Large Breasts in San Antonio, TX | San Antonio Cosmetic Surgery

Relief and Balance

Living with excessively large breasts is a physical reality that shapes every hour of every day. Many women struggle with the weight of a heavy bust by adjusting their posture, struggling to find clothing that fits, and enduring chronic discomfort in their neck and back. Breast hypertrophy (the medical term for disproportionately large breasts) affects your quality of life, your ability to enjoy daily activities, and your self-confidence.

At San Antonio Cosmetic Surgery, Dr. Jeffrey Ortegn treats this condition with the medical seriousness it deserves. We understand that this is a functional health issue. Our team focuses on helping patients alleviate pain, resolve physical symptoms, and find a size that feels proportional to their body.

What Is Breast Hypertrophy?

Breast hypertrophy occurs when breast tissue grows disproportionately to the rest of the frame. Most patients experience breasts that feel heavy, dense, and physically straining. This volume often leads to sagging and places significant tension on your back and neck.

For most women facing this condition, the goal is to reduce the burden on the muscles and restore a balanced shape. Healthcare providers recognize this as a valid medical concern. Whether caused by genetics, hormonal changes from pregnancy, or weight fluctuations, the presence of heavy breast tissue often requires surgical intervention to resolve.

How Are Large Breasts Treated?

Plastic surgery provides the only permanent solution for reducing volume. Dr. Ortegón customizes the procedure to match your anatomy.

Breast Reduction Surgery

Breast reduction is the primary treatment. It removes excess breast tissue, fat, and skin. This procedure physically lightens the breasts and lifts the nipple to a more youthful position. It is the most effective way to resolve back pain and improve the ability to find well-fitting clothes.

Breast Lift (Mastopexy)

For patients with sagging but manageable volume, a breast lift reshapes the breasts without removing significant tissue. This restores a perkier aesthetic but maintains existing breast size.

Revising Previous Breast Augmentation

Some women who previously underwent a breast augmentation procedure find that their implants eventually become too heavy for their lifestyle. In these cases, we can remove the existing silicone breast implants or saline breast implants. Dr. Ortegón can perform a total explant or replace them with smaller breast implants combined with a lift to reduce the overall breast size.

Comparing Procedures: Reduction vs. Augmentation

Breast augmentation is one of the most popular surgeries in San Antonio, but it addresses a completely different need than reduction. Breast augmentation adds volume using breast implants, whereas reduction removes natural tissue. While breast augmentation focuses on adding projection, reduction focuses on relief. Dr. Ortegón will explain the differences between breast augmentation techniques and reduction protocols, helping you understand why breast implants are generally unnecessary for breasts that already have abundant natural tissue.

Large Breasts (Breast Hypertrophy) Feature Image

Benefits of Treating Breast Hypertrophy

Correcting large breasts offers both functional and aesthetic improvements.

Pain Relief: Alleviates chronic strain in the neck, shoulders, and back.
Freedom of Movement: Makes running, exercise, and heavy lifting easier.
Improved Posture: Removing the extra weight allows the spine to straighten.
Skin Health: Eliminates irritation and infection under the breast fold.
Clothing Fit: Allows patients to wear standard tops and swimwear without difficulty.
Confidence: reduces unwanted attention and improves body image.

Candidates for Large Breast Treatment

Good candidates are women who are physically healthy but struggle with the symptoms of large breasts. You may be a candidate if:

You experience physical pain or numbness from bra straps digging into your shoulders.
Your breasts limit your participation in normal activities.
You have realistic expectations about the scars and results.
You are done having children or understand that future pregnancy can alter results.
You are a non-smoker, as nicotine affects healing.

Preparation and Consultation

Your initial consultation with Dr. Ortegón sets the foundation for a safe surgery. He will review your medical history to determine the best approach. You will discuss your aesthetic goals, examine the density of your breast tissue, and review treatment options.

If you're considering a revision of a past breast augmentation, we will discuss the type of breast implants you currently have (such as silicone breast implants or saline breast implants) and your options for removal. Dr. Ortegón believes in transparent communication, so we will cover all potential risks, such as scarring or changes in sensation.

