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Breast Reduction

Get Smaller, Lighter, Proportionate Breasts

Bigger is not always better. If you think life would be more enjoyable with smaller, lighter, or more proportionate breasts, breast reduction surgery with Dr. Sarah Mess may be the perfect option. Reduced breast size lets you wear the clothes you like, play the sports you love, and have the freedom to do the activities you want without worrying about how your breasts are going to look or feel. Enjoy smaller, more shapely, more attractive breasts.

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The Breast Reduction Surgery Procedure

Dr. Mess performs breast reduction surgery on an outpatient basis with general anesthesia. During the procedure, excess fat and glandular tissues are removed from the breasts using a specific incision pattern. The type of incision used will depend on the severity of the patient’s condition.

Areolar Incision

An incision will be made around the areola, where excess skin and fat are removed. This incision is commonly performed on younger women who have skin with high elasticity.

Keyhole Incision

An incision is made around the areola and extends vertically down to the breast crease.

Anchor Incision

An incision is made around the areola, extending vertically down the breast, and horizontally in the breast fold.

Best Candidates for CoolSculpting ®

IF YOU HAVE ANY QUESTIONS, PLEASE CALL (410) 910-2350

Before & After Photos

Breast Reduction Patient Aged 45-54. Photos taken 8 weeks post procedure. Right Breast: 640g reduction Left Breast: 595g reduction

Breast Reduction Patient Aged 35-44. Photos taken 6 weeks post procedure. Right Breast: 420g reduction Left Breast: 410g reduction

Breast Reduction Patient Aged 35-44. Photos taken 7 weeks post procedure. Right Breast: 300g reduction Left Breast: 400g reduction

Breast Reduction Patient Aged 25-34. Photos taken 2 months post procedure. Right Breast: 540g reduction Left Breast: 540g reduction

Breast Reduction Patient Aged 18-24. Photos taken 7 weeks post procedure. Right Breast: 550g reduction Left Breast: 550g reduction

Breast reduction patient age 18-24. Photos taken 5 months post-op. Right Breast: 240g reduction Left Breast: 220g reduction

18 year old patient. Photos taken 1 month post procedure. Right Breast: 535g reduction Left Breast: 580g reduction

24-35 year old patient. Photos taken 1 month post procedure. Right Breast: 645g reduction Left Breast: 645g reductionv

View Breast Reduction Before and After Photos

Ideal Candidates for Breast Reduction

Breast reduction surgery (also known as “reduction mammaplasty”) is suited for women of all ages who are not pregnant or nursing. Candidates should be in good overall health and close to their ideal body weight.

Ideal Candidates

  • Large breasts that are not in proportion with the rest of the body
  • Heavy breasts with nipples and areolas that point downward
  • Asymmetry of the breasts
  • Back, neck, or shoulder pain caused by the weight of the breasts
  • Limited ability to participate in certain physical activities
  • Unable to wear certain types of clothing

Preparing for Breast Reduction Surgery

During a consultation, Dr. Mess will listen to your expectations and discuss the breast reduction procedure with you. Patients should refrain from smoking and avoid taking medications that can increase bleeding, such as aspirin, for at least four weeks before and after surgery. Dr. Mess will provide you with complete instructions on how to properly prepare for surgery as well as how to care for yourself postoperatively.

Recovery After Your Breast Reduction

Although recovery time varies for each individual, patients can usually expect to return to work about a week after surgery. Scars will begin to fade in the coming months, and silicone sheets can help speed up the healing process. Our goal is to ensure you have a safe recovery so you can return to your normal routine as quickly as possible.

After surgery is complete, the breasts will be covered with waterproof bandages and a compression bra to reduce swelling. To increase the probability of a swift and proper recovery, patients should do the following:

  • Immediately After

    Some discomfort may be present, but this will be alleviated with prescription medication.

  • 1 Week

    Get plenty of rest and apply ice packs to the breasts.

    Refrain from any strenuous activity or exercise.

  • 3 Weeks

    Refrain from any strenuous activity or exercise.

