When Your Breasts Are Working Against You

For many women, the conversation around breast size skips right past aesthetics and lands on something more immediate: pain. Grooves dug into shoulders from bra straps, a persistent ache between the shoulder blades, difficulty finding activewear that actually supports you during a workout, these are the everyday realities of carrying more weight than your frame was built for. A breast reduction in Chevy Chase addresses that physical burden directly, while also reshaping the breast into something more proportionate.

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What Is a Breast Reduction?

Reduction mammaplasty removes a combination of excess breast tissue, fat, and skin, then reshapes what remains into a smaller, firmer form that sits higher on the chest. What makes this procedure somewhat unique on our menu of breast surgeries is that it often qualifies as medically necessary rather than purely cosmetic, since the physical symptoms driving most patients to pursue it are well-documented and often severe enough to warrant surgical intervention.

The Benefits of Breast Reduction

  • Takes the Weight Off, Literally: Removing excess tissue directly reduces the physical strain on your back, neck, and shoulders that oversized breasts create.
  • Clothes Finally Fit Right: A more proportionate chest size opens up options in clothing and undergarments that previously didn't work for your frame.
  • Movement Without Restriction: Patients frequently describe exercise and daily activity as feeling noticeably easier after healing.
  • A Lift Comes Built In: Because reduction involves reshaping the breast tissue anyway, most patients see a lifted, more youthful contour as part of the same procedure.
  • Relief That Sticks: Once the tissue is removed, results tend to remain stable over time, especially alongside a consistent, healthy weight.
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Are You a Candidate for Breast Reduction?

If breast size has become a source of physical pain rather than just aesthetic frustration, reduction is worth exploring. You may be a strong candidate if:

  • You deal with recurring back, neck, or shoulder pain that seems tied to breast size
  • Bra straps regularly leave marks or grooves in your shoulders
  • You've struggled to find properly fitting clothing due to disproportionate breast size
  • You're in good general health and have a realistic sense of your desired outcome

Our Chevy Chase team will evaluate both your physical symptoms and your aesthetic goals during your consultation to determine whether reduction surgery is right for you.

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Schedule A Consultation

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The Breast Reduction Process What to Expect

Initial Consultation

Your provider will evaluate your breast size, discuss your physical symptoms and goals, and determine your candidacy for surgery.

Personalized Surgical Plan

Your provider will determine the appropriate amount of tissue removal and reshaping needed based on your anatomy and desired outcome.

Procedure Day

Breast reduction is typically performed under general anesthesia and takes about two to four hours to complete.

Initial Healing Phase

You'll be placed in a supportive garment following surgery, with detailed instructions to guide your recovery.

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plastic surgeons

Meet Our Plastic Surgeons

Every patient at Congressional Plastic Surgery is cared for by board-certified surgeons who bring decades of combined training and expertise to every procedure we offer.

Dr. Christopher Chang is a double board-certified plastic surgeon with training from Harvard College, NYU School of Medicine, and Yale-New Haven Hospital, along with a fellowship in advanced craniofacial surgery from Johns Hopkins Hospital. He founded Congressional Plastic Surgery in 2015 and continues to perform a high volume of surgical and aesthetic procedures.

Dr. Hillary Jenny is a board-eligible plastic surgeon who trained at MIT and earned her MD and MPH from the Icahn School of Medicine at Mount Sinai. She completed her residency at Johns Hopkins Hospital and a fellowship in aesthetic surgery in Beverly Hills, bringing specialized expertise in natural, individualized results.

Results and Recovery

One of the more rewarding aspects of reduction surgery is how quickly patients notice physical relief, often within days, well before swelling from the procedure has fully subsided.

The healing itself follows a fairly typical surgical timeline: lighter activity resumes within one to two weeks, with your final breast shape and size becoming clear over the following months as post-surgical swelling gradually settles.

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Why Choose Congressional Plastic Surgery in Chevy Chase?

  • Expert Breast Reduction Surgeon You Can Trust: Dr. Christopher Chang brings extensive experience in breast reduction surgery, helping patients find both aesthetic improvement and genuine physical relief.
  • A Focus on Function and Form: Our Chevy Chase team considers both your physical symptoms and aesthetic goals when designing your surgical plan.
  • Convenient Chevy Chase Location: Our office offers easy access for patients throughout Maryland and the greater Washington, DC, area seeking expert breast reduction surgery.
  • Backed by Established Expertise: With Dr. Chang's double board certification and years of clinical experience, our team brings the same precision to breast reduction as we do to every procedure we perform.

Breast Reduction Frequently Asked Questions

Do I need documentation from another doctor about my back pain to get insurance coverage?

