Breast Reduction

“It is a gratifying experience to see the transformation in women—ranging in age from teenagers into their 60s—who are initially shy and self-conscious due to their large breasts. Many times, they walk in hunched over and trying to hide their breasts. After undergoing a breast reduction, they transform into the happiest of women with newfound self-confidence. They have an immediate improvement in neck, back, and shoulder pain while developing a new sense of joy about participating in activities they were not able to before.”
-Dr. Ravi Somayazula

Many women in Houston are living with uncomfortably large breasts which can cause pain and negatively impact their lives by making regular day-to-day activities difficult. Women complain that their large, pendulous breasts cause chaffing, skin infections and painful shoulder groove marks from bra straps. Other common symptoms include shoulder, neck, and back pain, making exercise and other normal activities very difficult. Dr. Ravi Somayazula is a board certified, Harvard-trained plastic surgeon who specializes in breast surgery. He has helped hundreds of women restore their normal body proportions by lifting, reducing the size, and by enhancing the overall shape of the breasts by removal of excess skin, fat, and glandular breast tissue. The nipple and areolar complex is repositioned to give a lift, as well.

“I have seen a couple doctors before I decided to go with Ravi. Why? He was personable, asked many questions about my health and my desired results, he showed me he cared so I trusted him to do my surgery. The surgery is not easy, it is a long recovery but the end result is incredible. Every week it gets better and better and my confidence is back. I can fit and look good in clothes that I thought I could never wear and most important for me I can wear my two piece bathing suit again. I would recommend Ravi to anyone! He will take good care of you.”
– Anna F., Houston, TX

At the Consultation

The initial surgical consultation at Body By Ravi Plastic Surgery and Aesthetics with Dr. Ravi Somayazula is an extremely important first step toward a breast reduction. At your initial consultation, Dr. Ravi Somayazula performs a thorough medical evaluation to determine good candidacy for breast reduction surgery (also known as reduction mammoplasty). A physical examination is performed to evaluate your current breast size, shape, tissue characteristics, and symmetry. Dr. Ravi Somayazula outlines a realistic treatment plan by using a precise sizing system, which takes into account your exact breast and body measurements, along with your overall body proportions. All of your questions are answered to help you make an informed-decision. An individualized surgical plan will be created to achieve your unique goals. Better results may be possible when breast reduction surgery is combined with Liposuction, most commonly of the back and bra rolls.

Breast Reduction Techniques

  • Circumareolar Breast Reduction – incision is made only around the areola–also known as the Doughnut incision.
  • Circumvertical Breast Reduction – incision is made around the areola with a vertical incision down to the breast fold. This is also known as the Lollipop reduction or short scar breast reduction.
  • Wise-Pattern Breast Reduction – the most commonly used technique, it includes an incision around the areola, vertical line to the mammary crease, and a horizontal line at the crease.
  • Liposuction-Assisted Breast Reduction – in a few cases, liposuction alone or in conjunction with one of the above techniques can be utilized.

Dr. Ravi Somayazula will determine at your consultation which of the above techniques will be needed to give you the lightest and best-shaped breasts.

Who Is a Good Candidate?

Candidates for breast reduction surgery should be in overall good physical and emotional health with no history of irregular mammograms, severe obesity, diabetes, smoking history, blood clotting disorders, heart disease, or wound healing disorders with a tendency to develop excessive scarring. Candidates should have realistic expectations of surgery results, and, in some cases, a medical clearance may be needed from your primary care physician.

Pre-Operative Evaluation

All patients are seen approximately two weeks prior to surgery for their pre-operative appointment. During that visit, all surgical consents are signed, photos are taken, and a detailed informational packet is provided with specific instructions for before and after surgery. A complete list of “dos and don’ts” is reviewed. Patients receive prescriptions for an antibiotic, as well as pain and anti-nausea medications. Be prepared to follow all recommended pre-surgery and post-surgery instructions closely to ensure your best possible results.

We recommend stopping aspirin and all other non-steroidal anti-inflammatory drugs (such as Ibuprofen) for at least one week before and after surgery to prevent excessive bruising. Herbs and supplements should also be stopped for at least one week prior to surgery as this can interrupt healing. All patients must stop smoking at least four weeks before surgery and four weeks after surgery to minimize healing complications.

The Surgery

Dr. Ravi Somayazula takes about two to four hours to complete a breast reduction procedure under general anesthesia at an accredited hospital with a board certified anesthesiologist overseeing your care. Patients typically go home that day, but some patients do stay overnight depending on the size of the reduction. Excess breast tissue is removed while the breasts are lifted to attain a more appropriate size and shape. An internal support system is created from the excess skin, providing a “permanent bra” to increase support and perkiness for years to come. Most often, an incision is made around the nipple or areola that extends down the front of the breast vertically to the breast fold. At times, an additional horizontal incision is made at the breast fold in order to remove a greater amount of excess skin and breast tissue. Once the excess tissue is eliminated, the breast and nipple are lifted and shaped for the desired effect. The nipple remains intact with the essential underlying blood and nerve supply. However, be advised that there is a small chance of inability to breastfeed as well as nipple numbness after the procedure.


A responsible adult should stay with you for 24 hours immediately following surgery. Most patients do feel discomfort at their chest which can last several days after surgery. Patients are encouraged to get up and walk the same day of surgery. You can expect to perform everyday basic activities, including showering, two days after surgery. The recovery period is approximately one week, but every patient recovers differently. Most women return to work in two weeks but with strict instructions not to lift anything heavy or participate in strenuous activity for six weeks. Exercise can resume after about six weeks. Patients are required to wear a support garment to help support the breasts after surgery. Drains may potentially be placed during surgery, depending on the size of the reduction. Skin will feel tight as the body adjusts to the new size. Swelling can be expected for a few weeks. Scarring will fade over the next several months. It is very important to sleep only on your back for at least six weeks after surgery. Due to normal breast swelling, patients should wait three months after surgery to be fitted for a new bra. Houston breast reduction surgeon Dr. Ravi Somayazula and his staff are always available to assist you with any questions and recovery-related issues.

While the Internet can provide you with some basic information and a general overview of breast reduction surgery, a personal consultation with board certified plastic surgeon Dr. Ravi Somayazula can answer all of your questions in depth. Dr. Ravi Somayazula is here to guide you through all steps of an informed decision-making process and will map out a treatment plan that fits your specific needs. We invite you to call us at 281-241-1061 to schedule a consultation today.

Schedule a Consultation

Meet Dr. Ravi Somayazula

Dr. Ravi Somayazula practices the full spectrum of plastic and reconstructive surgery while focusing on cosmetic breast and body surgeries as well as non-surgical procedures. He strives to make every patient feel special and respected—not just another person walking through the door. Once you meet Dr. Ravi Somayazula, you will soon understand that his bedside manner is unparalleled, and he will invoke your utmost confidence in his care. He specializes in Breast Augmentation (Implants), Tummy Tucks, Liposuction, Mommy Makeovers, and miraDry®, Botox®, and dermal fillers.

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Plastic Surgery in Houston, TX | Body By Ravi

Plastic Surgery in Houston, TX | Body By Ravi