Breast Reduction


The weight of heavy breasts is often the root cause of many troublesome health issues, potentially contributing to weight gain by limiting a woman’s ability to live a physically active lifestyle.  One of the principal objectives of breast reduction surgery (reduction mammaplasty) is to address and resolve the physical and emotional problems associated with the condition of macromastia (enlarged breasts), which may include one or more of the following symptoms:*

  • Chest wall pain
  • Difficulty finding clothing and bras that fit appropriately
  • Sensation loss, tingling, or numbness in the hands, breasts, or arms
  • Damaging impact on self-esteem and confidence levels
  • Prolonged neck, back, and shoulder pain, contributing to poor posture
  • Insomnia, sleeping difficulties
  • Deeply pigmented grooves in the shoulder region resulting from bra strap pressure
  • Anxiety, self-consciousness
  • Difficulty breathing
  • Persistent rashes underneath and between the breasts
  • Restrictions around performing physical activities
  • Headaches/Migraines
  • Cystic breast infections (polycystic mastitis)
  • Stretched skin on or around the breasts
  • Breast ptosis (sagging, low-hanging breasts)

Fortunately, breast reduction surgery offers a safe and effective solution to the aforementioned physical and emotional concerns linked to having overly large, heavy breasts, and can help to bring a woman’s breasts into a more proportionately balanced relationship with the rest of her body.*

At the private plastic surgery practice of Dr. Bryson Richards, located in Las Vegas, Nevada, Dr. Richards employs cutting edge surgical techniques to create optimal breast reduction results. After safely reducing their breast size, Dr. Richards’ patients are able to increase their level of physical activity, achieve a healthier level of self-esteem, and resolve the painful physical and emotional symptoms caused by enlarged breasts.*

*Results are not guaranteed or guaranteed to be permanent.


Breast reduction surgery is an outpatient procedure involving the surgical excision of surplus breast skin, glandular tissue, and adipose (fatty) tissue. The procedure typically takes 2-5 hours (unless undertaken with an ancillary procedure such as a breast lift) and is performed under general anesthesia. During your initial consultation, Dr. Richards will conduct a comprehensive medical evaluation of your breast composition, breast reduction goals, and medical history, before deciding upon one of three incision patterns to utilize during your reduction mammaplasty surgery: circular incision, racquet (keyhole) incision, or inverted T-shaped (anchor) incision.*

After carefully selecting the appropriate incision technique, Dr. Richards will reduce the size of your nipple (if necessary) and reposition it on your chest. He will then decrease the size and volume of your breasts, before lifting and reshaping them to create more aesthetically desirable contours. He will place sutures layered deep within the breast tissue to support the new shape of your smaller breasts. Any incision lines will gradually fade with time, to the point where they are barely discernible.*

Patients who present with severe breast ptosis (breast sagging) may benefit from having a breast lift performed during the breast reduction procedure, which will help to ensure that the breasts have a youthfully elevated, perky appearance. For patients whose breast enlargement was chiefly caused by excess fatty tissue, Dr. Richards may elect to perform liposuction in conjunction with the breast reduction surgery.*


At the conclusion of your surgery, Dr. Richards will place a drain under each arm to siphon away excess blood or fluid, and will wrap your breasts with bandages and/or a gauze dressing. Patients can expect to experience some degree of post-surgical bruising and swelling, which can be managed with pain medications and should subside within 2-3 weeks.  After your breast reduction, you will notice immediate improvements in the shape and size of your breasts, and these results will continue to improve over the next few weeks, as any residual bruising and/or swelling abates.*

To facilitate optimal healing of the breasts and incision site, it is advisable for breast reduction patients to take 5-7 days off from work, to avoid all physical activity for at least four weeks, and to wear the surgical bra we have provided for up to one month.*

*Results are not guaranteed or guaranteed to be permanent.


Dr. Richards understands that every patient has unique medical needs and aesthetic preferences, which is why his treatment philosophy is based upon the foundational principle of individualized customization. In practice, this concept amounts to:  in-depth consultations, treatment plans that have been tailored to meet your specific needs, and comprehensive patient education, both before and after your breast reduction procedure.

Dr. Richards makes it a priority to spend ample time with each patient, and to be highly accessible to his patients during every phase of their breast surgery experience. If you are interested in having your breast reduction surgery performed by Dr. Richards, please contact our office today.  We look forward to speaking with you, and to scheduling your initial consultation with Dr. Richards.

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