Often, yes. Many insurance providers require documented evidence of physical symptoms, sometimes including notes from a chiropractor, physical therapist, or primary care provider, before approving coverage.

Will removing tissue change how my breasts respond to weight gain or loss in the future?

Significant weight fluctuations after surgery can still affect your results, since the remaining tissue behaves similarly to how it did before your reduction.

Is there a minimum age for breast reduction?

Most providers prefer to wait until breast development has fully stabilized, though there's no single universal age cutoff. This is worth discussing directly with your provider if age is a factor for you.

How noticeable will the size difference be right after surgery versus months later?

You'll notice a significant size difference immediately, though some initial swelling can make breasts appear slightly larger at first than your true final result.

Can nipple sensation change after a reduction?

Some change in sensation is possible, since the procedure involves repositioning the nipple-areola complex. Your provider can discuss the likelihood based on your specific surgical plan.

Does insurance typically cover the same amount regardless of how much tissue is removed?

Coverage details vary by insurer and policy, and can depend on documented medical necessity rather than a fixed amount of tissue removed. Our team can help you navigate the specifics of your plan.

Testimonials What Our Patient Say

5 out of 5 stars

I'm already loving my results

"I went to Dr. Chang to correct the damage done to my breasts from pregnancy and breastfeeding. He went above and beyond to make me comfortable and to explain exactly what the p...

"I went to Dr. Chang to correct the damage done to my breasts from pregnancy and breastfeeding. He went above and beyond to make me comfortable and to explain exactly what the procedures (lift + implants) would entail. He was extremely responsive and truly understood the look that I was trying to achieve—full, natural for my frame, and with minimal scarring. I'm only two days out from surgery, and I'm already loving my results. I am so glad that I chose Dr. Chang to restore my chest to its pre-baby appearance. I actually think they are going to be better than they ever were before I had kids!"

Emily L.
5 out of 5 stars

A huge thank you to Dr. Chang and Kelly!!!

"I had a consultation with two other surgeons before I met Dr. Chang. I always wanted a breast augmentation done, but didn't want to rush, so I took my time finding the best doc...

"I had a consultation with two other surgeons before I met Dr. Chang. I always wanted a breast augmentation done, but didn't want to rush, so I took my time finding the best doctor in this area. Some doctors will put in whatever cc’s you ask for just to please you, and that's exactly what my second doctor wanted to do. I am very petite, and the size I thought I wanted would have been too extreme for my figure. Dr. Chang and his nurse, Kelly, not only made me feel extremely comfortable, but they also listened to what I wanted and explained every single step. Dr. Chang has his 24-hour recovery program, which definitely helped me tremendously. I got my surgery on Thursday and was back to my normal routine by Saturday. If you do what he says, you will see the results. I thought my boobs were going to be up extremely high the first week, but mine looked perfect, and now that they have dropped a bit, no one can tell I got a boob job... I mean, my boobs definitely went from 32A to 32DD, but because I healed so quickly and my boobs were not up to my chin, they just looked like my real boobs. It still looks so natural, and I love it! I knew Dr. Chang was my doctor after my first consultation, and I booked my surgery after a week. I am extremely happy with the results and thankful for Dr. Chang and his crew! His nurse, Kelly, was absolutely fantastic throughout the whole process, calling to check on me after my surgery and answering all of my questions! A huge thank you to Dr. Chang and Kelly!!!"

Jennifer L.
5 out of 5 stars

Thank you, Dr. Chang and staff.

"Thank you, Dr. Chang and staff. After breastfeeding my second baby eighteen years ago, my confidence hit an all-time low because my breasts sagged badly. I no longer felt sexy ...

"Thank you, Dr. Chang and staff. After breastfeeding my second baby eighteen years ago, my confidence hit an all-time low because my breasts sagged badly. I no longer felt sexy and became very self-conscious about my appearance and would only wear conservative, non sexy clothing. I wasn't able to express myself through fashion as gravity often stepped in, causing wardrobe malfunctions as my breasts would often find themselves out of the bra. After years of contemplating breast augmentation and removing the bags under my eyes, I finally got the courage to do something about it, and that's when my friend referred me to Dr. Christopher Chang. As this was a big decision for me, I was very anxious, but Dr. Chang made me feel at ease with the decision I was about to make. In doing so, he carried out a detailed assessment and enquired about my reasoning for wanting the surgery (making clear his ethical stance). At the end of my consultation, I felt I was making an informed decision and that Dr. Chang was the person I would trust to carry out the procedure. He educated me on the pros and cons and on any possible risks involved. The office offered excellent pre- and post-surgery care and guidance. On the day of my surgery, I was greeted by a very pleasant Dr. Chang, who went over the final details of my procedure, which was reassuring. Following my procedure, Dr. Chang kept in frequent contact to check on my progress/recovery and, if I had a question, returned my calls immediately. This made my recovery after the procedure manageable. åWhen I first saw my 'identical twins', I almost dropped; the babies looked so beautiful and perfect. My confidence hit the roof; I felt like 21 again"

Maura B.
5 out of 5 stars

You have definitely boosted my confidence!

