Breast Reduction in Nashville, TN, with Dr. Michael Cash
Breast reduction is surgery to reduce the size of large breasts to bring them into better proportion with your body, alleviate discomfort, and enable a wider range of physical activity.
Surgically reducing the size of overly large, heavy breasts will bring them into better proportion with your body, alleviate discomfort, and enable you to do higher-impact physical activity. When considering this procedure, you must choose a surgeon with the expertise and experience to deliver beautiful, safe, and natural-looking results.
Dr. Michael Cash is a highly skilled and reputable plastic surgeon in Nashville, TN. As a board-certified plastic surgeon, his training enables him to perform complex reconstructive and cosmetic procedures, with a meticulous approach tailored to each patient’s unique needs and desires.
Breast reduction, also known as reduction mammoplasty or reduction mammaplasty, removes excess breast tissue, glandular tissue, fat, and skin to address concerns related to breast volume, breast weight, and breast shape. This condition is sometimes referred to clinically as breast hypertrophy, and it can affect women with large breasts, overly large breasts, heavy breasts, or extremely large breasts at any stage of life. By removing excess breast tissue, Dr. Cash helps patients achieve a breast size that is comfortable, proportionate, and better suited to an active lifestyle.
Why Might I Consider the Best Breast Reduction in Nashville, TN?
View our breast reduction before-and-after photo gallery to see the improvements Dr. Cash has helped his patients realize.
- Bring the size of your breasts size into better proportion with your body
- Lift and reshape sagging or pendulous breasts
- Relieve chronic back, neck, or shoulder pain
- Relieve skin irritation under your breasts or on your abdomen
- Eliminate painful indentations on the shoulders from bra straps
- Improve back and neck pain and support a better quality of life and body image
- Engage in a wider range of physical activity
- Have more clothing choices and wear the clothes you prefer
- Feel proud of your body and better about yourself
- Relieve neck pain and poor posture caused by the weight of large breasts
- Improve back and neck pain and support a better quality of life and body image
Why Choose Dr. Cash for Breast Reduction Surgery?
Your choice of breast reduction surgeon is the paramount decision you’ll make in the process. Ample experience with this procedure is crucial. Always choose a surgeon who is board-certified through the American Board of Plastic Surgery, which is the only valid board certification for a plastic surgeon.
Choose a surgeon who listens and whose results demonstrate a flexible and customized approach. A skilled surgeon will tailor the details of each cosmetic procedure to your unique needs and desires. As one of the best breast reduction surgeons in Nashville, Dr. Cash will spend time with you to understand the results you hope to achieve. He’ll explain what you should realistically expect, plus the risks and costs. He equips his patients with the knowledge they need to make decisions confidently, always treating everyone with respect and attention.
Dr. Cash’s training in plastic and reconstructive surgery gives him the skill to handle complex cases, including oncoplastic breast reduction for patients recovering from breast cancer treatment or breast reconstruction. Whether your goals are purely cosmetic or part of a broader reconstructive surgery plan, Dr. Cash tailors his surgical techniques to achieve excellent clinical outcomes for every patient.
Am I a Good Candidate for Breast Reduction Surgery?
Dr. Cash can tell you if you are a good candidate for breast reduction in your consultation.
Ideal candidates for breast reduction surgery are those experiencing physical discomfort, pain, activity limitations, or embarrassment due to large breasts. It is also suitable for women with varying breast sizes who wish to achieve symmetry. You should be a nonsmoker in good overall health and meet the BMI requirements for a successful surgery and smooth recovery.
You can have breast reduction surgery at any age, sometimes even as a teenager, but it’s best to wait until your breasts have fully developed.
If you plan to have children and nurse them, be sure to discuss this in your consultation with Dr. Cash. Breast reduction surgery can affect your ability to breastfeed.
If you are overweight and plan to lose weight through diet and exercise, discuss this in your consultation with Dr. Cash. He may recommend postponing the surgery until you are closer to your ideal BMI for better long-term results.
Before undergoing breast reduction surgery, Dr. Cash will review your medical history and ask about physical symptoms such as skin irritation or discomfort to confirm you are a good candidate. Women with previous breast surgery or breast asymmetry between one or both breasts can also benefit, since Dr. Cash can adjust the amount of tissue removed from each breast to restore balance with the other breast.
