price for your personalized procedure will be calculated during your initial consultation.


Dr. Alexander uses a dual local anesthetic technique to provide patients with a comfortable surgical experience. Medication may be prescribed for pain management if needed during the recovery process. After the first 48 hours, the discomfort should begin to resolve steadily.


  • Am I a candidate for breast reduction surgery?

    The best way to determine if breast reduction surgery is right for you is to schedule a consultation with a board-certified plastic surgeon. You may be a candidate for breast reduction if you experience the following:

    • Excessively heavy breasts
    • Neck, back, or shoulder pain caused by the breast weight
    • Limited mobility and difficulty with exercise due to having large breasts
    • Chafing or irritation under your breasts
  • Do I have to quit smoking before my breast reduction procedure?

    Yes. Because smoking can interfere with healing after an invasive procedure, patients must quit using tobacco products at least six weeks before their scheduled breast reduction and in the weeks following as long as possible. Patients who cannot be smoke-free should not have this procedure.

  • What type of anesthesia is used during breast reduction surgery?

    Breast reduction procedures are normally performed using general anesthesia to minimize complications and provide the most comfortable experience. If appropriate, Dr. Alexander may additionally use a dual anesthetic to improve post-op discomfort.

  • Will my breast reduction results be permanent?

    Breast reduction surgery is designed to deliver permanent results. However, the breasts are still susceptible to certain factors, such as weight fluctuations, pregnancy, and aging, which may affect results. Adopting a healthy, active lifestyle and regularly wearing a supportive bra may help preserve results for many years.

A top Plastic Surgeon, Dr. George Alexander, serving more happy patients in Las Vegas, the United States and Internationally.

1725 Village Center Circle, Suite 150
Las Vegas, Nevada USA | (702) 242-6776

"Dr. Alexander and his staff are all accommodating and friendly. Dr. Alexander takes time to really address your concerns and questions. He is an awesome doctor. We highly recommend him to anyone in need of cosmetic surgery.”

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