"I want to give Dr. Chang and his staff a shout-out for the amazing work they have done for me. I was first referred to Dr. Chang by a good friend of mine, as he was highly reco...

"I want to give Dr. Chang and his staff a shout-out for the amazing work they have done for me. I was first referred to Dr. Chang by a good friend of mine, as he was highly recommended. I had been considering having a breast augmentation for several years, so when I heard they were hosting a meet-and-greet with the doctors at their Fairfax office, I knew I had to attend. After meeting with Dr. Chang and the staff, I knew I was ready to set up an official consultation! At the consultation, both Dr. Chang and his nurse were a wealth of knowledge. They both made me feel extremely comfortable, and I felt confident in their hands. When I decided to proceed, I came in for my pre-op appointment, where I then tried on different implant sizes to determine what would be the best fit for my body. We decided that 275 ccs would be perfect for me since I am petite. The day of surgery, I was a little nervous but also very excited. Everyone at the hospital was very attentive and had remarkable bedside manners. When I came out of surgery, I had no pain and no discomfort. I felt slight pressure, which was to be expected, but overall, I was surprisingly very comfortable. After surgery, I began my “24-hour recovery”. A few hours after being home and resting, Dr. Chang called to check up on me, which I thought, “wow, what a thoughtful doctor!” The very next day, I went out to lunch with my friend and walked around the mosaic without any discomfort. I never once had to take any pain medicine, as I didn’t feel it was needed. The healing process took no time at all, and I was back to work within a few days. I am so in love with my results, and my confidence has skyrocketed! My new breasts look and feel so natural, and they are exactly what I was hoping for! I am very pleased with my experience from start to finish and am absolutely thrilled. Thank you so much, Dr. Chang. You have definitely boosted my confidence!"

Kathrine G.
5 out of 5 stars

Dr. Chang and his staff are amazing!

"Dr. Chang and his staff are amazing! Three years ago, I considered getting a breast augmentation; however, 1 week before surgery, I canceled because I was entirely too nervous....

"Dr. Chang and his staff are amazing! Three years ago, I considered getting a breast augmentation; however, 1 week before surgery, I canceled because I was entirely too nervous. Here I am now, approximately 1 month post op, and couldn't be happier. When I went in for my consultation with Dr. Chang, I felt extremely comfortable. He was very realistic, precise, and generally concerned/wanted the best for me. He and his staff are not only knowledgeable and skilled but also friendly and easy to talk to. On the day of my surgery, both Dr. Chang and his nurse called me to check how I was doing. I was offered the opportunity to be on the 24-hour recovery program, and I don't regret a single painful minute of it. I highly recommend Dr. Chang and his staff. The people are wonderful, and the office is well maintained."

Avril G.
5 out of 5 stars

The office staff is friendly, caring, and efficient.

"Four weeks ago, I had abdominoplasty and breast augmentation procedures with Dr. Chang. I am over the moon with the amazing natural and subtle results of his artistry. He is a ...

"Four weeks ago, I had abdominoplasty and breast augmentation procedures with Dr. Chang. I am over the moon with the amazing natural and subtle results of his artistry. He is a gifted surgeon. He made the entire process from pre-op to recovery a very positive experience. I can’t say enough good things about Dr. Chang. I unequivocally would recommend him for any cosmetic procedures you may be considering. He has a wonderful bedside manner, very engaging and informative, always. He makes you feel you are his only patient, never rushed or hurried. His upbeat and positive outlook is so refreshing. It’s truly a pleasure to be his patient. Nurse Kelly is such an asset to the team. She thoroughly prepares you for each step of the surgical process. Her expertise is very helpful and appreciated. The office staff is friendly, caring, and efficient. I wholeheartedly endorse the practice of Dr. Dufresne and Dr. Chang!!"

June P.
5 out of 5 stars

I cannot wait to go ahead with the surgery with Dr. Chang.

"I had a consultation with Dr. Chang on Friday, March 11, 2016, for a breast augmentation. Dr. Chang was very attentive and heard out all of my questions and concerns. He asked ...