Because body mass index can affect surgical risk and results, your plastic surgeon will also discuss your BMI during your consultation. If you hope to use insurance coverage for your procedure, our team can help you understand your policy’s requirements for medical necessity.
At Nashville Plastic Surgery, our mission is to treat you with the utmost respect, help you make an educated decision, and provide you with the finest medical services in a safe and professional environment.
Dr. Cash, our board-certified plastic surgeon, specializes in breast augmentation, tummy tuck, liposuction, and more. Schedule a consultation today to learn more!
What to Expect Before, During, and After Your Nashville Breast Reduction
Start by consulting with Dr. Cash. He will examine you, understand your medical history, and listen to your concerns and goals. He will then recommend a surgical approach that prioritizes your desired outcomes and safety. Dr. Cash will explain the procedure, including the risks, benefits, and costs, ensuring you are well-informed and comfortable with your decision.
As part of your preoperative evaluation, Dr. Cash will review your health history and may request lab work or imaging to confirm you are ready for surgery.
You will be under general anesthesia for this surgery. Once you are resting comfortably, Dr. Cash will create the incisions you discussed during your breast reduction consultation, which are typically around each areola, vertically downward, and along the curved creases below your breast.
Through these incisions, Dr. Cash will reshape your breasts by removing excess glandular tissue, fat, and skin, possibly using liposuction to refine the contours. He may also reposition your nipples and areolas to match your newly repositioned breasts. He layers internal sutures for additional support, closing the incisions with fine stitches, adhesive, or surgical tape. The entire process takes around two to four hours.
Depending on how much breast tissue needs to be removed and your desired final breast size, Dr. Cash may use the inferior pedicle technique or a vertical scar reduction approach. Both surgical techniques are designed to reposition the nipple areola complex while preserving blood supply and sensation in the nipple and areola. Incisions are often placed to follow the inframammary fold, helping to keep scars well concealed beneath the breast.
During your breast reduction procedure, Dr. Cash removes fat glandular tissue and skin from each breast, carefully balancing tissue fat and skin removal to achieve a proportionate, natural-looking result and removing excess tissue to improve comfort. In some cases, he also focuses on removing excess skin and fatty tissue, or performs additional tissue removal to remove excess fat and refine your final breast shape. The amount of breast tissue removed varies by patient, and most people have breast reduction as an outpatient procedure, returning home the same day as their surgery.
After surgery, you will need a week of rest and recovery at home, gradually resuming your usual activities over the next few weeks. You may experience some discomfort, swelling, and bruising, which you can manage with medication and proper aftercare. Dr. Cash will provide detailed instructions for your recovery and is always available to address your concerns.
Many patients who previously had large breasts or overly large breasts notice relief from back and neck pain within the first few weeks of recovery, and this relief from back and neck pain often continues to improve over time. Because breast reduction is typically performed as an outpatient procedure, most patients tolerate the breast reduction procedure well and return to light activity within a week.
The process of removing excess skin and tissue during surgery leads to continued contour improvement for months afterward, and any remaining excess skin, excess fat, and fat glandular tissue gradually resolve as swelling subsides. Remaining glandular tissue and skin settle into their final shape, with tissue and skin gradually smoothing out over several months. Scars along the inframammary fold and any other breast reduction scars are typically the least noticeable within a year.
If you have a personal or family history of breast cancer, share this information with Dr. Cash, since it may affect your breast cancer screening schedule after surgery. Patients who undergo oncoplastic breast reduction following cancer treatment may follow a slightly different recovery timeline.
Schedule Your Nashville Breast Reduction Consultation Today
Contact Nashville Plastic Surgery online or by calling (615) 454-2271 to schedule a consultation for breast reduction with Dr. Cash. He will examine you, ask questions to understand your goals for the procedure, and give his recommendations for the best and safest approach. Patients in Metro Nashville and throughout Middle Tennessee choose Dr. Cash as their cosmetic surgeon because of his ability to create stunning results and the caring attention he and his staff provide.
Breast Reduction FAQs
Dr. Cash will consult with you to determine your ideal breast size and explain what changes are possible for optimal results with minimal risk. Breast reduction surgery may reduce the breast by about two to three bra sizes.
Depending on the extent of your breast reduction and the technique used to reposition your nipples, you may or may not be able to breastfeed after breast reduction surgery. If concerns you, be sure to discuss it in your consultation with Dr. Cash.
