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Breast Reduction


Patients throughout Texas turn to Dr. Chrisopher Livingston, a board-certified plastic surgeon, for his extensive expertise on breast reduction procedures.

Breast reduction surgery is often performed on individuals who are suffering from neck, back, arms and/or shoulder pain due to excessively large breasts. The procedure removes excess fat, skin and glandular tissue to help you achieve a more proportioned breast size.

To learn more about breast reduction or to discuss your different options, request a consultation today.

Dr. Livingston

Christopher Livingston, MD

“The most important part of plastic surgery is achieving a youthful, refreshed look, with minimal downtime.”

Board-Certified Plastic & Reconstructive surgeon

Chris Livingston, MD

I believe that every design is personal. The connection we have with clients determines how the projects will look at the end of the design process. We must understand the clients and bond with them, be a part of their dream. Their dream is our dream.


If you are experiencing pain and/or discomfort due to overly large breasts (“macromastia”), breast reduction surgery (“reduction mammaplasty”) is a procedure that can make it easier to live everyday life.

Houston plastic surgeon Christopher K. Livingston, M.D., F.A.C.S., P.A. is skilled at reduction mammaplasty. With his expertise,  Livingston Plastic Surgery often attracts patients throughout Texas, from such southeast cities as The Woodlands, Pearland, and Sugar Land for breast surgery.

Dr. Livingston at Livingston Plastic Surgery is a highly qualified physician. He is board certified by the American Board of Plastic Surgery (ABPS), as well as a member of the American Society of Plastic Surgeons (ASPS). In addition, Dr. Livingston is a plastic surgery consultant for cosmetic procedures on and the Clinical Assistant Professor at the University of Texas Health Science Center of Houston – the Division of Plastic Surgery and the Department of Otolaryngology.

Dr. Livingston is an amazing surgeon, with a phenomenal bedside manner, and office staff you’ll fall in love with.

– Meredith (Google Reviews)

How can breast reduction benefit me?

For women with overly large breasts (macromastia), breast reduction surgery may be a beneficial solution. Treatment is performed routinely by Dr. Livingston on women with excessively large breasts that are causing them to experience:

  • Neck, back, arms, and/or shoulder pain
  • Indentations on the shoulders from bra straps
  • Restricted physical activity
  • Skin irritation and/or infection beneath the breast creases
  • Inability to find and/or wear certain garments

Am I A candidate for breast Reduction?

By removing excess skin, fat, and glandular tissue from the breasts, the size of the breasts can be dramatically reduced, helping to alleviate the stress placed on the body from overbearing breasts.

Upon assessing each breast, and discussing expectations, personal preference, and desired breast size, Houston breast reduction surgeon, Dr. Livingston will be able to create a personalized treatment plan for you.

Real Patient Results

Breast Reduction Steps

Offering a variety of methods to reduce the breast, such as incisions that span around the areolas (“periareolar incision”), incisions that reach around the areolas and down to the crease of the breast (“vertical incision”), and “anchor-shaped” incisions that run around the areolas, down the breasts, and along the breast creases, Dr. Livingston can reduce breasts successfully.

After the incisions are created, the excess breast tissue, fat, and skin can be lifted, reduced, repositioned, and reshaped for a more proportionate appearance. While the nipples and areolas usually stay attached to the blood vessels and nerves, on occasion, they will have to be removed to be repositioned higher. This will result in the loss of sensation and additional scarring or pigmentation changes.

Sutures that are placed deep within the underlying tissues of the breasts helps each holds their new, higher shape and smaller size for long-lasting results. For patients with excess amounts of fat without skin excess, Dr. Livingston may utilize liposuction (“lipoplasty”) to contour the breasts.

Breast Reduction Results

The new size, shape, and weight of your breasts will be evident instantaneously. The patient is usually wrapped in elastic compression bandages and a surgical bra during the breast augmentation recovery period. Dr. Livingston will remove these dressings two days after breast reduction. However, you will need to wear the bra for four weeks, 24 hours a day, until the swelling of the breasts resolves. After 2-3 weeks, the sutures will be removed by Dr. Livingston, and scarring will continue to fade for up to one year.

The outcome of treatment is beautifully shaped breasts that should help lessen the pain, discomfort, and/or dissatisfaction that was previously felt with the overly large breasts. Although not a permanent solution to aging and gravity, reduction surgery will help patients attain smaller, lighter breasts that provide better overall proportion to the body.


If you are interested in a breast reduction in Houston, please schedule a consultation with Dr. Livingston. During your appointment, you may obtain additional information and discuss any additional body contouring procedures that may be also performed to attain optimal results, such as liposuction (“lipoplasty”) or tummy tuck surgery (“abdominoplasty“). Breast lift surgery may be combined with reduction as well.

To learn more about this procedure, feel free to view his featured videos on the media page, as well as some our before and after breast reduction photos.

Sugar Land, Houston, Pearland, and The Woodlands patients may fill out our online contact form to schedule a consultation. If you prefer, please contact us directly by calling (281) 501-1812.

Breast Reduction FAQs

Any woman who is in good health and is experiencing painful back, shoulder, or posture issues due to the size and weight of her breasts is a good candidate for breast reduction, along with any woman who feels her breasts are too large for her body.

Dr. Livingston utilizes two methods to reduce breast size, and the technique used is determined by the size of the patient’s breast. The first is an incision either around the nipple and down the center of the breasts, and the second is an “anchor-shaped” incision that runs around the areoles, down the breasts, and along the breast creases.

While scars are generally expected after surgery, any scarring should be minimal with the proper aftercare and a skilled, experienced surgeon.

Most patients experience some tenderness following their breast reduction surgery, and many patients are off of their pain medication after two days. Light activity is permitted that same day of surgery, but heavy lifting and exercise should be avoided for six weeks following surgery.

Most patients experienced some tenderness following their breast reduction surgery, and many patients are off of their pain medication after two days. Light activity is permitted that same day of surgery, but heavy lifting and exercise should be avoided for six weeks following surgery.

The cost of your breast reduction surgery is largely based on what exactly is involved in your surgery. Dr. Livingston’s financial team will sit down and discuss your options with you and give you a definitive price for everything involved.   In most cases, insurance will cover this procedure but always check with your insurance plan.

Whether your insurance covers your surgery depends on your insurance company. Some insurances will cover breast reduction surgery if the patient can demonstrate some level of physical impairment secondary to the weight of her breasts.

Yes, that procedure is called gynecomastia surgery, or male breast reduction surgery, and Dr. Livingston does offer this to his patients.

Yes, the results of a breast reduction surgery will be permanent unless you experience significant weight gain or if you were to become pregnant. These can cause your breasts to become enlarged again and may need a second surgery.