Woman in black bra

Breast Reduction Surgery

Patients with excess fat, skin, and tissue in their breasts can suffer from neck and back pain as well as low self-confidence.

Dr. Bernard Kopchinski can improve your physical comfort and emotional well-being with breast reduction surgery at our San Antonio practice.

You deserve to feel comfortable in your body. Find out how we can help.

What Is Breast Reduction Surgery?

There are several different types of surgical breast enhancement. Breast reduction surgery, also known as reduction mammoplasty, is uniquely designed to remove excess tissue and loose skin around the breasts. We may also use liposuction to remove fat cells from the chest region.

There are several reasons to undergo breast reduction. Some patients develop disproportionately large breasts during puberty, while others notice cosmetic changes after childbirth or extreme weight loss.

The Importance of Your Plastic Surgeon Why Choose Dr. Kopchinski?

A good plastic surgeon can make all the difference between satisfactory and exceptional treatment. Over the last 20 years in practice, Dr. Kopchinski has developed a reputation for compassionate care and stunning results and is recognized as a top-tier surgeon in the San Antonio, TX, region.

Dr. Kopchinski is a board-certified plastic surgeon affiliated with several organizations, including the Texas Society of Plastic Surgeons and the San Antonio International Society of Plastic Surgery. He upholds the highest standards of patient care and professionalism to ensure your comfort and happiness. Feel confident in your treatment and turn to the trusted team at Prestige Cosmetic Surgery. Schedule your consultation at our San Antonio practice today by calling:

(210) 255-1764

Dr. Bernard Kopchinski

Patients throughout Texas and beyond trust Prestige Cosmetic Surgery with their treatment. Find out why.

Find Out Why Patients Love Us "He has a great bedside manner."


Anissa Medrano


Google logo

Dr.K fit me into his busy schedule and is so positive and knowledgeable! Dr. K made me feel welcomed as well as his staff. Everytime I call they make me feel like a priority and I feel I made a great choice coming to him!

View on Google

Judy Rountree


Google logo

Dr. K is the absolute best for all your cosmetic procedures. He has a great bedside manner and really takes the time to listen to YOU! I LOVE my tummy and my breast reduction...you ROCK Dr. K!

View on Google

Candidates for Breast Reduction

Dr. Kopchinski will first meet with you for a consultation at our San Antonio practice to determine if you qualify for plastic surgery. We take several factors into consideration when evaluating your candidacy.


Reduction mammoplasty is intended for adult men and women in good health. We do not recommend surgery if you smoke or suffer from serious medical conditions that can increase your risk for complications.


During your consultation, we will discuss the goals you have for treatment. Breast reduction surgery is best suited for patients with both aesthetic and functional concerns. If you are mainly interested in modifying the shape and perkiness of your chest rather than the size, you may be a better candidate for a breast lift.


It is important to have a positive mindset and realistic elections before undergoing plastic surgery. While reduction mammoplasty can provide incredible relief and cosmetic enhancement, it is not a magic cure for all body insecurities. Please talk to Dr. Kopchinski openly and honestly about your reasons for considering breast reduction surgery so he can help guide you towards making the best decisions for your body and overall well-being.

Your Personalized Consultation and Treatment Plan

If breast reduction is right for you, we will move on to the planning phase of your treatment. Dr. Kopchinski creates a custom surgical plan for every patient based on their body type, preferences, and goals.

When planning your treatment, we will perform a comprehensive examination and take photos and measurements of your breasts. Dr. Kopchinski will then explain your options and what the intended results will look like on your body.

patient in a consultation

Highly Recommended by Our Patients "I am referring all of my friends and family."


Sarah Chadwell


Google logo

Dr. Kopchinski and his staff are the most professional people in the business. Dr. K takes his time with each potential client to fully explain any questions you have and make you feel comfortable about any procedure you are considering. Many other doctors tend to rush you or tell you your questions can be answered from their website. He is detail oriented in his work, and his results are, therefore, phenomenal! I trust Prestige Cosmetics to take care of me.

View on Google

Michele Brown


Google logo

I can not say enough good things about Dr. K and Prestige Cosmetic Surgery! I am so happy with my Tummy Tuck results! I feel like a new women! Dr. K really takes the time to listen to his patients and treats you like family. His staff is great- always available by phone or email- and they even come in on the weekends. I was also given Dr. K's personal cell phone number to call if I had any problems. I am referring all of my friends and family- -Thank you, Dr. K!!!!

View on Google

Modern Surgical Techniques

Dr. Kopchinski can use a variety of incision techniques during breast reduction surgery to achieve the best results for your body. Learn more about how we customize the procedure to your needs.


Circular incision

The incision is made around the perimeter of the areola resulting in a highly discreet scar. A circular incision works best for less extensive revisions, as access to the breast tissue and skin remains limited.


Inverted-T incision

The inverted-T, also known as the anchor incision, provides comprehensive access to the breast area and is suitable for moderate to substantial reduction procedures. This incision extends down vertically under the nipple and across the crease at the base of the breast mound.