Yes, but the scars will be naturally concealed in the edges of your areolas and by the contours of your breasts and are placed where they will be covered by clothing. The scars will be most noticeable for the first few months, after which they gradually fade to match the color of your skin.
Breast reduction surgery may be covered by your insurance. The cost to you will depend on your insurance carrier and your deductible. If you do not qualify to have this operation under insurance, it can be performed as a cosmetic operation which will give you more control over the desired outcome and size. There are specific requirements to have a breast reduction covered by insurance and Dr. Cash will discuss these at your consultation. The costs for your breast reduction will depend on the procedure used and where the operation is performed. We will explain the costs clearly and answer any questions you may have. We want all of our patients to be fully informed before they choose to have cosmetic surgery. We encourage you to ask about breast reduction cost and payment options during your consultation.
In addition to breast reduction surgery, Dr. Cash is also an expert in breast augmentation and breast lift surgery. Follow the links to learn more about each of these procedures, or schedule a consultation to see which option would be most suitable for you. Male patients experiencing enlarged breast tissue may also benefit from gynecomastia surgery, which Dr. Cash offers as part of his comprehensive breast procedure offerings.
Breast reduction surgery offers physical and emotional benefits. It can alleviate back, neck, and shoulder pain, improve skin irritation, and enable a more active lifestyle. Many of Dr. Cash’s patients also experience a self-esteem boost, feeling proud of their bodies and enjoying a wider range of clothing options. Many patients find that breast reduction surgery continues to alleviate pain and discomfort for years after surgery, including neck pain and shoulder pain.
This surgery creates long-lasting results. However, weight fluctuations or age-related skin laxity may impact your results over time. You can prolong your benefits by maintaining a stable weight, making healthy lifestyle choices, and taking good care of yourself.
This procedure can result in infection, bleeding, scarring, and changes in nipple or breast sensation. Working with a board-certified surgeon is the best way to avoid these. Dr. Cash will explain these risks in detail during your consultation and provide pre- and postoperative instructions to minimize complications. As with any surgical treatment, these risk factors can also include wound healing problems and changes in nipple sensation. Potential complications are rare with proper care, and most patients experience minimal scarring that fades significantly within a year, though breast reduction scars will vary depending on the technique used.
Breast reduction surgery pairs well with complementary contouring surgeries, such as a breast lift or tummy tuck, to achieve more comprehensive enhancements. Dr. Cash will help you decide if combining procedures is safe and beneficial for your specific goals.
An initial improvement will be visible immediately, but the outcome may take several months to fully emerge due to swelling and bruising. Attend all follow-up appointments with Dr. Cash so he can monitor your progress.
Some health insurance providers may cover breast reduction surgery if it is medically necessary to alleviate chronic pain. Dr. Cash can help you understand the criteria for insurance coverage and work with you to seek reimbursement. Each insurance carrier is different, and deductibles may apply. During your consultation, we can discuss your specific insurance plan and explore your options.
Dr. Cash can perform breast reduction surgery on women of any age who are in good health and have fully developed breasts. If you plan to have children, consider how a future pregnancy may affect your long-term results. Dr. Cash will discuss these factors during your consultation.
Scarring is an expected part of breast reduction surgery, but Dr. Cash uses his skill to place incisions in locations you typically conceal with clothes. These include around the edges of your areolas and the creases beneath your breasts. Scars will fade over time to match your natural skin tone.
Dr. Cash uses several incision techniques used for breast reduction surgery. The choice depends on your needs and how much tissue you want to remove.
- Anchor: The anchor pattern, often used for more extensive reductions, involves three incisions – one around each areola, vertical incisions extending from the areolas to the breast creases, and a horizontal incision along each breast crease.
- Lollipop: This technique combines the incisions around the areola and the vertical incision, creating a lollipop shape. It is suitable for moderate reductions and offers the advantage of fewer scars.
- Doughnut: This method involves an incision only around the perimeter of the areola, leaving a scar that resembles a doughnut. Dr. Cash typically uses it for mild reductions.
Yes. You will wear a surgical bra for support as your breasts heal, which helps reduce swelling and discomfort. Continuing to wear your surgical bra as instructed supports proper healing. Some patients also experience breast pain or sensitivity for the first few weeks, which typically resolves as healing progresses.