E.E.
Houston, TX
I absolutely loveeeee Dr. Couvillion!!!! He’s so insightful and compassionate about what he does! I would recommend him to anyone!
Our Reviews
E.E.
Houston, TX
I absolutely loveeeee Dr. Couvillion!!!! He’s so insightful and compassionate about what he does! I would recommend him to anyone!
Our ReviewsN.P.
Houston, TX
I had a great experience with Dr. Couvillion. Everything was pretty seamless from start to finish. I'd recommend!
Our ReviewsT.N.
Houston, TX
Dr. Ryan Couvillion performed my blepharoplasty procedure and I couldn’t be happier with the results. Dr. Couvillion is amazing!
Our ReviewsConsultations offered at our two convenient locations in Houston and The Woodlands, TX

Large or heavy breasts can affect more than just how you look—they can cause daily discomfort, limit your activity, and impact self-esteem. As a board-certified plastic and reconstructive surgeon, Dr. Ryan Couvillion offers breast reduction surgery that’s designed to relieve pain, restore balance, and help you move through life more freely.
Whether you’re struggling with chronic back pain or simply want to feel more at home in your body, Dr. Couvillion will create a customized surgical plan that puts your goals—and your comfort—first.
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Patients trust Dr. Couvillion for breast reduction surgery that’s both functional and aesthetic. With every case, he prioritizes proportion, symmetry, and long-term comfort.
Breast reduction, or reduction mammaplasty, is a surgical procedure that removes excess breast tissue, fat, and skin to create smaller, lighter, and more proportionate breasts. The surgery also typically involves lifting and reshaping the breast and repositioning the nipple for a more youthful, centered appearance.
Dr. Couvillion uses carefully planned incision patterns and suturing techniques to preserve sensitivity and minimize scarring.
You may be a good candidate if you:
During your consultation, Dr. Couvillion will evaluate your needs and discuss whether a breast reduction is right for you.
Before your procedure, you’ll meet with Dr. Couvillion to discuss:
Pre-op instructions may include:
Healing after breast reduction is a deeply personal process. You’ll receive detailed post-op care instructions and follow-up support from Dr. Couvillion and his team.
Patients often report significant relief in symptoms and increased confidence soon after recovery begins.
It depends on your symptoms and insurance plan. If you meet medical necessity criteria (e.g., amount to be removed, documented pain, physical therapy, rashes), we can help guide you through the pre-approval process.
Most patients maintain nipple sensitivity, but sensation changes can occur depending on your anatomy and surgical technique.
It’s possible but not guaranteed. Some patients retain the ability to breastfeed, but others may experience reduced milk production.
That depends on your body type and goals. Dr. Couvillion will help determine a size that offers both comfort and symmetry while maintaining a feminine shape.
Yes. Many patients combine it with a tummy tuck or liposuction for a more comprehensive transformation.
Breast reduction surgery isn’t just about size—it’s about freedom, function, and feeling your best. Schedule a consultation with Dr. Couvillion to explore your options.