Lollipop incision

A lollipop incision goes around the edges of the areola and extends vertically down to the crease of the breast. Good candidates have a moderate amount of excess breast tissue and skin.

Is Breast Reduction Covered by Insurance?

Breast reduction is reconstructive in nature, meaning that some health insurance providers may cover part of the cost of this procedure. Our San Antonio practice accepts many types of insurance to help keep your treatment as affordable as possible. A member of our medical team will be glad to contact your health insurance provider for details about your benefits.

If you are uninsured or have concerns about remaining out-of-pocket expenses, consider flexible financing. Our practice takes plans through a wide range of third-party lenders, including CareCredit®, Prosper® Healthcare Lending, and Alphaeon® Credit.

Your one-on-one consultation is a great opportunity to ask questions about breast reduction costs and payment options. We will provide you with a transparent overview of all surgery, anesthesiologist, and lab fees to ensure you are well-informed about your treatment expenses.

CareCredit®, Prosper® Healthcare Lending, and Alphaeon® Credit logos

Turn Your Plans Into Reality

If large breasts are negatively impacting your life, it's time to make a change. Get started on your breast reduction surgery today by scheduling a personal consultation with Dr. Kopchinski. You can reach our San Antonio practice online or by calling: (210) 255-1764

5-Star Reviews of Our Practice "Dr. K was nothing but professional and positive!"


Mallory Angleton


Google logo

This was my first surgical experience and Dr. K was nothing but professional and positive! Each appointment he made me feel so comfortable and important. He answered all of my questions and was always positive. He never rushed or made me feel like he didn’t have time for me. All of his staff are so wonderful! They welcome me so warmly each time I am there.

View on Google

Amy Daugherty


Google logo

Just had surgery with Dr K on 4/11/19 he is so amazing he is very honest and informative about the procedure. His staff is amazing and sweet they will answer any questions no matter how silly you might think they are. Dr K even calls you himself the night after your surgery to check on you. Would highly recommend him to anyone and will be going back to him if I need anything else done.

View on Google

A Closer Look at the Procedure

Depending on your treatment plan, we may schedule your plastic surgery at our San Antonio outpatient facility or a local hospital to keep you under observation for the first night. Breast reduction typically takes between two and five hours and consists of the following steps:

A surgical drain will be placed after surgery to prevent fluid buildup.
A surgical drain will be placed after surgery to prevent fluid buildup.


We begin by administering general anesthesia, inducing a sleep-like state before your surgery.


Dr. Kopchinski makes incisions around the areola that extend down the breast mound in cases involving more extensive revisions.

Cosmetic Modifications

Next, we remove excess tissue and trim away loose skin. We may also incorporate liposuction to eliminate a greater amount of fat in the region. The skin is redraped over the chest and pulled tight, and the nipple repositioned higher up on the breast mound.

Finishing Touches

When the reduction is complete, we close the incisions with sutures and place a surgical drain to prevent fluid buildup in the first few days. Finally, the chest is bound in gauze to protect the incisions as you recover.

Our practice is committed to attentive and personalized care throughout your treatment and recovery process. After the surgery, you will have access to Dr. Kopchinski's personal cell number in case you need to reach him after office hours. If you have questions or concerns at any time, day or night, do not hesitate to reach out, and we will assist you as best as possible.

What to Expect During Recovery

We ask that you carefully follow all postoperative recovery instructions to prevent complications and ensure the best aesthetic results. Recovery typically involves:


You can anticipate certain side effects like swelling, bruising, and soreness around your chest in the days following surgery. Dr. Kopchinski may prescribe pain medication or other antibiotics to reduce discomfort and the chance of infection.

Breast Care

We will provide you with a surgical bra (a chest compression garment) to wear in the first week to improve circulation and support the chest as you heal. Change your bandages as instructed and avoid wearing any clothing that could irritate the area.


Get plenty of rest in the first few days after your surgery. You will be at a reduced capacity initially, so you might want to plan for a friend or family member to assist you around the house, particularly in the first 48 hours. You can return to work with the doctor's permission in about one to two weeks, but avoid exercise and strenuous activity in the first month.

Prestige Cosmetic Surgery office exterior

Prestige Cosmetic Surgery

At Prestige Cosmetic Surgery in San Antonio, TX, board-certified plastic surgeon Bernard Kopchinski helps patients enhance their appearance through a variety of cosmetic procedures. Dr. Kopchinski is a member of several prestigious organizations, including:

  • The American Society of Plastic Surgeons
  • The Texas Medical Association
  • The Texas Society of Plastic Surgeons
  • The American College of Surgeons

Initial consultations with Dr. Kopchinski are free of charge. To schedule a consultation, contact us online or call (210) 255-1764.

Contact Us Today

Rate, Review & Explore

Social Accounts Sprite
Google map image of our location in 18707 Hardy Oak Blvd Ste 455 San Antonio, TX

San Antonio Office

18707 Hardy Oak Blvd
Ste 455
San Antonio, TX 78258

Closed Today

Saturday by appointment only

(210) 255-1764 Send a message