Breast Reduction in Jupiter, FL

Koger Cosmetic Clinic & Medspa offers breast reduction for women in Palm Beach County, including West Palm Beach, Vero Beach, Wellington, and the surrounding areas of Florida.

Back and neck discomfort paired with other issues—such as bra straps biting into the shoulders and rashes or infections under the breasts—are all common problems ladies with large breasts may experience. Surgical intervention to reduce breast size will minimize both the volume and weight of a woman’s breasts while reshaping them and giving them a younger, perkier, more uplifted appearance. In certain cases, health insurance may cover all or part of the expense of breast reduction surgery, especially if the patient’s health is being negatively impacted.

Several different techniques for breast reduction exist. One typical procedure uses an incision that is shaped like an anchor. It goes around the areola, extends downwards below the areola, and then follows the natural curve of the crease under the breast. During the surgery, Dr. Koger removes excess breast glandular tissue, skin, and fat. The nipple and areola will be moved up to their new more natural position. Then, the breast skin will be retailored to form the new shape of the breast. Excess fat under the arm may also be removed using liposuction.

Typically, sutures are placed around the areola in a vertical line that continues down and then follows the crease under the breast. All sutures are internal and therefore there are no stitches that need to be removed.

  • Improves breast/body proportions
  • May alleviate back, neck, and shoulder pain caused by overly large breasts
  • Better fitting clothing and bras

Most reduction surgery is performed on women who find their large breasts restrict their mobility and cause physical discomfort. 

In most cases, reduction surgery isn’t considered until a woman’s breasts have fully developed. There are cases where the surgery may be performed earlier if a young woman is suffering severe physical discomfort solely because of her breast size. It is best for a prospective breast reduction patient to have realistic goals and understand what the surgery and recovery entail.

During your initial consultation, Dr. Koger will perform an examination and measure your breasts. Next, pictures will be taken that will later be used for reference during the procedure. They also may be used for securing approval from your health insurance company. Dr. Koger will speak with you about your specifics that will factor into your procedure, such as your age, your natural breast shape, their size, and the health and condition of your skin.

Breast reduction is performed on an outpatient basis.

Breast reduction surgeries are typically done under general anesthesia. This means that you will be asleep throughout the entire procedure.

After your procedure is complete, you will have a light gauze dressing over your breasts. The day after surgery you can remove the dressing and shower. After showering patients only need to wear a camisole or loose shirt. Small tube drains are placed in each breast to remove any excess fluid. These are removed after a few days. You can expect to feel some moderate discomfort for the first few days after your procedure, especially when moving or coughing. There will be residual discomfort for at least two weeks. Dr. Koger will prescribe medication to manage your discomfort.

After your reduction, your first menstrual period may cause breast swelling and discomfort. It is normal to experience some temporary change in sensation of your nipples and the skin of your breasts. This happens because of the swelling and usually resolves within the first few months. In some circumstances, patients may need a year or more to recover normal sensation.

After the first few days, you can resume most of your normal routine. However, you will likely still have an occasional discomfort in your breasts for the first several weeks. In order to minimize swelling, Dr. Koger instructs his patients not to run, jog or do any upper body exercises such as pushing, pulling or lifting heavy objects for the first month. Core exercises, walking, activities of daily living, etc., are fine. Following these instructions help to keep swelling at bay.

Dr. Koger will advise you as to when you can resume all of your normal activities. Most patients are back to work and normal social activities in about two weeks, as long as those activities are not very strenuous. You should expect a reduction in stamina for a few weeks.

Most of the swelling and bruising will subside during the first few weeks. However, it may take between six months to a year for you to see the true, final results of your surgery. With that said, your breasts may still fluctuate in size and shape if your weight changes, you experience hormonal shifts, or you become pregnant.

While Dr. Koger will do everything possible to make the surgical marks thin and small, breast reduction marks are permanent by nature of the procedure. For the first few months, they are often red and bumpy before gradually beginning to fade into narrow lines.

Many insurance carriers will cover all or part the cost of breast reduction surgery, provided it is a medical necessity. However, they may require that a certain amount of breast tissue be removed. Due to this stipulation, it’s important to read your insurance policy. After your consultation, we review the cost of the procedure, including any out-of-pocket costs that you may incur. We recommend that you review our financing information before the consultation appointment.


Dr. Koger is a board-certified plastic surgeon who offers breast reduction surgery for residents of West Palm Beach, Vero Beach, Wellington, and the surrounding areas of Palm Beach County. Contact us to schedule a consultation.