"I had a consultation with Dr. Chang on Friday, March 11, 2016, for a breast augmentation. Dr. Chang was very attentive and heard out all of my questions and concerns. He asked what I wanted my breasts to look like post-surgery, which made me very comfortable. After analyzing my measurements, we discussed the size of implants to be used. Dr. Chang explained the no-touch technique he uses, which reduces some of the risks associated with the surgery. He also said I would be a candidate for the 24 hr recovery process, which is very appealing to me, given my busy schedule. I am confident that Dr. Chang will help me achieve the look that I've been dreaming of for years. This is my fourth consultation, and I've finally found the doctor I trust to perform this surgery. All of my worries have been put to rest, and I cannot wait to go ahead with the surgery with Dr. Chang."

Maurey F.
5 out of 5 stars

Dr. Chang is AWESOME and very knowledgeable!

"I am very happy with my breast implant. Dr. Chang is AWESOME and very knowledgeable! He looks out for what is best for his client. Office staff is very helpful with follow-ups....

"I am very happy with my breast implant. Dr. Chang is AWESOME and very knowledgeable! He looks out for what is best for his client. Office staff is very helpful with follow-ups. Yes, I HIGHLY recommend Dr. Chang. I can’t thank you enough for what he has done for me."

V T.
5 out of 5 stars

Thank you, Dr. Chang!

"I've been looking into getting a breast augmentation for years now. Like all others, I really made sure to do my research. Once I found Dr. Chang and met with him for my first ...

"I've been looking into getting a breast augmentation for years now. Like all others, I really made sure to do my research. Once I found Dr. Chang and met with him for my first consultation, I knew immediately he was the surgeon I wanted to do my procedure with! He was very easy to talk to and straight to the point with things. If you had any questions, he/his staff were happy to answer them. His staff was extremely professional, and I felt comfortable around them. Dr. Chang wants the best for you, especially if you are looking for a "natural look." He recommended what he thought would look best on me, and we compromised with his recommendations and my expectations. I was really nervous a day or two before the surgery, thinking maybe it wouldn't turn out to be what I wanted to look like. But I think everyone goes through this. The day of the procedure was calming - everyone was a pleasure to speak to, and after waking up from the surgery, I felt a little delusional (from the anesthesia, of course) but shortly after felt okay! Maybe it's because I have a higher pain tolerance, or Dr. Chang is THAT good (or both!), but I didn't need many drugs besides some ibuprofen for slight pain. I'm about one week post-op and am super happy with the results so far. Any unsure thoughts I had previously have been proved wrong, and I am ecstatic about that! I would 100000% recommend Dr. Chang—you are in great hands with him. I can't wait to see what my breasts look like when they fully heal and settle. Definitely one of the best decisions I've made for myself :) Thank you, Dr. Chang!"

Ashley P.
5 out of 5 stars

I would not hesitate to go to Dr. Chang.

"I had breast implant and lift revision surgery with Dr. Chang. The entire experience was so positive. The office staff couldn't have been more helpful each time I called for ap...

"I had breast implant and lift revision surgery with Dr. Chang. The entire experience was so positive. The office staff couldn't have been more helpful each time I called for appointments and/or questions. Dr. Chang made me comfortable right from the start. His nurse, Kelly, was very informative and comforting, and helped me with a few of my decisions. Dr. Chang took the time to understand my concerns and to understand completely what my expectations were. I had things about my first surgery that I was not pleased with, and he made a point to make sure these issues were corrected. In the end, I am 100% satisfied with my results. I couldn't be happier. I am glad for the relationship I have formed with this practice. If I ever have a need for their services in the future, I would not hesitate to go to Dr. Chang."

Leigh D.
5 out of 5 stars

I will absolutely recommend people to you :)

"Dr. Chang, I really just want to thank you so much. Everything looks great from what I can see, and you and your staff were excellent. I do apologize for being so grumpy about ...

"Dr. Chang, I really just want to thank you so much. Everything looks great from what I can see, and you and your staff were excellent. I do apologize for being so grumpy about the IV afterward, but the pain mess finally kicked in, and I’m feeling much better now. :) Please tell all the nurses they were so helpful, and I really appreciate them. Being so patient with me! You are excellent, and I am so happy I chose to do this with you. Again, I really appreciate all your attention to detail and care. I will absolutely recommend people to you :)"

Female (21, breast augmentation)
5 out of 5 stars

You’re the best!

I hope you’re doing ok... I love my new breasts, Dr.... You’re the best....

Female (36, breast augmentation)

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Schedule a consultation at our Vienna, VA or Chevy Chase, MD office. We'll take it from there.

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