  • 6 Weeks

    Schedule follow-up appointment to make sure you are healing correctly.

Best Candidates for CoolSculpting ®

Will Insurance Cover My Breast Reduction?

Breast reduction surgery has one of the highest patient satisfaction scores of any plastic surgery procedure — one study reported that more than 95% of breast reduction patients would have surgery again.1 For many women it is a life changing procedure that provides many health benefits, but that does not mean that it will be covered by your insurance.

Some health insurance plans classify breast reduction as an elective cosmetic procedure or one that is “not medically necessary.” Insurance plans that do include breast reduction coverage often require that a specific amount of breast tissue is removed, which excludes patients who want less drastic reductions. Other plans require physical therapy, weight loss, and medical records documenting related health issues before they will consider approval.

Dr. Mess is out-of-network for all insurance plans, although part of her surgical fee may be reimbursed if you have out-of-network benefits and a plan that includes insurance coverage for breast reduction surgery. Dr. Mess works with many patients who have been denied insurance coverage or those who do not meet the strict criteria of their insurance plan. This includes patients who would like a less drastic reduction and patients who are unable to make the insurance company’s timeline work for them. Some patients take advantage of ourfinancing options in order to set up payment plans that meet their budget.

Common Health Insurance Requirements for Breast Reduction Coverage

Breast reduction coverage varies among carriers and plans, and it can change every year. It is important to understand the requirements of your plan and be aware of your insurance renewals and policy updates and plan accordingly. Some examples of insurer requirements:

  • Documentation including a date of service (surgical date), provider and facility name, ICD-9 (or ICD-10 after October 1, 2015), and CPT code
  • Photographs and measurements to support your claim
  • A recent mammogram
  • Documentation that you have seen you primary care doctor or related specialist two or more times in the past year with complaints of headaches, upper back, neck and/or shoulder pain
  • Documentation of other treatments that have failed, such as anti-inflammatory medications, ongoing physical therapy or chiropractic care

If your insurer does offer breast reduction coverage, it is important to remember:

  • Pre-authorization is not a guarantee that your insurance company will ultimately pay for the procedure.
  • Insurance coverage typically dictates many details of your surgical procedure, reducing the input you can have on your treatment plan.
  • For successful claims, the insurance reimbursement will likely not cover the full cost of the procedure, so you should budget some out-of-pocket expense.
  • It may take several months before your insurance company reimburses you for the procedure.

How much does Breast Reduction cost?

If you do not have insurance coverage, or you choose to self-pay, you should expect to budget $9,000 to $11,000 for combined physician, OR, and anesthesia fees. We believe patients make better decisions when they understand the options and cost ranges for breast reduction surgery. We are happy to explain a general price range for breast reduction surgery, but your final costs cannot be determined prior to your consultation appointment with Dr. Mess.

The best way to learn about your breast reduction options is to schedule a consultation with Dr. Mess. Our Columbia office is conveniently located and easily accessible from both Washington, D.C. and Baltimore.

Our surgical estimates are comprehensive. Your breast reduction surgery quote will include:

  • Surgeon’s fee
  • Operating room fees and supply charges
  • Anesthesia fees
  • Post-surgical garments
  • Pico post surgery scar management (7 day negative pressure dressing to improve healing and scar appearance)
  • All appointments before or after your surgery

Price Range for breast reduction: $9,000 to $11,000 Your costs may fall outside of this range.

Have more questions about breast reduction?

See how breast reduction with Dr. Sarah Mess in Columbia, Maryland, can get you the smaller, perkier breasts you’ve always wanted. Contact us today!



1 Gonzalez MA, Glickman LT, Aladegbami B, Simpson RL. Quality of life after breast reduction surgery: a 10-year retrospective analysis using the Breast Q questionnaire: does breast size matter? Ann Plast Surg. 2012 Oct;69(4):361-3. doi: 10.1097/SAP.0b013e31824a218a.

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9821 Broken Land Pkwy #102
Columbia, MD 21046

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