Your Breast Hypertrophy Procedure

Breast reduction surgery is performed under general anesthesia in an accredited surgical facility. Your procedure begins with Dr. Ortegón making precise incisions, typically using an anchor or lollipop pattern, to access underlying structures. He then removes excess breast tissue, fat, and redundant skin before molding the remaining tissue into a lifted, firmer shape. To ensure a youthful look, the nipple-areola complex is repositioned higher on the breast, and the incisions are closed with sutures. If you're revising a prior breast augmentation procedure, this is the stage where we would remove the old breast implants, clean the pocket, and reshape the breasts using a specialized lift technique.

Recovery and Aftercare

Recovery is a process that requires patience, as swelling and soreness are expected in the early stages. Most patients are able to return to daily life within one week, though you must avoid heavy lifting and strenuous exercise for 4–6 weeks to allow the incisions and muscles to heal properly. Throughout this period, you will wear a specialized surgical bra to support the breasts as they settle into their new shape. We also provide clear instructions on using pain relievers to manage any discomfort, making sure your healing process is as smooth as possible.

Results

The results of reduction surgery are immediate, though the final shape settles as swelling subsides over several months. Patients typically notice an instant improvement in back pain and posture. The breasts will be lighter and more proportional to the body. While scars are permanent, they fade over time, and most women find them a worthy trade-off for the relief they achieve.

Cost of Large Breast Treatment

The cost varies based on the complexity of the case. Many women qualify for insurance coverage if the surgery is deemed medically necessary due to documented physical symptoms.

If the procedure is for aesthetic reasons or involves revising a previous breast augmentation, it may be an out-of-pocket expense. We provide a detailed quote after your consultation.

Why Choose San Antonio Cosmetic Surgery?

Choosing the right surgeon for your breast procedure is a big decision. Dr. Jeffrey Ortegón is a board-certified plastic surgeon who prioritizes safety and honest communication. He views plastic surgery as a partnership. We perform all surgeries in accredited facilities to enforce strict safety standards and minimize risks like infection or complications.

Unlike some healthcare providers, our team validates your experience. We listen to your concerns about symptoms, scarring, and results. From the first call to your final check-up, we support your recovery and help you achieve a comfortable, confident outcome.

Schedule Your Large Breasts Consultation in San Antonio, TX Today

You deserve to live without chronic pain or discomfort. If large breasts take a toll on your normal activities, schedule a consultation with Dr. Ortegón in San Antonio. Call us at (210) 614-4320 or contact us online to discuss your treatment options and reclaim your comfort.

Large Breasts
(Breast Hypertrophy)
FAQs

How does this differ from breast augmentation?

Breast augmentation increases size using breast implants. Reduction removes tissue to decrease size. While breast augmentation focuses on adding volume, reduction focuses on relief and proportion.

Do you use implants for this surgery?

Breast implants are rarely used in standard reduction surgeries. However, some patients request small silicone breast implants or saline breast implants combined with a lift to maintain upper-pole fullness while reducing overall bulk.

Will I lose sensation?

Changes in sensation, including numbness, are potential risks. In most cases, sensation returns as swelling resolves, though some changes can be permanent.

Can I breastfeed after surgery?

Many patients breastfeed successfully, though it is possible for milk ducts to be affected. Discuss your plans for future pregnancy with Dr. Ortegón.

Is a healthy lifestyle enough to reduce breast size?

While a healthy lifestyle is vital, weight loss often does not significantly reduce dense glandular breast tissue. Surgery is frequently the only effective option for hypertrophy.

Schedule a Consultation

Contact us today to schedule your consultation with the renowned San Antonio plastic surgeon and breast & body specialist Dr. Delio Ortegon. Take your first steps to a more beautiful you.

4910 Golden Quail Suite 140, San Antonio, TX 78240

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Large Breasts(Breast Hypertrophy) San Antonio, TX